Free CJA 24 Authorization and Voucher for Payment of Transcript (Rev. 5/99) - Wisconsin

O CJA 24 AU THOR IZATION AN D VO UCH ER FOR PAYM ENT O F TRANS CRIPT (Rev. 5/99)
1 . C I R. /D I ST ./ D IV . C O D E 3. MAG. DKT./DEF. NUM BER 7. IN CA SE/M ATTE R O F (Case Name) 2. PERSON REPRESENTED 4. DIST. DKT./DEF. NUM BER 8 . P A Y M E N T C A T EG O R Y VOU CHER NU MBER 5. APPEALS DKT./DEF. NUMBER 9. TYPE PERSON REPRESEN TED 6. OTHER DKT. NUM BER 10. REPRESENTATION TYPE (See Instructions)

G Felony G Misdem eanor G Appeal

G Petty Offense G Other

G Adult Defendant G Juvenile Defendant G Other

G Appellant G Appellee

11. O FFEN SE(S ) CH AR GE D (C ite U.S . Co de, T itle & Se ction) If more than one offense, list (up to five) major offenses charged, according to severity of offense.

REQUEST AND AUTHORIZATION FOR TRANSCRIPT
12. P R O C E ED I N G IN W H I C H T R A N SC R IP T IS T O BE U S ED (Describe briefly)

13.

P R O C E ED I N G TO B E TR A N S C R IB E D (Des cribe spec ifically). NOTE : The trial transcripts are not to include prosecution opening statement, defense opening statement, prosecution argu me nt, defe nse a rgum ent, pr osec ution r ebu ttal, voir d ire or jury in struc tions, u nless spec ifically au thoriz ed b y the C ourt (se e Item 14).

14.

S P EC I AL A U TH O R IZ A TI O N S

JUD GE'S IN ITIALS

A. Apportioned B. G Expedited

% of transcript with (Give case name and G Daily G Hourly Transcript G Realtime Unedited Transcript

C. G Prosecution Opening Statement G Prosecution Argument G Prosecution Rebuttal G Defense Opening Statement G Defense Argument G Voir Dire G Jury Instructions 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. A T TO R N E Y 'S S TA T EM E N T As the attorney for the person represented who is managed above, I hereb y affirm that the transcript requested is necessary for adequate representation. I, therefore, re quest authorization to obtain the transcript services at the expense of the U nited States pursuant to the C riminal Justice A ct. 16. COURT OR DER Financial eligibility of the person represented having been established to the Court's satisfaction the authorization requested in Item 15 is hereby granted.

Signature of Attorney

Da te

Signature o f Presiding Jud icial Officer or By Ord er of the C ourt

Printed Name Telep hone N umbe r:

Date of Order

Nun c Pro Tunc Da te

G

Panel Attorney

G

Retained Attorney

G

Pro-Se

G

Legal Organization

CLAIM FOR SERVICES
17. C O U R T R EP O R T ER /T R A N SC R IB E R ST A TU S 18. PAYEE'S NAM E (First N am e, M .I., Last N am e, inclu ding a ny su ffix), A N D MAILING ADDR ESS

G

Official

G

Contract

G

Transcriber

G

Other

19. SOCIAL SECURITY NU MBER OR EM PLOYER ID NU MBER OF PAYEE Telep hone N umbe r: 20. TRANSCR IPT I N C LU D E PAGE NUMBERS NO. OF PAGES R A T E P E R PA G E SU B- T O T A L L E SS A M O U N T APPORTIONED TOT AL

Original Copy Expense (Itemize) TOTAL AMOUNT CLA IMED:
21. CLAIMANT'S CERTIFICATION OF SERVICE PROV IDED I hereb y certify that the a bove claim is for service s rend ered a nd is co rrect, and that I have not sou ght or rec eived p ayme nt (compensation or anything of value) from any other source for these services.

Signature of

Date

ATTORNEY CERTIFICATION
22. CERT IFICATION OF ATTO RNEY OR C LERK I hereby certify that the services were rendered and that the transcript was received.

Signature of Attorney or Clerk
23. A P PR O V E D FO R P A Y M E N T

Date
24. AMOUN T APPROVED

APPROVED FOR PAYMENT -- COURT USE ONLY

Signature of Judicial Officer or Clerk of Court

Date