HomeMy WebLinkAbout06-19-14 AUTHORITY TO PAY COURT APPOINTED COUNSEL
1.COURT 2.VOUCHER
CI I 5 4 3 9
District Justice Common Pleas ❑ Appellate ❑ Other NO
3.FOR(D J_C.P.,APP EL PTE) 4.AT TY/STA E) 5.BUDGET CODE
6. IN THE CASE OF 7.CHARGE/OFFENSE(PURDON CITATION) 8. ❑ PETTY OFFENSE
O FELONY❑MISDEMEANOR
9. PROCEEDINGS(Describe briefly) ^ 11.PERSON REPRESENTED 12,CIVIL DOCKET NO.
❑ Dependent-Adult
❑ Delen dant Juvenile
3 O appellant
4 ❑ Appellee 13.CRlMiN#/ts.-�B@rCIfE7T1@^
5 ❑ Habeas Petitioner �P1A r'''W1-
6 ❑ Material Witness D l
7 ❑ Parolee Charged With Violation J
10. PERSON REPRESENTED(Full Name) a ❑ Probationer Charged With Violation 14.APPEALS DOCKET NO.
9 6b Other.
VIA . o veil
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[16. ME OF ATTORNEY/PAYEE AND
Awl Date I/ {� G ADDRESS(/NAME OF COMMO PLEAS JUDGE ASSIGNED TO CAStwo H t soc,AL Secuanv no oP ElN No
"1 - -$
CLAIM FOR SERVICES OR XPE SES
19. SERVICE HOURS DATES AMOUNTS CLAIMED
a. Arraignment and/or Plea Multiply rate per hour times total
b. Preliminary Hearing hours to obtain "in Court" com.
pensatioC§hter total below.
c Motions and Requests s ;:0 M
M d Ball Hearings A.AJL' C_ M n
=O O
e. Sentence Hearings m Z
L)
2 I. Trial A
= t� lk. --I CD
.-
9. Revocation Hearings fU Ca T p
h. Juvenile Hearings
r
i. Appeals Court 39 CITOT IN C U COMP.
I. Other(Specify on additional sheets) V O 1 n
r
W
T L O RS- ' T O X PER HOUR _$ vu
20. a. Interviews and conferences yy/Z-F al Multiply rate per hour times total
hours. Enter total"Out of Court"
u_ F b. Obtaining and reviewing records 'A compensation below.
O ¢ c. Legal research and brief writing
i =)
O'o d.Investigative and other work(Specify on additional sheets) 20A. TOTAL OUT OF COURT
COMP. ��,.r�
TOTAL HOURS= I S O X$45 PER HOUR =$ IJ LJ
21. ITEMIZATION OF REIMBURSABLE EXPENSES AMT. PER ITEM
Mileage$ permile If
m Please contact Court Administrator for current mileage rate
21A. TOTAL ITEMIZED EXP.
O
_$
22.CERTIFICATION OF ATTORNEY/PAYEE 23. GRAND TOTAL CLAIMED
Has compensation and/or reimbursement for work In this case previously been applied for? ❑ YES 1N NO =$
If yes.were you paid? ❑ YES ❑ NO Ityevdy-ohir were you paid? How much?
Has the person represented aid an mono t 24.DEDUCT. PRIOR PYMTS.
p p y y you,or your knowled� e y pe else.In connection wit the attar for =$
which you were appointed to provide repress tatlon? S 0 I ye qi a details on�dit1 q�I s ee
I swear or affirm the truth or correctness oL 25:NET Ali NT CLAIMED
of the above statements the above statements Sl�ture of Attomay/Payee Odle =$of Attomey/Payee D le =$ - R.l
28nn>novtp 27.AMT.APP OVED
ruu Signature of
vuEnt Judge ► ►Dale: =$
Copy 1 - Mail 0 Court Administrator at completion of service