"Request for Reimbursement of Jury Costs 4th Quarter October - December" - Arkansas

Request for Reimbursement of Jury Costs 4th Quarter October - December is a legal document that was released by the Arkansas Judiciary - a government authority operating within Arkansas.

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Download "Request for Reimbursement of Jury Costs 4th Quarter October - December" - Arkansas

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Report of Jury Expenditures and Request
for Reimbursement of Jury Costs
A.C.A. § 16-34-106
4th Quarter
October
November
December
TOTAL FOR QUARTER
*Payments for Persons Who Attended the
Initial Orientation, up to $15.00. A.C.A § 16-
*$
*$
*$
*$
34-103
*Payments to Persons Who Actually Serve
as a Member of a Grand or Petit Jury at
*$
*$
*$
*$
$50.00 per day.
*Total Reimbursement
*$
*$
*$
*$
Payments to Persons Who are Summoned
and Appear but do not Actually Serve as a
$
$
$
$
Grand or Petit Juror at $15.00 per day or
such higher amount as set by the County.
Payments of Mileage Reimbursement to
$
$
$
$
Jurors, if Authorized by the County.
Other Costs, Such as Meals Provided for or
$
$
$
$
Paid to Jurors.
*Note that only these costs are eligible for reimbursement from the state.
I hereby certify that this report reflects the true and accurate expenditures for jury costs for the time period indicated above.
Signed this _____________ day of ________________, 20_____.
Signature of Authorized County Official
Name of County
Return form and back up documentation by February 1st to the Administrative Office of the Courts, Attn: Dawn Thompson, 625 Marshall Street, Little Rock, AR. 72201 or email: Dawn.Thompson@arcourts.gov
Report of Jury Expenditures and Request
for Reimbursement of Jury Costs
A.C.A. § 16-34-106
4th Quarter
October
November
December
TOTAL FOR QUARTER
*Payments for Persons Who Attended the
Initial Orientation, up to $15.00. A.C.A § 16-
*$
*$
*$
*$
34-103
*Payments to Persons Who Actually Serve
as a Member of a Grand or Petit Jury at
*$
*$
*$
*$
$50.00 per day.
*Total Reimbursement
*$
*$
*$
*$
Payments to Persons Who are Summoned
and Appear but do not Actually Serve as a
$
$
$
$
Grand or Petit Juror at $15.00 per day or
such higher amount as set by the County.
Payments of Mileage Reimbursement to
$
$
$
$
Jurors, if Authorized by the County.
Other Costs, Such as Meals Provided for or
$
$
$
$
Paid to Jurors.
*Note that only these costs are eligible for reimbursement from the state.
I hereby certify that this report reflects the true and accurate expenditures for jury costs for the time period indicated above.
Signed this _____________ day of ________________, 20_____.
Signature of Authorized County Official
Name of County
Return form and back up documentation by February 1st to the Administrative Office of the Courts, Attn: Dawn Thompson, 625 Marshall Street, Little Rock, AR. 72201 or email: Dawn.Thompson@arcourts.gov