Invoice  Detail: # 18599

Invoice  Date
12/31/2018
Customer Name
Sylvia Smilen Trust
Statement Note
Invoice # 1039 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 15.00/hr. Mrs. Sherman: I submitted this to John Hancock to jhltcclaims@jhancock.com. Christine forgot to add the extra hour. She will add it to next months invoice.  
Date Task Description Units Total
12/07/2018 Standing Unit of Care for Sylvia Smilen/hr. 12/07/2018 Care: 1:00PM-7:00PM 6.00 90.00
12/14/2018 Standing Unit of Care for Sylvia Smilen/hr. 12/14/2018 Care: 1:00PM-7:00PM 6.00 90.00
12/21/2018 Standing Unit of Care for Sylvia Smilen/hr. 12/21/2018 Care: 3:00PM-8:00PM 5.00 75.00
12/28/2018 Standing Unit of Care for Sylvia Smilen/hr. 12/28/2018 Care: 1:00PM-9:00PM 8.00 120.00
    Invoice Totals: 25.00 $375.00
Invoice #18599 was created on Monday, December 31, 2018
This Invoice was paid on Friday, January 25, 2019

Source Document: \\R210_1_2K16\User\BarretRR\Documents\Faxes for Christine\John Hancock\JHLTC_DocScan_20190101.pdf