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HomeMy WebLinkAbout06-20-12AUTHORITY TO PAY COURT APPOINTED COUNSEL ~ F" Jtlld 1 1 1012 1. COURT 2. VOUCHER N~ 14 5 4 8 ^ District Justice Common Pleas ^ Appellate ^ Other - 3. FOR (D J., C.P., APPELLATE} 4. AT (CITY/STATE) GET CODE 5. BU D ~r /I J l~ V - l o~-/ - ~ eZ 6. IN THE CASE OF 7. CHARGE/OFFENSE (PURDON CITATION) 8. ^ PETTY OFFENSE ~'' Q~..1_.V'~-r ^ FELONY ^ MISDEMEANOR 9. PROCEEDINGS (Dlles~~cribe briefly) ^~ /V'1,o ,n tt'~" ~ ' ~ r ~ ^ ' Q ~ 1 1. PERSON REPRESENTED f A l D 12. CIVIL DOCKET NO. t - - ~,~~~lV A [' ~~ l~ (>~t 1C ~ "' endant- t t ^ e du \ ~t - ~- ~~ t~ _ _ _\ ~C~~ ~ 2 ^ Oelendant ~ Juvenile 1 ~ U !_+s 1C ~,Jl,[J~ 3 ^ Appellant CRIMINAL DOCKET NO 13 4 ^ ADPgllee . 5 ^ Habeas Pefitioner 6 ^ Material Witness 10. PERSON REPRESENTED (full Name) 7 ^ Parolee Charged With Youti°n B ^ Probationer Charged With ViolaOon 14 pppEALS DOCKET NO. 9 ^ Otner 1 ~ ~ /~ ~ ~V ~~ 1 J V V~ ~/~,~ ~~ ~ ~ ~~ -' ~2~ ~ `~ 16. NAME OF ATTORNEY/PAYEE ANO MAILING ADDRESS )4.,Zf \ L APpt Date / J -'''~ t ~ ~ U ~ 0 I { i~~c e ~ . ~C~ ,p 1 S~ C I~ ~ ~ ~ -~ ~ ~~3C~ ~-G-S~ ` -~ ` J Y` el~ V G . , q t ~ ~~C~1~ NAME OF COMMON PLEAS JUDGE ASSIGNED TO CASE C~Y~l.s YJ ~ J 17. TELEPHONE No. /^ ~T ~ ~' ca.~-~ ~ lJ te. soQC~ALSecuCa.~lt'v7r,o oRe~r+r,o ~, b~ ' l G.~' ~-t' V CLAIM FOR SERVICES OR EXPENSES 1 g- SERVICE HOUP.S DATES AMOUNI~'CLAIMED a. Arraignment and/or Plea y rate peiT~ur tirt~t C: to obtain kt Cou ~ b. Prelimine Hearin n' g iqP. Ente al be c Motions and Requests r ~ N rl -- d Bail Hearings ~i -- O ~- t -' ,> ~ O e. Sentence Hearinga ZC ~ ~ ~-~ l ~ - ">7 ' -rt Z 1. Trial - ©eC ' g. Revocation Hearings ~ W f ~ h. Juvenile Hearings ~ ~ ,~ i. Appeals Court 19A. TOTAL IN RT COMP. I~ Other (Specify on additional sheets) 1. , (~ ~ ,u~ ~ 5 t/ V TOTAL HOURS = X $55 PER HOUR ~ ~ ~^~ _ $ ~f.~ . l~Cr/ / 20. a. Interviews and conferences Multiply rate per hour times total " " u_ F b. Obtaining and reviewing records hours. Enter total Out of Court compensation below. O ¢ ~ c. legal research and brief writing t- Q O d. Invesdga[ive and other work (Specify on additional sheets) 20A. TOTAL OUT OF COURT COMP. = $ ~ ~ V TOTAL HOURS = ~ X $45 PER HOUR 21. ITEMIZATION OF REIMBURSABLE EXPENSES AMT. PER ITEM Mileage $ per mile x w Please contact Court Administrator for current mileage rate ~ 21A TOTAL ITEMIZED FM^ O a t 22. CERTIFICATION OF ATTORNEY/PAYEE 23. GRAND TOTA LAIMED Has compensation and/or reimbursement for work In this case previously been applied foR ^ YES f~NO . s ~ ~ ~ ~ h w r o If yes, were you paid? ^ YES ^ NO If yes, by whom were you paldT How much? 24. DED CT PRIOR PYMTS. Has the person represented paid any money to you, or to your knowledge anyone else, In connection with the matter for . = S which you were appointed to provide represent ^ YES /d`NO f yes, giv eteils on additional sheet ~ I swear or alfirm the truth or cortactness 1 25: NET AMOUNT CLAIMED of the above statements Signature of Attorney/Payee Date ~ _ - (~ 26,nvvruivt tr ~ / rur+ Signature of ,~ ~ ~ r ~ ///~ n~vMEN r Judge ~ ~ 08te: "~ / l; ~ff ~ ~ ~ ' r '~I ' 27. AMT. APPROVED _ ~~\ - s ~ ' ~ , iL~,y \.. LX 7' : V V Iv /~ ~ / Copy 1 - Maif to Court Administrator at completion of service n,' ~1 4