Invoice  Detail: # 21089

Invoice  Date
05/31/2025
Customer Name
Sylvia Smilen Trust
Statement Note
For Claim #: R12 004 977 for Care provided in May 2025.  
Date Task Description Units Total
05/01/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/01/2025 Care: 1:00PM-9:00PM 8.00 144.00
05/02/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/02/2025 Care: 1:00PM-9:00PM 8.00 144.00
05/04/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/04/2025 Care: 1:00PM-9:00PM 8.00 144.00
05/05/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/05/2025 Care: 1:00PM-8:00PM 7.00 126.00
05/08/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/08/2025 Care: 1:00PM-9:00PM 8.00 144.00
05/09/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/09/2025 Care: 1:00PM-9:00PM 8.00 144.00
05/11/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/11/2025 Care: 1:00PM-9:00PM 8.00 144.00
05/12/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/12/2025 Care: 1:00PM-8:00PM 7.00 126.00
05/13/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/13/2025 Care: 1:00PM-9:00PM 8.00 144.00
05/14/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/14/2025 Care: 1:00PM-9:00PM 8.00 144.00
05/15/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/15/2025 Care: 1:00PM-9:00PM 8.00 144.00
05/16/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/16/2025 Care: 1:00PM-9:00PM 8.00 144.00
05/18/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/18/2025 Care: 1:00PM-9:00PM 8.00 144.00
05/19/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/19/2025 Care: 1:00PM-8:00PM 7.00 126.00
05/21/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/21/2025 Care: 1:00PM-9:00PM 8.00 144.00
05/22/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/22/2025 Care: 1:00PM-9:00PM 8.00 144.00
05/23/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/23/2025 Care: 1:00PM-9:00PM 8.00 144.00
05/25/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/25/2025 Care: 1:00PM-9:00PM 8.00 144.00
05/26/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/26/2025 Care: 1:00PM-8:00PM 7.00 126.00
05/28/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/28/2025 Care: 1:00PM-9:00PM 8.00 144.00
05/29/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/29/2025 Care: 1:00PM-9:00PM 8.00 144.00
05/30/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/30/2025 Care: 1:00PM-9:00PM 8.00 144.00
05/31/2025 Standing Unit of Care for Sylvia Smilen/hr. 05/31/2025 Care: 1:00PM-9:00PM 8.00 144.00
    Invoice Totals: 180.00 $3,240.00
Invoice #21089 was created on Saturday, May 31, 2025

Source Document: Local Storage: Source Docs\John Hancock\JHLTC_Docscan_20250611.pdf