| Payment ID | 120474 |
|---|---|
| Date Created | 09/15/25 10:09 am |
| Created By | Gloria Jimenez |
| Service Request | 116153 |
| Application ID | 30987 |
| Authorization Number | 226805 |
| Applicant Information | |
| Name | Shatea Randolph |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170401960 |
| Payment Type | Childcare Expenses |
| Type of Service Request | Childcare |
| Provider Name | Akkis Little Angel Academy |
| Contact | Akkis Little Angel Academy |
| Email hidden; Javascript is required. | |
| Address | 2901 Bellmead Dr Waco, Texas 76705 Map It |
| Phone | (254) 732-1197 |
| Acceptable Method of Payment | cashier's check |
| Payment Details | |
| Payment Amount | $3,142.00 |
| Receipt Amount | $3,147.00 |
| Receipt Date | 09/12/2025 |
| Comments | childcare paid plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/15/2025 |
