Last updated: 8/16/2006
Interpreter Billing Statement And Verification
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Description
OAKLAND COUNTY INTERPRETER BILLING STATEMENT AND VERIFICATION Interpreters Name: Address: Phone: Tax ID or Social Security Number: Case Number: Language Interpreted Case Name: Date of Interpretation Judge: Where was service rendered: Circuit Court Probation Other Probate Court Juvenile Jail Hours of Interpretation Date of Interpretation Total Hours (2 hour Minimum) (Do not include lunch hour) a.m. p.m. Total: _______________Interpreters 35-230000-21200-2988 (GJD) I have not received compensation from any35-243000-33000-2988 (FD) source for providing this service. I have no34-403200-40006-2988 (Probate) expectation of receiving, nor will I accept any other compensation.Approved $_________________________________ John L. Cooperrider Deputy Court Administrator Signature NOTICE TO INTERPRETER: Before you submit this statement to the CourtAdministrators Office for payment, your hours must be verified by one of the judges staff. Please take this to the court clerk or secretary of the above-named judge for verification. Date Court Clerk/Secretary SUBMIT A SEPARATE FORM FOR EACH DAY OF SERVICE
