Invoice Detail: # 20963
- Invoice Date
- 09/30/2022
- Customer Name
- Sylvia Smilen Trust
- Statement Note
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Invoice # 1084 (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 Oct 10@3:38PM. Successful confirmation Oct 10@3:44PM
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Date Task Description Units Total 09/07/2022 Standing Unit of Care for Sylvia Smilen/hr. 09/07/2022 Care: 3:00PM-9:00PM 6.00 102.00 09/09/2022 Standing Unit of Care for Sylvia Smilen/hr. 09/09/2022 Care: 3:00PM-9:00PM 6.00 102.00 09/14/2022 Standing Unit of Care for Sylvia Smilen/hr. 09/14/2022 Care: 3:00PM-9:00PM 6.00 102.00 09/16/2022 Standing Unit of Care for Sylvia Smilen/hr. 09/16/2022 Care: 3:00PM-9:00PM 6.00 102.00 09/21/2022 Standing Unit of Care for Sylvia Smilen/hr. 09/21/2022 Care: 2:00PM-9:00PM 7.00 119.00 09/23/2022 Standing Unit of Care for Sylvia Smilen/hr. 09/23/2022 Care: 2:00PM-9:00PM 7.00 119.00 09/27/2022 Standing Unit of Care for Sylvia Smilen/hr. 09/27/2022 Care: 3:00PM-9:00PM 6.00 102.00 Invoice Totals: 44.00 $748.00 Invoice #20963 was created on Friday, September 30, 2022 This Invoice was paid on Wednesday, November 9, 2022
Source Document: Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20221010_Fax.pdf;Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20221010.pdf