Contract Court Reporter Statement Of Services

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UNITED STATES DISTRICT COURT – DISTRICT OF NEBRASKA
Contract Court Reporter Statement of Services
Name/Firm (Payee):________________________________________________Invoice #:_________________________
Address:__________________________________________________________________________________________
City, State, Zip: ____________________________________________________________________________________
Soc Sec/Tax ID # (Payee):__________________________E-Mail:____________________________________________
Phone:___________________________________________ Fax:____________________________________________
Court Reporting:
Case
Case
Judge
Date
Time:
Time:
Total
Number
Caption
(From)
(To)
Hours
___________
Full Days
@
$_____________
___________
Half Days
@
$_____________
___________
Overtime
@
$_____________
___________
Cancellation Fee
@
$_____________
Total $_____________
Travel Expenses
(if applicable):
_________________________________________________________________________________________________
Total $_____________
I certify that I performed court reporting services, as claimed above, and that the fees charged are in accordance with the District of
Nebraska’s Contract Court Reporter Statement of Work.
________________________________________________________
Total Amount Claimed $____________________
Court Reporter Signature
Date
__________________________________________________________
Court Reviewer Signature
Date
Mail Invoice to:
Forms and Court Plans located at
Clerk, U.S. District Court
th
111 S 18
Plaza, Ste 1152
Omaha, NE 68102-1322
Last Revision Date: 9/3/2014

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