1-CIR/DISTJDIGGBE 1 :• 6nct
3. MAG. DKTJDEF. NUMBER 4. DIST. DKTJDEF. NUMBER S. APPEALS DKTJDEF. NUMBER 6. OTHER DKT. NUMBER
I:O6-000079-OOI _
7. IN CASE/MATTER OF (Case Name) 8. PAYMENT CATEGORY 9. TYPE PERSON REPRESENTED I0. l%SI£PRESEl;Ji'l`A)TlON TYPE
EE FIS I'LlC 0l`lS
U.S. v. Jackson Felony Adult Defendant Criminal Case
I I. OFFENSE(S) CHARGED (Cite U.S. Code, Title & Section) lf more than one offense, llst (up to five) maior offenses charged, according to severity of offense.
I) I 8 I 028A.F —- FRAUD WITH IDENTIFICATION DOCUMENTS
IZ. Name, M.I., Last Name, Including any suffix) I3. COURT ORDER
i l' A Tl O Appointing Counsel i C Co-Counsel
.- F Subs For Federal Defender R Subs For Retained Attorney
l Sweat P Subs For Panel Attorney Y Standby Counsel
PriorAttorney’s Name:
Appointment Date;
Cl Because the ahovenamed person represented has testified under oath or has
otherwise satisfied this court that he or she (I) is financially unable to employ counsel and
Telephone Number. 6 I O I (2) does not wish to waive counsel, and because the interests ofjustice so require, the
2K`i0l'l'l€y WIIDSE I'\3lTl€ 3pp€3l'Sl ICH] is €AppUll'l(Ed to TCPFCSCH ITIS p?l'S0 lll (IHS CIISB,
I4. NAME AND DIAILING ADDRESS OF LAW FIRIVI (only provide per instructions) or
l T Other (See Instruction "
Signature By Order ofthe Coun
T..
Date of Order Nunc Pro Tune Date
Repayment or partial repayment ordered from the person represented for this service at
time of appointment. ._l YES EI NO
Eeitt i ·- ···· 12..- · .. .. ‘‘··. 1 . ` ’ Li`. `Q " Q .- ‘t.‘ ‘ ; [ 1T" . ‘ Ii `YFFZ .‘‘‘- -A-. -1
TOTAL MATH/TECH MATI~IfI`ECH .
CATEGORIES tattatn ttemtmtttm orsmttes with dates) CEQEIRQD ésliytgltgg AQiIgISI'§§D Agigsgltgro ’*gQ{,T}§§,"’*L
15. a. Arratgnment and/or Plea _ _ - _ _ _ _
b. Bail and Detention Hearings -1 .` _ l l
¢· Motion Heemgs g-) - P
I . ' · .
. n-Tnnn _; 4-1 . _ .
C enenennng Hearings -1. 2 .·l_¢. . .
I': f. Revocation Hearings -l _ _ l
{ E· APPPPIS Court E
h. Other (Specify on additional sheets) _ l _ _ . _
t»~t =n?·»?-¤¤» n<>n~nn
I6. a. Interviews and Conferences · '}-I `
O . . . . i ' `
tit b. Obtaining and reviewing records -1
0 c. Legal research and brief writing ‘
r ’ . . .
C d- Travel time 1- i-)
3 e. Investigative and Other work (spetiry tm tootoonstsnetts) '_·
r
‘ nm t»»t »n$’·?·<><>> nom -
nv. "rnnva Expenses nnntnng. pnntnng. nnenn. nnnaga ao TT '"`"" i- I"` "-_
18. Other Expenses (other than expert, transcripts, etc.) f .
‘ , H‘5fQTEl{i[i`?T·‘Zi•`¤·}c GTK.-.i· l{?TT•ll'?-·¥T•I_ ` PF I TK *TIi§ l) ' . - I. _, , ..........
19. CERTIFICA ON OF ATTORNEY/PAYEE FOR THE PERIOD OF SERVICE 20. APPOINTMENT TERMINATION DATE 21. CASE DISPOSITION
FROM *7 2 O 6 TO tr 0Tt-TER THAN CAsE COMPLETION
22. CLAIM STATUS lj Flnal Payment [I Interim Payment Number _ El Supplemental Payment
Have you previously applied to the court for compensation andlor remlmbursement for this case? lj YES U NO lfyes, were you paid? El YES El NO
Other than from the court, have you, or to your knowledge has anyone else, received payment (compensation or anything or value) from any other source ln connection with this
representation? [I YES [I NO Ifyes, give details on additional sheets.
I swear or affirm the truth or correctness of the above statements.
Signature ¤fAttorney: Dale:
· ··;‘·t 5l`§‘§{°§‘t*.¤'_$[§ 5t§â€j$2$§,§·.i·7;t`ti»i1Â¥"t·`t` - .· .Ts‘p`t_ii1*= :t.~i5=»·`iRÂ¥t si:.
23. IN COURT COMP. 24. OUT OF COURT COMP. 25. TRAVEL EXPENSES 26. OTHER EXPENSES 17. TOTAL AMT. APPR/CERT
za. IN c0uRT come. 10. 0uT or COURT comp. st. Ttv.AvEL Ex1>ENsEs sz. o vm
34. SIGNATURE OF CHIEF JUDGE COURT OF APPEALS OR DELEGATE DATE 34 G ODE
approved ln excess ofthe statutory threshold amount. ( ) Plymem l Al E I
—
US DISTRICT COURT
UTSTFT ZT DF Ti T` -"-`¤’·'AiiE
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