Invoice Detail: # 20961
- Invoice Date
- 07/31/2022
- Customer Name
- Sylvia Smilen Trust
- Statement Note
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Invoice # 1082 (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 Aug 9@5:06PM. Successful confirmation Aug 9@5:16PM
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Date Task Description Units Total 07/01/2022 Standing Unit of Care for Sylvia Smilen/hr. 07/01/2022 Care: 3:00PM-9:00PM 6.00 102.00 07/06/2022 Standing Unit of Care for Sylvia Smilen/hr. 07/06/2022 Care: 3:00PM-9:00PM 6.00 102.00 07/08/2022 Standing Unit of Care for Sylvia Smilen/hr. 07/08/2022 Care: 3:00PM-9:00PM 6.00 102.00 07/13/2022 Standing Unit of Care for Sylvia Smilen/hr. 07/13/2022 Care: 3:00PM-10:00PM 7.00 119.00 07/15/2022 Standing Unit of Care for Sylvia Smilen/hr. 07/15/2022 Care: 3:00PM-10:00PM 7.00 119.00 07/20/2022 Standing Unit of Care for Sylvia Smilen/hr. 07/20/2022 Care: 3:00PM-9:00PM 6.00 102.00 07/22/2022 Standing Unit of Care for Sylvia Smilen/hr. 07/22/2022 Care: 3:00PM-9:00PM 6.00 102.00 07/27/2022 Standing Unit of Care for Sylvia Smilen/hr. 07/27/2022 Care: 3:00PM-9:00PM 6.00 102.00 07/29/2022 Standing Unit of Care for Sylvia Smilen/hr. 07/29/2022 Care: 3:00PM-9:00PM 6.00 102.00 Invoice Totals: 56.00 $952.00 Invoice #20961 was created on Sunday, July 31, 2022 This Invoice was paid on Monday, August 22, 2022
Source Document: Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20220809_Fax.pdf;Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20220801.pdf