| Payment ID | 27208 |
|---|---|
| Date Created | 05/30/23 10:30 am |
| Created By | Gloria Jimenez |
| Service Request | 24704 |
| Application ID | 19491 |
| Authorization Number | |
| Applicant Information | |
| Name | Rachel Levine |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170101378 |
| Payment Type | Childcare Expenses |
| Type of Service Request | Childcare |
| Provider Name | L&L Day Care, LLC |
| Contact | L&L Day Care, LLC |
| Email hidden; Javascript is required. | |
| Address | 513 Calumet Waco, Texas 76704 Map It |
| Phone | (254) 867-1200 |
| Acceptable Method of Payment | check, money order, cash |
| Payment Details | |
| Payment Amount | $500.00 |
| Receipt Amount | $500.00 |
| Receipt Date | 05/30/2023 |
| Comments | childcare payment to L&L Daycare, LLC |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 05/30/2023 |
