COURT INTERPRETER INVOICE
Invoice No.: PR No.:
Interpreter: SS# or EID (last 4 digits only): ______________________
Address:
(City/State) Zip Code
is hereby authorized to perform the following interpreting assignments in Spanish Creole Other:
Check will be made out to above mentioned interpreter unless indicated as follows:
Date
Year
20
Judge In -Court Hours Case No. Deft and/or
witness
Location Travel Times No. of
Miles r/t
(outside
Miami
only)
Mileage
Rate
(miles x rate)
Fee
(Full or half
day)
Tolls Parking Overtime
# hrs x rate
Total for day
From To Start End
Totals
Total amount claimed:___________________________
CERTIFICATION: I hereby certify I rendered the services described herein, that said services were rendered in accordance with the Contract Court Interpreter Services Terms and Conditions, and
that no other federal court unit, Federal Public Defender, Community Defender Organization or other attorneys or entities obtaining interpreting services under the CJA or the Defender services
appropriation has been or will be billed for the same period of service, cancellation or travel expenses.
Date:
Signature of Interpreter:___________________________________________________________
Approved for payment:
Date:
Supervisory Interpreter
$
$
$
$
$
$
$
Print Form
$
$
$
$
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signature
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