ATTORNEY FEE PETITION DEFENDER PROGRAM DISTRICT COURT Case ...

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DEFENDER PROGRAM GENESEE COUNTY

ATTORNEY FEE PETITION DISTRICT COURT FH CASES

(For Services on or after 10-1-2021)

Attorney Name: Select Name

Defendant Name: Reviewed Sentencing Guidelines

with Client

Case Number: (ex. 18T00123) Judge: Select Judge

Total Fees Requested: $ 0.00

Probable Cause Conference

Date

Date

Date

Date

Felony plea on day of PCC or PE

Attorney Client Conference (verification form must be attached)

Date Date Date

Preparation for Exam Attending Exam - No Testimony taken

Exam Conducted

Date Date

Date

Date

Misdemeanor Plea

Date

Misdemeanor Sentencing

Date

Standard FH Discovery Copies

(up to 50 pages)

Additional Copies @ .10c per page

Enter the number of dates

0

Authorized Fee $100.00 $50.00 $50.00 $50.00 $200.00 $50.00 $50.00 $50.00

X $40.00

$75.00 $75.00 $75.00 $50.00 $50.00 $5.00

0

x $ 0.10

Requested Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00

I hereby certify that I have necessarily performed the services for which the above fees are requested, and that I have been paid no other fee except as set forth above. I declare that the representations above are true and accurate under the penalty of perjury.

Sign: ________________________________________ Counsel

Date

I have reviewed the above petition and approve the requested fee.

Approved By:__________________________________ Defender Admin.

Date

Revised 9.29.21 TM

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