| Payment ID | 42908 |
|---|---|
| Date Created | 10/24/23 2:13 pm |
| Created By | Gloria Jimenez |
| Service Request | 42391 |
| Application ID | 28616 |
| Authorization Number | 222749 |
| Applicant Information | |
| Name | Cecilia Chatman |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16111901822 |
| Payment Type | Childcare Expenses |
| Type of Service Request | Childcare |
| Provider Name | CFLC Inc. |
| Contact | CFLC Inc. |
| Email hidden; Javascript is required. | |
| Address | 2004 Barnard Ave. Waco, Texas 76701 Map It |
| Phone | (254) 644-0245 |
| Acceptable Method of Payment | Online |
| Payment Details | |
| Payment Amount | $700.00 |
| Receipt Amount | $700.00 |
| Receipt Date | 10/24/2023 |
| Comments | deposit paid to CFLC |
| Receipt | 42908-Chatman.pdf |
| Staff Name | Gloria |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 10/24/2023 |
