Fillable Gal Itemization Of Services Additional Page Jv 068re (Commonwealth of Massachusetts)

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Gal Itemization Of Services Additional Page Jv 068re (Commonwealth of Massachusetts)

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JV-068 (Rev. 07/06/2015)
GUARDIAN AD LITEM'S
ITEMIZATION OF SERVICES
Page of
DOCKET NUMBER
Trial Court of Massachusetts
Juvenile Court Department
CASE NAME
VENDOR CODE NUMBER
DIVISION
ITEMIZATION OF SERVICES
(shall not include travel, court waiting time nor time for preparation of this form)
DATE OF
SERVICE
START TIME/
END TIME
TIME SPENT
(In Minutes)
DESCRIPTION OF WORK
(Please Specify)
Total Minutes:
DATE SIGNATURE OF GUARDIAN AD LITEM
Total Minutes Divided by 60 = Hours
X $50.00 per hour = Total Amount: $
ATTACH THE FOLLOWING: A COPY OF APPOINTMENT AND A COPY OF ANY APPROVED MOTION(S). FAILURE TO PROVIDE THE
REQUIRED ATTACHMENTS WILL DELAY PROCESSING OF THIS FORM FOR PAYMENT .
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Gal Itemization Of Services Additional Page Jv 068re (Commonwealth of Massachusetts)

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Completed 26 July 2020

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