Fillable Senior Justice/Judge Program (Supreme Court of Nevada)

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Senior Justice/Judge Program (Supreme Court of Nevada)

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File type: PDF

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Senior Justice/Judge Program
Senior Justice/Judge Name:
Date
District
AO#
Description (detailed)
Service
Hours
Travel
Hours
Total Hours Worked:
Total Hours Worked, Page Two
Grand Total Hours:
I, as senior judge, affirm that I have performed the services as indicated on this form and should be compensated accordingly.
Signature: _______________________________________________________ Date: ____________________
For Payroll Department Use Only
PLEASE ATTACH A COPY OF THE APPLICABLE REQUESTS FOR ASSIGNMENT
Rev. 10/07
click to sign
signature
click to edit
Senior Justice/Judge Program (Page Two)
Senior Justice/Judge Name:
Date
District
Description (detailed)
Service
Hours
Travel
Hours
Total Hours Worked:
Rev. 10/07
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Senior JusticeJudge Program (Supreme Court of Nevada)

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Completed 21 July 2020

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