HomeMy WebLinkAbout08-20-12AUTHORITY TO PAY COURT APPOINTED COUNSEL A~fG 1'4 201 o~~~
1. COURT
2. VOUCHER
O District Justice Common Pleas ^ Appellate ^ Other N ~ 1, 4 6 6 2
3. FOR (D.J., C.P., APPELLATE) 4. AT (CITY/STATE) 5. BUDGET CODE
6. IN THE CASE OF
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~ 7. CHARGE/OFFENSE (PURDON CITATION) 8. ^ PETTY OFFENSE
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~~ ~ ~l , O FELONY O MISDEMEANOR
9. PROCEEDINGS (Describe briefly) 11. PER
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N REPRESENTED 12. CIVIL DOCKET NO.
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1 E~ Defendant -Adult
2 O Defendant-Juvenile
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~ 3 O Appellant
4 ^ Appellee 13. CRIMINAL DOCKET NO
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~'~ 5 ^ Nabeas Petitioner
6 O Material Witness
10. PERSON REPRESENTED (Full Name) 7 ^ Parolee Charged With Violation
g ^ Probationer Charfled With Violation
14. APPEALS DOCKET NO.
1 C
tJt,: +f ~+ ~~ 1 ~ ..J 9 ^ Other.
16. NAME OF ATTORNEY/PAYEE AND
Appt Date ~ ' ~~~'~ MAILING ADDf
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714 Bridge Street
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~~-+ ~ ~r->-.c cxS ,~ i ~~ ~ Post Office ~3ox 4b 1
NAME OF COMMON PLEAS JUDGE ASST NED TO CASE ~Vew Cumbcr~anc~, PA 17O7O
17. TELEPHONE No. 18. soclA~st:cufalTYrvo oraE~r,No
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CLAIM FOR SERVICES OR EXPENSES
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19. SERVICE HOURS GATES "AMOUNT LAlfv{.~•~ '-'
a. rraignment and/or Plea --.
l~$jyrate per6ai ur timg,S~otB#'
b. Preliminary Heerinq O -obtain Cou ~-=
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s~E;ion. Enter two al below
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c. Motions and Requests .
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~ d Bail Hearings C"~(~ ;, ,"+'"~
~ e. Sentence Hearings
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Z f. Trial ~ u`
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g. Revocation Hearings Q
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h. Juvenile Hearings
i. Appeals Court 19A. TOTAL IN COURT COMP.
I. Other (Specify on additional sheets)
TOTAL HOURS = `'! , ~ X $~PER HOUR - $ ~ ~ r ~' `''
20. a. Interviews and conferences Multiply rate per hour times total
b. Obtaining and reviewing records hours. Enter total "Out of Court"
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compensation below.
~ Q c. Legal research and brief writing
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~ ~ d. Investigative and other work (Specify on additional sheets) 20A. TOTAL OUT OF COURT
COMP.
TOTAL HOURS = '~~"~ X $45 PER HOUR = $ 1 ~ ~t? ~v
21. ITEMIZATION OF REIMBURSABLE EXP ENSES AMT. PER ITEM
Mileage $ ; ~~y per mile x .M ~ ~.1 , ` -.
w Please contact Court Administrator for current mileage rate
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21 A. TOTAL ITEMIZED EXP.
as
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22. CERTIFICATION OF ATTORNEY/PAYEE 23. GRAND TOTAL CLAIMED
Has compensation and/or raimburaement for worts in this cane previously been applied foR ^ YES f~ 1~0 - a `Z"~ Z,~ '~~ j
If
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es
id? ^ YES ^ NO If
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you pa
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yes.
ow muc
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om were you paid
Has the person represented aid an move or to our knowle
p Y y dge anyone else, In connection with the matter for 24. DEDUCT. PRIOR PYMTS.
which you were appointed to provide rep esentatfo ? Y ~ ~ 1~0 If yes, dive details on additional s sets S
I swear or affirm the truth or correctness ~C) 25: NET AMOUNT CLAIMED
of the above statements S nature of Attomay/Payee Dete = s
26.~c~PgUVE D
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Signature of
27. AMT. APPROVED
r'AVMENf Judge ~ ~--- )/ 08te: 2 = s
Copy 1 -Mail to Court Administrator at completion of service /1~~