| Payment ID | 39708 |
|---|---|
| Date Created | 09/14/23 10:55 am |
| Created By | Gloria Jimenez |
| Service Request | 38697 |
| Application ID | 19491 |
| Authorization Number | 222534 |
| 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, cashiers check |
| Payment Details | |
| Payment Amount | $1,000.00 |
| Receipt Amount | $1,005.00 |
| Receipt Date | 09/13/2023 |
| Comments | payment to L&L Daycare. plus a $5.00 bank fee for certified check |
| Receipt | 39708-Levine.pdf |
| Staff Name | Gloria Jimenez |
| Case Manager | DJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 09/14/2023 |
