Invoice Detail: # 20970
- Invoice Date
- 04/30/2023
- Customer Name
- Sylvia Smilen Trust
- Statement Note
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Invoice # 1091 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 17.00/hr. Mrs. Sherman: Submitted this to JH for Claim #: R12 004 977 via fax @800.638.4040 on May 1, 2023@9:55PM. Successful Confirmation May 1, 2023@10:00PM
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Date Task Description Units Total 04/05/2023 Standing Unit of Care for Sylvia Smilen/hr. 04/05/2023 Care: 3:00PM-9:00PM 6.00 102.00 04/07/2023 Standing Unit of Care for Sylvia Smilen/hr. 04/07/2023 Care: 3:00PM-9:00PM 6.00 102.00 04/12/2023 Standing Unit of Care for Sylvia Smilen/hr. 04/12/2023 Care: 3:00PM-9:00PM 6.00 102.00 04/14/2023 Standing Unit of Care for Sylvia Smilen/hr. 04/14/2023 Care: 3:00PM-9:00PM 6.00 102.00 04/19/2023 Standing Unit of Care for Sylvia Smilen/hr. 04/19/2023 Care: 3:00PM-9:00PM 6.00 102.00 04/21/2023 Standing Unit of Care for Sylvia Smilen/hr. 04/21/2023 Care: 3:00PM-9:00PM 6.00 102.00 04/26/2023 Standing Unit of Care for Sylvia Smilen/hr. 04/26/2023 Care: 3:00PM-9:00PM 6.00 102.00 04/28/2023 Standing Unit of Care for Sylvia Smilen/hr. 04/28/2023 Care: 3:00PM-9:00PM 6.00 102.00 Invoice Totals: 48.00 $816.00 Invoice #20970 was created on Sunday, April 30, 2023 This Invoice was paid on Friday, May 12, 2023
Source Document: Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20230501.pdf;Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20230501_Fax.pdf