Justice Court, Las Vegas Township
CLARK COUNTY, NEVADA
) ) ) ) ) ) ) ) DEFENDANT )
Filing ........................................................................................................................... Service of Process ......................................................................................................... Jury Fees ..................................................................................................................... Witness Fees ............................................................................................................... Sheriff's / Constable's Fees ............................................................................................. Record & Certify Judgment ............................................................................................. Garnishment & Execution Fees ........................................................................................ Attorney's Fees ............................................................................................................ $ $ $ $ $ $ $ $ $ TOTAL
STATE OF NEVADA COUNTY OF CLARK ) )
PLAINTIFF -vs-
CASE NO:
____________________________
MEMORANDUM OF COSTS AND DISBURSEMENTS
$
___________________________________________________________, being duly sworn (or) under penalty of perjury, states: that Affiant is the attorney for the _____________________________ and has personal knowledge of the above costs and disbursements expended; that the items contained in the above Memorandum are true and correct to the best of this Affiant's knowledge and belief; and that the said disbursements have been necessarily incurred and paid in this action. SUBSCRIBED AND SWORN to before me this ________ day of _________________, 20____ . Attorney For: _______________________________ _______________________________________ NOTARY PUBLIC in and for County of ____________________, State of ___________. My Commission Expires: _________________________ (SEAL) OR: ONE OF THE FOLLOWING: Per NRS 53.045 (a) If executed in this State (Nevada): "I declare under penalty of perjury that the foregoing is true and correct." Executed on (Date) (Signature) (b) If executed outside of this State (Nevada): "I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct." Executed on (Date)
JC-8 (Civil) Rev. 03/02
________________________________ Signature of Affiant
(Signature)