Invoice  Detail: # 20832

Invoice  Date
01/31/2021
Customer Name
Sylvia Smilen Trust
Statement Note
Invoice # 1064 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 15.00/hr. Mrs. Sherman: I submitted this to John Hancock to jhltcclaims@jhancock.com @ 2/5/2021@02:58PM.  
Date Task Description Units Total
01/01/2021 Standing Unit of Care for Sylvia Smilen/hr. 01/01/2021 Care: 3:00PM-9:00PM 6.00 90.00
01/06/2021 Standing Unit of Care for Sylvia Smilen/hr. 01/06/2021 Care: 3:00PM-9:00PM 6.00 90.00
01/08/2021 Standing Unit of Care for Sylvia Smilen/hr. 01/08/2021 Care: 3:00PM-9:00PM 6.00 90.00
01/13/2021 Standing Unit of Care for Sylvia Smilen/hr. 01/13/2021 Care: 12:00PM-9:00PM 9.00 135.00
01/15/2021 Standing Unit of Care for Sylvia Smilen/hr. 01/15/2021 Care: 3:00PM-10:00PM 7.00 105.00
01/20/2021 Standing Unit of Care for Sylvia Smilen/hr. 01/20/2021 Care: 3:00PM-9:00PM 6.00 90.00
01/22/2021 Standing Unit of Care for Sylvia Smilen/hr. 01/22/2021 Care: 2:00PM-9:00PM 7.00 105.00
01/27/2021 Standing Unit of Care for Sylvia Smilen/hr. 01/27/2021 Care: 3:00PM-9:00PM 6.00 90.00
01/29/2021 Standing Unit of Care for Sylvia Smilen/hr. 01/29/2021 Care: 3:00PM-9:00PM 6.00 90.00
    Invoice Totals: 59.00 $885.00
Invoice #20832 was created on Sunday, January 31, 2021
This Invoice was paid on Wednesday, February 10, 2021

Source Document: Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20210205.pdf;Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20210205_Fax.pdf