WPC Dٱu1΍1&o uf1hEرu _ k)6߅<IC)|&6ab(^LW׎O4"|$ >ww}AdultDefendant <2$|$ <#}ww^#&  _ԍ @s }}ww}}ww}}ww}_  GV4"|$  G_Appellan__  ԍt#}ww#_  =3%|$ V = FV3!|$  F^l3\}(SeeInstructions)#}\^l3# LB/|$    V L     $   $&  _ԍ @s _  :0"! :ww}Misdemeanor#}ww# =3!" =&  _ԍ s _  JV7%#  Jww}Other#}ww# <2$$ V <&  _ԍ  _  >4"% >ww}JuvenileDefendant <2$& <#}ww#&  _ԍ @s ww}_  GV4"'  GAppellee#}wwg# <2$( V < FV3!)  F XN/*   V X =V*,* = 3),*V 3&  __  :0",+ :ww}Appeal#}ww# 9/!,, 9 FVV3!,- F <2$,.VV <&  __  :0",/ :ww}_Othe__  ԍr#}wwG#_  EV4",0 E EV2$,1V  E 9/!,2 V 9 FV3!,3  F aVVVN/,4   V a IVV6$5VVV I IVV6$6VV  I IVV6$7VV  I aVVN/8  VV  a^l3\}11.OFFENSE(S)CHARGED(CiteU.S.Code,Title&Section)Ifmorethanoneoffense,list(uptofive)majoroffensescharged,accordingtoseverityofoffense. [VVJ/&9   VV [}\^l3 FVV3!V:VV F cVVVN/V;  VV cf}  REQUESTANDAUTHORIZATIONFOREXPERTSERVICES#}ft!# aVVN/ .<   VVV  a^l3\}12.ATTORNEYSSTATEMENT aVVN/R =   VV  aE D\^l3  Astheattorneyforthepersonrepresented,whoisnamedabove,Iherebyaffirmthattheservicesrequestedarenecessaryforadequaterepresentation.Ihereby_request_: ]VN/ >   VV ~] <2$b ?V <} DE&  _#E D}y$#_  >4"b @  >Authorizationtoobtaintheservice.EstimatedCompensationandExpenses: <2$b A  <  9 DV3!b B0 D CV2$b C3V C FV3!b DV  FOR ]VN/b E ~  V ] <2$ FV <} DE& FV3! G F#E D}1'#ApprovalofservicesalreadyobtainedtobepaidforbytheUnitedStatespursuanttotheCriminalJusticeAct.(Note:Priorauthorizationshouldbeobtainedforservicesinexcessof_$500,_  H excludingexpenses) nV_@^  I~~  V n <2$d JV < FV3!d K  F XVVE&d K   V < X ]VN/ L <  VV ] @6$$ MV @SignatureofAttorney GV6$$ N G <2$$ OV < =3!$ P =Date GV6$$ Q G  EV2$$ R V  E<20$ S    V <*GVdd<< K<< K<< e$$ e,$$ ,$$ w$$ w$$ $$ K$$ KK$$ K$$ $$ X<< X<< w<< w,<< ,w<< w<< << << ,<< ,K<< K<< <<  <<  VX%X%G,$$ ,$ ,<< ,<< ,<< ,6<< ,$$ ,,<< ,K<< ,w<< ,,<< ,K<< ,K<< ,<< ,$ , << ,<< ,<< ,K<< ,<< ,<< ,K<< ,$ ,,<< ,K<< ,$$ ,$$ ,<< ,K<< ,<< ,<< ,K$ ,$ ,K<< ,<< ,<< ,K<< ,w<< ,<< ,L<$ ,<$ ,K<< ,<< ,K$ ,X$$ ,<< ,K<< ,<< ,<< +  =V. S  = <2$ TV <} DE&  _#E D}P4#_  >4" U >PanelAttorney @6$ V @} DE&  _#E D}X5#_  A7% W ARetainedAttorney <2$ X <} DE&  _#E D}b6#_  >4" Y >ProSe <2$ Z <} DE&  _#E D}^7#_  GV4" [  GLegalOrganization ]VN/ \   V ] ZVG5n ] V / Z^l3\ DEATTORNEYSNAME(FirstName,_M.I._,LastName,includinganysuffix),ANDMAILINGADDRESS#E D\^l38# ]VN/n ^   V/ ] .