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9/06 IN THE DISTRICT COURT OF , , ) ) ) ) ) JUDICIAL DISTRICT COUNTY, KANSAS

v

Plaintiff, Defendant.

Case No. _________

Proceeding Pursuant to K.S.A. Chapter 60 BILL OF COSTS Judgment having been entered in the above-entitled action on against , the clerk is requested to tax the following as costs, pursuant to K.S.A. 60-2002(c): Docket fee as provided for by K.S.A. 60-2001, and amendments thereto. Mileage, fees, and other allowable expenses of the sheriff, other officer or private process server incurred in the service of process or in effecting any of the provisional remedies authorized by this chapter. Publisher's charges in effecting any publication of notices authorized by law. Statutory fees and mileage of witnesses attending court or the taking of depositions used as evidence (attach itemization). Reporter's or stenographic charges for the taking of depositions used as evidence. Postage fees incurred pursuant to K.S.A. 60-303 or subsection (e) of K.S.A. 60-308, and amendments thereto. Alternative dispute resolution fees which the court shall have ordered or to which the parties have agreed. Such other charges as are by statute authorized to be taxed as costs (specify statute). TOTAL $

$ $ $ $ $ $ $ $

Note: Attach to your bill an itemization and documentation for requested costs in all applicable categories.

I declare under penalty of perjury that the foregoing costs are correct and were necessarily incurred in this action and that the services for which fees have been charged were actually and necessarily performed. A copy of this bill was mailed today with postage prepaid to: .

Date:

(Signature of attorney) (Name), Attorney for (party) Bar Registration Number Address Telephone [Facsimile number] [Email address]