| Payment ID | 72956 |
|---|---|
| Date Created | 07/30/24 10:20 am |
| Created By | Gloria Jimenez |
| Service Request | 71165 |
| Application ID | 69595 |
| Authorization Number | 224115 |
| Applicant Information | |
| Name | Roy Caldwell |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170403407 |
| Payment Type | Childcare Expenses |
| Type of Service Request | Childcare |
| Provider Name | Horn's Academy Child Care Center |
| Contact | Horn's Academy Child Care Center |
| Email hidden; Javascript is required. | |
| Address | 1511 Bosque Blvd Waco, Texas 76707 Map It |
| Phone | (512) 716-5976 |
| Acceptable Method of Payment | check |
| Payment Details | |
| Payment Amount | $180.00 |
| Receipt Amount | $180.00 |
| Receipt Date | 07/16/2024 |
| Comments | Childcare for July 15th - 26th |
| Receipt | 72956-Caldwell.pdf |
| Staff Name | Gloria |
| Case Manager | BJ |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/30/2024 |
