| Payment ID | 27140 |
|---|---|
| Date Created | 05/29/23 11:50 am |
| Created By | Gloria Jimenez |
| Service Request | 25391 |
| Application ID | 5022 |
| Authorization Number | |
| Applicant Information | |
| Name | Cecil Roach |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170500458 |
| Payment Type | Childcare Expenses |
| Type of Service Request | Childcare |
| Provider Name | Handprints Academy |
| Contact | Handprints Academy |
| Email hidden; Javascript is required. | |
| Address | 1200 Woodhue Dr Waco, Texas 76712 Map It |
| Phone | (254) 772-5437 |
| Acceptable Method of Payment | CC, company check, money order, cashier's check |
| Payment Details | |
| Payment Amount | $1,232.00 |
| Receipt Amount | $1,232.00 |
| Receipt Date | 05/26/2023 |
| Comments | payment paid to Handprints Academy |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/29/2023 |
