| Payment ID | 9456 |
|---|---|
| Date Created | 10/11/22 12:32 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 925 |
| Authorization Number | |
| Applicant Information | |
| Name | Danielle Dominguez |
| 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 | 16170400112 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $1,086.03 |
| Receipt Date | 10/10/2022 |
| Comments | extended stay at Super 8 departure date is 10/24/22 |
| Receipt | 9456-Dominguez.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| 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