Invoice Detail: # 20923
- Invoice Date
- 03/31/2022
- Customer Name
- Sylvia Smilen Trust
- Statement Note
-
Invoice # 1078 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 15.00/hr. Mrs. Sherman: Submitted to JH for Claim #: R12 004 977 via fax @800.638.4040 on Apr 2@12:41PM. Successful confirmation Apr 2@1:00PM
-
Date Task Description Units Total 03/02/2022 Standing Unit of Care for Sylvia Smilen/hr. 03/02/2022 Care: 3:00PM-10:00PM 7.00 105.00 03/04/2022 Standing Unit of Care for Sylvia Smilen/hr. 03/04/2022 Care: 3:00PM-9:00PM 6.00 90.00 03/09/2022 Standing Unit of Care for Sylvia Smilen/hr. 03/09/2022 Care: 3:00PM-9:00PM 6.00 90.00 03/11/2022 Standing Unit of Care for Sylvia Smilen/hr. 03/11/2022 Care: 3:00PM-10:00PM 7.00 105.00 03/16/2022 Standing Unit of Care for Sylvia Smilen/hr. 03/16/2022 Care: 3:00PM-9:00PM 6.00 90.00 03/18/2022 Standing Unit of Care for Sylvia Smilen/hr. 03/18/2022 Care: 3:00PM-9:00PM 6.00 90.00 03/24/2022 Standing Unit of Care for Sylvia Smilen/hr. 03/24/2022 Care: 3:00PM-9:00PM 6.00 90.00 03/28/2022 Standing Unit of Care for Sylvia Smilen/hr. 03/28/2022 Care: 1:00PM-7:00PM 6.00 90.00 03/30/2022 Standing Unit of Care for Sylvia Smilen/hr. 03/30/2022 Care: 3:00PM-9:00PM 6.00 90.00 Invoice Totals: 56.00 $840.00 Invoice #20923 was created on Thursday, March 31, 2022 This Invoice was paid on Wednesday, April 20, 2022
Source Document: Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20220402_Fax.pdf;Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20220402.pdf