Invoice Detail: # 20964
- Invoice Date
- 10/31/2022
- Customer Name
- Sylvia Smilen Trust
- Statement Note
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Invoice # 1085 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 15.00/hr. Mrs. Sherman: I submitted this to John Hancock for Claim #: R12 004 977 via fax @800.638.4040 on Nov 3, 2022@4:10PM. Successful confirmation Nov 3@4:22PM
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Date Task Description Units Total 10/05/2022 Standing Unit of Care for Sylvia Smilen/hr. 10/05/2022 Care: 3:00PM-9:00PM 6.00 102.00 10/07/2022 Standing Unit of Care for Sylvia Smilen/hr. 10/07/2022 Care: 3:00PM-9:00PM 6.00 102.00 10/08/2022 Standing Unit of Care for Sylvia Smilen/hr. 10/08/2022 Care: 3:00PM-9:00PM 6.00 102.00 10/12/2022 Standing Unit of Care for Sylvia Smilen/hr. 10/12/2022 Care: 3:00PM-9:00PM 6.00 102.00 10/14/2022 Standing Unit of Care for Sylvia Smilen/hr. 10/14/2022 Care: 3:00PM-9:00PM 6.00 102.00 10/19/2022 Standing Unit of Care for Sylvia Smilen/hr. 10/19/2022 Care: 3:00PM-9:00PM 6.00 102.00 10/21/2022 Standing Unit of Care for Sylvia Smilen/hr. 10/21/2022 Care: 3:00PM-9:00PM 6.00 102.00 10/26/2022 Standing Unit of Care for Sylvia Smilen/hr. 10/26/2022 Care: 3:00PM-9:00PM 6.00 102.00 10/28/2022 Standing Unit of Care for Sylvia Smilen/hr. 10/28/2022 Care: 3:00PM-9:00PM 6.00 102.00 Invoice Totals: 54.00 $918.00 Invoice #20964 was created on Monday, October 31, 2022 This Invoice was paid on Monday, November 28, 2022
Source Document: Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20221103_Fax.pdf;Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20221103.pdf