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Reporter
Job No.	(Refer to invoice)
Date Taken
Case Caption
Case No.
Witness Name

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I and/or my firm hereby accept responsibility for payment of invoice(s) for services requested by me related to the above-referenced deposition(s). I understand that Higgins & Associates does not accept assignment of payment to any party and that payment is not contingent upon the outcome of the case nor on the financial status of my clients. I understand that payment IN FULL is due within thirty (30) days of the date of the invoice and that interest and/or late fees of 10% will be assessed after 30 days of the date of the invoice. In the event that Higgins & Associates files a court claim to recover fees rendered in this matter, I and/or my firm will be responsible for the overdue balance, interest, and all court costs. I and/or my firm hereby consent to jurisdiction to be applied to the laws of the State of Ohio.

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