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AUTHORITY TO PAY COURT APPOINTED COUNSEL Q~ ~FP 2 6 9n~9
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^ District Justice Common Pleas ^ Appellate ^ Other
3. FOR (D.J., C.P., APPELLATE) 4. AT (CITY/STATE) 5. 3UOGET CODE
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6. IN THE CASE OF 7. CHARGE/OFFENSE (PURDON CITATION) 8. ^ PETTY OFFENSE
~ e~ /1 ^ FELONY ^ MISDEMEANOR
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9. PROCEEDINGS (De~sc/ribe brief y) ~
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~~ 11. PERSON REPRESENTED 12 CIVIL DOCKET NO.
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\-~--' 1 ^ Defsndant-Adult /~x~
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r 2 O Defendant-Juvenile ~J.J
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~ \\ 9 ^ Appellant _
13. CRIMINAL DOCKET NO.
~~ ~... 1 4 ^ Appellee
~CQ f~ ~_~'~ LLLJJJ 5 ^ Habeas Petitioner
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~Je 6 ^ Material Wdness
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10. PERSON REPRESENTED (Full Name) 7 ^ Parolee Charged With Violation
g ^ Probationer Charged With Violation 14. APPEALS DOCKET NO.
9 ~ Other:
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lJ ` 16. NAME OF ATTORNEY/PAYEE AND
AOpt Oate ) MAILING ADDRESS
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NAME OF C MON PLEAS JUDGE ASSIGNED TO CASE 1
17. TELEPHONE No.
Lt ~ _ Z~ ~ ~ tB.<.;oclALSl:cuRITYNO REIN NO
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CLAIM FOR SERVICES OR EXPENSES
19, SERVICE HOURS DATES AMOUNTS CLAIMED
a. Arraignment and/or Plea Multiply rate per hour times total
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b. Preliminary Nearing com•
hours to obtain
In Court
perlaation. Enter total below.
c Motions and Requests rata
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d Bail Hearings ~~ ~ ;~
~ e. Sentence Hearinga Z7; . C") { ~;
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Z f. Trial
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g. Revocation Hearings V;~ ~ ; I -, t i'.i
h. Juvenile Hearings ~ ` f
i. Appeals Court TOTAL ~COUgLC P.
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Other (Specify on additional sheets)
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$
TOTAL HOURS = X $55 PER HOUR W
20. a. Interviews and conlsrencea Multiply rate per hour times total
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LL b. Obtaining and reviewing records hours. Enter total
Out of Court
compensation t»low.
O Q G Legal research and txief writing
O O d. InvesCgative and other work (Spealy on additional sheets) 20A. C MF OUT OF COURT
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C J~~yt`TOTALM~U
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X$45 PER HOUR ~J ~
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2t. ITEMIZATION OF REIMBURSABLE EXPENSES AMT. PER ITEM
M(lea e $ per mile x
w Please contact Court Administrator for current mileage rate
~ 21A. TOTAL ITEMIZED EXP.
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22. CERTIFICATION OF ATTORNEY/PAYEE 23. GRAND TOTAL CLAIMED
Has compensation and/or reimbursement for work in this case provlousy been epplle foR ,)$YES ^ NO = j
II yes, were you paid? ^ YES ^ NO If yea, by whom wero you psld7 How much? 24. IDEDUCT
PRIOR PYMTS.
Has the person represented paid any money to you, or to your knowledge anyone else, In connection with the matter for .
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which you were appointed to Drovide rapresen ? ^ YES ~9,.N0 tf y give details on a itional she rta
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I swear or affirm the truth or correctness-- 5: IN ET AM 4lNT CLAIMED
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of the above statements V Sipnaturs of AKorney/Payee Date
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Sgnature of q 27. AMT. AP OVEO
~ArnnENr Judge ~ ~ -Dsts: _ =S M
Copy 1 -Mail to Court Administrator at completion of service
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ADDENDUM TO INVOICE NO 14551
July 24, 2012 Calls to Pauline Myers and Griest .5
Griest call •5
July 26, 2012 Phone call Koller .75
July 26 Catherine Pearson •5
Achieva Trust •5
Letter 1.0
Conv. Achieva attorneys •5
August 13 Called Suzanne Griest, left message .1
Review of Koller materials 1.5
August 15 Met with Catherine Pearson 1.0
Called Terri Koller .5
Called Suzanne Griest again .4
August 22 E-mails with Griest .3
August 28-29, 20 12 E-mails and phone calls, Griest and Koller
And Myers 1.5
August 29 Phone call Griest 1.0
August 29 E-mail Koller .2
Review of trust 1.5
Research and exploration of third party trustee 3.0
September 14 Meeting 2.5
E mails to follow up meeting and closing/billing 1.0