Invoice  Detail: # 18538

Invoice  Date
05/31/2018
Customer Name
Sylvia Smilen Trust
Statement Note
Invoice # 1032 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 15.00/hr. Mrs. Sherman: I submitted this to John Hancock to jhltcclaims@jhancock.com.  
Date Task Description Units Total
05/03/2018 Standing Unit of Care for Sylvia Smilen/hr. 05/03/2018 Care: 2:00PM-7:00PM 5.00 75.00
05/04/2018 Standing Unit of Care for Sylvia Smilen/hr. 05/04/2018 Care: 10:00AM-8:00PM 10.00 150.00
05/11/2018 Standing Unit of Care for Sylvia Smilen/hr. 05/11/2018 Care: 1:00PM-7:00PM 6.00 90.00
05/18/2018 Standing Unit of Care for Sylvia Smilen/hr. 05/18/2018 Care: 1:00PM-7:00PM 6.00 90.00
05/24/2018 Standing Unit of Care for Sylvia Smilen/hr. 05/24/2018 Care: 2:00PM-8:00PM 6.00 90.00
05/25/2018 Standing Unit of Care for Sylvia Smilen/hr. 05/25/2018 Care: 4:00PM-10:00PM 6.00 90.00
    Invoice Totals: 39.00 $585.00
Invoice #18538 was created on Thursday, May 31, 2018
This Invoice was paid on Monday, June 11, 2018

Source Document: \\R210_1_2K16\User\BarretRR\Documents\Faxes for Christine\John Hancock\JHLTC_DocScan_20180528.pdf