Invoice Detail: # 21038
- Invoice Date
- 01/31/2024
- Customer Name
- Sylvia Smilen Trust
- Statement Note
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Invoice # 1100 (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 Feb 4, 2024@01:12PM. Successful fax confirmation Feb 4, 2024@01:22PM
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Date Task Description Units Total 01/01/2024 Standing Unit of Care for Sylvia Smilen/hr. 01/01/2024 Care: 10:00AM-1:00PM 3.00 51.00 01/03/2024 Standing Unit of Care for Sylvia Smilen/hr. 01/03/2024 Care: 1:00PM-9:00PM 8.00 136.00 01/10/2024 Standing Unit of Care for Sylvia Smilen/hr. 01/10/2024 Care: 1:00PM-9:00PM 8.00 136.00 01/12/2024 Standing Unit of Care for Sylvia Smilen/hr. 01/12/2024 Care: 1:00PM-9:00PM 8.00 136.00 01/17/2024 Standing Unit of Care for Sylvia Smilen/hr. 01/17/2024 Care: 1:00PM-9:00PM 8.00 136.00 01/19/2024 Standing Unit of Care for Sylvia Smilen/hr. 01/19/2024 Care: 1:00PM-9:00PM 8.00 136.00 01/24/2024 Standing Unit of Care for Sylvia Smilen/hr. 01/24/2024 Care: 1:00PM-9:00PM 8.00 136.00 01/26/2024 Standing Unit of Care for Sylvia Smilen/hr. 01/26/2024 Care: 1:00PM-9:00PM 8.00 136.00 01/31/2024 Standing Unit of Care for Sylvia Smilen/hr. 01/31/2024 Care: 1:00PM-9:00PM 8.00 136.00 Invoice Totals: 67.00 $1,139.00 Invoice #21038 was created on Wednesday, January 31, 2024
Source Document: Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20240204.pdf;Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20240204_Fax.pdf