EFTA00302088.pdf

Please Address Inquiries to: Insured's Name: TERJE ROD LARSON Caring People 00 - CaringPeople Invoice No: 245243 0 ALWAYS COSINICTFO - 118-35 QUEENS BLVD. 1st Floor Ls! 'Wein NI.‘$.(1 & Fl. Invoice Date: 05/02/2018 Forest Hills, NY 11375 *** COPY *** Service Dates: 04/21/2018 - 05/04/2018 Call: Client Original Invoice Policy No: Invoice Total 148.50 Printed: 5/2/2018 Client Responsibility S148.50 BALANCE DUE $148.50 I 04/27/2018 Fri I HHA I BERYL THOMAS 5.50 I 27.00 HR 148.50 I Page 1 of 1 5.50 $148.50 Aging This Invoice 0-30 31.60 61-90 Older than 90 Total Amount $148.50 $0.00 $0.00 $0.00 $0.00 $ 0.00 CaringPeople Caring People , who], N1 NI 1 I& FL Remit Payment To: Caring People 5300 WEST ATLANTIC AVE. SUITE 203 Enclosed Amount: DELRAY, FL 33484 Balance Due: S148.50 Client Name: TERJE ROD LARSON Invoice No: 245243 TERJE ROD LARSON Invoice Date: 05/02/2018 EFTA00302088