| Payment ID | 93710 |
|---|---|
| Date Created | 02/18/25 3:06 pm |
| Created By | Gloria Jimenez |
| Service Request | 91164 |
| Application ID | 83433 |
| Authorization Number | 224967 |
| Applicant Information | |
| Name | Adrienne Lawrence |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170403970 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Super 8 Waco University Area |
| Location Contact Name | Crystal |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 4 |
| From | 02/05/2025 |
| To | 02/12/2025 |
| Days | 6 |
| Payment Details | |
| Payment Amount | $623.00 |
| Receipt Amount | $857.16 |
| Receipt Date | 02/12/2025 |
| Comments | HOtel stay at Super 8 departure date is 2/12/25 |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | CM |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 02/18/2025 |
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