Invoice Detail: # 20910
- Invoice Date
- 11/30/2021
- Customer Name
- Sylvia Smilen Trust
- Statement Note
-
Invoice # 1074 (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 Dec 2, 2021@5:45PM. Successful confirmation Dec 2, 2021@6:10PM
-
Date Task Description Units Total 11/03/2021 Standing Unit of Care for Sylvia Smilen/hr. 11/03/2021 Care: 3:00PM-9:00PM 6.00 90.00 11/05/2021 Standing Unit of Care for Sylvia Smilen/hr. 11/05/2021 Care: 3:00PM-9:00PM 6.00 90.00 11/10/2021 Standing Unit of Care for Sylvia Smilen/hr. 11/10/2021 Care: 3:00PM-10:00PM 7.00 105.00 11/12/2021 Standing Unit of Care for Sylvia Smilen/hr. 11/12/2021 Care: 3:00PM-10:00PM 7.00 105.00 11/17/2021 Standing Unit of Care for Sylvia Smilen/hr. 11/17/2021 Care: 3:00PM-9:00PM 6.00 90.00 11/19/2021 Standing Unit of Care for Sylvia Smilen/hr. 11/19/2021 Care: 3:00PM-9:00PM 6.00 90.00 11/24/2021 Standing Unit of Care for Sylvia Smilen/hr. 11/24/2021 Care: 3:00PM-9:00PM 6.00 90.00 11/26/2021 Standing Unit of Care for Sylvia Smilen/hr. 11/26/2021 Care: 3:00PM-9:00PM 6.00 90.00 Invoice Totals: 50.00 $750.00 Invoice #20910 was created on Tuesday, November 30, 2021 This Invoice was paid on Friday, December 17, 2021
Source Document: Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20211201_Fax.pdf;Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20211201.pdf