+----------+-----------------------+---+----+-----+-------+---------+
| **CJA    |                       |   |    |     |       |         |
| CASE     |                       |   |    |     |       |         |
| EXPENSES |                       |   |    |     |       |         |
| W        |                       |   |    |     |       |         |
| ORKSHEET |                       |   |    |     |       |         |
| FOR      |                       |   |    |     |       |         |
| A        |                       |   |    |     |       |         |
| TTORNEYS |                       |   |    |     |       |         |
| OR       |                       |   |    |     |       |         |
| EXPERTS  |                       |   |    |     |       |         |
| (CJA     |                       |   |    |     |       |         |
| 20/21)(N |                       |   |    |     |       |         |
| ON-DEATH |                       |   |    |     |       |         |
| PENALTY  |                       |   |    |     |       |         |
| CASE)**  |                       |   |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
| NAME OF  |                       |   |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
| DE       | **[\_\_\_\_\_\_\_     |   |    |     |       |         |
| FENDANT: | \_\_\_\_\_\_\_\_      |   |    |     |       |         |
|          | \_\_\_]{.underline}** |   |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
|          |                       |   |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
| DOCKET   | **[\_\_\_\_\_\_\_     |   |    |     |       |         |
| No.:     | \_\_\_                |   |    |     |       |         |
|          | \_\_\_]{.underline}** |   |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
|          | Description of        | T |    |     |       |         |
|          | services rendered     | R |    |     |       |         |
|          |                       | A |    |     |       |         |
|          |                       | V |    |     |       |         |
|          |                       | E |    |     |       |         |
|          |                       | L |    |     |       |         |
|          |                       | E |    |     |       |         |
|          |                       | X |    |     |       |         |
|          |                       | P |    |     |       |         |
|          |                       | E |    |     |       |         |
|          |                       | N |    |     |       |         |
|          |                       | S |    |     |       |         |
|          |                       | E |    |     |       |         |
|          |                       | S |    |     |       |         |
|          |                       | ( |    |     |       |         |
|          |                       | B |    |     |       |         |
|          |                       | l |    |     |       |         |
|          |                       | o |    |     |       |         |
|          |                       | c |    |     |       |         |
|          |                       | k |    |     |       |         |
|          |                       | 1 |    |     |       |         |
|          |                       | 7 |    |     |       |         |
|          |                       | ) |    |     |       |         |
|          |                       |   |    |     |       |         |
|          |                       | P |    |     |       |         |
|          |                       | o |    |     |       |         |
|          |                       | i |    |     |       |         |
|          |                       | n |    |     |       |         |
|          |                       | t |    |     |       |         |
|          |                       | s |    |     |       |         |
|          |                       | o |    |     |       |         |
|          |                       | f |    |     |       |         |
|          |                       | T |    |     |       |         |
|          |                       | r |    |     |       |         |
|          |                       | a |    |     |       |         |
|          |                       | v |    |     |       |         |
|          |                       | e |    |     |       |         |
|          |                       | l |    |     |       |         |
|          |                       | a |    |     |       |         |
|          |                       | n |    |     |       |         |
|          |                       | d |    |     |       |         |
|          |                       | \ |    |     |       |         |
|          |                       | # |    |     |       |         |
|          |                       | o |    |     |       |         |
|          |                       | f |    |     |       |         |
|          |                       | m |    |     |       |         |
|          |                       | i |    |     |       |         |
|          |                       | l |    |     |       |         |
|          |                       | e |    |     |       |         |
|          |                       | s |    |     |       |         |
|          |                       | R |    |     |       |         |
|          |                       | E |    |     |       |         |
|          |                       | Q |    |     |       |         |
|          |                       | U |    |     |       |         |
|          |                       | I |    |     |       |         |
|          |                       | R |    |     |       |         |
|          |                       | E |    |     |       |         |
|          |                       | D |    |     |       |         |
|          |                       | F |    |     |       |         |
|          |                       | O |    |     |       |         |
|          |                       | R |    |     |       |         |
|          |                       | C |    |     |       |         |
|          |                       | L |    |     |       |         |
|          |                       | A |    |     |       |         |
|          |                       | I |    |     |       |         |
|          |                       | M |    |     |       |         |
|          |                       | ! |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
| Date     | **NOTE: receipts      | * |    |     | Pa    | OTHER   |
|          | required for unusual  | * |    |     | rking | E       |
|          | expenses and any      | M |    |     |       | XPENSES |
|          | claim greater than    | I |    |     |       | (Block  |
