REQUEST FOR COURT PAID EXPERTS AND/OR EXPENSES, Ohio.In TheCourt ofCase No. Plaintiff:V.Attorney(s) for the Defendant/Party Represented:Defendant/Party RepresentedIn re:CHARGESOFFENSE/CHARGE/MATTERORC/CITY CODEDEGREEDISPOSITION1.) 2.)3.)*List only the three (3) most serious charges beginning with the one of greatest severity and continuing in descending order.JUDGEMENT ENTRYThe Court finds that the following experts and/or expenses were ordered for use in the case of an indigent person, that all rules and standards of the Ohio Public Defender Commission and State Public Defender have been met, and that an Affidavit of Indigency/Financial Disclosure Form for the above referenced person has been sent to the Office of the Ohio Public Defender, or is attached to this document. IT IS THEREFORE ORDERED that the expert fees and/or expenses attached are hereby approved in the amount of $. It is further ordered that the said amount is certified by the Court to the County Auditor forpayment.DateJudge's Name (type or print)Judge's SignatureCOUNTY AUDITOR'S CERTIFICATION The County Auditor in executing this certificate attests to the accuracy of the figures contained herein. A subsequent audit by the Ohio Public Defender Commission and/or Auditor of State that reveals unallowable or excessive costs may result in the future adjustments against reimbursement or repayment of audit exceptions to the Ohio Public Defender.AMOUNTWARRANT DATE WARRANT NO. TAX ID PAYEETOTAL (If necessary, continue on separage sheet.)County NumberCounty Auditor's SignatureOPD-209 (1/00)2002 © American LegalNet, Inc.
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