HomeMy WebLinkAbout06-15-05
0"" RECEIVED JUN 02 my'
AUTHORITY TO PAY COURT APPOINTED COUNSEL l
,. COURT 2. VOUC~~ -
o District Justice o Common Pleas o Appellale o Other ) 7892
3. FOR (D.J., C.P., APPELLATE) 4, AT (CITY/STATE) 5. BUDGET CODE
JIJ'b-I5}J.IO-':O;.qfl)
6. IN THE Viii ;'f"M ''tI' E5~'/~rS"'" "I 7. CHARGE/OFFENSE (PURDON CITATION) 8. 0 PETTY OFFENSE
./ L. vsK~/c.J. o FELONY 0 MISDEMEANOR
9. PROCEEOIr-lGS (Describe briefly) 11. PERSON REPRESENTED 1_ 'Will eeeIU~.T 1..0.
I1t.f..L/ e. It-c n ~r/ 1 ntYqpa e ~ 1 X Defendenl' Adult (!) re..plf' S ~-r-
2 0 Oelendant-Jl,l",enile ~/-/?';-- ~~
3 0 Appellant 13. CRIMINAL DOCKET NO
Iv. 4.A , '-- 4 0 Appellee
7 5 0 Habeas Petitioner
6 0 Malerial Witness
1 0 Parolee Charged With Violation
10. PERSON REPRESENTED (Full Name) S 0 Probationer Charged Wilh Violation 14. APPEALS DOCKET NO.
lIa"(et 1. x'".,., reA 9 0 Other.
...). /U.O~ - 16. NAME OF ATTORNEY/PAYEE AND
Apor Oa!e MAILING ADDRESS
J. ~SS Lindsay Dare Baird
37 South Hanover Street
NAME OF COMMON PLEAS JUDGE ASSIGNED TO CASE Carlisle, PA 17013-3307
1110 It,j
17. T~E~~~ N~7; 18. SOCIAL SEC~-7; NO ;""~IN NO
- '1' ':<\~ /9f"~ . 'J..9/~
CLAIM FOR SERVICES OR EXPENSES
19. SERVICE HOURS DATES AMOUNTS CLAIMED
a. Arraignment and/or PI". Multiply rale per hour limes total
b. Preliminary Hearing hours to obtain "In Court" com.
pensatlon. Enter total below.
e. Molions and ReQuests
>- do Bail Hearings
a:
::> e. Sentence Hearings
0
0 I. Trial
~
g. Re....ocation H.arings 0 . .;
h. Ju....enil. Hearings 21 '-
i. Appeals Court 1!1A.'~U.L IN J;.pURT CO""!,,
~ Other (Specify on additional sheets) ~ ,1.-<-< /. '0 Aj, --;. .(1 ~ r,! ..,
'.."1 --
'TOTAL HOtRS a U .----...,-:'
/.;(, ~RHOUR . !rIiI ~$-:, IA,~. SO<
"il -
20. a Inlerviews and conter.nces .. C/IYnt- ~. :l1Z> ,y, I.' /J.v ~i'tipty rate ~ hour time,,:i9tal
b. Oblaining and reviewing reeords,..-hl.f ; ./'),. <tiIJ'X}SJj,~ t# ~O ,-/'~'(1~ ::hoilrs. Enler '''Out 0' ~rtN
....... compensatiO&IOW. . :_~,~)
Oa: c. Legal research and brief writing J ;-.,
....::>
::>0 d. Investigative and olher wor\( (Specify on addilional sheets) 20A. TOTAL OUT OF COURT
00 COMPo
TOTAL HOURS'" 3.~D "'~ -$ /J~ VI:>
~PERHOUR
21. ITEMIZATION OF REIMBURSABLE EXPENSES AMT. PER ITEM
Mileaoe $.2Jf oer mile x .. .u<: ,.. tit' 'S .,J7 v 7. -."
a: , .' 1."1 .!LI
w
X 21A. TOTAL ITEMIZED EXP.
....
0 -$ jJ.(}I3.~;'"
I,
22. CERTIFICATION OF ATTORNEY/PAYEE KNO 23, GRAND TOTAL CLAIME~'
Has compensation and/or reimbui:ment 'or work In this cue previOUSly been applied 'or? 0 YES -$ &/B. 7';-
It yes. were you patd? 0 YES NO I'yes,bywhomwereyoupald? Howmuch1 24. DEDUCT. !'RIOR I'YMTS.
Has Ihe "","on ,ep,esanted paid any monay to you, or to you, kn""R~q:;;;a el.e,ln connection wilh the maner to'
whiCh you were appointed to provide representation? eYES N '! le"s.,~ve desails on additional sh.el~ -$
I swear or affirm the truth or COlTectness 6 '/' 1/ 3 25. NET AMOUNT CLAIMED
of the abo....e slatements ,/ SIgnature of AttonW"y/Pay.. Dele =$ -es2 ' ~ ?Gl~'
26 ,,"PROVl ~', . """- . -t: A. AI /! . Dale: <;1""" l~ 27. AUT. APPROVED
. FOil S'9nalufe 01 ,
PAYM~~I Judge -$
C~ - Mail to Court Administrator at completion 01 service
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