Contract Court Interpreter Invoice
Contract Court Interpreter Invoice Form. This is a Georgia form and can be use in District Court Federal.
Tags: Contract Court Interpreter Invoice, LF011, Georgia Federal, District Court
LF011 Rev: 09/2015 UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF GEORGIA CONTRACT COURT INTERPRETER INVOICE Interpreter Information Interpreter: Certified: Non-Certified: Language: Tax ID# or SS#: Phone# or Email: Address: Case Information USA vs. Case#: Presiding Judge: Requestor: *Type of Proceeding: Probation Officer Signature (If Pretrial/Probation Interview): *Type of Proceeding: Initial Appearance, Preliminary Hearing, Arraignment, Trial, Sentencing, Pretrial/Probation Interview, etc. Itemization of Fees and Other Costs Date Travel & Service Time Begin End Hrs Explanation for any adjustments: *Fee Miles Mileage Rate Total Parking **Other Total Cost Total Amount Certified for Payment *Fee: Half Day Rate for service & travel time up to 4hrs. Full Day Rate for travel & service time in excess of 4hrs; meal periods excluded. **Other: Tolls, Travel (Airfare/Hotel), Per Diem, etc. Itemize travel and per diem costs on a separate sheet of paper. Attach all receipts. Travel Information Location of Service: Departure Address: Arrival Address: Departure Address: Arrival Address: Explanation for any deviation: In Court: Out of Court: Time: Time: Time: Time: Certification I hereby certify that I personally rendered the services described herein for payment requested, that said services were rendered in accordance with the Contract Court Interpreter Services Terms and Conditions, and that no other federal court unit, Federal Public Defender, Community Defender Organization, or other attorney or entity obtaining interpreting services under the CJA, or related statutes, or the Defender Services appropriation, or any other federal agency or entity has been or will be billed for the same period of service, cancellation or travel expenses. _____________________________________________________________________________________________ Signature of Interpreter (Payee) _______________________ Date Approved For Payment ____________________________________________________________________________________________ Signature of Presiding Judge Signature: Acct Template: Acct Template: PR#/PO#: _______________________ Date APPROVED FOR PAYMENT (USDC ONLY) Date $ $ P2#: Invoices and necessary receipts shall be submitted within 30 days of service to: 2211 United States Courthouse / Attn: Budget & Procurement / 75 Ted Turner Drive SW / Atlanta, GA 30309-3309 Claims are subject to verification by the court American LegalNet, Inc. www.FormsWorkFlow.com