HomeMy WebLinkAbout08-04-15 JUL 2 9 2015
AUTHORITY TO PAY COURT APPOINTED COUNSEL
1.COURT 2.VOUCHER
❑ District Justice Common Pleas ❑ Appellate ❑ Other N0- 15277
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. O PETTY OFFENSE
J Qs7 a , Qtk:�� O FELONY O MISDEMEANOR
9.PROCEEDINGS(Describe riefly) 11.PERSON REPRESENTED 12.CIVIL DOCKET NO.
❑ Defendant-Adult
❑ Defendant-Juvenile 927
�S�Cy2 C (u,Q/rL'�'e.nY 4 ❑ APP8110Et
13.CRIMINAL DOCKET NO.
5 ❑ Habeas Petitioner
TFC[ �i'LCi'JK�, 6 ❑ Material Witness
7 O Parolee Charged With Violation
10.PERSON REPRESENTED(Full Name) a ❑ Probationer Charged With Violation 14.APPEALS DOCKET NO.
9*19, Other. c
16. NAME OF ATTORNEY/PAYEE AND
Appi Date `J MAILING ADK NE LAW OFFICE
j�j,j714 Bridge Street
Post Office Box 461
NAME OF COMMON PLEAS JUDGE ASSIGN D TO CASE New Cumberland, PA 17070
17.TELEPHONE No. 118. SOCIALSECURITY NO OR EIN NO
l -2-514 o
CLAIM FOR SERVICES OR EXPENSES
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-
pensatiot�Snter total below.
a Motions and Requests -M;
d. Bail Hearings fT1 ncc 1
'O e. Sentence Hearings - C)
U (f)
Z I. Trial
g. Revocation Hearings T1 -- r fiCD
h. Juvenile Hearings '- 7C O
i. Appeals Court `' 9PTOT IN cduIq COMP.
j. Other(Specify on additional sheets) CC>
W f MTOTAL HOURS= X$55 PER HOUR —$ O CJ
20. a. Interviews and conferences , Multiply rate per hour times total
hours. Enter total"Out of Court"
bU. . Obtaining and reviewing records a �� compensation below.
O M c. Legal research and brief writing
F =)
�
0O d.Investigative and other work(Specify on additional sheets) 20A. TOTAL OUT OF COURT
COMP.
TOTAL HOURS= 1 Le X$45 PER HOUR =$ 2-:T, O-C)
21. ITEMIZATION OF REIMBURSABLE EXPENSES AMT. PER ITEM
Mileage$ per mile X
tr w Please contact Court Administrator for current mileage rate
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? 19 YES O NO =$ 2�7` -,�>J
If yes.were you paid? '(BYES O NO Ifyes,bywhom were you pal d?C—ANa Cg Howmuch? A'*2,_'-UQ_ 24 DEDUCT. PRIOR PYMTS.
Has the person represented paid any money t ou, to your knowledge anyone else,in connection with the matter for =$
which you were appointed to provide representson7 O Y NO If yes,give details on addition sheets
I swear or affirm the truth or correctness 25:NET AMOUNT CLAIMED /
of the above statements ignature of Attomey/Payee Date =$ ✓
2 ,� �
V
6.APPlluvto 27.AMT.APPQOVED
ruu Signature of
nDate- _$ O/s)
AVMEN( Judge �
Copy 1 -Mail t Co rt Administrator at completion of service (`