PEOPLE v First Last OAKLAND COUNTY CIRCUIT COURT REQUEST AND ORDER FOR PAYMENT OF COURT APPOINTED COUNSEL (PATERNITY) Please print or type. Attorney Name Circuit Judge Phone # Address Circuit Court # Vendor ID # Bar # P Appointment Date The above named attorney was appointed to represent the defendant. A complete and accurate record of services rendered appears on the time sheet below. DO NOT ALTER TIME SHEET. This matter was disposed by: Dismissal DATE Order of Filiation ACTION HOURS TOTAL HOURS Circuit Court Use Only I have not received compensation from any source for handling this case. I have no expectation of receiving, nor will I accept, any other compensation. APPROVED $ KEVIN M. OEFFNER ACTING COURT ADMINISTRATOR Attorney Signature PATERNITY ORDER IT IS ORDERED: The above named attorney was appointed to represent this defendant in the above captioned case. (S)he has rendered this service, filed a payment voucher, and shall be paid ___________________________________________________ dollars from the County Treasury. Please Return to: OFFICE OF THE COURT ADMINISTRATOR OAKLAND COUNTY CIRCUIT COURT 1200 N. TELEGRAPH ROAD, DEPT. 404 PONTIAC, MI 48341-0404 Questions? Call Debbie Thompson (248) 858-0255 Fax (248) 975-9877 Additional forms may be obtained from the Court's website: www.oakgov.com OCBD-Atty-voucher-paternity.doc Circuit Judge American LegalNet, Inc. www.FormsWorkflow.com rev. 2/06