Texas > Local County > Galveston
Attorney Fee Voucher - Texas
| Attorney Fee Voucher Form. This is a Texas form and can be used in Galveston Local County . |
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ATTORNEY FEE VOUCHER GALVESTON COUNTY District Court #__________________ County Court at Law #____________ Cause #/Offense_____________________________________________ Cause #/Offense_____________________________________________ Cause #/Offense_____________________________________________ Cause#/Offense______________________________________________ Cause#/Offense______________________________________________ Disposition Date: ___/___/____ Trial Jury Trial Court Plea Dismissed Hired New Counsel Atty. Withdrawn Atty. Removed No-Billed Dism/Red to Misd. #________________ STYLE: State of Texas v. ___________________________________________________________________________ Offense Level: Felony Misdemeanor Juvenile Appeal Capital Death Penalty Capital Non-Death MRP Felony MRP-Misdemeanor Attorney (Full Name:______________________________________________________ Telephone #__________________________ SS#:________________________ Street Address: City/State/Zip _______________________________________________________ Fax #_______________________________ BAR#_______________________ _______________________________________________________ TAX ID#____________________ Time Period for Services Rendered: Beginning ___/___/____ through ___/___/____ Flat Fee Court Appointed Services Jail Docket week $900.00 $ In Court Services: Brief Description Hours Dates Rate Total (Includes Plea, Dismissal, No-Billed, etc. in accorandance _____________________________________________________________________________________________________________ with adopted fee schedule and rate of $60.00 per hour) _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ Out of Court Services: Brief Description Hours Dates Rate Total _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ Total from Additional Pages: Other Allowable Expenses: Brief Description ____________ Cost Date _______________ __________________________ Total _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ Investigator: Expert Witness: Pysc. Evaluation: SUBMIT BILL FROM INVESTIGATOR SUBMIT BILL FROM EXPERT/DOCTOR/OTHER SUBMIT BILL FROM DOCTOR To be paid by: To be paid by: To be paid by: County County County Attorney Attorney Attorney $__________________ $__________________ $__________________ $__________________ Monies Received from Defendant or on behalf of Defendant: (MINUS) Final Payment Partial Payment (allowed in special cases only, with Judge's approval) TOTAL COMPENSATION AND EXPENSES CLAIMED(do not include amounts to investigators, experts, etc. to be paid by County) $__________________ ATTORNEY CERTIFICATION I, the undersigned attorney, certify that the above information is true and correct and in accordance with the laws of the State of Texas. The compensation and expensees claimed were reasonable and necessary to provide effective assistance counsel. I further certify that I am/was licensed by the State of Texas, during the time period these services were rendered to practice as an attorney in the State of Texas. Attorney Signature:_________________________________________________________ Date:______/______/_______ Signature of Presiding Judge:________________________________________________________________ Date:_____/______/________ $___________________ TOTAL ALLOWED REASON FOR DENIAL OR VARIATION:_____________________________________________________________________________________FORM GC#8 American LegalNet, Inc. www.FormsWorkFlow.com
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