Invoice Detail: # 21037
- Invoice Date
- 12/31/2023
- Customer Name
- Sylvia Smilen Trust
- Statement Note
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Invoice # 1099 (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 Jan 1, 2024@10:25AM. Successful fax confirmation Jan 1, 2024@10:31PM
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Date Task Description Units Total 12/01/2023 Standing Unit of Care for Sylvia Smilen/hr. 12/01/2023 Care: 1:00PM-9:00PM 8.00 136.00 12/06/2023 Standing Unit of Care for Sylvia Smilen/hr. 12/06/2023 Care: 1:00PM-9:00PM 8.00 136.00 12/08/2023 Standing Unit of Care for Sylvia Smilen/hr. 12/08/2023 Care: 1:00PM-9:00PM 8.00 136.00 12/13/2023 Standing Unit of Care for Sylvia Smilen/hr. 12/13/2023 Care: 1:00PM-9:00PM 8.00 136.00 12/15/2023 Standing Unit of Care for Sylvia Smilen/hr. 12/15/2023 Care: 1:00PM-9:00PM 8.00 136.00 12/20/2023 Standing Unit of Care for Sylvia Smilen/hr. 12/20/2023 Care: 1:00PM-9:00PM 8.00 136.00 12/22/2023 Standing Unit of Care for Sylvia Smilen/hr. 12/22/2023 Care: 1:00PM-9:00PM 8.00 136.00 12/27/2023 Standing Unit of Care for Sylvia Smilen/hr. 12/27/2023 Care: 1:00PM-9:00PM 8.00 136.00 12/29/2023 Standing Unit of Care for Sylvia Smilen/hr. 12/29/2023 Care: 1:00PM-9:00PM 8.00 136.00 Invoice Totals: 72.00 $1,224.00 Invoice #21037 was created on Sunday, December 31, 2023
Source Document: Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20240101.pdf;Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20240101_Fax.pdf