| Payment ID | 54435 |
|---|---|
| Date Created | 01/30/24 10:12 am |
| Created By | Gloria Jimenez |
| Service Request | 53331 |
| Application ID | 16564 |
| Authorization Number | 223273 |
| Applicant Information | |
| Name | Jami Monroy Santiago |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 14766701235 |
| Payment Type | Childcare Expenses |
| Type of Service Request | Childcare |
| Provider Name | Ms. Ida Childcare Development Center |
| Contact | Ms. Ida Childcare Development Center |
| Email hidden; Javascript is required. | |
| Address | 1511 E League St. Waco, Texas 76704 Map It |
| Phone | (254) 753-0195 |
| Acceptable Method of Payment | Check or Money Order |
| Payment Details | |
| Payment Amount | $660.00 |
| Receipt Amount | $605.00 |
| Receipt Date | 01/29/2024 |
| Comments | childcare paid to Ms Ida childcare development plus a bank fee of $5.00 for cashiers check |
| Receipt | 54435-Monroy-Santiago.pdf |
| Staff Name | Gloria |
| Case Manager | BP |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 01/30/2024 |
