Invoice No. INVOICE FOR TRANSCRIPT PREPARATION BY STATE-EMPLOYED COURT REPORTER ►Please type or print information. County Case Number Case Caption Type and Date of Proceeding Quantity of pages Rate per page Amount §814.69(1)(a) Originals $1.50 $0.00 An appeal §814.69(1)(a) Duplicates $0.50 $0.00 SPD appellate viewing §814.69(1)(b) Originals $2.25 $0.00 Other §814.69(1)(b) Duplicates $0.50 $0.00 This transcript was requested by: §814.69(1)(bm) Originals $3.00 $0.00 Public Defender SPD # §814.69(1)(bm) Duplicates $0.75 $0.00 Appointed SPD SPD# $0.00 District Attorney §814.69(1)(c) Duplicates Postage paid or charges for electronic copies (CDs, disks) $0.00 Guardian Ad Litem Subtotal $0.00 Judge Less credit for prepayment, county copying costs or other credit as applicable $0.00 Other: Net Total Due $0.00 Required by statute Description §814.69(1)(c) Originals This transcript is for: Private Counsel I certify that the total amount shown was computed in accordance with §814.69, Wis. Stats., and that I have not previously applied for or received payment for this amount. Court Reporter's Signature Social Security Number Send copy to: Date County Branch No. Telephone Number Make check payable to and send to: Send of invoice copy to: Director of State Courts Management Services 110 E. Main Street, Ste 430 Madison, WI 53703 CS-234, 09/09 American LegalNet, Inc. www.FormsWorkFlow.com