Invoice  Detail: # 18576

Invoice  Date
08/31/2018
Customer Name
Sylvia Smilen Trust
Statement Note
Invoice # 1035 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 15.00/hr. Mrs. Sherman: I submitted this to John Hancock Very Late, on 9/22 to jhltcclaims@jhancock.com.  
Date Task Description Units Total
08/03/2018 Standing Unit of Care for Sylvia Smilen/hr. 08/03/2018 Care: 1:00PM-8:00PM 7.00 105.00
08/10/2018 Standing Unit of Care for Sylvia Smilen/hr. 08/10/2018 Care: 1:00PM-7:00PM 6.00 90.00
08/17/2018 Standing Unit of Care for Sylvia Smilen/hr. 08/17/2018 Care: 1:00PM-7:00PM 6.00 90.00
08/24/2018 Standing Unit of Care for Sylvia Smilen/hr. 08/24/2018 Care: 1:00PM-8:00PM 7.00 105.00
08/31/2018 Standing Unit of Care for Sylvia Smilen/hr. 08/31/2018 Care: 1:00PM-8:00PM 7.00 105.00
    Invoice Totals: 33.00 $495.00
Invoice #18576 was created on Friday, August 31, 2018
This Invoice was paid on Thursday, October 11, 2018

Source Document: \\R210_1_2K16\User\BarretRR\Documents\Faxes for Christine\John Hancock\JHLTC_DocScan_20180910.pdf