Order Detail: # 20956
- Order Date
- 05/31/2022
- Customer Name
- Sylvia Smilen Trust
- Statement Note
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Invoice # 1080 (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 Jun 3@7:48PM. Successful confirmation Jun 3@8:02PM
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Date Task Description Units Total 05/04/2022 Standing Unit of Care for Sylvia Smilen/hr. 05/04/2022 Care: 3:00PM-9:00PM 6.00 90.00 05/06/2022 Standing Unit of Care for Sylvia Smilen/hr. 05/06/2022 Care: 3:00PM-9:00PM 6.00 90.00 05/11/2022 Standing Unit of Care for Sylvia Smilen/hr. 05/11/2022 Care: 3:00PM-9:00PM 6.00 90.00 05/13/2022 Standing Unit of Care for Sylvia Smilen/hr. 05/13/2022 Care: 3:00PM-9:00PM 6.00 90.00 05/18/2022 Standing Unit of Care for Sylvia Smilen/hr. 05/18/2022 Care: 3:00PM-10:00PM 7.00 105.00 05/20/2022 Standing Unit of Care for Sylvia Smilen/hr. 05/20/2022 Care: 5:00PM-9:00PM 4.00 60.00 05/25/2022 Standing Unit of Care for Sylvia Smilen/hr. 05/25/2022 Care: 3:00PM-10:00PM 7.00 105.00 05/27/2022 Standing Unit of Care for Sylvia Smilen/hr. 05/27/2022 Care: 3:00PM-9:00PM 6.00 90.00 Order Totals: 48.00 $720.00 Invoice #20956 was created on Tuesday, May 31, 2022 This Invoice was paid on Wednesday, July 6, 2022
Source Document: Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20220602.pdf;Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20220602_Fax.pdf