$ ^V . QV>, _  Q nV_@ `**  V n 7-v `V 7 @V-v `  @ TVE&v `   V T 7- `V 7 @V- `  @ TVE& `   V T 7-~&`V 7 7-~&` 7 @6$~&a @} DETelephoneNumber: GV6$~&b G IV6$~&c"V  I aVVVN/~&d   V 1a aVVN/e  VVV1  aE D}^l3\ DE13.DESCRIPTIONOFANDJUSTIFICATIONFORSERVICES(SeeInstructions)#E D\^l3># IV6$ f VV  I^l3\ DE14.TYPEOFSERVICEPROVIDER#E D\^l3?# _VVN/ g   V _ NVV;2LhaVV N QV>,Li(( VV  Q XN/Lj   V X @V-(j  @ SI(j V  ?01?S01 XN@(k  ?01 ? X} DE&  #E D}TB#} DE  >4"(l  >E D}Investigator#} DE C# `V$(m   .@15.@`E D}15#} DEٻC# _UC(n  .@15 .@ _&  E D}} DE}}}}E D}E D DEE D DEE D DE} DE}}}}}}}}}}}}}}E D}  JV7%(o  J#} DE^F#E D}OtherMedical#} DEF# XN/(p   V X @V-Tp  @ SITp V  @02@SE D}02#} DE.H# XN@Tq  @02 @ X&    >4"Tr  >E D}Interpreter/Translator#} DE"I# `V$Ts   0@160@`E D}16#} DEI# _UCTt  0@16 0@ _&  E D}} DE}}}}E D}E D DEE D DEE D DE} DE}}}}}}}}}}}}}}E D}  JV7%Tu  J#} DE}L#E D}Voice/AudioAnalyst#} DEM# XN/Tv   V X @V-0v  @ SI0v V  @03@SE D}03#} DESN# XN@0w  @03 @ X&    >4"0x  >E D}Psychologist#} DEGO# `V$0y   1@171@`E D}17#} DEO# _UC0z  1@17 1@ _&  E D}} DE}}}}E D}E D DEE D DEE D DE} DE}}}}}}}}}}}}}}E D}  JV7%0{  J#} DE٘R#E D}Hair/FiberExpert#} DE.S# _VN/0|   V _ @VV-\|V @ SI\|VV  @04@SE D}04#} DEsT# XN@\}  @04 @ X&    >4"\~  >E D}Psychiatrist#} DEgU# `V$\   2@182@`E D}18#} DEV#E D} _UC\  2@18 2@ _#} DEYV#&  E D}} DE}}}}E D}E D DEE D DEE D DE} DE}}}}}}}}}}}}}}E D}} DE}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}#}}X#E D}  JV7%\  J#} DEj[#E D}Computer(Hardware/#} DE\# aVVN/\   V  a^l3\}15.COURTORDER#}\^l3\# \R$8 VV  @05@\E D}05#} DEd]# XN@8  @05 @ X&    >4"8  >E D}Polygraph#} DEX^# @6$8  @ @6$8 @ IV6$8  IE D}ԀSoftware/Systems)#} DEl_# ]VN/8   V B ] WVD2d u"V  W `V$d V  @06@`E D}06#} DE`# mcQdT??  @06 @ m& d  ND2ZT  NE D}DocumentsExaminer#} DEa# qg5dT??   3@193@qE D}19#} DEٳb# pfTdT??  