| Payment ID | 108900 |
|---|---|
| Date Created | 05/31/25 7:25 pm |
| Created By | Gloria Jimenez |
| Service Request | 108382 |
| Application ID | 98460 |
| Authorization Number | 226111 |
| Applicant Information | |
| Name | Verneta Horne |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16171004760 |
| Payment Type | Childcare Expenses |
| Type of Service Request | Childcare |
| Provider Name | Ivy Kids of Waco |
| Contact | Ivy Kids of Waco |
| Email hidden; Javascript is required. | |
| Address | 9201 Chapel Road Waco, Texas 76712 Map It |
| Phone | (254) 679-7775 |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $1,390.00 |
| Receipt Amount | $1,395.00 |
| Receipt Date | 05/31/2025 |
| Comments | daycare paid in the amount of $1390.00 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DG |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/31/2025 |
