| Payment ID | 9570 |
|---|---|
| Date Created | 10/12/22 4:48 pm |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 6409 |
| Authorization Number | |
| Applicant Information | |
| Name | Yan Jai Pickett |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170700568 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $275.97 |
| Receipt Date | 10/03/2022 |
| Comments | extended hotel stay paid on 10/03/2022 |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | PB |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 10/12/2022 |
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