Stanislaus — Download

Source: https://www.stanislaus.courts.ca.gov/system/files/attyfeeclaim-fillable-2018-website.pdf

STANISLAUS COUNTY SUPERIOR COURT

_____________________________________________ Case No.______________________________________ In the Matter of: ) DECLARATION AND ORDER FOR ATTORNEY ) FEES / RECAPITULATION ) “JUVENILE FEE CLAIM” _______________________________a minor)

The undersigned attorney, who is duly licensed to practice law in California, declares that on

____________ the Honorable ___________________________________________ presiding, appointed the undersigned to represent ___________________________________ a minor / father / mother / legal guardian in a W & I Code §300 or W& I Code §602 proceeding, on ________________ the final disposition of the case was made before the Honorable ___________________________________ presiding.

The undersigned states that he/she has performed the legal services and incurred the expenses listed in

this Declaration as follows, and on which were reasonable and necessary.

Date Description of Activity or Time Sheet No. Time in 1/10

4. Total _ __________ x $______________ = ______________

   I have received payment of $ ______________________ on this case.

   Harris Motion Appt. _______________ “Y” or “N” (Yes or No) (List additional information in order on reverse side of attachments.) I declare under penalty of perjury that the foregoing, including any attachments, is true and correct.

Executed on ___________________________ at Modesto, California. Print Name: _________________________________ Telephone No.: __________________________

SIGN Address: __________________________

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Declarant’s Signature

ORDER FOR PAYMENT OF FEES

Pursuant to the above declaration and the information provided therein, attorney’s fees and costs are

hereby awarded to the declarant in the sum of $ _________________. The County Auditor-Controller is

SIGNhereby directed to make said payment to the above declarant.

Dated: ___________________________ _______________________________________ Authorized signature

Shaded areas for Accounting and Auditor’s use only ORACLE ACCOUNT CODING STRIP BATCH NAME PREPARED BY: DEPT: PUBLIC DEFENDER KEYED BY DATE: Phone:

Inv.Date: ________________Inv. # _______________________ Supplier # ___________________________________________

AMOUNT FUND ORG ACCOUNT MISCELLANEOUS DESCRIPTION TERMS 0100 27550 66750 IMMED

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DATE AUTHORIZED DEPT. SIGNATURE DATE AUDITOR APPROVING SIGNATURE (Exceeding $75,000)

REPORTABLE Y or N SITE NAME:

G006 Mandatory Form Rev. 6/5/18