Homeless shelter
Velvetmoor Hill Shelter · Homeless shelter · Erie, PA
Elias Delacroix-Moss manages Velvetmoor Hill Shelter, an emergency shelter in Erie, and uses this to get every guest's stay agreement signed, bill each stay to the county, veterans office, church or hospital that pays for it, and chase the bills still unpaid.
NonprofitBillingDocuments and e-sign4 tables · 5 views · 1 form · 1 dashboard · 1 digest · 1 document · 1 notification · 1 stage rule set · 1 agent
Use this templateAll stay bills
Stay bills| Bill number | Guest | Billed to | Billing clerk | Checked in | Checked out | Nightly rate |
|---|---|---|---|---|---|---|
| VH-3121 | Magdalena Osei-Lindqvist | Hollinwood Regional Hospital Discharge Program | Winifred Oyelaran-Pratt | Aug 29, 2026 | Oct 8, 2026 | $60 |
| VH-3120 | Rafferty Quillfeather-Dube | Lanternfell County Housing Office | Winifred Oyelaran-Pratt | Aug 24, 2026 | Sep 23, 2026 | $45 |
| VH-3127 | Evander Thistlewood-Diallo | Ashgrove Churches Fellowship | Winifred Oyelaran-Pratt | Aug 30, 2026 | Sep 18, 2026 | $38 |
| VH-3105 | Lysander Okonkwo-Brandt | State Emergency Shelter Fund | Winifred Oyelaran-Pratt | Aug 14, 2026 | Sep 8, 2026 | $48 |
| VH-3107 | Florentina Achterberg-Moll | Ashgrove Churches Fellowship | Winifred Oyelaran-Pratt | Aug 24, 2026 | Sep 13, 2026 | $38 |
| VH-3110 | Cormac Delacroix-Mbeki | Tri-Valley Veterans Services Office | Winifred Oyelaran-Pratt | Aug 6, 2026 | Sep 3, 2026 | $52 |
| VH-3113 | Imogen Valverde-Strand | Hollinwood Regional Hospital Discharge Program | Winifred Oyelaran-Pratt | Jul 20, 2026 | Aug 19, 2026 | $60 |
| VH-3119 | Anneliese Kowalczyk-Rhee | Lanternfell County Housing Office | Winifred Oyelaran-Pratt | Aug 15, 2026 | Aug 29, 2026 | $45 |
| VH-3125 | Perpetua Haldane-Nwosu | State Emergency Shelter Fund | Winifred Oyelaran-Pratt | Jul 25, 2026 | Aug 9, 2026 | $48 |
| VH-3106 | Florentina Achterberg-Moll | Ashgrove Churches Fellowship | Winifred Oyelaran-Pratt | Jul 12, 2026 | Aug 9, 2026 | $38 |
| VH-3109 | Cormac Delacroix-Mbeki | Tri-Valley Veterans Services Office | Winifred Oyelaran-Pratt | Jun 30, 2026 | Jul 30, 2026 | $52 |
| VH-3104 | Lysander Okonkwo-Brandt | State Emergency Shelter Fund | Winifred Oyelaran-Pratt | Jun 15, 2026 | Jul 15, 2026 | $48 |
Tables
Stay bills
27 sample rows · 17 columnsEvery stay billed after checkout: who it was for, who pays, what it came to and what is still owed.
| Bill number | Guest | Billed to | Billing clerk | Checked in | Checked out | Nightly rate |
|---|---|---|---|---|---|---|
| VH-3121 | Magdalena Osei-Lindqvist | Hollinwood Regional Hospital Discharge Program | Winifred Oyelaran-Pratt | Aug 29, 2026 | Oct 8, 2026 | $60 |
| VH-3120 | Rafferty Quillfeather-Dube | Lanternfell County Housing Office | Winifred Oyelaran-Pratt | Aug 24, 2026 | Sep 23, 2026 | $45 |
| VH-3127 | Evander Thistlewood-Diallo | Ashgrove Churches Fellowship | Winifred Oyelaran-Pratt | Aug 30, 2026 | Sep 18, 2026 | $38 |
| VH-3105 | Lysander Okonkwo-Brandt | State Emergency Shelter Fund | Winifred Oyelaran-Pratt | Aug 14, 2026 | Sep 8, 2026 | $48 |
| VH-3107 | Florentina Achterberg-Moll | Ashgrove Churches Fellowship | Winifred Oyelaran-Pratt | Aug 24, 2026 | Sep 13, 2026 | $38 |
| VH-3110 | Cormac Delacroix-Mbeki | Tri-Valley Veterans Services Office | Winifred Oyelaran-Pratt | Aug 6, 2026 | Sep 3, 2026 | $52 |
| VH-3113 | Imogen Valverde-Strand | Hollinwood Regional Hospital Discharge Program | Winifred Oyelaran-Pratt | Jul 20, 2026 | Aug 19, 2026 | $60 |
| VH-3119 | Anneliese Kowalczyk-Rhee | Lanternfell County Housing Office | Winifred Oyelaran-Pratt | Aug 15, 2026 | Aug 29, 2026 | $45 |
| VH-3125 | Perpetua Haldane-Nwosu | State Emergency Shelter Fund | Winifred Oyelaran-Pratt | Jul 25, 2026 | Aug 9, 2026 | $48 |
| VH-3106 | Florentina Achterberg-Moll | Ashgrove Churches Fellowship | Winifred Oyelaran-Pratt | Jul 12, 2026 | Aug 9, 2026 | $38 |
| VH-3109 | Cormac Delacroix-Mbeki | Tri-Valley Veterans Services Office | Winifred Oyelaran-Pratt | Jun 30, 2026 | Jul 30, 2026 | $52 |
| VH-3104 | Lysander Okonkwo-Brandt | State Emergency Shelter Fund | Winifred Oyelaran-Pratt | Jun 15, 2026 | Jul 15, 2026 | $48 |
Guests
14 sample rows · 13 columnsEach person who stays: the bed program, whether the stay agreement is signed, and what is owed on their stays.
