Invoice  Detail: # 18631

Invoice  Date
02/28/2019
Customer Name
Sylvia Smilen Trust
Statement Note
Invoice # 1041 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 15.00/hr. Mrs. Sherman: I submitted this to John Hancock to jhltcclaims@jhancock.com.  
Date Task Description Units Total
02/01/2019 Standing Unit of Care for Sylvia Smilen/hr. 02/01/2019 Care: 1:00PM-8:00PM 7.00 105.00
02/08/2019 Standing Unit of Care for Sylvia Smilen/hr. 02/08/2019 Care: 1:00PM-7:00PM 6.00 90.00
02/15/2019 Standing Unit of Care for Sylvia Smilen/hr. 02/15/2019 Care: 1:00PM-7:00PM 6.00 90.00
02/22/2019 Standing Unit of Care for Sylvia Smilen/hr. 02/22/2019 Care: 1:00PM-7:00PM 6.00 90.00
    Invoice Totals: 25.00 $375.00
Invoice #18631 was created on Thursday, February 28, 2019
This Invoice was paid on Monday, April 15, 2019

Source Document: \\R210_1_2K16\User\BarretRR\Documents\Faxes for Christine\John Hancock\JHLTC_DocScan_20190308.pdf