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HomeMy WebLinkAbout07-13-09~1AY 2 ~ 2«09 AUTHORITY TO PAY COURT APPOINTED COUNSEL 2 VOUCHER .i _ No ~l_3~J5 ' , ;_.a ~ . 1. couRr _ j~~ e '~ .- ©,,Other ^ District Justice EI,..Common Pleas ^` AitP~, _~ t 5.B}'UDGET CODE A. AT (CITY/STATE) ., l _ ~„~}(IOZ 3. FOR (D.J_. C.P.• APPELLATE) 0 v^~ p~E-7TY OFFENSE R EN (PURDON CITATION) ^ FELONY ^ MISDEMEANOR 6. IN THE CASE OF vs 12. CIVIL DOCKET NO. rl 11. PERSON REPRESENTED ~ ~~. /,~ O~0 g. PROCEEDINGS (Describe brially) ~ p Ip,r~,`, ~) ~~' ^ Dalendent-Adult ~ V ~} -- .^~ 2 Defendant ~ Juvenile ~ l (11~~tt(1~' D~~~i~ ~ J .~ ~~P ^` C1.1 ,i -: - ,~' p• Appellant 1J. CRIMINAL OOGKET NO Q ~ ~-11~1..~ \ G~ 4 ^ Appellee ~J\ 5 ^ Habeas Petitioner 6 O Material Wuness 7 ^ Parolee Charged with Violation 14. APPEALS DOCKET NO. _ g ^ Probationer GharQed With Violation 10. PERSON REPRESENTED (Full NaCtm'e1 ~~~5\ ~ ~' 9 ~pther /~~~~ev 16. NAME OF ATTORNEY/PAYEE AND MAILING ADDRESS ~ ADPt Date ~ ~ ~ O lJ~''e c~.S U~ l`~ NAME OF COMMON PLEAS JUDGE ASSIGNED TO CASE 1 _ 1 ` 1 ~ Z „7 ~ 17. TELEPHONE No. ""~ 18. soaA~sECUalrvNO o)~r!~~ CLAIM FOR SERVICES OR EXPENSES AMOUNTS CLAIMED HOURS DATES Multiply rate per hour times local SERVICE hours to obtain "In Court" com~ 19 nt andlor Plea pensation. Enter total below. a. Arraignme b. Preliminary Heerlnq c Motions and Requests f- d Bail Hearings fL ~ a. Sentence Heartnge O O t. Trial Z g. Revocation Hearings 19A. TOTAL IN CUUR7 COMP. h. Juvenile Hearings / /~ j"%1 Appeals Court i t" ~ {.~•,, ~, ' . ~ ~' ~ • d J\.~ . Other (Specity on additional sheets) j _ $ "1-TT --' . X $ PER HOUR TOTAL HOURS = Multiply rate per hour times total " ~,~ ~ hours. Enter total "Out of Court 20, a. Interviews and conferences compensation below. b. Obtaining and reviewing records + - , 20/l TOTAL OUT OF COURT u_ t- O d c. Legal research and brief writing ad ditional sheets) COMP. t- ~ i on ~ O d. Investigative and other work (Spec h ~ 1~~1~.t~~~~ o ~.$ h U X $45 PER HOUR OURS = J G TOTAL H PER ITEM AMT ~ ~ ~,{~ ITEMIZATION O . F REIMBURSABLE EXPENSES , ~~~1 21 } -~ r-l ^C' Milage $ per mile x \ Vii'? .. 21 A. TOTAL ITEMIZED EXP. rr w _ ~s 0 1 ~ / 23. GRAND~T.tO~T..AL CLAIMED Iled fon ^ YES `.NO = s'~) t ~ ~~" b 22. CERTIFICATION OF ATTORNEY/PAYEE ~ Has compensation and/or reimbursement for worts In this case prevlousty been aPP How much7_--- 24. DEDUCT. PRIOR PYMTS. whom were you paldl ~ s r knowledge anyone else, In connection with the matter for If yes,were you paid? ^ YES ^ NO If yes,by Has the person represented paid any money to you, or to you ~NO If yes. give details on additional sheets /-r, , r f ;7~-~.~(~;~1 25: NE7 AMOUNT CLAt-y'~ED which you were appointed to provide represent {o ? ^ Y ~ - ~ _~ ~-$-i"C)-"TD°at°e`~ I - s D 3/~. I swear or alfirm the truth or correctness Signature of An m$Y/Payee,, 27. AMT. APPROVED of the above statements f .C =~ 26.^''v~u,vc [, I ~~- ~ Date: ~'„v) U ~ Z ~ " vuu Signature of ~ ~ ~ ~ nA~MEN~ JUdga / C~ v 1 -Mail to'C/ourt Administrator at completion of service 0 O W Q a ~n~ ~~ ~~ ~.. o Z ° ~ ~ O U U Q ~~ ° N d' cD W H Q ~i w O a ~. Q ~ Y Q U Z _ ~' i U N`' Q ~ U° ' _ o ~ ~. o ~ t~ N %- O ~ 0 ° M N N z N to M ~ 7 r N U ~ ` C~' (~ 'O V ~: o ~ a Y M w ' W F- W U LU LLl Q ~ ~ ~ ~ F- N ~ ~ O v r = ~ z O ci ` ~ o ~ ? o 0 o W " " r Q ~ ~ N O Z 4. Q D O W W Q a o m Z > U ~ ~ D F= n . ~ w z o w n. a, U > ~ U ~ O O Z U f-- _ Z W W - ~ ~ ~ ~ ~ Y Q o U Z N w W N _.. M ~ V r ~ ~ -. t Q Fa k W ~ w ~ U O F- E O j N . . ~ X ~ U 0 J W [Ll W X O OD v Z o N a w ° a w ~ ~ Q ~ W z 0 0 ^ z w > n=. 0 U ~N c R t °' a O X ~ ~ p~ O W a w ° a°', p0 °, U ui ~ ~ o O U ~ Z W n. ~ OW, C~ _ ~' U O ~ ~'' ~ ~ ~ N Z M ~ o > ? W ~ O Z > ~- Q °- W U O> to ° Z - ? O O N d cfl H O ~ N Q J ~ v ~ N ~ ~ O a 0 c 0 d O M ti a a ai N R U W U W .--, ~.. F- Q U O W a HI U Q Z O ,v ~ ~ Q ~ M cfl