Invoice  Detail: # 20841

Invoice  Date
02/28/2021
Customer Name
Sylvia Smilen Trust
Statement Note
Invoice # 1065 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 15.00/hr. Mrs. Sherman: I submitted this to John Hancock to jhltcclaims@jhancock.com on 3/2/2021 @ 11:32AM. I received succesful confirmation @ 12:14PM 3/2/2021  
Date Task Description Units Total
02/02/2021 Standing Unit of Care for Sylvia Smilen/hr. 02/02/2021 Care: 2:00PM-8:00PM 6.00 90.00
02/03/2021 Standing Unit of Care for Sylvia Smilen/hr. 02/03/2021 Care: 4:00PM-9:00PM 5.00 75.00
02/04/2021 Standing Unit of Care for Sylvia Smilen/hr. 02/04/2021 Care: 3:00PM-9:00PM 6.00 90.00
02/10/2021 Standing Unit of Care for Sylvia Smilen/hr. 02/10/2021 Care: 12:00PM-9:00PM 9.00 135.00
02/12/2021 Standing Unit of Care for Sylvia Smilen/hr. 02/12/2021 Care: 2:00PM-9:00PM 7.00 105.00
02/17/2021 Standing Unit of Care for Sylvia Smilen/hr. 02/17/2021 Care: 3:00PM-9:00PM 6.00 90.00
02/19/2021 Standing Unit of Care for Sylvia Smilen/hr. 02/19/2021 Care: 12:00PM-9:00PM 9.00 135.00
02/23/2021 Standing Unit of Care for Sylvia Smilen/hr. 02/23/2021 Care:21:00PM-7:00PM 5.00 75.00
02/24/2021 Standing Unit of Care for Sylvia Smilen/hr. 02/24/2021 Care: 1:00PM-10:00PM 9.00 135.00
02/26/2021 Standing Unit of Care for Sylvia Smilen/hr. 02/26/2021 Care: 3:00PM-9:00PM 6.00 90.00
    Invoice Totals: 68.00 $1,020.00
Invoice #20841 was created on Sunday, February 28, 2021
This Invoice was paid on Tuesday, March 16, 2021

Source Document: Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20210302_Fax.pdf;Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20210302.pdf