Order  Detail: # 18484

Order  Date
01/31/2018
Customer Name
Sylvia Smilen Trust
Statement Note
Invoice # 1028 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 15.00/hr. Cheryn: I submitted this to John Hancock using the EMail address you gave me. The correct address for submissions is jhltcclaims@jhancock.com.  
Date Task Description Units Total
01/05/2018 Standing Unit of Care for Sylvia Smilen/hr. 1/5/2018 Care: 1:00PM-7:00PM 6.00 90.00
01/12/2018 Standing Unit of Care for Sylvia Smilen/hr. 1/12/2018 Care: 1:00PM-7:00PM 6.00 90.00
01/19/2018 Standing Unit of Care for Sylvia Smilen/hr. 1/19/2018 Care: 1:00PM-8:00PM 7.00 105.00
01/25/2018 Standing Unit of Care for Sylvia Smilen/hr. 1/25/2018 Care: 1:00PM-8:00PM 4.00 60.00
01/26/2018 Standing Unit of Care for Sylvia Smilen/hr. 1/26/2018 Care: 1:00PM-7:00PM 6.00 90.00
    Order Totals: 29.00 $435.00
Invoice #18484 was created on Wednesday, January 31, 2018
This Invoice was paid on Tuesday, March 13, 2018

Source Document: \\R210_1_2K16\User\BarretRR\Documents\Faxes for Christine\John Hancock\JHLTC_DocScan_20180202.pdf