| Payment ID | 9036 |
|---|---|
| Date Created | 09/30/22 3:34 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 5777 |
| Authorization Number | |
| Applicant Information | |
| Name | Latisha Payne |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 70800536 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | -$445.00 |
| Receipt Date | 09/28/2022 |
| Comments | refund from hotel stay at Super 8 |
| Receipt | 9036-Payne.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| 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