HomeMy WebLinkAbout01-30-12AUTHORITY TO PAY COURT APPOINTED COUNSEL JAN Z O 2012 P
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^ District Justice Common Picas ^ Appellate ^ Other „
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3. FOR (D.J.. C.P.. APPELLATE) 4. AT ( ITV/ST ~E) 5. 8U0 ODE
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7. CHARG OFF S 8. ^ PETTY OFFENSE
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9. PROCEEDINGS (Describe brielly) t t. PERSO~-REPRESENTED ` \
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Dslsndant-Adult ~ r,,~u/U lU/~ J
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1 3 O Appellant CRIMINAL DOCKET N0
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e ^ Appellee .
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ty ^~ (~G l~~ .Qf~jQ/ 1 5 ^ Habeas Petitioner
6 ^ Material Witness
t0. PERSON REPRESENTED (Full Name) T ^ Paroles Charged Witn Violation
e ^ Probationer Charged With Violation 14 APPEALS DOCKET NO.
9 ^ Other
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A t 6. NAME OF ATTORNEY/PAYEE AND
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NAME OF COMMON PLEAS JUDGE ASSIGNED TO CASE
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t7. TELEPHONE No. tB.soC~AI.sECUaitrNOOaEIr,r,o
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CLAIM FOR SERVICES OR EXPENSES
ig, SERVICE HOURS GATES AMOUNTS CLAIMED
a. Arrsignmant and/or Plea ultiDly refs pie(~tour times total
b. Preliminary HaaHng ~ f uration~Enl~otalCbeb com-
e Motions and Regwete ~
t- d. Bail Hearings ~ $ ~~
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'O e. Sentence Haannga V1~ O o.7~ C'-]
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g. Revocation Hearings i
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h. Juvenile Hearings ~ ~
i Appeals Court 9A TOTAL COU~
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4 Other (Spsclty on additionsl aheetsl W
TOTAL HOURS = ` 1..1 X PER HOUR S ~ ~ L 3.
20. a Interviews and conlersneea .I; j 0~0 Multipty r to per hour times total
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~ d Obtaining and reviewing records hours. Enter total
Out o
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compensation below.
O 2 c legal research and brief wilting
O U d. Inwsdpadw and other work (Spedfy on additional sheets) NF OUT OP COURT
200. CO
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TOTAL HOURS =
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X $45 PER HOUR QU
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2t. ITEMIZATION OF REIMBURSABLE EXPENSES AMT. PER ITEM
Miles ; r mile x
W Please contact Court Administrator for current mileage rate
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r- 21 A. TOTAL ITEMIZED EXP.
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22. CERTIFICATION OF ATTORNEY/PAYEE ~ 23. GRAND TOTA CLAIMED
Has compensation and/or reimtturasmsnt for work in this case provbuefy ttsen spelled for? ^ YE3 ~/tr0 = S 2j ~•- .
Il yes, were you paid? ^ YES ^ NO if yea, by whom wsroyou peld7 How much?
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Has the person represented pNd any money to you, or to your knowle a arttrone else, in rannect S
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which you were appointed to wovide ropreas long YES NO If Ye4 Oiva detells on • dltiolwl shoes
1 swear or affirm the truth or cortsctnesa ~+/~~ 4 - ~j,Q~ ~ ~ 25: NET AMOUNT CLAIMED
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of the above statements Sgnatwe of Attorney/PSyse Date = =
28.~r'onpvtu
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n~YMENI
Sgnalura of /~
Judge , ,Dale: ` l ~ 27. AMT. PROVED
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Copy 1 - Maii to Court Administrator at completion of service