| Payment ID | 88021 |
|---|---|
| Date Created | 01/17/25 12:39 pm |
| Created By | Gloria Jimenez |
| Service Request | 84035 |
| Application ID | 9049 |
| Authorization Number | 224534 |
| Applicant Information | |
| Name | Alexis Kirven |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170500737 |
| Payment Type | Transportation |
| Type of Service Request | Transportation |
| Payment Details | |
| Payment Amount | $40.00 |
| Receipt Amount | $40.00 |
| Receipt Date | 01/07/2025 |
| Comments | bus pass delivered |
| Receipt | 88021-Kirven.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/17/2025 |
Housing Stability Services Program
Available 24/7
Housing Stability Services Program
Available 24/7
Funded by Texas Department of Housing and Community Affairs
Funded by Texas Department of Housing and Community Affairs