Fillable Printable Sf 1157 Attendance Certification Part Ii
Fillable Printable Sf 1157 Attendance Certification Part Ii
Sf 1157 Attendance Certification Part Ii
StandardForm1157(Rev.4-80)
DepartmentoftheTreasury
CLAIMSFORWITNESSATTENDANCEFEES,TRAVEL,AND
1TFRM4-2000
MISCELLANEOUSEXPENSES
1157-107
Previouseditionsobsolete
PARTI-ATTENDANCECERTIFICATION
1.GeneralInformation
a.WitnessName
d.CaseName
b.WitnessAddress
e.CaseNumber
Street
f.DistrictorLocation
City
StateZip
c.U.S.Citizen:Yes()No()Alien:Legal()Illegal()
2.TravelandAttendanceInformation
a.DatesofTravelFromResidencetoCaseLocation:
From
To
b.DatesofTravelFromCaseLocationtoResidence:
From
To
c.Datesofattendance:
From
To
3.
Certification
Icertifythatthewitnessnamedaboveattendedinthecaseormatterindicatedandisentitledtothestatutoryallowancesforattendanceandtravel.Inthe
proceedingsbeforeUnitedStatesMagistratewheremorethanfourwitnesseswerecalled,theMagistratealsocertifiesthattheapprovalandcertificateofthe
U.S.Attorneywerefirstobtained.
(Signature)(Title)(Date)
PARTII-WITNESSCLAIMFORFEESANDALLOWANCES
RateNo.ofDaysAmountClaimed
Totals
1.AttendanceFees
a.Fact,PretrialConference&DetainedWitness
$
TotalAttendanceFees
$
2.MileageAllowance(Indicatetypeofprivatelyownedvehicle:
(Auto)(motorcycle)(airplane)
RateNo.ofMilesAmountClaimed
a.FromResidencetoCaseLocation(andReturn)
$
b.FromHotel/MoteltoCourt(orCourttoHotel/Motel)
TotalMileageAllowance
$
3.SubsistencePerDiemRate:orHRGARate:
RateNo.ofDaysAmountClaimed
(HRGA:HighRateGeologicalArea)
a.Meals
$
b.Lodging
TotalSubsistenceAllowance
$
AmountClaimed
4.MiscellaneousAllowances(SeeItem8Below)
a.CommonCarrier
$
b.ParkingFees,Tolls,TaxiFares
TotalMiscellaneousAllowances
$
5.TotalAmountClaimed(Items1-4,PartII)$
6.LessOutstandingCheckorCashAdvances$
7.NewAmountClaimedbyWitness$
8.UsethisspacetoitemizeyourexpensesfromItem4,PartIIabove.Receiptsarerequiredforall
commoncarrierandparkingfees,andforallothersingleitemsinexcessof$15.00.
PaidbyCheckNo.
$
PaidbyCash
(SignatureofPayee)
(Date)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
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Page2ofSF1157
9.WitnessCertification
Icertifythattheabovedataiscorrectandthatpaymenthasnotbeenreceived,andthatatthetimeoftravelandattendanceI(was)(wasnot)aU.S.
GovernmentemployeeandI(was)(wasnot)acitizenoftheUnitedStates.(Ifnotacitizen,presentyourAlienRegistrationRecordwiththisform.)I
(did)(didnot)receiveaGovernmentTransportationRequesttopayformyofficialtravel.
(Signature)(Date)
PARTIII-RESERVEDFORFINANCEOFFICE
1.Computation
a.NetAmountClaimedbyWitness(FromItem7,PartII)$
b.AdjustmentsDuetoAnyDifferences(ExplainDifferences)
c.AmountAuthorizedforPayment
$
d.By
TitleDate
2.AccountingClassificationData
0.00
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