Order Detail: # 20940
- Order Date
- 04/30/2022
- Customer Name
- Sylvia Smilen Trust
- Statement Note
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Invoice # 1079 (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 May 2@9:57PM. Successful confirmation May 2@10:02PM
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Date Task Description Units Total 04/01/2022 Standing Unit of Care for Sylvia Smilen/hr. 04/01/2022 Care: 3:00PM-9:00PM 6.00 90.00 04/06/2022 Standing Unit of Care for Sylvia Smilen/hr. 04/06/2022 Care: 2:00PM-9:00PM 7.00 105.00 04/08/2022 Standing Unit of Care for Sylvia Smilen/hr. 04/08/2022 Care: 3:00PM-9:00PM 6.00 90.00 04/12/2022 Standing Unit of Care for Sylvia Smilen/hr. 04/12/2022 Care: 2:00PM-5:00PM 3.00 45.00 04/13/2022 Standing Unit of Care for Sylvia Smilen/hr. 04/13/2022 Care: 3:00PM-9:00PM 6.00 90.00 04/15/2022 Standing Unit of Care for Sylvia Smilen/hr. 04/15/2022 Care: 3:00PM-9:00PM 6.00 90.00 04/20/2022 Standing Unit of Care for Sylvia Smilen/hr. 04/20/2022 Care: 3:00PM-9:00PM 6.00 90.00 04/22/2022 Standing Unit of Care for Sylvia Smilen/hr. 04/22/2022 Care: 3:00PM-9:00PM 6.00 90.00 04/26/2022 Standing Unit of Care for Sylvia Smilen/hr. 04/26/2022 Care: 3:00PM-9:00PM 6.00 90.00 04/29/2022 Standing Unit of Care for Sylvia Smilen/hr. 04/29/2022 Care: 3:00PM-9:00PM 6.00 90.00 Order Totals: 58.00 $870.00 Invoice #20940 was created on Saturday, April 30, 2022 This Invoice was paid on Tuesday, May 17, 2022
Source Document: Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20220502.pdf;Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20220502_Fax.pdf