Invoice Detail: # 21073
- Invoice Date
- 03/31/2024
- Customer Name
- Sylvia Smilen Trust
- Statement Note
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Invoice # 1102 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 17.00/hr. Mrs. Sherman: Submitted to JH for Claim #: R12 004 977 via jh.com/submitinvoices on Apr 4, 2024@11:59AM. Confirmation Apr 4, 2024@XX:XXPM
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Date Task Description Units Total 03/01/2024 Standing Unit of Care for Sylvia Smilen/hr. 03/01/2024 Care: 1:00PM-9:00PM 8.00 136.00 03/06/2024 Standing Unit of Care for Sylvia Smilen/hr. 03/06/2024 Care: 1:00PM-9:00PM 8.00 136.00 03/08/2024 Standing Unit of Care for Sylvia Smilen/hr. 03/08/2024 Care: 1:00PM-9:00PM 8.00 136.00 03/11/2024 Standing Unit of Care for Sylvia Smilen/hr. 03/11/2024 Care: 11:00AM-2:00PM 3.00 51.00 03/20/2024 Standing Unit of Care for Sylvia Smilen/hr. 03/20/2024 Care: 1:00PM-9:00PM 8.00 136.00 03/22/2024 Standing Unit of Care for Sylvia Smilen/hr. 03/22/2024 Care: 1:00PM-9:00PM 8.00 136.00 03/27/2024 Standing Unit of Care for Sylvia Smilen/hr. 03/27/2024 Care: 1:00PM-9:00PM 8.00 136.00 03/29/2024 Standing Unit of Care for Sylvia Smilen/hr. 03/29/2024 Care: 1:00PM-9:00PM 8.00 136.00 Invoice Totals: 59.00 $1,003.00 Invoice #21073 was created on Sunday, March 31, 2024
Source Document: Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20240401.pdf;Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20240401_Fax.pdf