Invoice Detail: # 20960
- Invoice Date
- 06/30/2022
- Customer Name
- Sylvia Smilen Trust
- Statement Note
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Invoice # 1081 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 17.00/hr. Mrs. Sherman: Submitted to JH for Claim #: R12 004 977 via fax @800.638.4040 on Jul 4@3:48PM. Successful confirmation Jul 4@4:00PM
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Date Task Description Units Total 06/01/2022 Standing Unit of Care for Sylvia Smilen/hr. 06/01/2022 Care: 3:00PM-9:00PM 6.00 102.00 06/03/2022 Standing Unit of Care for Sylvia Smilen/hr. 06/03/2022 Care: 8:00AM-4:00PM 8.00 136.00 06/06/2022 Standing Unit of Care for Sylvia Smilen/hr. 06/06/2022 Care: 3:00PM-9:00PM 6.00 102.00 06/10/2022 Standing Unit of Care for Sylvia Smilen/hr. 06/10/2022 Care: 12:00PM-8:00PM 8.00 136.00 06/22/2022 Standing Unit of Care for Sylvia Smilen/hr. 06/22/2022 Care: 3:00PM-9:00PM 6.00 102.00 06/24/2022 Standing Unit of Care for Sylvia Smilen/hr. 06/24/2022 Care: 3:00PM-9:00PM 6.00 102.00 06/28/2022 Standing Unit of Care for Sylvia Smilen/hr. 06/28/2022 Care: 2:00PM-8:00PM 6.00 102.00 06/29/2022 Standing Unit of Care for Sylvia Smilen/hr. 06/29/2022 Care: 2:00PM-5:00PM 3.00 51.00 Invoice Totals: 49.00 $833.00 Invoice #20960 was created on Thursday, June 30, 2022 This Invoice was paid on Thursday, August 4, 2022
Source Document: Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20220704_Fax.pdf;Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20220704.pdf