Invoice  Detail: # 18627

Invoice  Date
01/31/2019
Customer Name
Sylvia Smilen Trust
Statement Note
Invoice # 1040 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 15.00/hr. Mrs. Sherman: I submitted this to John Hancock to jhltcclaims@jhancock.com on Feb 4th. Automated response on the same day. 1 extra hour was included!  
Date Task Description Units Total
01/04/2019 Standing Unit of Care for Sylvia Smilen/hr. 01/04/2019 Care: 1:00PM-10:00PM 9.00 135.00
01/08/2019 Standing Unit of Care for Sylvia Smilen/hr. 01/08/2019 Care: 2:00PM-8:00PM 6.00 90.00
01/11/2019 Standing Unit of Care for Sylvia Smilen/hr. 01/11/2019 Care: 1:00PM-7:00PM 6.00 90.00
01/18/2019 Standing Unit of Care for Sylvia Smilen/hr. 01/18/2019 Care: 1:00PM-7:00PM 6.00 90.00
    Invoice Totals: 27.00 $405.00
Invoice #18627 was created on Thursday, January 31, 2019
This Invoice was paid on Friday, February 22, 2019

Source Document: \\R210_1_2K16\User\BarretRR\Documents\Faxes for Christine\John Hancock\JHLTC_DocScan_20190204.pdf