Invoice  Detail: # 21078

Invoice  Date
08/31/2024
Customer Name
Sylvia Smilen Trust
Statement Note
Invoice #21078. Mrs. Sherman: For JH Claim #: R12 004 977  
Date Task Description Units Total
08/01/2024 Standing Unit of Care for Sylvia Smilen/hr. 08/01/2024 Care: 1:00PM-9:00PM 8.00 144.00
08/02/2024 Standing Unit of Care for Sylvia Smilen/hr. 08/02/2024 Care: 1:00PM-9:00PM 8.00 144.00
08/04/2024 Standing Unit of Care for Sylvia Smilen/hr. 08/04/2024 Care: 1:00PM-9:00PM 8.00 144.00
08/05/2024 Standing Unit of Care for Sylvia Smilen/hr. 08/05/2024 Care: 1:00PM-8:00PM 7.00 126.00
08/07/2024 Standing Unit of Care for Sylvia Smilen/hr. 08/07/2024 Care: 1:00PM-9:00PM 8.00 144.00
08/08/2024 Standing Unit of Care for Sylvia Smilen/hr. 08/08/2024 Care: 1:00PM-9:00PM 8.00 144.00
08/14/2024 Standing Unit of Care for Sylvia Smilen/hr. 08/14/2024 Care: 1:00PM-9:00PM 8.00 144.00
08/18/2024 Standing Unit of Care for Sylvia Smilen/hr. 08/18/2024 Care: 1:00PM-9:00PM 8.00 144.00
08/19/2024 Standing Unit of Care for Sylvia Smilen/hr. 08/19/2024 Care: 1:00PM-8:00PM 7.00 126.00
08/21/2024 Standing Unit of Care for Sylvia Smilen/hr. 08/21/2024 Care: 1:00PM-9:00PM 8.00 144.00
08/22/2024 Standing Unit of Care for Sylvia Smilen/hr. 08/22/2024 Care: 1:00PM-9:00PM 8.00 144.00
08/23/2024 Standing Unit of Care for Sylvia Smilen/hr. 08/23/2024 Care: 1:00PM-9:00PM 8.00 144.00
08/25/2024 Standing Unit of Care for Sylvia Smilen/hr. 08/25/2024 Care: 1:00PM-9:00PM 8.00 144.00
08/26/2024 Standing Unit of Care for Sylvia Smilen/hr. 08/26/2024 Care: 1:00PM-8:00PM 7.00 126.00
08/28/2024 Standing Unit of Care for Sylvia Smilen/hr. 08/28/2024 Care: 1:00PM-9:00PM 8.00 144.00
08/29/2024 Standing Unit of Care for Sylvia Smilen/hr. 08/29/2024 Care: 1:00PM-9:00PM 8.00 144.00
08/30/2024 Standing Unit of Care for Sylvia Smilen/hr. 08/30/2024 Care: 1:00PM-9:00PM 8.00 144.00
    Invoice Totals: 133.00 $2,394.00
Invoice #21078 was created on Saturday, August 31, 2024

Source Document: Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20240910.pdf