3@19 3@ p& d  @+ E D} ZVG5ZT  Z#} DEٌc#E D}ParalegalServices#} DE(d# nV_@dT?? B  V Bn 7-V 7E D}FinancialeligibilityofthepersonrepresentedhavingbeenestablishedtotheCourts#} DE!e#ԀE D}satisfaction,the  authorizationrequestedinItem12isherebygranted.#} DEٽe# ZVG5D__v" Z QG5V Q 7- 7 7- 7 7- 7 7- 7 @V-  @ TVE& B  V T @V-@V  @ 7-@ V 7 SI@  @07@SE D}07#} DE?i# XN@@  @07 @ X& =3!@  =E D}FingerprintAnalyst#} DEj# `V$@   4@204@`E D}20#} DEj# _UC@  4@20 4@ _& IV6$@  IE D}LegalAnalyst/Consultant#} DEk# ]VN/@   V B] 7-lV 7 7-l 7 WMl   @08 @WE D}08#} DE=m# mcQl??%   @08  @ m& l  ND2b %  NE D}Accountant#} DEUn# qg5l??%   5@215@qE D}21#} DEo# lbTl??%  5@21 5@ l&    :0"l :E D} FV3!l  F#} DEp#E D}JuryConsultant#} DEٞp# nV_@l??% B  V Bn 7-V 7 IV6$  I 7- V 7 7- 7 7- 7 7- 7 7- 7 IV6$  I TVE& B  V T >V-HV > IV6$H"V  I SIH V  "@09"@SE D}09#} DEgt# XN@H  "@09 "@ X& =3!H  =E D}_CALR_Ԁ(_Westlaw_/Lexis,etc.)#} DEDu# `V$H   6@226@`E D}22#} DE@v# _UCH  6@22 6@ _& IV6$H  IE D}MitigationSpecialist#} DE0w# ]VN/H   V ~] 7-tV 7E D}SignatureofPresidingJudgeorByOrderoftheCourt#} DEx# IV6$t  I SIt V  $@10$@SE D}10#} DE.y# XN@t  $@10 $@ X&    >4"t  >E D}Chemist/Toxicologist#} DE"z# `V$t   7@237@`E D}23#} DEz#E D} _UCt  7@23 7@ _#} DE{#&  E D}} DE}}}}E D}E D DEE D DEE D DE} DE}}}}}}}}}}}}}}E D}} DE}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}#}}}#E D}  JV7%t  J#} DE-#E D}DuplicationServices#} DEÀ# ]VN/t ~  V ] >V-JV  > @6$J"V  @ GV6$J  G IV6$J"V   I SIJ V  &@11&@SE D}11#} DEׂ# XN@J  &@11 &@ X&    >4"J  >E D}Ballistics#} DE˃# @6$J  @ @6$J @ IV6$J  IE D}Ԁ(SeeInstructions)#} DE# ]VN/J   V ] 7-vV 7E D}DateofOrder#} DEЅ# @6$v  @ @6$v @E D}NuncPro_Tunc_ԀDate#} DEٟ# IV6$v   I SIv V  *@13*@SE D}13#} DEٯ# XN@v  *@13 *@ X&    >4"v  >E D}Weapons/Firearms/ExplosiveExpert#} DE٣# `V$v   8@248@`E D}24#} DEf# _UCv  8@24 8@ _&  E D}} DE}}}}E D}E D DEE D DEE D DE} DE}}}}}}}}}}}}}}E D}} DE}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}#}} #E D}  JV7%v  J#} DEy#E D}Other(Specify)#} DE# ]VN/v   V ] @V-RV  @E D}Repaymentorpartialrepaymentorderedfromthepersonrepresentedforthisserviceattimeofauthorization.#} DE#E D}} DE \R$R V  ,@14,@\#E D}ѐ#14 XN@R  ,@14 ,@ X} DE&  #E D}ɑ#  >4"R  >Pathologist/MedicalExaminer @6$R  @ <2$R < DV3!R D EVV2$RV E ZVK,R  VV Z 3)~V 3} DE&#E D}# 9/!