| Payment ID | 9450 |
|---|---|
| Date Created | 10/11/22 11:43 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 4302 |
| Authorization Number | |
| Applicant Information | |
| Name | Maria Rosales |
| Agency Name | Homeless Coalition |
| Agency Code | 220213 |
| Agency | Homeless Coalition |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171100408 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $979.00 |
| Receipt Date | 10/10/2022 |
| Comments | extended stay at Super 8 departure date is 10/24/2022 |
| Receipt | 9450-Rosales.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 10/11/2022 |
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