Form Opd-1031 - Application For Attorney Fees For Court Appointed Attorneys Page 3

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I hereby certify that the following time was expended in representation of the defendant before the Supreme Court of Ohio:
DATE
ACTIVITY
TOTAL TIME
Time is to be recorded in tenth of an hour (6 minute) increments.
EXPENSE
PAID TO
AMOUNT
To obtain reimbursement, the purpose of each expense must be clearly identified, and a receipt provided for each expenditure over $1.00.
I hereby certify the above is a true and accurate account of the time spent and expenditures incurred in representing the
defendant in the Supreme Court of Ohio.
__________________________________________
Applicant’s Signature
OPD-1031 (4/96)

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