Invoice  Detail: # 18563

Invoice  Date
07/31/2018
Customer Name
Sylvia Smilen Trust
Statement Note
Invoice # 1034 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 15.00/hr. Mrs. Sherman: I submitted this to John Hancock to jhltcclaims@jhancock.com on July 30th and recieved an automated receipt response on July 30th.  
Date Task Description Units Total
07/03/2018 Standing Unit of Care for Sylvia Smilen/hr. 07/03/2018 Care: 1:30PM-5:30PM 4.00 60.00
07/06/2018 Standing Unit of Care for Sylvia Smilen/hr. 07/06/2018 Care: 1:00PM-7:00PM 6.00 90.00
07/13/2018 Standing Unit of Care for Sylvia Smilen/hr. 07/13/2018 Care: 1:00PM-7:00PM 6.00 90.00
07/20/2018 Standing Unit of Care for Sylvia Smilen/hr. 07/20/2018 Care: 1:00PM-10:00PM 9.00 135.00
07/27/2018 Standing Unit of Care for Sylvia Smilen/hr. 07/27/2018 Care: 11:00AM-8:00PM 9.00 135.00
    Invoice Totals: 34.00 $510.00
Invoice #18563 was created on Tuesday, July 31, 2018
This Invoice was paid on Monday, September 17, 2018

Source Document: \\R210_1_2K16\User\BarretRR\Documents\Faxes for Christine\John Hancock\JHLTC_DocScan_20180730.pdf