Invoice Detail: # 21039
- Invoice Date
- 02/28/2024
- Customer Name
- Sylvia Smilen Trust
- Statement Note
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Invoice # 1101 (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 Mar 6, 2024@10:40AM. Successful Confirmation Mar 6, 2024@10:45AM
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Date Task Description Units Total 02/02/2024 Standing Unit of Care for Sylvia Smilen/hr. 02/02/2024 Care: 1:00PM-9:00PM 8.00 136.00 02/07/2024 Standing Unit of Care for Sylvia Smilen/hr. 02/07/2024 Care: 1:00PM-9:00PM 8.00 136.00 02/08/2024 Standing Unit of Care for Sylvia Smilen/hr. 02/08/2024 Care: 8:00AM-1:00PM 5.00 85.00 02/09/2024 Standing Unit of Care for Sylvia Smilen/hr. 02/09/2024 Care: 1:00PM-9:00PM 8.00 136.00 02/10/2024 Standing Unit of Care for Sylvia Smilen/hr. 02/10/2024 Care: 8:00AM-1:00PM 5.00 85.00 02/14/2024 Standing Unit of Care for Sylvia Smilen/hr. 02/14/2024 Care: 1:00PM-9:00PM 8.00 136.00 02/16/2024 Standing Unit of Care for Sylvia Smilen/hr. 02/16/2024 Care: 1:00PM-9:00PM 8.00 136.00 02/21/2024 Standing Unit of Care for Sylvia Smilen/hr. 02/21/2024 Care: 2:00PM-9:00PM 7.00 119.00 02/23/2024 Standing Unit of Care for Sylvia Smilen/hr. 02/23/2024 Care: 1:00PM-9:00PM 8.00 136.00 02/28/2024 Standing Unit of Care for Sylvia Smilen/hr. 02/28/2024 Care: 1:00PM-9:00PM 8.00 136.00 Invoice Totals: 73.00 $1,241.00 Invoice #21039 was created on Wednesday, February 28, 2024
Source Document: Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20240303.pdf;Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20240303_Fax.pdf