| Payment ID | 90638 |
|---|---|
| Date Created | 01/30/25 2:29 pm |
| Created By | Gloria Jimenez |
| Service Request | 87026 |
| Application ID | 86326 |
| Authorization Number | 224666 |
| Applicant Information | |
| Name | Laurae Steele |
| Agency Name | Veterans Administration |
| Agency Code | 220308 |
| Agency | Veterans Administration |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 08269304206 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Candlewood Suites |
| Location Contact Name | Sales |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 2 |
| From | 01/14/2025 |
| To | 01/21/2025 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $500.00 |
| Receipt Amount | $526.38 |
| Receipt Date | 01/27/2025 |
| Comments | payment made on 1/27/25 for hotel stay |
| Receipt | 90638-Steele.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/30/2025 |