|          | \$50!**               | L |    |     |       | 18)     |
|          |                       | E |    |     |       |         |
|          |                       | A |    |     |       |         |
|          |                       | G |    |     |       |         |
|          |                       | E |    |     |       |         |
|          |                       | * |    |     |       |         |
|          |                       | * |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
|          |                       | R | M  | C   |       |         |
|          |                       | a | il | ost |       |         |
|          |                       | t | es |     |       |         |
|          |                       | e |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
|          |                       | 0 |    |     |       |         |
|          |                       | . |    |     |       |         |
|          |                       | 4 |    |     |       |         |
|          |                       | 0 |    |     |       |         |
|          |                       | 5 |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
|          |                       | 0 |    |     |       |         |
|          |                       | . |    |     |       |         |
|          |                       | 4 |    |     |       |         |
|          |                       | 0 |    |     |       |         |
|          |                       | 5 |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
|          |                       | 0 |    |     |       |         |
|          |                       | . |    |     |       |         |
|          |                       | 4 |    |     |       |         |
|          |                       | 0 |    |     |       |         |
|          |                       | 5 |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
|          |                       | 0 |    |     |       |         |
|          |                       | . |    |     |       |         |
|          |                       | 4 |    |     |       |         |
|          |                       | 0 |    |     |       |         |
|          |                       | 5 |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
|          |                       | 0 |    |     |       |         |
|          |                       | . |    |     |       |         |
|          |                       | 4 |    |     |       |         |
|          |                       | 0 |    |     |       |         |
|          |                       | 5 |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
|          |                       | 0 |    |     |       |         |
|          |                       | . |    |     |       |         |
|          |                       | 4 |    |     |       |         |
|          |                       | 0 |    |     |       |         |
|          |                       | 5 |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
|          |                       | 0 |    |     |       |         |
|          |                       | . |    |     |       |         |
|          |                       | 4 |    |     |       |         |
|          |                       | 0 |    |     |       |         |
|          |                       | 5 |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
|          |                       | 0 |    |     |       |         |
|          |                       | . |    |     |       |         |
|          |                       | 4 |    |     |       |         |
|          |                       | 0 |    |     |       |         |
|          |                       | 5 |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
|          |                       | 0 |    |     |       |         |
|          |                       | . |    |     |       |         |
|          |                       | 4 |    |     |       |         |
|          |                       | 0 |    |     |       |         |
|          |                       | 5 |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
|          |                       | 0 |    |     |       |         |
|          |                       | . |    |     |       |         |
|          |                       | 4 |    |     |       |         |
|          |                       | 0 |    |     |       |         |
|          |                       | 5 |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
|          |                       | 0 |    |     |       |         |
|          |                       | . |    |     |       |         |
|          |                       | 4 |    |     |       |         |
|          |                       | 0 |    |     |       |         |
|          |                       | 5 |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
|          |                       | 0 |    |     |       |         |
|          |                       | . |    |     |       |         |
|          |                       | 4 |    |     |       |         |
|          |                       | 0 |    |     |       |         |
|          |                       | 5 |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
|          |                       | 0 |    |     |       |         |
|          |                       | . |    |     |       |         |
|          |                       | 4 |    |     |       |         |
|          |                       | 0 |    |     |       |         |
|          |                       | 5 |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
|          |                       | 0 |    |     |       |         |
|          |                       | . |    |     |       |         |
|          |                       | 4 |    |     |       |         |
|          |                       | 0 |    |     |       |         |
|          |                       | 5 |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
|          |                       | 0 |    |     |       |         |
|          |                       | . |    |     |       |         |
|          |                       | 4 |    |     |       |         |
|          |                       | 0 |    |     |       |         |
|          |                       | 5 |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
|          |                       |   |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
|          | **Page total**        |   |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+
|          | **Grand Total**       |   |    |     |       |         |
+----------+-----------------------+---+----+-----+-------+---------+

Rev. 11/14/23