| Payment ID | 97835 |
|---|---|
| Date Created | 03/18/25 11:40 am |
| Created By | Gloria Jimenez |
| Service Request | 96828 |
| Application ID | 90516 |
| Authorization Number | 225369 |
| Applicant Information | |
| Name | Michael Smith |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170804411 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Delta Inn |
| Start Day | Monday |
| Guests | 2 |
| From | 03/12/2025 |
| To | 03/19/2025 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $500.00 |
| Receipt Amount | $997.05 |
| Receipt Date | 03/17/2025 |
| Comments | hotel stay at Delta Inn departure date is 03/19/25 this payment includes more than one service request |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/18/2025 |
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