| Payment ID | 9239 |
|---|---|
| Date Created | 10/05/22 12:49 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 3956 |
| Authorization Number | |
| Applicant Information | |
| Name | Kapasshun Brooks |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170500371 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | -$197.46 |
| Receipt Date | 10/04/2022 |
| Comments | refund for hotel stay at Super 8 |
| Receipt | 9239-Brooks.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | PB |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 10/05/2022 |
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