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

CJA 20 APPOINTMENT OF AND AUTHORITY T0 PAY COURT APPOI
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1. CIR..·D1ST..*DIV. CODE 2. PERSON REPRESENTED OUCHER NUMBQQPY
AZX Mota—Comej 0, Guillermo . • f OENED -——·
3. MAG. DKT./DEF. NUMBER 4. DIST. DKTJDEF. NUMBER 5. APPEALS D I JDEF. NUMBER 6. @6gER DKT. MBER
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$,2:01-000124-OO1 ,. *7 \ l 0 - 2
7. IN CASEJMATTER OF [Case Name} B. PAYMENT CATEGORY 9. TYPE PERSO REPRESENTED P50. I ON TYPE
U.S. v. Mota—Comejo Felony Adult Def · i d 5, RK Ll Ul _ 5, .=.. -¤ ed il lease
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11. OFFENSE(S} CHARGED (Cite U.S. Code, Title & Section) Ifmore than one offense, list (up to live) maj ofieirtses J 4=· according to se*vuE· o
1) S 1326A.F -- REENTRY OF REMOVED ALIEN
12. ATTORNEY'S NAiVl§_{éFirst Name, MJ., Last Name, including any suffix) 13. COURT ORDER
AND IVLULING ADD SS FE 0 Appoiating Counsel D C Co·CounseI
I:] F Subs For Federal Defender D R Subs For Retained Attorney
1 W Hu_ESt;1 Diva EI P Subs For Pane] Attomey lj Y Standby Counsel
Tampa- AZ 1 Prior Attorney's Name:
Appointment Date: ___________,_
Ci Because the above-nanted person represented has testified under oath or has
otherwise satislied this court that he or she {1) is finaricially unable to employ counsel and
Telephone Number: {2) does not wish to waive counsel, and because the interests ofjustioe so require, the
attorney whose name appears in Item 12 is appointed to represent this person in this CISE,
14. NAME AND MAILING ADDRESS OF LAW FlRM [only provide per instructions) or
D Other [S ru tions)
Signature ofPre$iding Judicial Oflicer or By O%er ofthe Court
_..........i...—
· Date of Order Nun: Pro Tun: Date
Repayment or partial repayment ordered from the person represented for this service at
time ofappointment. Q YES El NO
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TOTAL MATHITECH IVIATHITECH
CATEGORIES (Attach it.-manson or semen with dates) CEQPQQD AMOUNT ADJUSTED ADJUSTEU A',{E{,{§{{,"AL
, CLAIMED HOURS AMOUNT
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b- Bail and Detention Hearings ¥?§§é§.;’ -
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I is. s. Interviews and Co n rmms _
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·g b- Owning =¤¤ mi=w*¤s ~=¤¤r¤¤
., C. Legal A stsr ch and and writing
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C ¤· TIM time
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19. CERTIFICATION OF ATTORNEYIPAYEE FOR THE PERIOD OF SERVICE zo. APP01]\l'l"MEN`1` TERMINATION DATE 21. CASE DISPOSITION
FROM .,.0 _ IF OTHER THAN CASE COIVIPLETION
22. CLAIM STATUS D Final Payment G Interim Payment Number _________,_ I] Supplemental Payment
Have you previously applied to the court for compensation andlor r »· inibursement for this case? lj YES E] NO Ifyes, were you paid? lj 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 in connection with this
repres A tation? El YES ij NO If yes, give detail! on additional sheets. I
I swear or affirm the truth or correctness of the above stateme ts.
Signature of Attorney: Date:
23. IN COURT COMP. 24. OUT OF COURT COMP. 2s. TRAVEL EXPENSES 26. OTHER EXPENSES 2·r. TOTAL .·\1VIT.A1’PRJ'CERT
2s. SIGNATURE OF THE PRESIDING JUDICIAL OFFICER DATE zsa. moss .· mAo..1unco cons
29. IN COURT COMP. :0. OUT OF COURT COMP. 31. TRAVEL EXPENSES 32. OTHER EXPENSES aa. TOTAL A1vIT.A1>1·ROvEo
34. SIGNATURE OF CHIEF JUDGE, COURT OF APPEALS (OR DELEGATE) Payment DATE 34:1. JUDGE CODE
approved in excess ofthe statutory threshold amount.
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Case 2:01-cr-00124-PGR

Document 25

Filed 11/09/2005

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