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Attorney IT IS THEREFORE ORDERED that the approved fees and expenses for services rendered in this casue shall be paid from the source listed above within 30 days fo the date hereof. DATE Please attach any itemized request for services or expenses. ATTORNEY FEE EXPENSE CLAIM and ORDER OF PAYMENT Client Name County SELECT ONE Court SELCECT ONE Cause Relationship to Case SELECT ONE Case Style Position Appointed Name of person or entity appointed Address TBC required Type of Service Source payor...

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