| Payment ID | 96364 |
|---|---|
| Date Created | 03/06/25 10:44 am |
| Created By | Gloria Jimenez |
| Service Request | 96072 |
| Application ID | 72460 |
| Authorization Number | 225332 |
| Applicant Information | |
| Name | Justice Turner |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170503525 |
| Payment Type | Childcare Expenses |
| Type of Service Request | Childcare |
| Provider Name | Tennyson Playcare Center Inc |
| Contact | Tennyson Playcare Center Inc |
| Address | 5000 Tennyson Waco, Texas 76710 Map It |
| Phone | (254) 776-0280 |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $100.00 |
| Receipt Amount | $101.00 |
| Receipt Date | 03/05/2025 |
| Comments | childcare paid in the amount of $100 plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | CM |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 03/06/2025 |
