IN THE COUNTY COURTS OF EL PASO COUNTY, TEXAS
CLAIM FOR SERVICES OR EXPENSES
Date
Service IN Court
Time
This area for Auditor use only
TOTAL IN COURT TIME
TOTAL CLAIM
COURT APPROVED REIMBURSABLE EXPENSES
Amount
**Note**
All receipts for reimbursable items must be
attached
Total Expenses:
STATE OF TEXAS
CAUSE No.
VS
FOR COUNTY AUDITOR’S OFFICE ONLY
Atty Fee Number
Vendor Number
Trans Code:
Index & Sub-Obj:
Date Entered
200
COUNCIL - 6856
ATTORNEY
ADDRESS
EMAIL ADDRESS
Date
Service OUT Of Court
Time
This area for Auditor use only
TOTAL OUT COURT TIME
TOTAL CLAIM
Grand Total Claim
ATTORNEY CERTIFICATION
ORDER APPROVING PAYMENT
I swear and affirm the truth and correctness of the above
statement. I CERTIFY THAT I HAVE NOT SUBMITTED ANY
OTHER VOUCHER ON THIS CASE OR; I CERTIFY I HAVE FILED A
VOUCHER FOR: ____________________________
The above voucher is approved to the amount of:
JUDGE:
DATE:
Excess payment approval
ATTORNEY SIGNATURE
STATE BAR No.
JUDGE:
DATE:
Date of Appointment
I further certify that no other funds from any other source have been received as payment on this case.
I further certify that any other funds received from any other source in payment on this case are fully disclosed and attached.
Voucher for services on criminal cases must be submitted within 45 days after final court appearance.
SELECT COURT
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SELECT HEARING
SELECT HEARING
SELECT HEARING
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Date
Service IN Court
Time
This area for Auditor use only
TOTAL IN COURT TIME
Date
Service OUT Of Court
Time
This area for Auditor use only
TOTAL OUT OF COURT TIME
SELECT HEARING
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SELECT HEARING
SELECT HEARING
SELECT HEARING
SELECT HEARING
SELECT HEARING
SELECT HEARING
SELECT HEARING
SELECT HEARING
SELECT HEARING
SELECT HEARING
SELECT HEARING
SELECT HEARING
SELECT HEARING
SELECT HEARING
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