| Payment ID | 9600 |
|---|---|
| Date Created | 10/13/22 9:38 am |
| Created By | Gloria Jimenez |
| Service Request | |
| Application ID | 3489 |
| Authorization Number | |
| Applicant Information | |
| Name | Monique Qualls |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170700332 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Payment Details | |
| Receipt Amount | $1,026.00 |
| Receipt Date | 10/11/2022 |
| Comments | extended stay at Woodspring departure date is 10/24/2022 |
| Receipt | 9600-Qualls.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 10/13/2022 |
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