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United States Court of Appeals For the First Circuit BILL OF COSTS FORM Please see 1st Cir. R. 39.0 for instructions before completing this form. A request for costs must be filed within 14 days of judgment. Fed. R. App. P. 39(d)(1). Any opposition must be filed within 14 days after service of the request. Fed. R. App. P. 39(d)(2). A schedule of Maximum Rates for Taxation of Costs is posted on the court's website at www.ca1.uscourts.gov and is available by request to the clerk's office. See 1st Cir. R. 39.0. A copy of a vendor's bill showing actual costs incurred must be attached, if applicable. If the briefs were produced in-house, a statement from counsel must be attached specifying the actual cost for reproduction, binding and covers. Costs are taxed at the maximum rates set by the clerk or at the actual cost, whichever is lower. 1st Cir. R. 39.0(a). The maximum number of copies for which costs may be recovered is set forth in 1st Cir. R. 39.0(b). Case No.: Filed on behalf of: The Clerk is requested to tax the following costs against: IF SEEKING COSTS FOR OR AGAINST THE UNITED STATES, pursuant to Fed. R. App. P. 39(b), please specify statutory or other authority: COSTS TAXABLE UNDER FED. R. APP. P. 39 and 1 st CIR. R. 39.0 NO. OF COPIES PAGES PER COPY Title: AMOUNT REQUESTED For internal use only COST PER PAGE COST PER BINDING COST PER COVER TOTAL COST DOCKETING FEE $ 0.00 * BRIEF REPLY BRIEF APPENDIX TOTAL AMOUNT REQUESTED: I, , do hereby declare under the penalty of perjury that the foregoing costs are true and correct and were necessarily and actually incurred in this action. A certificate of service is attached pursuant to Fed. R. App. P. 25(d). Signed: Dated: * If the notice of appeal or petition was filed before December 1, 2013, the docketing fee is $450. If it was filed on or after that date, the docketing fee is $500. American LegalNet, Inc. www.FormsWorkFlow.com