COURT INTERPRETER AUTHORIZATION VOUCHER
Interpreter ____________________________________________________ Social Security/Tax Number ______________________________________ Mailing Address________________________________________________ City/State/Zip__________________________________________________ is hereby authorized to perform the following interpreting assignment in:
PAID BY
MATTHEW J. DYKMAN, CLERK U.S. DISTRICT COURT 4651
Q Spanish
Q Navajo
Q Other (specify) ____________________, for ___________ day(s)
on ________________________________. Check will be made out to above mentioned interpreter unless indicated as follows ______________________________________________________________________________.
Hour Date From To Judge Case No. Proceeding
Defendant and/or Witness Number
Fee: $____________________ x ____________________ day(s)/half day Overtime: ____________ hours at ____________________/hour Travel (when applicable)* ___________ miles @ _________¢ / mile Travel Time: Home to Court _______________ Court to Home _______________
Rates: CERTIFIED full day $384 / half day $208 NON-CERTIFIED full day $185 / half day $102 TRAVEL 55¢ per mile
$ _________________________ $__________________________ $ _________________________ Tolls Parking $__________________________ $__________________________
TOTAL $_________________________
I hereby certify under penalty or perjury that the foregoing is true and correct. Date: ________________________ Signature: ______________________________________________ Interpreter
*Mileage may be claimed for travel 30 miles or more, one way; rates are as of 1/1/06.
Pursuant to authority vested in me, I certify that the voucher is correct and proper for payment. ______________________ (Date) ________________________________________________ (Approved for Payment)
ACCOUNTING CLASSIFICATION
__________________________________ (Title)
_______ - 092000 - DXXBBCX - D10NMX_______ - 2523