HomeMy WebLinkAbout08-04-15 AUTHORITY TO PAY COURT APPOINTED COUNSEL ��V JUL 2 9 2015
1.COURT 2.VOUCHER 15278
❑ District Justice Common Pleas ❑ Appellate ❑ Other N_
3.FOR(D.J.,C.P.,APPELLATE) 4.AT(CITY/STATE) 5.BUDGET CODE
6.IN THE CASE OF 7.CHARGE/OFFENSE(PURDON CITATION) 8. ❑ PETTY OFFENSE
erc �� �'SCl ❑ FELONY❑MISDEMEANOR
9.PROCEEDINGS(Describe briefly) 11.PERSON REPRESENTED 12.CIVIL DOCKET NO.
t ❑ Defendant-Adult
,f ��� 5 .�. 2 ❑ Defendant•Juvenile
3 ❑ Appellant
4 ❑ Appellee 13.CRIMINAL DOCKET NO.
5 ❑ Habeas Petitioner
6 ❑ Material Witness
7 O Parolee Charged With Violation
10.PERSON REPRESENTED(Full Name) 9 ❑ Probationer Charged With Violation 14.APPEALS DOCKET NO.
9 11?%' Other.
16. NAME OF ATTORNEY/PAYEE AND
Appt Date
).; MAILING ADDRESS
KLINE LAW OFFICE .
714 Bridge
�� 1�\ �c T— Post Office ceBox
717 a� Street
NAME OF COMMON PLEAS JUDGE ASSIGNED TO CASE
New Cumberland, PA 17070
17.TELEPHONE No. 18. SOCIAL SECURITY NO OREINNO
CLAIM FOR SERVICES OR EXPENSES
19. SERVICE HOURS DATES AMOUNTS CLAIMED
a. Arraignment and/or Plea Multiply rate pour times total
+Yours to obtain--An n Co gym.
b. Preliminary Hearing
Ctfen4ation.Ent�t`btal b� 71`
a Motions and ReQU65t3 3.- n
d. Bail Hearings `O GAJ �
e. Sentence Hearings '� r CO
O r— , i r1 f r1 M
Z f. Trial Ifir LIQ 7 "� Q:3
g. Revocation Hearings `` CD CD
r} -n 1
h. Juvenile Hearings 7., __3 45
r1
i. Appeals Court 10A.�,j TAL IN&URT-"P.
I. Other(Specify on additional sheets) r tri
Cl (=>
TOTAL HOURS= X$55 PER HOUR
_$
20. a. Interviews and conferences t Multiply rate per hour times total
hours. Enter total"Out of Court"
LL
b. Obtaining and reviewing records r ,® compensation below.
�
O Cr c. Legal research and brief writing a
�7
o 00 d.Investigative and other work(Specify on additional sheets) 20A. TOTAL OUT OF COURT
COMP.
TOTAL HOURS= Z.Z X$45 PER HOUR =$ 1�Q 7 , OCZ
21. ITEMIZATION OF REIMBURSABLE EXPENSES AMT. PER ITEM
Mileage$ per mile X
ir W
Please contact Court Administrator for current mileage rate
X 21 A. 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 )"0 =$ Q 9, L) _-,
If yes,were you paid? ❑ YES ❑ NO If yes,bywhom were you paid? How much? 24.DEDUCT.PRIOR PYMTS.
Has the person represented paid any money to to your knowledge anyone else,in connection with the matter for
which you were appointed to provide represent tion If yes,give details on additional heels =$ O 0c), L
I swear or affirm the truth or correctness V -+ 25.-NET AMOUNT CLAIMED
of the above statements Signature of Attorney/Payee Date
26.APPRuvEu 27.AMT.APlPPr%VFn
F05, Signature of -$
r'AYMEMENI Judge Date:
Copy 1 -Mail to rt Administrator at completion of service