CJA VOUCHER DISCLOSURE



CASE NAME:_________________________________________________________________

CASE NUMBER:______________________________________________________________

CJA VOUCHER NUMBER:_____________________________________________________

DEFENSE COUNSEL RECEIVING PAYMENT: ____________________________________

DATE OF APPROVAL FOR PAYMENT: __________________________________________

PAYMENTS APPROVED:
 
     ARRAIGNMENT AND/OR PLEA                      $_________________
     BAIL AND DETENTION HEARINGS        $_________________
     MOTION HEARINGS                    $_________________
     INTERVIEWS AND CONFERENCES         $_________________
     OBTAINING AND REVIEWING RECORDS    $_________________
     LEGAL RESEARCH AND BRIEF WRITING   $_________________
     TRAVEL TIME                        $_________________
     EXPERTS                            $_________________
     TRIAL AND APPEALS                  $_________________
     OTHER                              $_________________







DEPUTY CLERK:___________________________     DATE:_____________________