Invoice  Detail: # 21086

Invoice  Date
02/28/2025
Customer Name
Sylvia Smilen Trust
Statement Note
Mrs. Sherman: For Care completed in February 2025. JH Claim #: R12 004 977  
Date Task Description Units Total
02/02/2025 Standing Unit of Care for Sylvia Smilen/hr. 02/02/2025 Care: 1:00PM-9:00PM 8.00 144.00
02/03/2025 Standing Unit of Care for Sylvia Smilen/hr. 02/03/2025 Care: 1:00PM-8:00PM 7.00 126.00
02/05/2025 Standing Unit of Care for Sylvia Smilen/hr. 02/05/2025 Care: 1:00PM-9:00PM 8.00 144.00
02/06/2025 Standing Unit of Care for Sylvia Smilen/hr. 02/06/2025 Care: 1:00PM-9:00PM 8.00 144.00
02/07/2025 Standing Unit of Care for Sylvia Smilen/hr. 02/07/2025 Care: 1:00PM-9:00PM 8.00 144.00
02/09/2025 Standing Unit of Care for Sylvia Smilen/hr. 02/09/2025 Care: 1:00PM-9:00PM 8.00 144.00
02/10/2025 Standing Unit of Care for Sylvia Smilen/hr. 02/10/2025 Care: 1:00PM-8:00PM 7.00 126.00
02/12/2025 Standing Unit of Care for Sylvia Smilen/hr. 02/12/2025 Care: 1:00PM-9:00PM 8.00 144.00
02/13/2025 Standing Unit of Care for Sylvia Smilen/hr. 02/13/2025 Care: 1:00PM-9:00PM 8.00 144.00
02/14/2025 Standing Unit of Care for Sylvia Smilen/hr. 02/14/2025 Care: 1:00PM-9:00PM 8.00 144.00
02/16/2025 Standing Unit of Care for Sylvia Smilen/hr. 02/16/2025 Care: 1:00PM-9:00PM 8.00 144.00
02/17/2025 Standing Unit of Care for Sylvia Smilen/hr. 02/17/2025 Care: 1:00PM-8:00PM 7.00 126.00
02/23/2025 Standing Unit of Care for Sylvia Smilen/hr. 02/23/2025 Care: 1:00PM-9:00PM 8.00 144.00
02/24/2025 Standing Unit of Care for Sylvia Smilen/hr. 02/24/2025 Care: 1:00PM-8:00PM 7.00 126.00
02/25/2025 Standing Unit of Care for Sylvia Smilen/hr. 02/25/2025 Care: 1:00PM-7:00PM 6.00 108.00
02/26/2025 Standing Unit of Care for Sylvia Smilen/hr. 02/26/2025 Care: 1:00PM-9:00PM 8.00 144.00
02/27/2025 Standing Unit of Care for Sylvia Smilen/hr. 02/27/2025 Care: 1:00PM-9:00PM 8.00 144.00
02/28/2025 Standing Unit of Care for Sylvia Smilen/hr. 02/28/2025 Care: 1:00PM-9:00PM 8.00 144.00
    Invoice Totals: 138.00 $2,484.00
Invoice #21086 was created on Friday, February 28, 2025

Source Document: Local Storage: Source Docs\John Hancock\JHLTC_Docscan_20250304.pdf