| Payment ID | 104199 |
|---|---|
| Date Created | 04/29/25 12:55 pm |
| Created By | Gloria Jimenez |
| Service Request | 103207 |
| Application ID | 86611 |
| Authorization Number | 225765 |
| Applicant Information | |
| Name | Destiny Ruiz |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170804216 |
| Payment Type | Childcare Expenses |
| Type of Service Request | Childcare |
| Provider Name | KTCLA / Kids Learning Center |
| Contact | KTCLA / Kids Learning Center |
| Email hidden; Javascript is required. | |
| Address | 1208 Robinson Dr Robinson, Texas 76706 Map It |
| Phone | (254) 230-7580 |
| Acceptable Method of Payment | cashier's check |
| Payment Details | |
| Payment Amount | $120.00 |
| Receipt Amount | $121.00 |
| Receipt Date | 04/29/2025 |
| Comments | childcare paid in the amount of $120.00 plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/29/2025 |
