Order  Detail: # 20865

Order  Date
06/30/2021
Customer Name
Sylvia Smilen Trust
Statement Note
Invoice # 1069 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 15.00/hr. Mrs. Sherman: I submitted this to John Hancock via fax @800.638.4040 on July 2, 2021@07:42PM. I received succesful fax confirmation July 2, 2021@08:14PM.  
Date Task Description Units Total
06/02/2021 Standing Unit of Care for Sylvia Smilen/hr. 06/02/2021 Care: 3:00PM-10:00PM 7.00 105.00
06/04/2021 Standing Unit of Care for Sylvia Smilen/hr. 06/04/2021 Care: 3:00PM-10:00PM 7.00 105.00
06/09/2021 Standing Unit of Care for Sylvia Smilen/hr. 06/09/2021 Care: 7:00AM-4:00PM 9.00 135.00
06/11/2021 Standing Unit of Care for Sylvia Smilen/hr. 06/11/2021 Care: 12:00PM-9:00PM 9.00 135.00
06/15/2021 Standing Unit of Care for Sylvia Smilen/hr. 06/15/2021 Care: 7:00AM-2:00PM 7.00 105.00
06/18/2021 Standing Unit of Care for Sylvia Smilen/hr. 06/18/2021 Care: 7:00AM-4:00PM 9.00 135.00
06/23/2021 Standing Unit of Care for Sylvia Smilen/hr. 06/23/2021 Care: 12:00PM-9:00PM 9.00 135.00
06/25/2021 Standing Unit of Care for Sylvia Smilen/hr. 06/25/2021 Care: 12:00PM-9:00PM 9.00 135.00
06/28/2021 Standing Unit of Care for Sylvia Smilen/hr. 06/28/2021 Care: 7:00AM-4:00PM 9.00 135.00
06/30/2021 Standing Unit of Care for Sylvia Smilen/hr. 06/30/2021 Care: 2:00PM-10:00PM 8.00 120.00
    Order Totals: 83.00 $1,245.00
Invoice #20865 was created on Wednesday, June 30, 2021
This Invoice was paid on Monday, July 19, 2021

Source Document: Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20210702.pdf;Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20210702_Fax.pdf