| Guest | Guest code | Phone | Date of birth | Bed program | Stay agreement | Intake day |
|---|---|---|---|---|---|---|
| Leopold Ashburnham-Mensah | VH-G114 | (814) 555-0194 | Dec 3, 1972 | Oct 17, 2026 | ||
| Calliope Brannigan-Ito | VH-G113 | (814) 555-0193 | Sep 29, 1993 | Oct 16, 2026 | ||
| Magdalena Osei-Lindqvist | VH-G109 | (814) 555-0189 | Oct 11, 1990 | Aug 19, 2026 | ||
| Rafferty Quillfeather-Dube | VH-G108 | (814) 555-0188 | Apr 5, 1998 | Jul 20, 2026 | ||
| Florentina Achterberg-Moll | VH-G103 | (814) 555-0183 | Dec 21, 1991 | Jun 20, 2026 | ||
| Evander Thistlewood-Diallo | VH-G112 | (814) 555-0192 | May 8, 1977 | May 31, 2026 | ||
| Lysander Okonkwo-Brandt | VH-G102 | (814) 555-0182 | Sep 2, 1975 | May 21, 2026 | ||
| Perpetua Haldane-Nwosu | VH-G111 | (814) 555-0191 | Aug 16, 1983 | May 1, 2026 | ||
| Imogen Valverde-Strand | VH-G105 | (814) 555-0185 | Jan 9, 1994 | Apr 11, 2026 | ||
| Cormac Delacroix-Mbeki | VH-G104 | (814) 555-0184 | Jun 30, 1969 | Apr 1, 2026 | ||
| Anneliese Kowalczyk-Rhee | VH-G107 | (814) 555-0187 | Jul 25, 1986 | Mar 22, 2026 | ||
| Odette Vandersloot-Takahashi | VH-G101 | (814) 555-0181 | Mar 14, 1988 | Mar 2, 2026 |
Payers
6 sample rows · 11 columnsThe county offices, veterans office, churches, hospital program and state fund that pay for stays, with the rate and terms agreed.
| Payer | Kind | Agreed nightly rate | Days to pay | Billing contact | Contact email | Contact phone |
|---|---|---|---|---|---|---|
| Ashgrove Churches Fellowship | $38 | 21 | Ambrose Whitlock-Sorensen | ambrose.whitlock@ashgrovechurchfellowship.net | (814) 555-0173 | |
| Hollinwood Regional Hospital Discharge Program | $60 | 45 | Yasmin Okeke-Falkenrath | yasmin.okeke@hollinwoodhospitaldischarge.net | (814) 555-0174 | |
| Lanternfell County Housing Office | $45 | 30 | Ruairi Castellanos-Webb | ruairi.castellanos@lanternfellhousing.net | (814) 555-0171 | |
| Self-pay, sliding scale | $20 | 14 | — | — | — | |
| State Emergency Shelter Fund | $48 | 30 | Leontine Aspinall-Cho | leontine.aspinall@stateshelterfundoffice.net | (814) 555-0175 | |
| Tri-Valley Veterans Services Office | $52 | 30 | Georgiana Ibekwe-Lund | georgiana.ibekwe@trivalleyvetsoffice.net | (814) 555-0172 |
Also included
- Agreement board
- Stay agreementThe house agreement each guest signs before taking a bed.
- Bill coming dueWarns the billing clerk three days before a bill's payment date.
- Monday overdue list
Related templates
- Professional associationKettlebrook Regional Engineers Association5 tables · 7 views · 1 form · 2 dimension sets · 1 dashboard · 1 digest · 1 notification · 1 agentDashboards
- PTAJessamine Green PTA4 tables · 5 views · 1 form · 2 dimension sets · 1 document · 1 notification · 1 stage rule set · 1 agentDocuments and e-sign
- Youth sports leagueQuillmoor Green Youth League5 tables · 6 views · 2 forms · 1 dimension set · 2 drill-downs · 1 digest · 1 document · 1 notification · 1 stage rule set · 1 agentDrill-down
- Animal rescueDrumlin Fields Animal Rescue4 tables · 5 views · 1 form · 2 dimension sets · 1 dashboard · 1 drill-down · 1 digest · 1 notification · 1 agentDimensions
- Animal rescueSilverbirch Point Animal Rescue4 tables · 6 views · 2 forms · 1 dimension set · 1 portal · 1 dashboard · 1 digest · 1 notification · 2 stage rule sets · 1 agentBoards
- Animal rescueBriarwick Way Animal Rescue4 tables · 5 views · 1 form · 1 dimension set · 1 dashboard · 1 digest · 1 notification · 1 agentTimeline