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

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cg-lA 20 Par- 4*961 APPOINTMENT OF AND AUTHORII Y TO PAY COURT APPOINTED COUNSEL
U . Jueisorcnow 3 [X APPEALS 2. MAG. DOCKET No, 3. mer. cr. oocxsr NOx voucl-isn No.
1 III MAG. 2 El orsr. 4 lj OTHER CR—04-766-—P1-IX- M 1 1 5
4. APPEALS oocxsr No. s. Ponroisrnicrlcinouln s. toc. CODE T. CHARGEi'OFFENSE{ . 111 einer mee citation) TA. CASE CODE
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05-10458 Ninth c11;e111¤ cAUsF A peal
a in Tl-1E CASE or "’ · ·· -
. s. PERSON REPFIESENTEIHFULL NA E1 RE c “"’6 " ' 1
_ D. s. VS vauaaatia-campee Manta Alberto 11.1111.1 A1-1:11 CEWED Gt5PiFS- I
1o. PERSON nEPnssENTEo rsrntruep 11. PROCEEDINGS (Describe merry)
1 CI DEFENDANT—ADULT s IZ APPE1.l.ANT s Cl ori-use DE C 9 2[][]5
2 Cl DEPENDANT-JuvENu.E A El AFPELLEE Appeal
12. PAYMENT CATEGORY CLE
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A EI r=s:.oNv c [Il Psrrv OFFENSE E El ornsa DlSTR|g1?rSTmGT GGUHT
e I] MlsoEMEANon D [X APPEAL BY OF AFIIZGNA
13. §ueT onDEn 14. Putt. NAME or ATTOH
O Appointing Counsel F [II Subs. for FD Including Suffix) AND MA1LING ADDRESS "
c I] Go-Counsel e CI suse. tor Retained Atty. Lynn Hamilton , Esq .
- P U Subs. for Panel Atty. 2 0
Name of prior panel attomey 4 North Center
Mesa, AZ 85201
Appt. Date?;..T,...;..,,__ Voucher N0. _,,_;_______
15. WORK PHONE 16A. Does the ettomey have the preexisting agree-
. ment (see instructions) with a corporation,
Because the abovemamed "person represented" has testified under oath or has 48O_64g*_OO93 I¤°Il-'dIl'lQ B PV°f¤$$*°¤¤I <>¤l’PPT¤T*¤¤'?
otléegliige satisfied this court that he or she (1) Ie financially unable to employ counsel I] Yes EI No
sn oss not wish to waive counsel, and because the intere - of justice so require,
me stlomey whose name appears in item 14 ls appointed 1 epreseni this person in 16a` §C>?1ErI,;1?>l§Egge$|I%;tHAE{i¤nsl ma EJhr1E*Ll9r§v§¤I1LlbIgF1>Il¤t?1}¤cti¤ns)
S SESS. E
A - 15D. NAME AND MAILING ADDRESS or tAw 1=ieM
> i_ (Only provide per instructions)
Sig. of Presiding Judicial Otllcer r By RM- Court eputy}
> 12 ' (4] P December 1, 2005 same as #14
Date of Order Nunc Pro Tunc Date
. CLAIM Fon SERVICES on EXPENSES
SERVICE DATES Mvltlnlv rele Per hour
’· P ~*¤·¤¤~¤¤* ¤~¤*~ Pls I-}lQ}§i’..‘?il.?'1;€‘.;°5£·‘°
==- ¤¤·· ¤~=· ¤¤¤¤~¤¤¤ H¤~*~¤¤ =··¤·¤ Pnsa "¤*··
¤- M¤*·¤~$ HP=·**¤¤5 EMP *¤·=·· ¤¤·¤~- ‘
A A. 11111 ""· *°““ "“
g oounr COMP. -
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Q *- **¤*·‘·=¤**¤¤ **¤¤**¤¤¤ F
¤— ·*=>¤¤=¤= Pm __
¤· Other ’
les ¤¤= > TOTAL ~¤¤¤5= A
1*1 A- *¤*¤~*¤-S ¤¤¤ ·=¤=·*¤sr·¤¤S M1··¤p·11¤1·1 P¤rl1¤¤r
'=P ¤- °¤*¤*¤*¤¤ and *¤r*¤w*¤¤ r¤=¤r¤=· __ {LT§$·%°J?L?%%'Ea?"'°'
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A P- ··=1¤S·*¤¤*~¤ ¤·=¤ me M __
° ls-P or 1 im ~¤~¤==· = A
19. TRAVEL, LODGING, MEA1.s Erc. AMOUNT on-1En EXPENSES AMOUNT 19A. TOTAL TRAVEL EXP
A
P ‘9B· mm OTHER 5***
2 =
E 2°- GHAND TOTAL
I CWMED
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21. cEPmP1oAT1oN OF A1ToeNEwPAvEE Pon Pseloo _ o
F Ei Final Payment I T] Interim Payment No. _____ I-tas compensation andlor-reimbursement for work in this case previously been applied for? I] YES EI NO
lf yes, were you pald'? I] YES D NO It yes, by whom where you paid? _ How much'?___;__ Has the person represented paid any
money to you, or to your knowledge to anyone else, in connection with the matter for which you were appointed to provide representation? E1 YES I] NO
If yes, give details on additional sheets. -
I swear or affirm the truth or correctness of the above statements > >
’ _ V SIGNATURE OF ATTORN EYIPAYEE DATE
22. IN count ¤oMP. 2:1. our OF couer comp. 24. TP1AvEl. EXPENSE 25. OTHER EXPENSES 2s. TOTAL AMT.
,_ APPFIOVEDIGERT.
gg $ $ $ $ $
Sz 2T. SIGNATURE DF Pnasioine JUDICIAL oPP1cEn DATE 2rA. .1uDosrMAe. _
g; coDE
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( S za. SIGNATURE GF CHIEF JoDoE, cr. or APPEA1.s [oe DELEGATET DATE 2a. TOTAL AMT.
A APPROVED
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Case 2:04-cr—OO766-I\/IHIVI Document 44 Filed 12/O9/2005 Page 1 of 1

Case 2:04-cr-00766-MHM

Document 44

Filed 12/09/2005

Page 1 of 1