HomeMy WebLinkAbout12-22-11AUTHORITY TO PAY COURT APPOINTED COUNSEL
1. COURT
^ District Justice Common Pleas
3. FOR (D.J., .P~ APPELLATE)
6. IN THE CASE OF ~ ~'v ~i `\Q ~Q
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9. PROCEEDINGS (Describe brtelly)
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10. PERSON REPRESENTED (Full Name)
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APPt Oate v / ~ ` ~ , I
11. PERSO N REPRESENTED
t ^ Defendant-Adult
Z ^ Defendant ~ Juvenile
3 ^ APPellant
q ^ Appellee
g ^ Habeas Petitioner
g ^ Matenal Witness
7 ^ Parolee Charged With Violation
g ^ probationer Charged With Violation
,~ Otner
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2. ~OUO ER ~ 4 215
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5. BUDGET CODE
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B ^ PETTY OFFENSE
^ FELONY ^ MISDEMEANOR
12._CWit. DOCKET NO.
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13. CRIMINAL DOCKET NO
14. APPEALS DOCKET NO.
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16. NAME OF ATTORNEY/PAYEE AND ~ / a~~/
MAILING ADDRESS 0
NAMEcOF COMMON PLEAS JUDG ASSIGNED TO CASE
19.
a. Arraignment and/or Plea
b. Preliminary Hearing
c Motions and Requests
d Bail Hearings
~ e. Sentence Hearings
U f. Trial
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g. Revocation Hearings
h. Juvenile Hearings
i. Appeals Court
j. Other (Specify on additional sheets)
^ Appellate ^ Other _
4. AT (CITY/STAT) (~ /~
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7. CHARGE/OFFENS (PURDON CITATION)
Mark F. Bayley, Esquire
17 West South Street
Carlisle, PA 17013
(717) 241-2446
EIN#20-5424881 'N0
17.TELEPn.,.-~••-• 1
CLAIM FOR SERVICES OR EXPENSEC
HOUP.S_
RS =
20. a. Interviews and conferences
b. Obtaining and reviewing records
w
O 2 c. Legal research and brief writing
~- ~
O O d. Investigative and other work (Sped on
TOTAL HOURS =
21
Mileage $ per mile x
Please contact Court Administrator for current
w
r
O
rate
Multiply rate per hour times total
hours. Enter total "Out of Court"
compensation below.
20A. TOTAL OUT OF COURT
COMP.
3
21 A. 70 ALT ITEMIZED EXP.
a s
X $55 PER HOUR
X $45 PER HOUR
AMOUNTS CLAIMED
Multiply rate per hpyr times total
hdur3 to obtain "Iii=Court" com-x,;
peOf. Enter total below- .. _~""
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19A~OTAL IN COURT C ~.
4.:
22. CERTIFICATION OF ATTORNEY/PAYEE Iled foR ^ YES ~O
Has compensation and/or reimburae~m nt for work in thla case prevlouaN bee^ app How much4~---
Ifyes,wereyoupaid? ^ YES SNV If yea by~+homwerayoupafd?
Has the person represented paid any money to you, or to your knowledge anyone else, In connection with the matter or
S ENO t} yes, give details on additional sh ets
which you were appointed to provide representation? Oate
I swear or affirm the truth or cortectness Slgnatu of Attorney/Payee
of the above statements
Signature of ~ ~ Date: , ~ Z~ `1
nAVMENI Judge
Copy 1 -Mail to Court Administrator at completion of service
23. GRAND TOTAL CV,IMCu
= s Z 2 ~.~ c:Xi
24. DEDUCT. PRIOR PYMTS.
a s
25: NSEi AMOUNTu~ CJ /
C~ Z.-
27. AMT. APPROVED -
= s ~.,5 -~
Zeiders, Orville -INVOICE - 12-14-11
.4
10-27-11 Phone w/Beth; scheduling; open file 9
10-31-11 Review order; obtain and review petition; letters 4
11-15-11 Review file; letter 2
12-5-11 Review message; memo hone Manor Care; scheduling;
12-8-11 Phone w/ Glatfelter, Esq.; p 6
memo 1.5
12-9-11 Review file; meeting w/ client (Manor Care); memo 1.0
12-14-11 Review file; hearing; close file
5.0
Total Hours: $225.00
$45.00/Hour: $225.00 /
Total Balance: