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CJA 24 AUTHORIZATION AND VOUCHER FOR PAYMENT OF TRANSCRIPT (Rev. 5/99)

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1. CIR./DIST./DIV. CODE 3. MAG. DKT./DEF. NUMBER

2. PERSON REPRESENTED 4. DIST. DKT./DEF. NUMBER 8. PAYMENT CATEGORY Petty Offense Felony Misdemeanor Other Appeal

VOUCHER NUMBER 5. APPEALS DKT./DEF . NUMBER 9. TYPE PERSON REPRESENTED Appellant Adult Defendant Juvenile Defendant Appellee Other 6. OTHER DKT . NUMBER 10. REPRESENTATION TYPE (See Instructions)

7. IN CASE/MATTFR OF (Case Name)

11. OFFENSE(S) CHARGED (Cite U.S Code, Title & Section) If more than one offense, list (up to five) major offenses charged, according to severity of offense.

REQUEST AND AUTHORIZATION FOR TRANSCRIPT
12. PROCEEDING IN WHICH TRANSCRIPT IS TO BE USED (Describe briefly)

13. PROCEEDING TO BE TRANSCRIBED (Describe specifically). NOTE: The trial transcripts are not to include prosecution opening statement, defense opening statement, prosecution argument, defense argument, prosecution rebuttal, voir dire or jury instructions, unless specifically authorized by the Court (see Item 14).

14. SPECIAL AUTHORIZATIONS A. Apportioned B. C Expedited % of transcript with (Give case name and defendant) Daily Hourly Transcript Prosecution Argument Defense Argument Realtime Unedited Transcript Prosecution Rebuttal Voir Dire
Jury Instructions

JUDGE'S INITIALS

Prosecution Opening Statement Defense Opening Statement

D. In this multi-defendant case, commercial duplication of transcripts will impede the delivery of accelerated transcript services to persons proceeding under the Criminal Justice Act. 15. ATTORNEY'S STATEMENT As the attorney for the person represented who is managed above, I hereby affirm that the transcript requested is necessary for adequate representation. 1, therefore, request authorization to obtain the transcript services at the expense of the United States pursuant to the Criminal Justice Act.
16. COURT ORDER

Financial eligibility of the person represented having been established to the Court's satisfaction the authorization requested in Item 15 is hereby granted.

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Signature of Attorney

Date

Signature Of Presiding Judicial Officer or By Order of the Court

Printed Name

Date of Order

Nunc Pro Tunc Date

Telephone
Panel Attorney Retained Attorney

Pro-Se

Legal Organization

CLAIM FOR SERVICES
17. COURT REPORTER/TRANSCRIBER STATUS Official Contract Transcriber Other
MAILING ADDRESS

19. SOCIAL SECURITY NUMBER OR EMPLOYER ID NUMBER OF PAYEE
Telephone 20. TRANSCRIPT INCLUDE PAGE NUMBERS NO. OF PAGES RATE PER PAGE SUB-TOTAL LESS AMOUNT APPORTIONED TOTAL

Original Copy Expense (Itemize)

TOTAL AMOUNT CLAIMED:
21. CLAIMANT'S CERTIFICATION OF SERVICE PROVIDED I hereby certify that the above claim is for services rendered and is correct, and that I have not sought or received payment (compensation or anything of value) from any other source for these services.

Signature of ATTORNEY CERTIFICATION
22. CERTIFICATION OF ATTORNEY OR CLERK I hereby certify that the services were rendered and that the transcript was received.

Date

Signature of Attorney or Clerk
23. APPROVED FOR PAYMENT

Date
24. AMOUNT APPROVED

APPROVED FOR PAYMENT - COURT USE ONLY

Signature Of Judicial Officer or Clerk of Court

Date