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

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AZX Sandez, Javier N 1 ' Am _
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2:04-009607-001 2:04-001161-001 _ C FI U S DISTRICT CO :
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[See Instrjncnons _
U_3_ v_ Sgndgz Felony Adult Defendant ·
Il. OFFENSE(S] CHARGED (Cite U.S. Code, Title & Section} Ifmore than one offense, list (up oo live} major offenses charged, according to severity ofoftense.
I) 8 1324.F -- BRINGING IN AND HARBORING CERTAIN ALIENS
12. A'I`TORNEY'S NAME éliirst Name, MJ., Last Name, Including any sum:) I3. COURT ORDER
AND MAILING ADDR SS I5 0 Appointing Counsel I] C Co-Counsel
HANEY, THOMAS E. El} F Sox For Futuna: Defender E {II guns For Retained Attorney
101 I P Su For Pane ttorney tandbgy Counsel
PHOENIX AZ 85003 Prior Attorney S N¤¤¤¤=
Appointment Date: ____ _
CI Because tlte above·named person represented has testified under oath or has
otherwise satisfied th' noun that he or she (1) is tinancia I y unabfe to employ counsel and
Telephone Number: I (2) does not wish to waive I:uunseL and because the Interests nfjustice so require, the
attorney whose name appears in Item 121s ap ’ ted represent this person in this case,
I4. NAME AND MAILING ADDRESS OF LAW FIRM[only prtwide per instnactions] or
THOMAS E. HANEY, P.C. III DIM [5** I"“‘“' ` D Z
Signature of Presidi » g Judicial Officer or By Order of the Coun
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AZ Date of Order Num: Pro Tu I: Date
Repayment or partial repayment ogdered from the person represented for this service at
time ofappolntment. [I YE El NO I
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carnconms (Attach neon » noo oIsewI¤e.·I non dates) DDIDIS aroouuvr aomsrnu aususrnu ADDITIONAL
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19. CERTIFICATION OF ATTORNEYIPAYEE FOR THE PERIOD OF SERVICE 20. A.1=1=·0n~IrIv1nN1· TERMINATION DATE 21. CASE DISPOSITION
FROM T0 [F 0'l'I·l`ER THAN CASE CDIVIPLKFIUN
22. CLAIM STATUS E] Final Payment [I Interim Payment Number EI Supplemental Payment
Have you previously applied to the court for compensation andlor remlmbursernent for this case? [I YES I] ND If yes, were you paid? I] YES I] ND
Other than from the court, have you, or to your Icnowledge has anyone else, received payment (compensation or anything or value) from any other source in connection with this
representation? EYES [I NO lf yes, give details on additional sheets.
I swear or affirm the truth or correctness of the above statements.
Signature ol'Attorrte·y: Dale:
23. IN COURT COMP. 24. OUT OF COURT COMP. 25. TRAVEL EXPENSES 26. OTHER EXPENSES 11. TOTAL AMT. aren I cant
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29. IN COURT COMP. 30. OUT OF COURT COMP. 31. TRAVEL EXPENSES 32. OTHER EXPENSES ss. TOTAL AMT. Arrncvau
34. SIGNATURE or cnnzr ruuoa, couwr or Aransas (oa ununoarnyosymml one 2.41.. Juuou coun
approved in excess ofthe statutory threshold amount.
Case 2:04-cr-01161-RGS Document 26 Filed 06/12/2006 Page 1 of 1

Case 2:04-cr-01161-RGS

Document 26

Filed 06/12/2006

Page 1 of 1