| Payment ID | 99246 |
|---|---|
| Date Created | 03/27/25 12:42 pm |
| Created By | Gloria Jimenez |
| Service Request | 96070 |
| Application ID | 86326 |
| Authorization Number | 225319 |
| Applicant Information | |
| Name | Laurae Steele |
| Agency Name | Veterans Administration |
| Agency Code | 220308 |
| Agency | Veterans Administration |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 08269304206 |
| Payment Type | Short-Term Hotel/Motel Stays |
| Type of Service Request | Hotel Stay |
| Location | Candlewood Suites |
| Location Contact Name | Sales |
| Location Email Address | Email hidden; Javascript is required. |
| Start Day | Monday |
| Guests | 2 |
| From | 03/05/2025 |
| To | 03/12/2025 |
| Days | 7 |
| Payment Details | |
| Payment Amount | $600.00 |
| Receipt Amount | $369.95 |
| Receipt Date | 03/19/2025 |
| Comments | hotel stay at Candlewood |
| Receipt | 99246-Steele.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/27/2025 |
