UJS 010 (11/2017) FILE NO: VOUCHER FOR COMPENSATION & EXPENSES OF COURT APPOINTED ATTORNEY STATE OF SOUTH DAKOTA,vsDEFENDANTTYPE OF ACTION:PAYMENT STATUS:[Last four SSN [Minnehaha]:]FELONYPAY CLERK CHARGES:MISDEMEANOR DISMISSED County of Residence:JUVENILEPENDINGAddress: CHILD A & NACQUITTEDIVCParent or Guardian:CLAIM OF:ADDRESS: (NOTE: insert dates of services and time spent in hours and fractional quarter hours) ITime spent before Committing MagistratehrsIITime spent in open Court: (a) Arraignment and Plea:hrs (b) Trial:hrs (c) Other (Specify): hrs IIITime spent in Preparation (out of Court): (a) Interviews with Defendant: hrs (b) Legal Research: hrs (c) Investigative work: (1) Interviews with Witnesses named: hrs (2) Interviews with Officials named: hrs (3) Other (Specify): hrs IVItemized Statement of Travel and Other Expenses: $ SUMMARY OF CLAIMItem Ihoursminutes at$ an hour= $ Item II hoursminutes at$ an hour= $ Item III hoursminutes at$ an hour= $ Total I, II, & III Compensation claimed:$Item IVExpenses claimed:$TOTAL COMPENSATION & EXPENSES CLAIMED:$It is hereby ordered that the above claim is approved in the amount of $, and the County Treasurer is directed to pay said sum forwith upon presentation of this order.Dated thisday of , 20. JUDGE TO BE PAID FROM: FUNDWARRANT NUMBER: I DECLARE AND AFFIRM UNDER PENALTIES OF PERJURY THAT THIS CLAIM HAS BEEN EXAMINED BY ME, AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, IS IN ALL THINGS TRUE AND CORRECT.This day of 20.Signed:Amount of this claim allowed: $DATE FILED:This day of , 20.,Co Auditorby,DeputyChair, Board of County Commissioners American LegalNet, Inc. www.FormsWorkFlow.com