O.I.D.S. WITNESS FEE REPORTING FORM QUARTER ENDING ____________________ _____________________ COUNTY In the quarter above stated, the following fees and expenses attributable to Oklahoma Indigent Defense System witnesses were paid from the court fund: Court Fund Payee Case No. Case Style Amount Total paid for O.I.D.S. witness fees and expenses: CERTIFICATION State of Oklahoma ) ) ss. County of ____________ ) $_______________ I, _________________, of lawful age and upon oath, certify that: 1. 2. Each defendant named above was found indigent by the court; Each defendant named above was represented in the District Court by the Oklahoma Indigent Defense System or its agent pursuant to court order or court minute; 3. The fees and expenses shown above for each case related to OIDS witness appearances made on or after September 1, 1994, pursuant to subpoena or other lawful order. District Court Clerk Subscribed and sworn to before me this ____ day of __________, 20____. Notary Public My Commission Expires: American LegalNet, Inc. www.FormsWorkFlow.com