HomeMy WebLinkAbout03-11-14 �--� �A� a ���o��
AUTHORITY TO PAY COURT APPOINTED COUNSEL
1.COUFiT 2.VOUCHER
❑ District Justice Common Pieas ❑ Appeilate ❑ Other N� 1�4 6 2 2
3.FOfi(D. .,C. ., PPELLATE) 4. ,T(CITY/STATE) 5.BUDGET CODE
��{�� ��� S�-�' ��-/ �� ��
6.IN�H��A�(ECF �1��y � q� ��;J"� S�f� 7.CHARG�/OFFEN E(PURDON CITATION) 8. O PETTY OFFENSE
� �� O FE�ONY�MISDEMEANOR
�%' j L.�-
9.PROCEEDINGS(Describe briefly) 11.PERSON REPRESENTED 12.6Wtt DOCKET NO.
t ❑ Detendant•Adult �������t�1�
1 �
S \1 � ((( 2 O Delendant-Juvenile "Z 4— Zciq 1.�._C���1
�`(,� �-v o Lc✓�S t.!\ �� l.
3 ❑ Appeliant
4 O Appellee 13.CRI�AL DOCKET NO.
5 O Habeas Petltioner �
6 O Material Wdness �� "`��
r,.i ;
7 O Parolee Charged W�Ih V�olation "
10. PERSON REPRESENTED(Full Name) e O Probefioner Charped Wi1�Viol�m �` ��PP��S DOCKET NO.
1 � i..,r"
i j / 9 �Ot`er ��, 4 � "� f�
� ��'t 1'y' t�1 -,r� '*.�C�C' f�CL, x r''{ ,
v' c �a , � , `a�.S'�i.�'� x ' �-:
�
(�, c1 i 6.NAME OF ATTOfiNEY/PAYEE A��, �C`_.'
appt Date �y' �`�-�� I —1 MAILINGADORESS �= ` �,f_
C �
�-�-C��.'i. �—� ���C,r_� C , �,� . 1 _ -
���� 17 West South �-�t .
NAME OF COMMON PLEAS JUDGE ASSIGNED TO CASE Carlisle,PA 17013�;' ,Y� - .
� (717)241-2446
! ��� " � EIN#20-5424881
,, e�� � �--. 17.TEL_ �eir,r,o
�
�..: �- �vc '^ U CLAIM FOR SERVICES OR EXPENSES
, �+,. .�
SERVICE HOUP.S �ATES AMOUNTS CLAIMED
�„!!�-=� a3 Arreiqament 8n�/ Multiply rate per hour times total
LY;'�W � houro to obtain "In Court" com-
{ . Pret�$tnery H8$� penaation.Enter total below.
C..
�� ,C Moti�and ReqGG�3
IL�''�, d 8ail arinps � �
� a SenE#rica Hearfnqa !��
O
V 1. Trial
Z
g. Revocation Hearfnps
h. Juvenile Hearinpa
i. Appeals Court 19A TOTAL IN COURT COMP.
j. Other(Specity on additlonal eheets�
TOTAL HOURS= X$55 PER HOUR —$
20. a. Interviews and conlerences Multiply rate per hour times total
hOUrs. Enter total"Out of Court"
� � b. Obtaining and roviewi�p reeords compenaation below.
�= c. legal reaearch and brief writinp
�O d.Invesugauve anC other work(Specily on addidonal sheets) 20A TOTAL OUT OF COURT
COMP.
�
TOTAL MOURS= X$45 PER HOUR $$ I ,� � �
� �
2i. ITEMIZATION OF REIMBURSABLE EXPENSES AMT. PER ITEM
Mileage$ per mile x
W Please contact Court Administrator for current mileage rate
►_- 21A TOTAL iTEMIZED EXP.
O
�s �'°�
22.CERTIFICATION OF ATTORNEY/PAYEE 23. GRA ,D TOTAL CLAIMED
Has compensation and/or reimburaement for work in this caae prevlousy been applled forT p YES �NO � ,� �j 1
II yes,were you paid? � YES �NO If yes,bywhom were you peld7 How much7 S s f� � �
Has the person represented paid any money to you,or to your knowiedge anyone el�e,in connection with the matter for 24•DEDUCT. PRIOR PYMTS.
which you were appointed lo provide representatlon ❑ S '� NO If yes,pive detaiis on edditional sheets s '�—�
I swear or alfirm the trufh or correctness ��T�\j S "�- "' l �-� 25:NET OUNT CLAIMED
of the above statements Siqnatur of Att eyee Date =s � °� ' �C� �
`C
Zs���P��U�EU 27.AMT.APPROVED
Fuu Sgnature ol � ' // / � S � � , � �
��vMEN� JuCpe � �OOtl: �
l
Copy t -Mail to Cou�t Administrator at completion of service
i