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Af Inv Sample
Af Inv Sample
Af Inv Sample
NO TE TO S UBS TITUTE CO URT RE PO RTE R THIS INVOICE DOES NOT GO THROUGH THE CIRCUIT CLERK
All untranscribed notes and/or tapes used to take the
Substitute court reporter must obtain the circuit judge's signature.
record must remain in the courthouse where the action
took place. The notes should be left in the office of the For payment, forward ORIGINAL INVOICE (no copies) to: Sue O'Dell
official court reporter, or with the judge’s secretary for
IMPORTANT: Please send a completed W-9 form with your invoice, if Supreme Court of Appeals
safekeeping until the official court reporter returns to Clerk's Office - Bldg. 1, Room E-317
work. The official court reporter will log and store you are a new court reporter, if your name has changed since you last
these notes in the same storage area at the worked for us, or if your address has changed since you last worked for State Capitol Complex
courthouse where their own notes are stored. The us. The State Auditor will not process an invoice if the name or address Charleston, WV 25305
retention of these items is mandatory. [It is the on the invoice does not match the W-9 on file with the State.
responsibility of the official court reporter to make sure
all substitute court reporter notes and/or tapes are
retained at the courthouse.]
Court Reporter/Payee: In this example, the substitute court reporter traveled to
If you previously reported proceedings in two different counties to work for the same judge:
circuit court and you did not leave your notes,
please return your notes to the courthouse as Address: (1) from her home in Weirton to Wellsburg (Brooke Co.),
soon as possible. If you have questions 16 miles, where she worked for a couple of hours;
concerning this procedure, contact Sue O’Dell
List all Counties Date * Total $15.00 per hr Total .55 per mile
Worked on this Date Worked
Hours x Miles x ** See above Note. Daily Total
Worked Hours Worked Traveled Miles Traveled Parking Tolls Hotel Meals
Brooke
Hancock 1/5/09 8 $ 120.00 46 $ 25.30 $ 145.30
Counties Worked Date Worked_1 Hours Hours x $15.00 Miles Miles x .55 Parking Tolls Hotel Meals
Mileage Breakdown is Required for Mileage Reimbursement. Insert town/city (1)Traveled From: Weirton To: Wellsburg Miles: 16
where your trip began, town/city where you worked, and number of miles traveled
between towns. If you traveled to a second county on the same date, insert town/city(2)Traveled From: Wellsburg To: New Cumberland Miles: 22
(3)Traveled From: New Cumberland
where your 2nd trip began, town/city where you worked, number of miles traveled, etc. To: Weirton Miles: 8
Brooke
1/6/09 8 $ 120.00 32 $ 17.60 $ 137.60
Counties Worked Date Worked_2 Hours Hours x $15.00 Miles Miles x .55 Parking Tolls Hotel Meals
Mileage Breakdown is Required for Mileage Reimbursement. Insert town/city Traveled From: Weirton To: Wellsburg Miles: 32
where your trip began, town/city where you worked, and number of miles traveled
between towns. If you traveled to a second county on the same date, insert town/city Traveled From: To: Miles:
where your 2nd trip began, town/city where you worked, number of miles traveled, etc. Traveled From: To: Miles:
Hancock
1/7/09 8 $ 120.00 18 $ 9.90 $ 129.90
Counties Worked Date Worked_3 Hours Hours x $15.00 Miles Miles x .55 Parking Tolls Hotel Meals
Mileage Breakdown is Required for Mileage Reimbursement. Insert town/city Traveled From: Weirton To: New Cumberland Miles: 18
where your trip began, town/city where you worked, and number of miles traveled
between towns. If you traveled to a second county on the same date, insert town/city Traveled From: To: Miles:
where your 2nd trip began, town/city where you worked, number of miles traveled, etc. Traveled From: To: Miles:
Brooke
1/8/09 8 $ 120.00 32 $ 17.60 $ 137.60
Counties Worked Date Worked_4 Hours Hours x $15.00 Miles Miles x .55 Parking Tolls Hotel Meals
Mileage Breakdown is Required for Mileage Reimbursement. Insert town/city Traveled From: Weirton To: Wellsburg Miles: 32
where your trip began, town/city where you worked, and number of miles traveled
between towns. If you traveled to a second county on the same date, insert town/city Traveled From: To: Miles:
where your 2nd trip began, town/city where you worked, number of miles traveled, etc. Traveled From: To: Miles:
Brooke
Ohio 1/9/09 8 $ 120.00 66 $ 36.30 $ 156.30
Counties Worked Date Worked_5 Hours Hours x $15.00 Miles Miles x .55 Parking Tolls Hotel Meals
Mileage Breakdown is Required for Mileage Reimbursement. Insert town/city Traveled From: Weirton To: Wellsburg Miles: 16
where your trip began, town/city where you worked, and number of miles traveled
between towns. If you traveled to a second county on the same date, insert town/city Traveled From: Wellsburg To: Wheeling Miles: 17
where your 2nd trip began, town/city where you worked, number of miles traveled, etc. Traveled From: Wheeling To: Weirton Miles: 33
Circuit Judge Approval and Signature—The above substitute court reporter/payee moves the Court for
an allowance of court reporting fees for the above date(s) inasmuch as substitute court reporter performed court
reporting services for the Supreme Court on the said date(s). Substitute court reporter performed in the absence of $ 706.70
Barbara Smith
______________________________, Gaughan
who is the official court reporter for Judge _____________________________. Invoice Total
Signature of Circuit Judge: ___________________________________________ Date_________________
af_inv_5_days [Effective 1/1/09]