STATE OF NORTH CAROLINA IN THE GENERAL COURT OF JUSTICE SUPERIOR COURT DIVISION COUNTY OF MECKLENBURG ____-CVS-_________ TO: Presiding Judge AFFIDAVIT FROM: ____________________ EXPERT WITNESS FEE DATE: ____________________ SUBJECT: Court Appearance on Behalf of _________________________ This is to advise that I have expended the following time in connection with my Court appearance in the above-captioned case. All times are to the nearest 1/4 hour. Pretrial Preparation: ___________________ hour(s) Court Appearance: ___________________ hour(s) Travel to and from Court: ___________________ hour(s) Other (explain): ________________________________________ ____________________________________________________________ ________________________. ___________________ hour(s) TOTAL HOURS: ___________________ hour(s) Usual Hourly Rate: $__________________ ________________________________________ S ignature of Witness NOTE : The Judge cannot set a fee unless a subpoena was issued. Please show [NOTE RMB (1/87) Rev (9/94) CCF-35