| Payment ID | 63692 |
|---|---|
| Date Created | 04/10/24 4:01 pm |
| Created By | Gloria Jimenez |
| Service Request | 62400 |
| Application ID | 52918 |
| Authorization Number | 223713 |
| Applicant Information | |
| Name | Tinisha Toussaint |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170602858 |
| Payment Type | Childcare Expenses |
| Type of Service Request | Childcare |
| Provider Name | Little Christian Academy |
| Contact | Little Christian Academy |
| Email hidden; Javascript is required. | |
| Address | 601 Towne Oaks Dr Waco, Texas 76710 Map It |
| Phone | (254) 741-6980 |
| Acceptable Method of Payment | Cashier's check |
| Payment Details | |
| Payment Amount | $880.00 |
| Receipt Amount | $885.00 |
| Receipt Date | 04/10/2024 |
| Comments | childcare paid to Little Christian Academy in the amount of $880.00 plus a bank fee of $5.00 for cashiers check |
| Receipt | |
| Staff Name | Gloria |
| Case Manager | LRE |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 04/10/2024 |
