Invoice Detail: # 21036
- Invoice Date
- 11/30/2023
- Customer Name
- Sylvia Smilen Trust
- Statement Note
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Invoice # 1098 (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 Dec 14, 2023@01:35PM. Successful fax confirmation Dec 14, 2023@01:39PM
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Date Task Description Units Total 11/01/2023 Standing Unit of Care for Sylvia Smilen/hr. 11/01/2023 Care: 1:00PM-9:00PM 8.00 136.00 11/03/2023 Standing Unit of Care for Sylvia Smilen/hr. 11/03/2023 Care: 1:00PM-9:00PM 8.00 136.00 11/08/2023 Standing Unit of Care for Sylvia Smilen/hr. 11/08/2023 Care: 1:00PM-9:00PM 8.00 136.00 11/10/2023 Standing Unit of Care for Sylvia Smilen/hr. 11/10/2023 Care: 1:00PM-9:00PM 8.00 136.00 11/15/2023 Standing Unit of Care for Sylvia Smilen/hr. 11/15/2023 Care: 1:00PM-9:00PM 8.00 136.00 11/17/2023 Standing Unit of Care for Sylvia Smilen/hr. 11/17/2023 Care: 1:00PM-9:00PM 8.00 136.00 11/22/2023 Standing Unit of Care for Sylvia Smilen/hr. 11/22/2023 Care: 1:00PM-9:00PM 8.00 136.00 11/24/2023 Standing Unit of Care for Sylvia Smilen/hr. 11/24/2023 Care: 1:00PM-9:00PM 8.00 136.00 11/29/2023 Standing Unit of Care for Sylvia Smilen/hr. 11/29/2023 Care: 1:00PM-9:00PM 8.00 136.00 Invoice Totals: 72.00 $1,224.00 Invoice #21036 was created on Thursday, November 30, 2023
Source Document: Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20231201.pdf;Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20231201_Fax.pdf