Invoice  Detail: # 21082

Invoice  Date
12/31/2024
Customer Name
Sylvia Smilen Trust
Statement Note
Mrs. Sherman: Invoice for Claim #: R12 004 977. For care completed in December 2024.  
Date Task Description Units Total
12/01/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/01/2024 Care: 1:00PM-9:00PM 8.00 144.00
12/02/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/02/2024 Care: 1:00PM-8:00PM 7.00 126.00
12/04/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/04/2024 Care: 1:00PM-9:00PM 8.00 144.00
12/05/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/05/2024 Care: 1:00PM-9:00PM 8.00 144.00
12/06/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/06/2024 Care: 1:00PM-9:00PM 8.00 144.00
12/08/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/08/2024 Care: 1:00PM-9:00PM 8.00 144.00
12/09/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/09/2024 Care: 1:00PM-8:00PM 7.00 126.00
12/11/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/11/2024 Care: 1:00PM-9:00PM 8.00 144.00
12/12/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/12/2024 Care: 1:00PM-9:00PM 8.00 144.00
12/13/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/13/2024 Care: 1:00PM-9:00PM 8.00 144.00
12/15/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/15/2024 Care: 1:00PM-9:00PM 8.00 144.00
12/16/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/16/2024 Care: 1:00PM-8:00PM 7.00 126.00
12/18/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/18/2024 Care: 1:00PM-9:00PM 8.00 144.00
12/19/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/19/2024 Care: 1:00PM-9:00PM 8.00 144.00
12/20/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/20/2024 Care: 1:00PM-9:00PM 8.00 144.00
12/22/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/22/2024 Care: 1:00PM-9:00PM 8.00 144.00
12/23/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/23/2024 Care: 1:00PM-8:00PM 7.00 126.00
12/25/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/25/2024 Care: 1:00PM-9:00PM 8.00 144.00
12/26/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/26/2024 Care: 1:00PM-9:00PM 8.00 144.00
12/27/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/27/2024 Care: 1:00PM-9:00PM 8.00 144.00
12/29/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/29/2024 Care: 1:00PM-9:00PM 8.00 144.00
12/30/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/30/2024 Care: 1:00PM-9:00PM 8.00 144.00
12/31/2024 Standing Unit of Care for Sylvia Smilen/hr. 12/31/2024 Care: 1:00PM-6:00PM 5.00 90.00
    Invoice Totals: 177.00 $3,186.00
Invoice #21082 was created on Tuesday, December 31, 2024

Source Document: Local Storage: Source Docs\John Hancock\JHLTC_Docscan_20250101.pdf