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HomeMy WebLinkAbout04-14-09 (2)AUTHORITY TO PAY COURT APPOINTED COUNSEL ~! -Q~i - Q~-~q 'APR 1 ~ 2009 1. COURT 2. VOUCHER ~ ~ 5 5 2 ^ District Justice Common Pleas ^ Appellate ^ Other NO 3. FOR (D.J., C.P., APPELLATE) 4. AT (CITY/STATE) 5. BUDGET CODE ~- -G 1~y~ Ca-r 1 ~ 5(z ~ ao ins i~io t 6. IN THE CASE OF 7. CHARGE/OFFENSE PURDON CITATION) 8. ^ PETTY OFFENSE ; (1 _ ~ ~r ~ ~ ~~ O FELONY ^ MISDEMEANOR ~ e 9. PROCEEDINGS (Describe briefly) 1 1. PERSON REPRESENTED 12. CIVIL DOCKET NO. 1 O Defendant-Adult ~ Mn U a~ ' - O n ~ S~` 2 ^ Defendant • Juvenile t ~ ~~ ~ IlJ{ 3 ^ Appellant T O d ^ Appellee N . 13. CRIMINAL DOCKE 5 ^ Mabeas Petitioner 6 ^ Material Witness 10. PERSON REPRESENTED (Full Name) 7 O Parolee Charged With Violation s ^~ Pj obttioner Charged With Violation ~ l 14. APPEALS DOCKET NO. 9 ~/Otner GcC.It~U Q ~1'~CGL- I~QG ~o v, ~ o~ ~• • ~z + sew" ~ 0. t2( Q.. erso n 3 I O 0 ~ Appt Date 16. NAME OF ATTORNEY/PAYEE AND MAILING ADDRESS /,[~~~~ I~~ l (~ UXl `mil JC~C1-'t 1 e Y i ~J ~~" Y 1 i C\" 1 ~~C.-t J NAME OF COMMON P AS JU GE ASSIGNED TO ASE Cap--I~~ p~ ~ ~1~ ~3 17. TELEPHONE No. 18. SoClALSEGUAItvNO o EINNO ~- a- i o R CLAIM FOR SERVICES OR EXPENSES 19. SERVICE HOURS DATES AMOUNTS CLAIMED a. Arraignment and/or Ples Multiply rate hour times total • t" h b ~"I C our ~om ours to o t n b. Prelimine Heart ry nq nsation. Erg total belo~r:; c Motions and Redueats C) ~„ t r , ' ~? - ~ ~ ~-~ r -- d Bail Hearings ' C7' -3 -: CJ Y"1 n ~ i . ~ ~ ~li ~ e. Sentence Hearlnps -_`~~ -- C_~_1i Z t. Trial ' C/7 ~ ~ ~ ; , (^•~ g. Revocation Hearlnps ~ ~ ~ '~ ~-:-t <7G~'~ 3 h. Juvenile Hearinpa - - i. Appeals Court f9~ TAL 1N~ T[CQfpIR, ' ~ ~ W Other (Specify on additional sheets)PIy)Q/ ~ V .~. Lta~r~,,GU~S~ ~nplt,ri ,'` 7t/ TOTAL HOURS a X PER HOUR 20. a. Interviews and conlerences Multiply rate per hour times total f C rt" " u_ b. Obtaining and reviewing records hours. Enter total Out o ou eompenaalion txlow. ~ O ¢ c Legal research and brief writing ~ O U d. Investigative and other work (Specfy on additanal sheets) 20A TOTAL OUT OF COURT O _ ~ ~ ~ rr.f / COMP. +' ot'-/- TOTAL HOURS = ~ ~ X $d5 PER HOUR s ~/ ~}' 3 / / " ~ V~ ~ p , . 21. ITEMIZATION OF REIMBURSABLE EX PENSES AMT. PER ITEM Milage $. er mile X • 5 ~~ I ZS l.~ 115 e W [, ~7 = ~ 21A 70TAL ITEMIZED EXP. •~ q ~ _ ~J, ,(~ 22. CERTIFICATION OF ATTORNEY/PAYEE 23. GRAND TOTAL CLAIMED Has compensation and/or reimbutaement for work in thin case proviously been applied foR ^ YES O = _ -~© ~31 ~ If yes, were you paid? ^ YES ^ NO If yes, by whom were you paid? How much? PRIOR PYMTS. 24. DEDUCT Has the person represented paid any money to you, or to your knowle a anyone else, In connection with the matter for ~ . = a If yea, give details on additional sh ets which you were appointed to provide representation? p YES I swear or affirm the truth or correctness 25: NET AMOUNT CLJ\tMED of the above statements S r Aft /Payee Data : _ ~ ~, 26.nrwnuvtu FU11 Signature of (A V It ~Oate: -U n J d ~tf7~i~Q ~J V ~ 27. AMT. APPROVED s s ~~ A MENT u ge Y Copy 1 -Mail to Court Administrator at completion of service