Invoice  Detail: # 18587

Invoice  Date
11/30/2018
Customer Name
Sylvia Smilen Trust
Statement Note
Invoice # 1038 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 15.00/hr. Mrs. Sherman: I submitted this to John Hancock to jhltcclaims@jhancock.com on 12/02 and received an automated response the same day. As we discussed  
Date Task Description Units Total
11/02/2018 Standing Unit of Care for Sylvia Smilen/hr. 11/02/2018 Care: 1:00PM-9:00PM 8.00 120.00
11/09/2018 Standing Unit of Care for Sylvia Smilen/hr. 11/09/2018 Care: 1:00PM-7:00PM 6.00 90.00
11/16/2018 Standing Unit of Care for Sylvia Smilen/hr. 11/16/2018 Care: 1:00PM-7:00PM 6.00 90.00
11/23/2018 Standing Unit of Care for Sylvia Smilen/hr. 11/23/2018 Care: 1:00PM-8:00PM 6.00 90.00
11/30/2018 Standing Unit of Care for Sylvia Smilen/hr. 11/30/2018 Care: 2:00PM-10:00PM 8.00 120.00
    Invoice Totals: 34.00 $510.00
Invoice #18587 was created on Friday, November 30, 2018
This Invoice was paid on Wednesday, December 12, 2018

Source Document: \\R210_1_2K16\User\BarretRR\Documents\Faxes for Christine\John Hancock\JHLTC_DocScan_20181203.pdf