Invoice Detail: # 20922
- Invoice Date
- 02/28/2022
- Customer Name
- Sylvia Smilen Trust
- Statement Note
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Invoice # 1077 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 15.00/hr. Mrs. Sherman: I submitted this to JH for Claim #: R12 004 977 via fax @800.638.4040 on Mar 5, 2022@12:20PM. Successful fax confirmation Mar 5, 2022@12:32PM
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Date Task Description Units Total 02/02/2022 Standing Unit of Care for Sylvia Smilen/hr. 02/02/2022 Care: 3:00PM-9:00PM 6.00 90.00 02/04/2022 Standing Unit of Care for Sylvia Smilen/hr. 02/04/2022 Care: 3:00PM-9:00PM 6.00 90.00 02/09/2022 Standing Unit of Care for Sylvia Smilen/hr. 02/09/2022 Care: 3:00PM-9:00PM 6.00 90.00 02/10/2022 Standing Unit of Care for Sylvia Smilen/hr. 02/10/2022 Care: 12:00PM-4:00PM 4.00 60.00 02/11/2022 Standing Unit of Care for Sylvia Smilen/hr. 02/11/2022 Care: 3:00PM-9:00PM 6.00 90.00 02/14/2022 Standing Unit of Care for Sylvia Smilen/hr. 02/14/2022 Care: 3:00PM-9:00PM 6.00 90.00 02/18/2022 Standing Unit of Care for Sylvia Smilen/hr. 02/18/2022 Care: 3:00PM-9:00PM 6.00 90.00 02/23/2022 Standing Unit of Care for Sylvia Smilen/hr. 02/23/2022 Care: 3:00PM-9:00PM 6.00 90.00 02/25/2022 Standing Unit of Care for Sylvia Smilen/hr. 02/25/2022 Care: 3:00PM-9:00PM 6.00 90.00 Invoice Totals: 52.00 $780.00 Invoice #20922 was created on Monday, February 28, 2022 This Invoice was paid on Monday, March 21, 2022
Source Document: Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20220302_Fax.pdf;Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20220302.pdf