Invoice # 1071 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 15.00/hr.
Mrs. Sherman: I submitted this to John Hancock for Claim #: R12 004 977 via fax @800.638.4040 on August 1, 2021@06:05PM.
Fax confirmation August 1, 2021@06:08PM
Date
Task
Description
Units
Total
08/02/2021
Standing Unit of Care for Sylvia Smilen/hr.
08/02/2021 Care: 10:00AM-8:00PM
10.00
150.00
08/04/2021
Standing Unit of Care for Sylvia Smilen/hr.
08/04/2021 Care: 3:00PM-9:00PM
6.00
90.00
08/06/2021
Standing Unit of Care for Sylvia Smilen/hr.
08/06/2021 Care: 3:00PM-9:00PM
6.00
90.00
08/09/2021
Standing Unit of Care for Sylvia Smilen/hr.
08/09/2021 Care: 1:00PM-9:00PM
8.00
120.00
08/11/2021
Standing Unit of Care for Sylvia Smilen/hr.
08/11/2021 Care: 3:00PM-9:00PM
6.00
90.00
08/13/2021
Standing Unit of Care for Sylvia Smilen/hr.
08/13/2021 Care: 3:00PM-9:00PM
6.00
90.00
08/16/2021
Standing Unit of Care for Sylvia Smilen/hr.
08/16/2021 Care: 11:00AM-9:00PM
10.00
150.00
08/18/2021
Standing Unit of Care for Sylvia Smilen/hr.
08/18/2021 Care: 3:00PM-9:00PM
6.00
90.00
08/20/2021
Standing Unit of Care for Sylvia Smilen/hr.
08/20/2021 Care: 11:00AM-9:00PM
10.00
150.00
08/25/2021
Standing Unit of Care for Sylvia Smilen/hr.
08/25/2021 Care: 3:00PM-9:00PM
6.00
90.00
08/26/2021
Standing Unit of Care for Sylvia Smilen/hr.
08/26/2021 Care: 2:00PM-9:00PM
7.00
105.00
08/27/2021
Standing Unit of Care for Sylvia Smilen/hr.
08/27/2021 Care: 3:00PM-9:00PM
6.00
90.00
08/31/2021
Standing Unit of Care for Sylvia Smilen/hr.
08/31/2021 Care: 2:00PM-7:00PM
5.00
75.00
Order Totals:
92.00
$1,380.00
Invoice #20873 was created on Tuesday, August 31, 2021
This Invoice was paid on Tuesday, September 14, 2021
