Fill and Sign the Div Form

OCJA 24 AUTHORIZATION AND VOUCHER FOR PAYMENT OF TRANSCRIPT (Rev. 12/03) 1. CIR./DIST./ DIV. CODE 2. PERSON REPRESENTED VOUCHER NUMBER 3. MAG. DKT./DEF. NUMBER 4. DIST. DKT./DEF. NUMBE R 5. APPEALS DKT./DEF. NUMBER 6. OTHER DKT. NUMBER 7. IN CASE/MATTER OF (Case Name)8. PAYMENT CATEGORY 9. TYPE PERS ON REPRESENTED 10. REPRESENTATION TYPE G Felony G Petty Off ense G Adult Defendant G Appellant (See Instructions) G Misdemeanor G Other G Juv enile Defendant G Appellee G Appeal G Othe r 11. OFFENSE(S) CHARGED (Cite U.S. Code, Title & Section) If more than one offense, list (up to five) major offenses charged, according to severity of offense. REQUEST AND AUTHORIZATION FOR TRANSCRIPT 12. PROCEEDING IN WHICH TRANSCRIPT IS TO BE USED (Describe briefly) 13. PROCEEDING TO BE TRANSCRIBED (Describe specifically). NOTE: The trial transcripts are not to include prosecuti on opening statement, defense opening statement, prosecution argument, defense argument, prosecution rebuttal, voir dire or jury instructions, unless specifically authorized by the Court (see Item 14). 14. SPECIAL AUTHORIZATIONS JUDGE’S INITIALS A. Apportioned Cost % of transcript with (Give case name and defendant) B. GExpedited GDaily GHourly Transcript GRealtime Unedited Transcript C. GProsecution Opening Statement GProsecution Argument GProsecution Rebuttal GDefense Opening Statement GDefense Argument GVoir Dire GJury Instructions D. In this multi-defendant case, commercial dup lication of transcripts will impede the delivery of accelerated transcript services to persons proceeding under the Criminal Justice Act. 15. ATTORNEY’S STATEMENT 16. COURT ORDER As the attorney for the person represented who is managed above, I hereby affirm that the transcript requested is necessary for ade quate representation. I, therefore, request authorization to obtain the transcript services at the expense of the United States pursuant to the Criminal Justice Act. Financial eligibility of the person represen ted having been established to the Court’s satisfaction the authorization request ed in Item 15 is hereby granted. Signature of Attorney DateSignature of Presiding Judge or By Order of the Court Printed Name Date of Or der Nunc Pro Tunc Date Telephone Number: GPanel Attorney GRetained Attorney GPro-Se GLegal Organization CLAIM FOR SERVICES 17. COURT REPORTER/TRANSCRI BER STATUS 18. PAYEE’S NAME AND MAILING ADDRESS GOfficial GContract GTranscriber GOther 19. SOCIAL SECURITY NUMBER OR EMPLOYER ID NUMBER OF PAYEE Telephone Number: 20. TRANSCRIPT INCLUDE PAGE NUMBERS NO. OF PAGES RATE PER PAGE SUB-TOTAL LESS AMOUNT APPORTIONED TOTAL Original Copy Expense (Itemize) TOTAL AMOUNT CLAIMED: 21. CLAIMANT’S CERTIFICATION OF SERVICE PROVIDED I hereby certify that the above claim is for services rendered and is correct, and that I have not sought or received payment (compensation or anything of value) from any other source for these services. Signature of Claimant/Payee Date ATTORNEY CERTIFICATION 22. CERTIFICATION OF ATTORNEY OR CLERK I hereby certify that the services were rendered and that the transcript was received. Signature of Attorney or Clerk Date APPROVED FOR PAYMENT — COURT USE ONLY 23. APPROVED FOR PAYMENT 24. AMOUNT APPROVED Signature of Judge or Clerk of Court Date