HomeMy WebLinkAbout09-30-08
1. COURT
^ District Justice „Common Pleas ^ A
3. FOR Ip.J.,CP., gppELLATE) PDallate ^ Other
1 4. AT rclrvier...e~
OMwr-
6. IN THE CASE OF 1y~p
9. PROCEEDINGS (Describe brielly)
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0. PERSON REPRESENTED (Full Name)
Appl Date ~ ~1~'+D 1
9.
(PURDON CITATION)
11. PERSON {iEPRESENTEO
t ^ Delendanl~Aeull
2 O Delaneam ~JUVenile
J O Appellant
^ ADDellee
5 ^ Nabeaa Petitioner
6 ^ Material Wilnesa
O Parolee Charged Wi(h Violation
8 ^ Probationer Oharpee Wlth Violati
9
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Otner P1~1~ +.TrGa~;~,~
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2. VOUCHER
N~ 12975
5. BUOG ET CODE
B. ^ PETTY OFFENSE
^ FELONY^MISDEMEANOR
12. CIVIL DOCKET NO.
xl`° I~Illl 'vrPl. '
t3. CRIMINAL DOCKET NO.
14. APPEALS DOCKET NO.
ifi. NAME OF ATTORNEY/PAYEE AND
MAILING ADDRESS fI ,.,^[ ,[/,,
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Ct-r~rsln/ P,~ t`]o~3
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NAME OF COMMON PLEAS JUDGE ASSIGNED TO CASE
Arraignment and/or Plee
c Motlona and Regueata
d Beil Mearinpa
~ n. Sentence Hearlnpa
O I. Trial
2 ~_
h. Juvenile Mearinpa
i. APDeela CouR
1. Otner ($pecity pn addillOnal eneetsl
20. a. Interviews eno conterencea
u_ o. Obtaining eno reviewing records
O ¢ c. legal reaearcn eno oriel writing
p ~ d. Investigative eno other work (SpeciN on
TOTAL HOURS =
w
I
r
O
17. TELEPHONE No.
t~ dy -3S.
~EXPENSFR
3
't9'
O X$S*, PER HOUR
X $45 PER HOUR
22. CERTIFICATION OF ATTORNEY/PAYEE
Has compensation anWor reimburoement for work In thla case proviousy been epPlled toR ^ yEg ~ NO
It yes. ware YOU Paio? Q YES ^ NO If yea, bYwhom were YOU Dald7
Has the person represented paid any money to you, or to your knowledge anyone alas, In connactioncwith the matter for
whim you were appOintetl to provide repreaentatipp~j
I swear pr allirm the Irulh or ~Y r~ NO~ If yea, Olve detail8 On edditi nq
conectnesa 14~ 1 aheeta
of the above statements „08
Slpnaturo o Attomay/Payee
zs.,,,Rnr,~l t, Dae
Y~iu Signature of
+ [Nl Jueow n i
CoPy/1~ Mail to Court Administrator at completion of service
IB. SOCI4L 5ECURnY NO OR FN NO
AUTHORITY TO PAY COURT APPOINTED COUNSEL
rate ~ hour
TOTAL HOURS =
21A TOTAL ITEMIZED EXP.
=S
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i
_
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~ ~
~
C
7-y ~ l'
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9A TOTAL IMlOURT r`n4'c
_ $ ySr ~
Multiply rate per hour times total
noun. Enter total "Out of Court"
cpmpeneatipn below.
23. GRAND TOTAL CLAIMED
=s 9y.sfl V/
24. DEDUCT. PRIOR PYMTS.
=S
25:NETA O NTC IME
= s ~ ~, S- L(rj ,~
27. AMT. APPROVED
= s QY, So
20A TOTAL OUT OF COURT
COMP.
RE: CAROLYN KIRK
12/21/07 Reviewed Petition and Decree 7
01/17/08 Meeting w/Client 3
01/17/08 Hearing 1.0
01/22/08 Reviewed Order ~
2.1