Author: Harry Horak

Attorney Fee Voucher / Nueces County District Courts / Court #:				Instruction: / Please complete one fee voucher form for each case. If the defendant has multiple cases, staple all fee voucher forms together and submit to the state district judge.
				Case No.:
Offense:
In the case of: State of Texas vs.					Case Level:
Part I
Withdrew/Substitution	$150		□	3RD		$550		□
Dismissal	$200		□	2ND		$700		□
AR	$250		□	1ST		$800		□
MTR	$450		□	Capital/Death		Itemize		□
SJF	$500		□	Capital/Non-Death		Itemize		□
				Appeal		Itemize		□

A

PLEA

MTR

TRIAL

CR

AR

CM

DIVERT/OTHER

Part II
I am requesting additional attorney’s fees in addition to the flat fee for exceptional circumstances & described in attached documentation to support such request.
	In Court			Hours	X	$100	=
	Out of Court			Hours	X	$60	=
	Jury Trial:
	Out of Court Hours			Hours	X	$60	=
	In Court Hours			Half Days	X	$400 - $750	=
	In Court Hours			Days	X	$800 - $1500	=
	Reimbursable expense (attach receipts)						=
(select one) ->	□ Appeal □ Capital Death □ Capital non-Death					Itemized	=
						Total $

YES

\

NO

(per half day)

(per day)

A T T O R N E Y I D E N T I F I C A T I O N I N F O R M A T I O N
Attorney Name or Firm:		State Bar Number:
E-Mail Address:		Telephone Number: / ( )
Mailing Address (Number, Street, Suite, City, State, Zip Code):		Fax Number: / ( )
Vendor No.: / V -	County Auditor Use: / Dept - Key Code: Secondary Reference:
A T T O R N E Y C E R T I F I C A T I O N
I, the undersigned attorney, certify that the above information is true and correct and in accordance with the laws of the State of Texas. The compensation and expenses claimed were reasonable and necessary to provide effective assistance of counsel. I further swear or affirm that I have not received nor will receive any money or anything else of value for representing the accused, except as otherwise disclosed to the Court in writing. / Time Period of Services Rendered: From __________________________ to _____________________________ / Have previous vouchers been submitted for this case?
O R D E R
SIGNATURE OF TRIAL JUDGE		Recorded by: Jennifer Whittington, District Clerk / by Deputy District Clerk (Signature)
Reason for Denial Date: / or Variance
Approved by Council of Judges 10/30/2015

YES

\

NO

Signature and Date

Is this voucher for: Final Payment or Partial Payment?

$

DETAILS OF SERVICES PERFORMED				Page 2 of 2
Date of Service		Description of Service		Time
In Court Services:
			Total
Out of Court Services:
			Total
Other Services and Reimbursable Expenses: / (please attach proof and itemization.)
			Total