HomeMy WebLinkAbout03-28-07
11. PERSON REPRESENTED
1 0 Delendanl- Adult
2 0 Delendanl' Juvenile
3 0 Appellanl
4 0 Appellee
5 0 Habeas Pelilioner
6 0 Malerlal Witness
7 0 Parolee Charged Wilh Violalion
8 0 Probalioner Charged With Viola lion
9 tyOther: ~\.l~il'\~~W-eJ.
fU$Of'1
, 6. NAME OF ATTORNEY/PAYEE AND jj, J J. J ~A ~
MAILING ADDRESS :P- ""..>'VU\
Wolf ~ Wo l..f'
I 0 LVcl~ ~ ~ ~ b-\-r~~
Co...r\\slel Pit \,013
AUTHORITY TO PAY COURT APPOINTED COUNSEL
1. COURT . /
o District Justice cV"Common Pleas
3. FOR (D.J., C.P., APPELLATE)
C.p,
o Appellate 0 Other
4. AT (CITY/STATE)
[J"J} r'" G1e PA
7. CHARGE/OFFENSE (PU~DON CITATION)
6. IN THE CASE OF
\n t<e.., L"l J-to..... ~le.. ~~\U
9. PROCEEDINGS (Describe briefly)
GLLO-('e4'CU'\S~ ~'In~
10. PERSON REPRESENTED (Full Name)
Ll cli a.. YYh.r\ e.. h~.H e. c
Appl Dale ~/q I 07
(
-:J0ol?? m, L, ~ Iae.-~I J" \.
NAME OF COMMON PLEAS JUDGE ASSIGNED TO CASE
19.
SERVICE
, 7. TELEPHONE No.
~4:' -l{4oc';'
CLAIM FOR SERVICES OR EXPENSES
HOURS DATES
~
a:
::>
o
u
;
a. Arraignment and/or Plea
b. Preliminary Hearing
c. Motions and Requests
d. Bail Hearings
e. Sentence Hearings
l. Trial
g. Revocation Heerlngs
h. Juvenile Hearings
i. Appeals Court
~ Other (Specify on additional sheets)...... ^ ~...I\' ~.i I :....-
J -"'
TOTAL HOURS"
X IJ%ER HOUR
OJ!
Q.r;
^1 /1
20.
a. Interviews and conlerences
b. Oblaining and reviewing records
c. Legal research and brlel writing
d. Investigative and other work (Specify on additional sheelS)
-n~ "n, 'nf.c~ r ... A. . D~. - (.
(V -,~,..~
TOTAL HOURS"
X $45 PER HOUR
u.~
Oa:
~::>
::>0
OU
L5
't.:;'
21.
ITEMIZATION OF REIMBURSABLE EXPENSES
AMT. PER ITEM
Milage $.~ per mile x
ffi 4J, lit ><.3 <b M.t.e.S -~,., Ot>\J..R.n l-\"~f\O,,(1,,.J..p- ~() ~~\\
~ ~
o
fR., ;;1...4
22. CERTIFICATION OF ATTORNEY/PAYEE . /
Has compensation and/or reimbursement for work In this cue previOUSly been applied for? 0 YES dt NO
II yes, were you paid? 0 YES 0 NO If yes.bywhom_re you paid? How much?
Has the person represented paid any money to you, or to your knowle~e anyone else, In connection with the matter for
which you were appointed to provide representat~?L 0 YES It(NO /J~lf es. give details on addi~i~naLsheets
I swear or affirm the truth or correctness _-..:z;p~"A--f2> . ~.1LJl::J _< .1,' J.OI07
of the above statements Slg~ture of Attorney/ ee -, Date
26.M'PF~~~l (.\ Signature ol"'\... \1\...J r \. -+--
PAV...(N' \ Judge ".' ~ - \. <..J.. "-.!\
. Dale:
3.lr>/o)
\
Copy 1 . Mail to Court Administrator at completion of service
MAR 21 2001,
2,VN~HER 11546
5. BUDGET CODE
/ 1I1J. J.:>7;J//).. (,O~ Ypo
8. 0 PETTY OFFENSE
o FELONY 0 MISDEMEANOR
12. CIVIL DOCKET NO.
of] - ooCf6
'3. CRIMINAL DOCKET NO
, 4. APPEALS DOCKET NO.
'"
'1 ~c~IG~;r;NqqEINNO
AMOUN~LAIMED
;MtJS' Iy rate pel:Jfp, ur time,S,I\>>a. \
. to obtai~ Court" com,
- ion. Enleii!ital below. . -:,
.. .:t (")?o.J ;
;"';-'1 N t
~:~ C)
. :"~J
',J..,--j
J:>o
I -~,..
-",,_c..
1..0
.,
~,
19A. TOTAL IN ItOURT COMP,
=$ 3t.QJ
Multiply rate per hour times total
hours. Enter tolsl .Oul of Court"
compensation below.
20A. TOTAL OUT OF COURT
COMPo
.. $ I 'l q . 00
21A. TOTAL ITEMIZED EXP.
... $ 1 <6 r ~y
23. GRAND TOTAL CLAIMED
...$ ~?:'~,74
24. DEDUCT. PRIOR PYMTS.
-$ n
2S:NET AMOUNT CLAIMED
=$ ~~.14
27.AMT.APPAOVED',f
-$ .:23<8.1L-f
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