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HomeMy WebLinkAbout09-08-15 AUTHORITY TO PAY COURT APPOINTED COUNSEL � SEP 01 20i5 � 1.COURT 2.VOUCHER 'p� � District Justice 'Common Pleas ❑ Appeilate ❑ Other N� ��2 7+d 3.FOR(D.J.,C.P.,APPELLATE) 4.AT(CITY/STATE) 5.BUOGET CODE G"'S� C', � �' - ��/ . 6.IN THE CASE OF T:'CHARGE/OFFENSE(PURDON CITATION) 8. ❑ PETTY OFFENSE '�� M� �a,L�,�� ❑ FELONY p MISDEMEANOR 9. PR CEEDINGS(Describe briefly) 11.PERSON REPRESENTED 12.CIVIL DOCKET NO. �.'\__i� 1 O Delandant-AdWt � C��C�i"�`"'� ��"S� 2 O Oefendant•Juvenile Z � � 3 0 Appellant a p Appellee 13.CFIMINAL DOCKET NO. 5 ❑ Mabeas Petitionar 6 O Matenal Wrtnesa 7 O Parolee Charged Wllh Violation 10. PERSON REPRESENTED(Full Name) g p Probat�oner CAarped With Violation 14.APPEALS DOCKET NO. `� 9`'C�,OUer ��/1�1 S Y�'�` ��'� C� ��.t C o�:I`��e�► ( 16. NAME OF ATTOfiNEY/PAYEE AND Appl Date ��� MAILING ADDRESS K�,INE L,A►W OFFICE �ti,o�,,. �s � , �� ��� CQ�' 714 $ridge Stceet NAME OF COMMON PLEAS JUDGE ASSIGNED TO CASE Post Q�ce Box 461 New Cumberland, PA 17Q70 17.TELEPHONE No. 1 B. soC�n�sECua�rr r,o oa E�r,rvo �1 - --�`lc� Z7 ' l� �b Z CLAIM FOR SERVICES OR EXPENSES � 19. SERVICE HOUP.S DATES AMOUIW'S CL�N a. Arraignmant and/or Plea ,,:�M�711ip1y rete�lithour �otal b. Preliminery Hearinq r .jhBUre to obt6ilsl"In RChom- peltT�a�fiLn.Enl—'7t totah:p7elp�7 a Motions and ReQuests - f`"' - : C,�� � d Bail Hearinqs � � ' �,�_� � e. Sentence Hearinpa O --� :,�:> V f. Trial � � '7 Z ' _. _�l g. Revocation Hearfnps �" � -- C7 �. Juvenile Hearinpa _ �7 i. Appeals Court 19A.TOTA CO T_ OMP. j. OtAer(Specify on additional eheets� y Z Z�} ► TOTAL HOUFS= '��� X$S�PER HOUR —$ S�"'F - O� V 20. a. Interviews and conferencea ��� Multiply rate per hour times total hours. Enter total"Out of Court" O¢ b. Obtaining and reviewing recorda ��3 compensation below. � � c. Legal research and brief writinq �� d.Invesugative and other work(Specify on addidonal sheets) 20/l TOTAL OUT OF COURT COMP. TOTAL MOURS= �,,L� X$45 PER HOUR �$ �� p� �7 ✓ 2�_ . � ITEMIZATION OF REIMBURSABLE EXPENSES AMT. PER ITEM Mileage$y` per mile x �� � W Please c ntact Court Administrator for current mileage rate 2 F- Z., e-j 210. TOTAL ITEMIZED EXP. O a� � -�- � =f 3 ,�3 ��.a 22.CERTIFICATION OF OR EE 23. GRAND TOTAL CLAIMED Has compensation and/or reimburaement for work in thla caae previouay been applled fo(1 ❑ YES � -s "Z�j o Z �gJ�� ,� If yes,were you paid? ❑ YES ❑ NO If yes,by whom wera you paid7 How muchl Has the person reo�esented aid an money , to your knowle 24.DEDUCT: RIOR PYMTS. p y �eyoW dg`e anyone elae,in connection with the matter for S which you were appointed to provide represen't tfon9 O VO If yes,pive deteils on additio al she s � I swear or aftirm the truth or corteCtness � �� �� 25:NET AMOUNT CLAIMED of the above statements Siynature of Attomey/Peyae Dete z s �C1 7J 3 9 0. 7 26"i°"°"E° 27.AMT.APP OVED F���� S�gnature of ��O•� n�vw�EHt Judge � ��elQ: 2 I/ �s � Copy t -Mail to Court Administrator at completion of service �