~ 9YES 9/!~ 9} DE&  #E D}̔#  GV4"~  GNO IV6$~ V  I   c aVVVN/~   V 1a cVVVN/Z  VVV1 cf DE   , CLAIMFORSERVICESANDEXPENSES#E Df# KVV6$x VVV Kf DEFORCOURTUSEONLY#E Df]# aVVVN/x "  VV afww DE16.   , SERVICESANDEXPENSES D   (Attachitemizationofserviceswithdates) ZVVG5q.VVV  Z  AMOUNTCLAIMED ZVVG5D TJJeVV   Z  MATH/TECHNICAL D ADJUSTEDAMOUNT ZVVG5q TVV   ZADDITIONAL D REVIEW i_@q"T  VV  i 7- 7 7- 7 7- 7 RVVA&   R#E Dww$#^l3\ DEf FVV3!pVV Fa.Compensation GV6$pVV G IVV6$p3V I GV6$pVV G IVV6$p3V I GV6$pVV G IVV6$p3V I [VVJ/p  VV [ FVV3!VV Fb.TravelExpenses(lodging,parking,meals,mileage,etc.) GV6$VV G IVV6$3V I GV6$VV G IVV6$3V I GV6$VV G IVV6$3V I [VVJ/  VV [ FVV3!hVV Fc.OtherExpenses GV6$hVV G IVV6$h3V I GV6$hVV G IVV6$h3V I GV6$hVV G#E D\^l3# IVV6$h3V I _VVJ/h  VV _ HVV3!hVV Hf DEGRAND_TOTALS_Ԁ(CLAIMEDANDADJUSTED):#E Df# GV6$hVV G IVV6$h3V I GV6$hVV G IVV6$h3V I GV6$hVV G IVV6$h3V I aVVN/h  VV 1 a^l3\ DE17.PAYEESNAMEANDMAILINGADDRESS#E D\^l3w# ]VN/4   VV1 ]^l3\ DE#E D\^l3E#^l3\ DE#E D\^l3#^l3\ DE E;2tThh2V E QV>,`##'  Q XN/`   V X 7-< 7 7-< 7#E D\^l3˧#} DE @6$< @TIN: GV6$<  G IV6$<"V    I XN/<   V  X 7-h 7 @V-h  @ XN/h   V X 7-D  7 7-D  7 @6$D   @TelephoneNumber: GV6$D    G IV6$D  "V   I YVJ/D     V Y FV3! p V 0 F YVJ/ p   V0 Y =3!L!V =ww}CLAIMANTSCERTIFICATIONFORPERIODOFSERVICEFROM GV6$L!  G @6$L!"V  @ @6$L! @TO GV6$L!  G IV6$L!"V   I ^VVK/L!   V 1^ ]VN/!x  VV1 ] ND2T"/;V NCLAIMSTATUS <2$T" <}ww&#ww}# =3!T" =E Dwwww DEFinalPayment#E Dww# <2$T" <} DE&  #E D}3#} DE}}}}  >4"T" >E D}^l3\ DEInterimPaymentNumber#E D\^l3I#ww DE GV6$T"  G @6$T""V  @ @ }ww <2$T" <#ww}S#}ww&  #ww}Ѵ#}ww  GV4"T"   G^l3\}SupplementalPayment#}\^l3# LB/T"    V  L 1V "  0 1 XN/" !   V0 X 7-\#!! -7E D}Iherebycertifythattheaboveclaimisforservicesrenderedandiscorrect,andthatIhavenotsoughtorreceivedpayment(compensationoranythingofvalue)fromanyothersourceforthese \#!" services.#} DE# ZVG5#!#~~0;-  Z XN/\#!$   V X @V-#!$  @E D} @V-#!$ V  @#} DE# LB/#!