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UNITED STATES DISTRICT COURT Northern District of California CJA INTERPRETER INVOICE Interpreter Name Street Address City State Zip Attorney Name and Address Please complete one invoice for each date of service. Case Name Case Number Date of service 1. Travel from address starting at a*m*/p*m* Travel to arriving at 0 of hour s 2. Service time from 3. Return travel from 4. Total number of hours from lines 1 2 and 3. Enter total billable hours. If total is a fraction round up to next whole number. 5. Total billable hours at the CJA rate of 65. 00 6. Mileage miles 0. 51 per mile effective 1/1/11. 7. Bridge Toll Parking 8. Document translation of words per hour. BART/MUNI per word 9. Grand total - Add lines 5 6 7 and 8. IMPORTANT If you worked for any other court agency on this date FPD Probation or USDC you must provide the agency name case number and time of service below AGENCY CJA FPD PROBATION USDC CASE FROM Print Form Email Form Save Form TO. Case Name Case Number Date of service 1. Travel from address starting at a*m*/p*m* Travel to arriving at 0 of hour s 2. Service time from 3. Return travel from 4. Total number of hours from lines 1 2 and 3. Enter total billable hours. Service time from 3. Return travel from 4. Total number of hours from lines 1 2 and 3. Enter total billable hours. If total is a fraction round up to next whole number. 5. Total billable hours at the CJA rate of 65. If total is a fraction round up to next whole number. 5. Total billable hours at the CJA rate of 65. 00 6. Mileage miles 0. 51 per mile effective 1/1/11. 7. Bridge Toll Parking 8. Document translation of words per hour. 00 6. Mileage miles 0. 51 per mile effective 1/1/11. 7. Bridge Toll Parking 8. Document translation of words per hour. BART/MUNI per word 9. Grand total - Add lines 5 6 7 and 8. IMPORTANT If you worked for any other court agency on this date FPD Probation or USDC you must provide the agency name case number and time of service below AGENCY CJA FPD PROBATION USDC CASE FROM Print Form Email Form Save Form TO. Case Name Case Number Date of service 1. Travel from address starting at a*m*/p*m* Travel to arriving at 0 of hour s 2. Service time from 3. Return travel from 4. Total number of hours from lines 1 2 and 3. Enter total billable hours. If total is a fraction round up to next whole number. 5. Total billable hours at the CJA rate of 65. Service time from 3. Return travel from 4. Total number of hours from lines 1 2 and 3. Enter total billable hours. If total is a fraction round up to next whole number. 5. Total billable hours at the CJA rate of 65. 00 6. Mileage miles 0. 51 per mile effective 1/1/11. 7. Bridge Toll Parking 8. Document translation of words per hour. If total is a fraction round up to next whole number. 5. Total billable hours at the CJA rate of 65. 00 6. Mileage miles 0. 51 per mile effective 1/1/11. 7. Bridge Toll Parking 8. Document translation of words per hour. BART/MUNI per word 9. Grand total - Add lines 5 6 7 and 8. IMPORTANT If you worked for any other court agency on this date FPD Probation or USDC you must provide the agency name case number and time of service below AGENCY CJA FPD PROBATION USDC CASE FROM Print Form Email Form Save Form TO.

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