R.I. Local Form 2016-1.2 (Eff. 3/3/2003) INTERIM FEE ALLOWANCE SUMMARY - - - - - - - - - - - - - - - - - - - - -x In re: : : Debtor : BK No. Chapter : - - - - - - - - - - - - - - - - - - - - -x FEES: 1. Interim Fee Request Number: 2. Interim Period Involved: / / to / / 3. Total Hours of Services Performed this Period: 4. Total Interim Fee Allowanced to Date: $ 5. Interim Fee Request this Period: $ 6. Blended Hourly Rate this Period: $ (Excluding paraprofessionals) 7. Any Uncredited Retainer as of this Date: $ EXPENSES: 1. Total Expense Reimbursements Allowed to Date: $ 2. Interim Expenses Request this Period: $ 3. Breakdown of Item No. 3 Total: a. Travel Expense: $ b. Postage: $ c. Photocopies: $ d. Express Mail/Messenger : $ e. Overtime Charges: $ f. Other Expenses (Itemize): $ $ $ $ American LegalNet, Inc. www.FormsWorkFlow.com