| Payment ID | 9030 |
|---|---|
| Date Created | 09/30/22 3:18 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 3784 |
| Authorization Number | |
| Applicant Information | |
| Name | Karen Ayala |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170400359 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $534.00 |
| Receipt Date | 09/29/2022 |
| Comments | hotel stay paid on extension departure date is 10/09/2022 |
| Receipt | 9030-Ayala.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/30/2022 |
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