Motion, Entry, And Certification For Appointed Counsel Fees - Ohio Court Page 2
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2CASE NUMBER ______________________________
ATTORNEY/GAL ______________________________
IF CAPITAL OFFENSE CASE, LIST CO-COUNSEL'S NAME HERE: ____________________________________
ITEMIZED FEE STATEMENT
I hereby certify that the following time was expended in representation of the defendant/party represented:
IN-COURT
IN-COURT
OUT- OF-
IN-
DATE OF
OUT- OF-
IN-
DAILY
DAILY
DATE OF
COURT
COURT
SERVICE
COURT
COURT
TOTAL
TOTAL
SERVICE
TOTAL
TOTAL
(continued)
TOTAL
TOTAL
GRAND
TOTAL
Continue at top of next column.
Time is to be reported in tenth of an hour (6 minute) increments.
I hereby certify that the following expenses were incurred:
Use the following categories for Type:
(1) Experts
(2) Postage/Phone
(3) Records/Reports
(4) Transcripts
(5) Travel
(6) Other
TYPE PAYEE
AMOUNT
TOTAL
Clearly identify each expense and include a receipt for any expense over $1.00. See Section (P)(1)(c) for privileged information.
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