%   V fL ( j$"% -( ZVG5j$"&OOXB- Z ]S@j$"'OO f V f] (V $x"'  ( @V-$x"' V  @ OE&$x"' f  V Oww} 7-6%"' 7#}wwr#SignatureofClaimant/Payee GV6$6%"( G @6$6%")V @ @6$6%"* @Date GV6$6%"+  G IV6$6%","V   I [VVJ/6%"-   V <[ FVV3!%b#.VV 0F aVVN/%b#/ < VV0 1 a^l3\}18.CERTIFICATIONOFATTORNEYIherebycertifythattheserviceswererenderedforthiscase. aVVN/%#0   VV1 f1 a nV_@~&&$1EEKE f  VV1 fn PVA&&$1 f V Pww\^l3 =3!J'$2V =#^l3\ww#}\^l3SignatureofAttorney GV6$J'$3 G @6$J'$4V @ @6$J'$5 @Date GV6$J'$6  G IV6$J'$7"V   I^l3\} aVVVN/J'$8   V <1a cVVVN/'%9 < VVV1 1cf\^l3  APPROVEDFORPAYMENT"COURTUSEONLY #^l3\f# aVVN/.(%:   VVV1   a19.TOTALCOMPENSATION IV6$(&; VV    I20.TRAVELEXPENSES IV6$(&< V   I21.OTHEREXPENSES IV6$(&= V  I22.TOTALAMOUNTAPPROVED/CERTIFIED}\^l3 _VVN/(&>   V _ IVV6$)*'?3VV I GV6$)*'@VV G IVV6$)*'A3V I GV6$)*'BVV  G IVV6$)*'C3V  I GV6$)*'DVV G IVV6$)*'E3V I^l3\} zVk/)*'F  VV 7@23.7@z2_  ԍ3 *z(H ._  ZPBH*'G 7@23. 7@V Z& FV3!H*'H / FEitherthecost(excludingexpenses)oftheseservicesdoesnotexceed$500,orpriorauthorizationwasobtained. YVJ/H*'I   V/ Y 9/!*x(JV 9& FV3!*x(K /FPriorauthorizationwasnotobtained,butintheinterestofjusticetheCourtfindsthattimelyprocurementofthesenecessaryservicescouldnotawaitpriorauthorization,eventhough *x(L thecost(excludingexpenses)exceeds$500. jV[@Z+)Md  V/ j 9/!X+)NV 9 FV3!X+)O  F PVA&X+)O   V <P FV3!+)PV 0 F YVJ/+)Q <  V0 Y DV3!,)RV D @6$,)SV @}\^l3 GV6$,)T  G  @6$,)U V  @ GV6$,)V  G EV2$,)W"V   E XVVG,,)X   V X DV3!,*Y"VV DSignatureofPresidingJudge GV6$,*Z"V G GV6$,*["V  GDate GV6$,*\"V  G IVV6$,*]"V  IJudgeCode^l3\} aVVN/,*^"  VV    a24.TOTALCOMPENSATION IV6$-2+_ VV    I25.TRAVELEXPENSES IV6$-2+` V   I26.OTHEREXPENSES IV6$-2+a V  I27.TOTALAMOUNTAPPROVED}\^l3 _VVN/-2+b   V _ IVV6$.+c3VV I GV6$.+dVV G IVV6$.+e3V I GV6$.+fVV  G IVV6$.+g3V  I GV6$.+hVV G IVV6$.+i3V I^l3\} aVVN/.+j  VV 1 a28.PAYMENTAPPROVEDINEXCESSOFTHESTATUTORYTHRESHOLDUNDER18U.S.C.3006A(e)(3) aVVN/.,k   VV1 <1 a YVJ/\/-l <  VV1 Y DV3!/@-mV D @6$/@-nV @}\^l3 GV6$/@-o  G  @6$/@-p V  @ GV6$/@-q  G EV2$/@-r"V   E XVVG,/@-s   V X DV3!^0.tVV D  SignatureofChiefJudge,CourtofAppeals(orDelegate) GV6$^0.u V G GV6$^0.vV  GDate GV6$^0.w"V  G IVV6$^0.xV  IJudgeCode?53^0.y"  D VV  ?XX