Invoice  Detail: # 21085

Invoice  Date
01/31/2025
Customer Name
Sylvia Smilen Trust
Statement Note
Mrs. Sherman: For Care completed in January 2025. JH Claim #: R12 004 977  
Date Task Description Units Total
01/01/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/01/2025 Care: 1:00PM-9:00PM 8.00 144.00
01/02/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/02/2025 Care: 1:00PM-9:00PM 8.00 144.00
01/03/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/03/2025 Care: 1:00PM-9:00PM 8.00 144.00
01/05/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/05/2025 Care: 1:00PM-9:00PM 8.00 144.00
01/06/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/06/2025 Care: 1:00PM-8:00PM 7.00 126.00
01/08/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/08/2025 Care: 1:00PM-9:00PM 8.00 144.00
01/09/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/09/2025 Care: 1:00PM-9:00PM 8.00 144.00
01/10/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/10/2025 Care: 1:00PM-9:00PM 8.00 144.00
01/12/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/12/2025 Care: 1:00PM-9:00PM 8.00 144.00
01/13/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/13/2025 Care: 1:00PM-8:00PM 7.00 126.00
01/14/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/14/2025 Care: 1:00PM-8:00PM 7.00 126.00
01/15/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/15/2025 Care: 1:00PM-9:00PM 8.00 144.00
01/16/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/16/2025 Care: 1:00PM-9:00PM 8.00 144.00
01/17/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/17/2025 Care: 1:00PM-9:00PM 8.00 144.00
01/19/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/19/2025 Care: 1:00PM-9:00PM 8.00 144.00
01/20/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/20/2025 Care: 1:00PM-8:00PM 7.00 126.00
01/21/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/21/2025 Care: 1:00PM-8:00PM 7.00 126.00
01/22/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/22/2025 Care: 1:00PM-9:00PM 8.00 144.00
01/23/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/23/2025 Care: 1:00PM-9:00PM 8.00 144.00
01/24/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/24/2025 Care: 1:00PM-9:00PM 8.00 144.00
01/26/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/26/2025 Care: 1:00PM-9:00PM 8.00 144.00
01/27/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/27/2025 Care: 1:00PM-8:00PM 7.00 126.00
01/28/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/28/2025 Care: 1:00PM-8:00PM 7.00 126.00
01/29/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/29/2025 Care: 1:00PM-9:00PM 8.00 144.00
01/30/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/30/2025 Care: 1:00PM-9:00PM 8.00 144.00
01/31/2025 Standing Unit of Care for Sylvia Smilen/hr. 01/31/2025 Care: 1:00PM-9:00PM 8.00 144.00
    Invoice Totals: 201.00 $3,618.00
Invoice #21085 was created on Friday, January 31, 2025

Source Document: Local Storage: Source Docs\John Hancock\JHLTC_Docscan_20250204.pdf