HomeMy WebLinkAbout05-12-06
AUTHORITY TO PA./ COURT APPOINTED COUNSEL
,. COURT . /
o District Justice r1t Common Pleas
3. FOR (D.J.. C,P''f(~p'LATEI
6. IN THE CASE OF
I Y) ~' Aml.ntitL.. Yn. r6r.en'I'U~'{"
9. PROCEEDINGS (Describe briefly)
G-wLrJ; a. nSh; f Heo.. (': ~
o Appellate 0 Other
4. AT ICI rv/STATE~ '/ OfJ.
L-o...rJ,.$ e I In
7. CHAR EJOFFENSE (PURDON CITATION)
11. PERSON REPRESENTED
1 0 Oe'endsnt . "dul!
2 0 Oefendant. Juvenile
3 0 Appellant
4 0 Appellee
5 0 Habeas Pelitioner
6 0 Maleroal WIlness
7 0 Parolee Charged With Viola lion
8 !?/PrObalioner Charged Wilh Violation
9 . Other: ttill~ ''''C~I.lu+eArdOYj
10. PERSON REPRESENTED (Full Name)
A vno.-r>J.o.. (Y), 6r..e...r) ~,-er
'fi-
2.vN~HER 10743
5. BUDGET CODE
/ h ".1.5J.::~ItJ.. '(j;:,~ u'7)
8. 0 PETTY OFFENSE
o FELONY 0 MISDEMEANOR
12. CIVIL DOCKET NO.
~1-o(Q-o~3
13. CRIMINAL DOCKET NO.
14. APPEALS DOCKET NO.
16. NAME OF ATTORNEY/PAYEE AND
MAILING ADDRESS
u....o l~ t /.,Ct) \ .Q
I 0 ~s'+ l-\'q~ fftree.-\-
Co...r\;s\e f~ \(0\3
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dI jt{ ttJ,:)
Appl Dale Lf l LJ I D (p
Ju~~ (Y). L.... f:~I.\- )--S-<:
NAME OF COMMON PLEAS JUDGE ASSIGNED TO CASE
19.
SERVICE
17. TELEPHONE No.
dYl-L\L\3b
CLAIM FOR 51 RVICES OR EXPENSES
HOURS OATES
~
IX:
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o
(.)
=
a. Arraignment andlor Plea
b. Preliminary Hearing
Co Motions and Requests
d. Bail Hearings
e. Sentence Hearings
,. Trial
g. Revocation Hearings
h. Juvenile Hearings
i. Appeals Court
j. Other (Specify on additional sheets) /l H ~ -J' ~ ~<:.t,' I. _A I
C""..I,,).1. ,of! l A~l'-J^__ IJ
-. TOTAL HOURS ...
1.1
\ .\
0.2-
tf1,0
L/ II~/o(b
X J.~R HOUR
20. a Inlerviews and conferences
~ ~ b. Obtaining and reviewing records
2 ~ c. Legal research and brief writing
6 8 d. Investigative and other work (Specify 011 addilional sheets)
TOTAL HOURS..
Q,co
X $45 PER HOUR
21.
ITEMIZATION OF REIMBURSABLE EXPEN SES
AMT. PER ITEM
Milage $.345 per mile
x
a:
w
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22. CERTIFICATION OF ATTORNEY/PAYEE
Has compensation and/or reimbursement fOl" work in this case previously Otten applied for? 0 YES ti NO
If yes. were you paid? 0 YES 0 NO Ifyes,bywhomwereyoupald7 HOw much?
Has the person represented paid any money to you. 01" to your knowlecNe 8 "yone else. In connection with the matter for
which you were appointed to provide representation? 10 YES tJ!(~O l' Y4!~ glva details on addi~i91j1al shiets
I swear or affirm the truth or correctness ~ A' ......,tI') ,,' lA'..J) J' ~ 'iL;;)c..f _ 0 0
of the above statements SlQn.tur.~ Attorney l)a7ee 0 O.te
26.^"P;~~:l 01 Signature of ~ 't.. ~. --l \l: S I f
PAYMENr I Judge ". ,~~ h.. ~ J .O.t.: 't I (!) <0
Copy 1 - Mail to Court Adm nist ator at completion of service
16'..~/r~/(:Oq~ q/?o
AMOUNTS CLAIMED
Multiply rate per hour limes total
hours to obtain "In Court" com'
pensatlon. Enter total below.
19A. TOTAL IN COURT COMPo
=$
~~'.>.;.
14q .~)
Multiply rate per hour limes total
hours. Enter tota' "Out of Court"
compensation belo.....
20A. TOTAL OUT OF COURT
COMPo
.. s 3Co. 00
21A. TOTAL ITEMIZED EXP.
-$
23. GRAN~~L CLAIMED
"'$ no,50
24. DEDUCT, PRIOR PVMTS.
-$
25:NET A~~~IMED ,,~
=$ ~ ~~.':l' V-
27. AMT. APPROVED
=$ ~.') SO
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