Free CJA 20 - Appointment - District Court of Arizona - Arizona

<>—ll¤2¤tTT¤···ATOAl APPOINTMENT OF AND AUTHORI I Y TO PAY COURT APPOINTED COUNSEL ·
. 1. JURESDICTION 2. MAG. DOCKET N0. . T. .DOCKET N t v EFI N0.
___ I 3EIAPPEALS _ 3DIS-GT 0 ouon _
‘ 1 El MAG. 2 I] DIST. JI IIT 0TFTET=T V CR·—0!I-1258-SRB T - . A _
4. APPEALS DOCKET NO. 5. FOR (DISTRICTTCIRCUIT) 6. LOC. CODE 1*. CHARGE/OFFENSE [U.S. or other code citation) TA. CASE CODE
I 05-10601 ` Ninth Circuit CAUSF Appeal __ .
a. IN TT-IE CASE OF ‘ s. PERSON REPFIESENTED (FULL NAME) ft 9A. N0. II,
U.S. vs Bedell Baylen Boyd Bedell { _ I I EI ·_
10. PERSON REPRESENTED (STATUS) 11..PeocEEoINes Toesenbe ¤TT¤TTy) ‘ ` T ` 0 `“"*
1 I] DEFENDANT-ADULT 3 X3 APPELLANT s I] OTHER _
2 I] DEFENDANT-JUVENILE 4 EI APPELLEE Appeal I NGA.} 2 2 2[][]§
12. PAYMENT CATEGORY I
A E FELONY C g PEITY OFFENSE E I3 OTHER CLERK U 3 BISTRICT COUR
B MISDEMEANOFI D APPEAL __ I I F E .. • E L
13. COURT ORDER 14. FULL NAME OF ATTORNEYTPA 2;; i lrst Name, M.I., Laat`Name, DEPU y
O Kl ,pIIIII,O|I-IIIIIC gCI_II·ISeI I: [I SIIb5_ IDI FD Including SuIfIx)AND MAILING sl ¤l=l=-Tt- . . _
c III ce-counsel rz III Subs. rm neiemeu Atty. Gail Natale , Esq .
P EI Subs, for Panel AI;ty_ N Second Street
Name of prior panel attorney °
Phoenix, AZ 85004
Appt. Date ___________ Voucher No. -
15. WORK PHONE 16A. Does the attorney have the preexisting agree-
ment (see Instructions) with a corporation,
Because the above-named "person represanted" has testified under oath or has , 02-258..1 778 l¤¤ll-ldlllg 3 Pl’°I¤5¤I¤Tl¤l ¤°l'Fl¤F¤il0ll?
otherwise satlsfled this coun that he or site (1) is financially unable to employ counsel EI Yes I] No
and {2) does not wish to waive counsel, and because the interests of justice so require, IEE SOCIAL SECURITY IIIC_ ISC_ EMPLOYER I_D_ I,IC_
the attorney wh T; name appears In Item ‘I A · appointed to represent this person in (Only provide per instructions) (Only provide per instructions)
this case. I
- I T · -- iso. NAME AND MAILTNG ADDRESS OF LAW FIRM
Pr II _ _ E IL {Only provide per Instructions)
Sig. of Pres g udic al O Icer or y Ord of Court (Clsrkfbeputy) Same EIS
> Ig Z I I > Nov. 17, 2005
ate of Ord Nunc Pro Tunc`Dats
I . ' - CLAIM FOR SERVICES OR EXPENSES
SETlT'lOE M OATEO lelultlvlv T¤l~= FAT lT¤¤T
T- A ·v¤T¤¤··¤¤~T =·¤T T··¤¤ -_ EIl§?¤‘*?l§'鑧é*li·‘°
A- T-T¤ll ¤TT¤ ¤¤T¤TTl¤TT TT°ATT'lT¤O __ °°"‘T"’"°*'“°"·
·=— T·l·=Tl¤T·¤ "'°AT'T'OO OTTAT TATA T· . TTA. TOTAL IN .
E A TAAA ,,0,,,,, ,,,,,,,1
B A- T·¤T·T·=TT·=¤ lAT·ATl¤¤A __
3 T- Tl¤T¤¤ATl¤T TlA¤TT¤A __
¤- A¤¤¤Al=· OM __
ll- °T'l°T lS¤<·=·=lTT ¤T· ¤=l=lTlT¤T¤l ¤lT=TAT=l __
· sm ¤¤T T TOTAL H<=·¤T·r·= A
TA ¤· l¤T¤~l¤=T·=· ATA TATTATATAAT __ M¤··T¤·r me pe Tw
E TT- ¤l=T¤lTT¤¤ ATA T¤TT·TwT¤¤ T°°°"’O iLT§S·$Z’J?L?%%'3A·`?'“°'
§ =- L·==¤¤· · ¤¤¤¤ ¤=·· ¤¤¤ ¤T¤T ~TT·¤¤ AATTT ¤¤S¤ T TTT AATATA
IT- Ts. Travel Time (spemry on aueiiienea sneeze; 1sA. TOTAL OUT OF
0 courtr 00MP.
I5 e. Investigative and other work (Specify on additional sheets)
° +T=¤T¤ ¤¤T T=>¤·= T TOTAL ·A¤·lTlA= __ A
1s. TFTAvEL, LODGING, MEALS Erc. AT.·TouNT 0TT·TETa EXPENSES AMOUNT 19A. TOTAL TRAVEL Exe
____ A
A ____ TAO- TOTAL OTAOA OTT'-
LD
s __ A
` O ____ OO- OAAAO TOTAL
-_ _ A
21. CEHTIFICATEON OF ATTOFINEYIPAYEE Fon PEeToo T<>
F EI Final Payment I I] Interim Payment No".? Has compensation endior reimbursement for work in this case previously been applied for? D YES E N0
If yes, were you paid? EI YES E NO If yes, by whom where you paid? How much? ___ Has the person represented paid any
money Io you, or to your Icnowiedge to anyone else, in connection with the matter for which you were appointed to provide representation? D YES EI NO
If yes, give details on additional sheets. _ -
I swear or affirm the truth or correctness of the above statements > >
_ SIGNATURE OF ATTORNEYJPAYEE DATE
22. IN counr COMP. 23. OUT OF 00ueT COMP. 24. TT=TAvEL EXPENSE . 25. OTHER EXPENSES 2s. TOTAL AMT.
I_ - APPeovEoTcET=iT.
{3E $ $ $ $ $
E E 2r. SIGNATURE OF PnEsToTNe .TT.TbTcTAT. OFFICER A . DATE 2rA. éLéE5{EEfMAG. -
Ee
&
< S ze. SIGNATURE OF CHIEF JUDGE, cr. oF APPEALS (on DELEGATE) DATE 2s. 12;%; cgi;.
I.L _ ·
. _ Case 2.04—cr—01258-SRB , Document 47 FTIed 11/22/2005 Page 1 0 $1
params-L - Fsssssieazr BY FTMAAICEATL BEPUTY GLERK‘ ._ - . I

Case 2:04-cr-01258-SRB

Document 47

Filed 11/22/2005

Page 1 of 1