Invoice Detail: # 21034
- Invoice Date
- 09/30/2023
- Customer Name
- Sylvia Smilen Trust
- Statement Note
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Invoice # 1096 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 17.00/hr. Mrs. Sherman: I submitted this to JH for Claim #: R12 004 977 via JH.com/submitinvoices on Oct 5, 2023@1:00PM. Successful confirmation Oct 5, 2023@1:05PM
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Date Task Description Units Total 09/01/2023 Standing Unit of Care for Sylvia Smilen/hr. 09/01/2023 Care: 1:00PM-9:00PM 8.00 136.00 09/06/2023 Standing Unit of Care for Sylvia Smilen/hr. 09/06/2023 Care: 1:00PM-9:00PM 8.00 136.00 09/08/2023 Standing Unit of Care for Sylvia Smilen/hr. 09/08/2023 Care: 1:00PM-9:00PM 8.00 136.00 09/13/2023 Standing Unit of Care for Sylvia Smilen/hr. 09/13/2023 Care: 1:00PM-9:00PM 8.00 136.00 09/15/2023 Standing Unit of Care for Sylvia Smilen/hr. 09/15/2023 Care: 1:00PM-9:00PM 8.00 136.00 09/20/2023 Standing Unit of Care for Sylvia Smilen/hr. 09/20/2023 Care: 1:00PM-9:00PM 8.00 136.00 09/22/2023 Standing Unit of Care for Sylvia Smilen/hr. 09/22/2023 Care: 1:00PM-9:00PM 8.00 136.00 09/27/2023 Standing Unit of Care for Sylvia Smilen/hr. 09/27/2023 Care: 1:00PM-9:00PM 8.00 136.00 09/29/2023 Standing Unit of Care for Sylvia Smilen/hr. 09/29/2023 Care: 1:00PM-9:00PM 8.00 136.00 Invoice Totals: 72.00 $1,224.00 Invoice #21034 was created on Saturday, September 30, 2023
Source Document: Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20231002.pdf;Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20231002_Fax.pdf