AO 133 (Rev. 6/94)

***UNITED STATES DISTRICT COURT***

***WESTERN DISTRICT OF MISSOURI***

** BILL OF COSTS**

V. Case No.

Judgment having been entered in the above entitled action on [
]{.underline} against [ ]{.underline},

Date

the Clerk is requested to tax the following as costs:

Fees of the
Clerk\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....\$
[ ]{.underline}

Fees for service of summons and
subpoena\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....
[ ]{.underline}

Fees of the court reporter for all or any part of the transcript
necessarily obtained for use in the case.. [ ]{.underline}

Fees and disbursements for
printing\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....
[ ]{.underline}

Fees for witnesses (itemize on reverse
side)\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...
[ ]{.underline}

Fees for exemplification and copies of papers necessarily obtained for
use in the case\...\...\...\...\...\...\... [ ]{.underline}

Docket fees under 28 U.S.C.
1923\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....
[ ]{.underline}

Costs as shown on Mandate of Court of
Appeals\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...
[ ]{.underline}

Compensation of court-appointed
experts\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\....
[ ]{.underline}

Compensation of interpreters and costs of special interpretation
services under 28 U.S.C. 1828\...\...\... [ ]{.underline}

Other costs (please
itemize)\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\...\.....
[ ]{.underline}

TOTAL \$[ ]{.underline}

SPECIAL NOTE: Attach to your bill an itemization and documentation for
requested costs in all categories.

**DECLARATION**

I declare under penalty of perjury that the foregoing costs are correct
and were necessarily incurred in this action and that the services for
which fees have been charged were actually and necessarily performed. A
copy of this bill was mailed today with postage prepaid to:

Signature of Attorney:[ ]{.underline}

Name of Attorney:[ ]{.underline}

For:[ ]{.underline} Date:[ ]{.underline}

Name of Claiming Party

Costs are taxed in the amount of \$[ ]{.underline} and included in the
judgment.

[ ]{.underline} By:[ ]{.underline} [ ]{.underline}

Clerk of Court[ ]{.underline}Deputy Clerk[ ]{.underline} Date

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<p><strong>WITNESS FEES (computation, cf. 28 U.S.C. 1821 for statutory
fees)</strong></p></td>
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<p>NAME AND RESIDENCE</p></td>
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<p>ATTENDANCE</p></td>
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<p>SUBSISTENCE</p></td>
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<p>MILEAGE</p></td>
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<p>TOTAL COST</p></td>
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<p>Days</p></td>
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<p>Total</p></td>
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<p>Days</p></td>
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<p>Total</p></td>
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<p>Days</p></td>
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<p>Total</p></td>
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<p>EACH WITNESS</p></td>
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<p>TOTAL</p></td>
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**NOTICE**

**Section 1924, Title 28, U.S. Code (effective September 1, 1948)
provides:**

\"Sec. 1924. Verification of bill of costs.\"

\"Before any bill of costs is taxed, the party claiming any item of cost
or disbursement shall attach thereto an affidavit,

made by himself or by his duly authorized attorney or agent having
knowledge of the facts, that such item is correct and

has been necessarily incurred in the case and that the services for
which fees have been charged were actually and

necessarily performed.\"

**See also Section 1920 of Title 28, which reads in part as follows:**

\"A bill of costs shall be filed in the case and upon allowance,
included in the judgment or decree.\"

**The Federal Rules of Civil Procedure contain the following
provisions:**

Rule 54(d)

\"Except where express provision therefor is made either in a statute of
the United States or in these rules, costs shall

be allowed as of course to the prevailing party unless court otherwise
directs, but costs against the United States, its

officers, and agencies shall be imposed only to the extent permitted by
law. Costs may be taxed by the clerk on one day\'s

notice. On motion served within 5 days thereafter, the action of the
clerk may be reviewed by the court.\"

Rule 6(e)

\"Whenever a party has the right or is required to do some act or take
some proceedings within a prescribed period after

the service of a notice or other paper upon him and the notice or paper
is served upon him by mail, 3 days shall be added

to the prescribed period.\"

Rule 58 (In Part)

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  \"Entry of the judgment shall not be delayed for the taxing of costs.\"                                 
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