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

Case 3 :03-cv-001 43-AWT Docu ment 42 Filed 06/07/2006 Page 1 Of 1
CJA 20 APPOINTMENT OF AND AUTHORITY T0 PAY COURT APPOINTED COUNSEL
1. CIR./DIST./DIV. CODE 2. PERSON REPRESENTED VDUCHER NUMBER
CTX Woosley, Paul
s. MAG. D1 3:03-000143-001
in IN CASETMATTER OF tcm Name; S. PAYMENT CATEGORY 9. TYPE PERSON REPRESENTED 10. REPRESENTATION TYPE
_ _ (See Instructions)
David Smith vs. Paul WOOS Other Adult Defendant Other
ll. OFFENSE(S) CHARGED (Cite U.S. Code, Title & S€Cl'l0I1) lfmore than one offense, list (up to five} major oifenses charged, according to severity of offense.
I2. A`l`l`ORNEY`S NAME éFirst Name, MJ., Last Name, lncludlng any suffix) 13. COURT ORDER
AND MAILING ADDR SS E 0 Appointing Counsel [I C Co—Counsel
E ; guzs Eur ;etleI·aI;:?efender E 5 gpfisdl-Lorlgtiilixgd Attorney
1.l
FURNISS AND QUINN _ “ ’ T" “"° ""'" ’
Pnor Attorney s Name: ____
HARTFORD CT 06106 Appointment Dam MUSEUM
ij Because the ahove-named person represented has testified under oath or has
otherwise satisfied this court that he or she (1) ls financially unable to employ counsel and
1-EIDDIIDIID NIIIIIDDI: (Z) does not wish to waive counsel, and because the interests ofjustice so require, the
attomey whose name appears in Item 12 is appointed to represent t 1 rson in this case,
14. NAME AND MAILING ADDRESS OF LAW FIRM (only provide per instructions) or _/l .-
' ' I] Other (See Instructions) 1, " ' I
Fum1ssaDdQu1nn _ _ DII Ji II, U ID
Signature ofPresiding Judi: Y" r y Order ofth • .
HARTFORD CT 06106 · I e-; _
Date ofOrdcr I? tl tg _ unc Pro un Date
Repayment or partial repre, n o eign! the person represented for this service at
time of appointment. Y U NO
TOTAL MATI·[.·'l'ECH MATHTTECH ADDITIONAL
CATEGORIES Atttttn itemizatio r · ·tIi ti t I HOURS AMOUNT ADTUSTED ADJUSTED
( n ° wmws wl ° H CLAIMED CLAIMED HOURS AMOUNT REVIEW
P- e- Arreieemeee eee/ee mee
I II TH III I -
·· *·“ °*°° “"°" Hmgi 2..
teetepee ~»»r =e » e¤e»ee=
16- =- Ietmiews end €¤··f¢*¢··¤e¤
0 . . . . .
ti D. Obtaining and reviewing records
,, e. Legei research ttnti Btier writing -

c · '““° ‘""°
55 e. Investigative ettti Otitet work te,....t,· .... ..t.tt.t..... M.,) i
‘ eee ~»»t =e » seem _
*1- “=·**=' E*P¤¤¤·=5 <*·>·*¤i¤e- ··¤*¤··e- ···==·*~» ¤·¤·==·=¤— ¤=¤->
re- Other Expenses tenet new expert. teeeeeeitee. ee-1 -
-
19. CERTIFICATION OF ATTORNEY/PAYEE FOR THE PERIOD OF SERVICE 20. APPOINTMENT TERMINATION DATE 21. CASE DISPOSITION
FROM T0 IF OTHER ri-IAN CASE COMPLETION
22. CLAIM STATUS G Final Payment E] Interim Payment Number [I Supplemental Payment
Have you previously applied to the court for compensation andfor remimbursement for this case? E] YES [I NO Ifyes. were you paid? lj YES lj N0
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 in connection with this
representation? Ei YES CI NO lfyes, give details on additional sheets.
l swear nr affirm the truth or correctness of the above statements.
Signature of Attomey: Date:
‘*= ·
S s .
23. IN COURT COM P. 24. OUT OF COURT COMP. 25. TRAVEL EXPENSES 26. OTHER EXPENSES zv. TOTAL AMT. A.PPR.·CERT
zs. SIGNATURE OF THE PRESIDING JUDICIAL OFFICER DATE zen. 1u¤GI;/MAG. .iuBcE cons
29. IN COURT COMP. ao. OUT OF COURT COMP. si. TRAVEL EXPENSES az. OTHER EXPENSES ss. TOTAL AMT. APPROVED
14. SIGNATURE OF CHIEF JUDGE, COURT OF APPEALS (OR DELEGATE) Pt,-ment DATE sent. JUDGE CODE
approved ln excess ofthe statutory threshold amount.