Order  Detail: # 21098

Order  Date
08/31/2025
Customer Name
Sylvia Smilen Trust
Statement Note
Mrs. Sherman: Invoice for Care Provided in August 2025. Claim #: R12 004 977  
Date Task Description Units Total
08/01/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/01/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/03/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/03/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/04/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/04/2025 Care: 1:00PM-8:00PM 7.00 126.00
08/06/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/06/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/07/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/07/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/08/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/08/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/10/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/10/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/11/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/11/2025 Care: 1:00PM-8:00PM 7.00 126.00
08/12/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/12/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/13/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/13/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/14/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/14/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/15/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/15/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/16/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/16/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/17/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/17/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/18/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/18/2025 Care: 1:00PM-8:00PM 7.00 126.00
08/19/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/19/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/20/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/20/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/21/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/21/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/22/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/22/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/23/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/23/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/24/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/24/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/25/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/25/2025 Care: 1:00PM-8:00PM 7.00 126.00
08/26/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/26/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/27/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/27/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/28/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/28/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/29/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/29/2025 Care: 1:00PM-9:00PM 8.00 144.00
08/31/2025 Standing Unit of Care for Sylvia Smilen/hr. 08/31/2025 Care: 1:00PM-9:00PM 8.00 144.00
    Order Totals: 212.00 $3,816.00
Invoice #21098 was created on Sunday, August 31, 2025

Source Document: JHLTC_Docscan_20250909.pdf