| Payment ID | 50321 |
|---|---|
| Date Created | 01/04/24 3:57 pm |
| Created By | Gloria Jimenez |
| Service Request | 49428 |
| Application ID | 43584 |
| Authorization Number | 223130 |
| Applicant Information | |
| Name | Adrianne Rauls |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170502546 |
| Payment Type | Childcare Expenses |
| Type of Service Request | Childcare |
| Provider Name | Doodlebugs Childcare Center |
| Contact | Doodlebugs Childcare Center |
| Email hidden; Javascript is required. | |
| Address | 258 Modoc Ave Waco, Texas 76705 Map It |
| Phone | (254) 875-2400 |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $620.00 |
| Receipt Amount | $625.00 |
| Receipt Date | 01/03/2024 |
| Comments | childcare paid to Doodlebug plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/04/2024 |
