On August 12, 2020 a
Party Statement
was filed
in the District Court of McIntosh County.
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McIntosh
CERTIFICATION TO COURT CLERK
I Hereby certify that the noted and itemized monies, as wigs by the
attached claim forms, bearing the official Voucher Number (s) as listed below,
were expended and paid by the Office of the District Attorney, to pay for the
lawful and necessary expenses and fees of the listed witness(es) who appeared
pursuant to Sammons or Subpoena issued on behalf of the State of Oklahoma, and
that said expenditures should be taxed as costs in the styled and numbered case and
collected as other costs in the case, all pursuant to law (28 O.S. Section 82).
(x) | Voucher Number(s) _8981 through 8985 _, inclusive.
(Use ONLY if claims are in strict numerical sequence)
CASE NUMBER(S)
cr-2020-1449°
CF-2020-184
CF-2020-211 |
CF-2020-154 A !
CF-2020-154 B
CF-2020-126 A
CF-2020-126 B
DAC FUNDING
193-029310-31-25
CAROL ISKI
DISTRICT ATTORNEY
wh ese
Fees $ 50.00
Mileage $ 351.90
Per Diem $
Lodging $
Total $ 401.90IN THE DISTRICT COURT FOR MCINTOSH COUNTY, STATE OF OKLAHOMA
STATE OF OKLAHOMA, ) Case Number: C= 2g -1 Gy
Plaintiff, ) 6 j
vs. . ) Voucher #
Brechlen Metioda , 5
1 ) AFFIDAVIT OF WITNESS ATTENDANCE
Defendant(s). ) AND STATE'S WITNESS FUND CLAIM
Name of Claimant“ [ Y \{ lk KS SS#
Maiing Address: C1044 —Jh¢5 E ue RA Slay cf TAG3 2
Date of Expense or Attendance Specfication of tems) Claimed Amount Claimed _| Amount Approved
/l-(3-20 Witness Fee for ( days @ $10.00/day 10.00
Meais(per diem) days @ $55.00/day (attach receipts)
Lodging (up to $95.00 attach receipts)
/, [- (8 -oO Mileage: _g0 @ total miles @ .575/mile Le. . aS”
Additional vicinity travel: total miles
Extraordinary travel-related expenses (attach receipts)
Other (Witness Fund Administrative Expenses) (Please specify and attach
receipts/PO's)
The District Attomey is hereby authorized to mail the Voucher to Claimant at the G Z
above stated address, TOTAL: -
AFFIDAVIT
‘The undersigned, being first duly swom upon oath, states that he/she appeared pursuant to a lawful summons or subpoena issued on behalf of the State of Oklahoma, and that lam
entitied under law to reimbursement for the above reasonable expenses directly incurred during my travel and stay, as well as the statutory witness fees, which are accurately listed
‘and accounted above. | have made no other: ‘claim for attendance in any other case for the term Covered by this Affidavit For the mileage claimed above | do ‘solemnly swear that |
drove my own personal vehicle, and necessarily will travel miles (round trip) and that my attendance consisted of a total of, days.
Ln dihie—
(Witnéss/Affiant Signature)
Subscribed and sworn to before she this
#11008593
Exp. 09-19-23
Document Filed Date
December 17, 2020
Case Filing Date
August 12, 2020
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McIntosh CERTIFICATION TO COURT CLERK I Hereby certify that the noted and itemized monies, as wigs by the attached claim forms, bearing the official Voucher Number (s) as listed below, were expended and paid by the Office of the District Attorney, to pay for the lawful and necessary expenses and fees of the listed witness(es) who appeared pursuant to Sammons or Subpoena issued on behalf of the State of Oklahoma, and that said expenditures should be taxed as costs in the styled and numbered case and collected as other costs in the case, all pursuant to law (28 O.S. Section 82). (x) | Voucher Number(s) _8981 through 8985 _, inclusive. (Use ONLY if claims are in strict numerical sequence) CASE NUMBER(S) cr-2020-1449° CF-2020-184 CF-2020-211 | CF-2020-154 A ! CF-2020-154 B CF-2020-126 A CF-2020-126 B DAC FUNDING 193-029310-31-25 CAROL ISKI DISTRICT ATTORNEY wh ese Fees $ 50.00 Mileage $ 351.90 Per Diem $ Lodging $ Total $ 401.90IN THE DISTRICT COURT FOR MCINTOSH COUNTY, STATE OF OKLAHOMA STATE OF OKLAHOMA, ) Case Number: C= 2g -1 Gy Plaintiff, ) 6 j vs. . ) Voucher # Brechlen Metioda , 5 1 ) AFFIDAVIT OF WITNESS ATTENDANCE Defendant(s). ) AND STATE'S WITNESS FUND CLAIM Name of Claimant“ [ Y \{ lk KS SS# Maiing Address: C1044 —Jh¢5 E ue RA Slay cf TAG3 2 Date of Expense or Attendance Specfication of tems) Claimed Amount Claimed _| Amount Approved /l-(3-20 Witness Fee for ( days @ $10.00/day 10.00 Meais(per diem) days @ $55.00/day (attach receipts) Lodging (up to $95.00 attach receipts) /, [- (8 -oO Mileage: _g0 @ total miles @ .575/mile Le. . aS” Additional vicinity travel: total miles Extraordinary travel-related expenses (attach receipts) Other (Witness Fund Administrative Expenses) (Please specify and attach receipts/PO's) The District Attomey is hereby authorized to mail the Voucher to Claimant at the G Z above stated address, TOTAL: - AFFIDAVIT ‘The undersigned, being first duly swom upon oath, states that he/she appeared pursuant to a lawful summons or subpoena issued on behalf of the State of Oklahoma, and that lam entitied under law to reimbursement for the above reasonable expenses directly incurred during my travel and stay, as well as the statutory witness fees, which are accurately listed ‘and accounted above. | have made no other: ‘claim for attendance in any other case for the term Covered by this Affidavit For the mileage claimed above | do ‘solemnly swear that | drove my own personal vehicle, and necessarily will travel miles (round trip) and that my attendance consisted of a total of, days. Ln dihie— (Witnéss/Affiant Signature) Subscribed and sworn to before she this #11008593 Exp. 09-19-23