UNITED STATES COURT OF APPEALS FOR THE SECOND CIRCUIT VERIFIED ITEMIZED BILL OF COSTS THIS SECTION M UST BE COM PLETED BY COUNSEL CASE TITLE: USCA DOCKET NUMBER: DISTRICT/AGENCY: COUNSEL'S NAME: COUNSEL'S ADDRESS: DISTRICT/AGENCY NUMBER: DATE: Counsel for _________________________________________________________________________ respectfully submits, pursuant to FRAP 39 (c) the within bill of costs and requests the Clerk to prepare an itemized statement of costs taxed against the _________________________________________________________________________ and in favor of _________________________________________________________________________ for insertion in the mandate. Docketing Fee Costs of printing appendix (necessary copies ______________ ) Costs of printing brief (necessary copies ______________ ____) Costs of printing reply brief (necessary copies ______________ ) _____________________ _____________________ _____________________ _____________________ (VERIFICATION HERE) _____________________ Signature Rev. April, 2011 American LegalNet, Inc. www.FormsWorkFlow.com