Invoice  Detail: # 21088

Invoice  Date
04/30/2025
Customer Name
Sylvia Smilen Trust
Statement Note
For Claim #: R12 004 977: Care provided in March 2025  
Date Task Description Units Total
04/02/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/02/2025 Care: 1:00PM-9:00PM 8.00 144.00
04/03/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/03/2025 Care: 1:00PM-9:00PM 8.00 144.00
04/04/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/04/2025 Care: 1:00PM-9:00PM 8.00 144.00
04/06/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/06/2025 Care: 1:00PM-9:00PM 8.00 144.00
04/07/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/07/2025 Care: 1:00PM-8:00PM 7.00 126.00
04/09/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/09/2025 Care: 1:00PM-9:00PM 8.00 144.00
04/10/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/10/2025 Care: 1:00PM-9:00PM 8.00 144.00
04/11/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/11/2025 Care: 1:00PM-9:00PM 8.00 144.00
04/13/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/13/2025 Care: 1:00PM-9:00PM 8.00 144.00
04/14/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/14/2025 Care: 1:00PM-8:00PM 7.00 126.00
04/15/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/15/2025 Care: 1:00PM-8:00PM 7.00 126.00
04/16/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/16/2025 Care: 1:00PM-9:00PM 8.00 144.00
04/17/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/17/2025 Care: 1:00PM-9:00PM 8.00 144.00
04/18/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/18/2025 Care: 1:00PM-9:00PM 8.00 144.00
04/20/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/20/2025 Care: 1:00PM-9:00PM 8.00 144.00
04/21/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/21/2025 Care: 1:00PM-8:00PM 7.00 126.00
04/22/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/22/2025 Care: 1:00PM-8:00PM 7.00 126.00
04/23/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/23/2025 Care: 1:00PM-9:00PM 8.00 144.00
04/24/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/24/2025 Care: 1:00PM-9:00PM 8.00 144.00
04/25/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/25/2025 Care: 1:00PM-9:00PM 8.00 144.00
04/27/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/27/2025 Care: 1:00PM-9:00PM 8.00 144.00
04/28/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/28/2025 Care: 1:00PM-8:00PM 7.00 126.00
04/29/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/29/2025 Care: 1:00PM-7:00PM 6.00 108.00
04/30/2025 Standing Unit of Care for Sylvia Smilen/hr. 04/30/2025 Care: 1:00PM-9:00PM 8.00 144.00
    Invoice Totals: 184.00 $3,312.00
Invoice #21088 was created on Wednesday, April 30, 2025

Source Document: Local Storage: Source Docs\John Hancock\JHLTC_Docscan_20250507.pdf