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HomeMy WebLinkAbout10-22-10 AUTHORITY TO PAY COURT APPOINTED COUNSEI �P� OCT � 3 2010 t.COUFT /�t/ 2 /1 2.VOUCHER ❑ District Justice �Common Pleas ❑ Appellate ❑ Other �v/'y� J�G�7� N� 13 5 9 8 3.FOR(D.J.,C.P.,APPELLATE) 4.AT(CITY/STATE) 5.BUDGET COOE �� � 6.IN THE CASE OF 7.CHA GE/OFFE SE(PUROON CITATION) 8. ❑ PETTY OFFENSE ��U�' �, �g �l � � FELONY O MISDEMEANOR 9.PROCEE GS(Describe bri 11 1 PERSON REPRESENTED 12.CIVIL DOCKET NO. ���'�O� �U� ��`/'��-� 1 �f.,Defendant-Adult ��_ �� {� � � 2 O Defendant-Juvenile ��1 � Q� 3 O Aopeltant 13.CRIMINAL DOCKET NO. 4 O Appeliee 5 ❑ Habeas Petitionar 6 ❑ Matenal Wdness 7 O Parolee Charged With V�olation 10. PERSON REPRESENTED(Full Name) g p Probetioner Charped with Violation 14.APPEALS DOCKET NO. 9 ❑ Other. �� � � 16. NAME OF ATTOFNEY/PAYEE AND n Appt Date MAILING ADDRESS � �y�Qa� �.�-G,.c e � • � ��D � . �.C��S �� ���f� NAME OF COMMON PLEAS JUDGE ASSIGNED TO CASE 17.TELEPHONE No. 18. soc�n�sECUa�rvr,o oa e�r,rvo ��� oZ�l� - 2. 3 CLAIM FOR SERVICES OR EXPENSES tg. SERVICE HOURS OATES AMOUNTS CLAIMED a. Arraignment and/or Plea Multiply rate per hour times total b. Preliminery Hearinq hours to obtain "In Court" com- pensation.En�total below. c Motions and Requests � _ � d 8ail Heatinqs �,� � � e. Sentence Hearinqs �j�'n -�-{ O �- _�;_ r— V t Trial "--�`� � z --;`r'^ - g. Revocation Hearfnqs " - .`�!C,> -'(7 h. Juvenile Hearinpa ___ - _�1 i. Appeals Court 1'9/I�TAL IN�.OURT CflIyFP� j. Other(Specify on additlonal eheets) ("��-�y G,G t � � 'Z �)Q �� �7, � �- '?C.;.? � r' � _$���-�` TOTAL H URS= X$�ER HOUR / 20. a. Interviews and conferences Multiply rate per hour times total hours. Enter tofal"Out of Court" � b. Obtaining and reviewinp records compenaation balow. �¢ c. Legal research and briel wrftinp � 7 O O d.Invesogative and other work(Speeity on addidonal sheets) 20A TOTAL OUT OF COURT COMP. TOTAL HOURS= X$45 PER HOUR �$ �� �`� v 21. ITEMIZATION OF REIMBURSABLE EXPENSES AMT. PER ITEM Milag $ pe mile x w ' '.� t fi. � 0 CL �-�. 21A TOTAI ITEMIZED EXP. �� _ _ � a S-�'t� 22.CERTIFICATION OF ATTORNEY/PAYEE 23. GRAND TOTAL C IMED Has compensation and/or reimburaement for work in thia caae prevfously been applled fon ❑ YES ❑ NO =s � Q7� H yes,were you paid? � YES O NO If yes,by whom were you paid4 How muchT � oV Has the person represented paid any money to you,or to your knowledge anyone else,in connection with the maKer for 24.DEDUCT.PRIOR PYMTS. which you ware appointed to provide representa i 9 p YES N If��es, ive details on ad 'tio al she =s I swear or alfirm the truth or cortectness - �� 25:NET AM UNT CLAIMED of the above statements ;Slynaturs ol Atiomey/Peyee Dete s s 26.n��v�vovt o Fui� S�gnature of � / y� � 27.AMT.APPROVED n�rMENt Judqe � '� C' �Date: L-�� � 2Cy-f j/" �S 3 ! C� � opy 1 - Mail to Court Administrator at compietion of service