COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. New York State, Supreme Court : Calendar No. Appellate Division, Third Judicial Department P.O. Box, 7288, Capitol Station : Plaintiff(s) Albany, New York 12224 JUDICIAL SUBPOENA -againstW44444444444444444444444444444444444444 : THE PEOPLE OF THE STATE OF NEW YORK, : Respondent, : v. CASE NO. Defendant(s) : ...................................................... W44444444444444444444444444444444444444 VOUCHER FOR ASSIGNED COUNSEL (Criminal Appeal) THE PEOPLE OF THE STATE OF NEW YORK TO Date of assignment Order or judgment appealed from GREETINGS: Date record and briefs filed WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court Date of argument of appeal (if submitted, so state) located at County of inDate of Appellate Division decision room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the VOUCHER MUST BE SUBMITTED WITHIN 60 DAYS FROM DATE OF DECISION. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to For legal services rendered by , with offices at the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. , as counsel assigned to represent the above named defendant pursuant to County Law §722, from Witness, Honorable . Court in County, day of to , one of the Justices of the , 20 &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&& (Attorney Itemization of Services must sign above and type name below) DATE SERVICES TIME* Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Total Hours: Fee requested Disbursements Index No. : $ Plaintiff(s) $ -against- Calendar No. : JUDICIAL SUBPOENA : : : TOTAL FEE AND DISBURSEMENTS: $ Defendant(s) : ...................................................... Attorney's Certification of Claim THE PEOPLE OF THE STATE OF NEW, YORK attorney-at-law, certifies under penalty of perjury, that I am the claimant herein; that the items of the above account in the amount of $ TO true and correct; that the disbursements, services and supplies charged herein have in fact are been made or rendered; that no part of the amount claimed has been paid or satisfied; that I have not sought, nor have I received, any fee or other compensation for representing the GREETINGS: person, nor have I sought or received any compensation in this case from any above-named other source. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court DATED: located at County of in room , on the day of ,Signature 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Print Name: Address: Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&& *NOTE. Please show a breakdown of time expended: (a) reviewing record, (b) doing legal research, (c) doing other work preliminary to preparation of brief (stating nature), and (d) preparing brief. If itemization of services requires more space, Witness, Honorable , one of the fixing fees, the attach your own letterhead for continuation. While time expended is an important consideration in Justices ofthe Court also gives great weightCounty, factorsday of the difficulty ,of the case, the diligence with which the assignment was to other such as Court in 20 completed, and the competence and skill of counsel in the performance of services. Please note that for a felony appeal, section 722-b of the County Law limits compensation for services to $1200, except that the Court may award compensation in excess of that amount if extraordinary circumstances are present. Please note further that commencing January 1, 2004, the hourly rate increases to $75 for work done on and after that date, and for appeals assigned after that date, the limit on compensation without a showing of extraordinary circumstances increases to $4,400. below) (Attorney must sign above and type name FORM REVISED 1-22-2004 Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com