Invoice  Detail: # 21109

Invoice  Date
09/30/2025
Customer Name
Sylvia Smilen Trust
Statement Note
Mrs. Sherman: Invoice for Care Provided in September 2025. Claim #: R12 004 977  
Date Task Description Units Total
09/02/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/02/2025 Care: 1:00PM-8:00PM 7.00 126.00
09/03/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/03/2025 Care: 1:00PM-9:00PM 8.00 144.00
09/04/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/04/2025 Care: 1:00PM-9:00PM 8.00 144.00
09/07/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/07/2025 Care: 1:00PM-9:00PM 8.00 144.00
09/08/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/08/2025 Care: 1:00PM-8:00PM 7.00 126.00
09/09/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/09/2025 Care: 1:00PM-8:00PM 7.00 126.00
09/10/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/10/2025 Care: 1:00PM-9:00PM 8.00 144.00
09/11/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/11/2025 Care: 1:00PM-9:00PM 8.00 144.00
09/12/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/12/2025 Care: 1:00PM-9:00PM 8.00 144.00
09/14/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/14/2025 Care: 1:00PM-9:00PM 8.00 144.00
09/15/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/15/2025 Care: 1:00PM-8:00PM 7.00 126.00
09/16/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/16/2025 Care: 1:00PM-9:00PM 8.00 144.00
09/17/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/17/2025 Care: 1:00PM-9:00PM 8.00 144.00
09/18/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/18/2025 Care: 1:00PM-9:00PM 8.00 144.00
09/19/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/19/2025 Care: 1:00PM-9:00PM 8.00 144.00
09/21/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/21/2025 Care: 1:00PM-9:00PM 8.00 144.00
09/22/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/22/2025 Care: 1:00PM-9:00PM 8.00 144.00
09/23/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/23/2025 Care: 1:00PM-9:00PM 8.00 144.00
09/24/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/24/2025 Care: 1:00PM-9:00PM 8.00 144.00
09/25/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/25/2025 Care: 1:00PM-9:00PM 8.00 144.00
09/26/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/26/2025 Care: 1:00PM-9:00PM 8.00 144.00
09/28/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/28/2025 Care: 1:00PM-9:00PM 8.00 144.00
09/29/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/29/2025 Care: 1:00PM-9:00PM 8.00 144.00
09/30/2025 Standing Unit of Care for Sylvia Smilen/hr. 09/30/2025 Care: 1:00PM-9:00PM 8.00 144.00
    Invoice Totals: 188.00 $3,384.00
Invoice #21109 was created on Tuesday, September 30, 2025