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

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·V I I iVt,CrRJDIsT:uIv.c0D¤ LPERSON REPRESENTED ` voucI-1:·I· NUMBER - I- · I-` I `~ I V I »Q_
I _ Azx _ I- soon, Buck Charles I I OCT-0VAV5` ZDD5 -· I I I I1
‘ J. M.-IG. DKTJDEFI NUMBER II. uIsT. DI I 2:00-003075-001 2;00-000269-001 CLERK UICICISIFIICT CCUHT · II · I
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_ -- U.S. v. Short Felony Adu1tIDcfe11dant I I _ _ 3 I
I I I1. OFFENSE(S) CHARGED (Cite U.S. Code, Title&Section) Ifmeruhen one emma:. lm Iueto l'1v=)m¤I¤r¤lT¤n¤¤¤¢i¤rz•¤l- ¤¤¤••‘¤!¤:¢¤¤¤\'¢*i! •*' ¤¤¤¤¤¢· I I I I I IV V .· si
1) 18 751A.F -— PRISONER IN CUSTODY OF INSTITUTION OR OFFICER I . V · " V;§
-I V IL AVTVVVVVVOVVUVVEVYVS VVVVAM%1é“n1 Name.M.l..Las¢ Nanmlndudtnl enhulllx) 13. COURT ORDER V ’ ‘I V V V `- ‘V V V
_ V- I ·AND·MA]LING ADD SS m O ,\pp¤I¤|.lngC¤u1moI ‘ C CI··Cl!¤||lI V _ V
I I GLITSOS, RENA P. III r senator rmt-esoereaee I III it semrn-nsuoeeetoeney 1. - I
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I - _ _ I:] Beeeuee the eImve·onrnenl poaeen represented heneetlllotl under oath orhne I ’
V otlterwlee eetkllod thla eourt that le ortho [1) It Qnnnolnl-ly nnnhle to employ wunael nml `
Tchphme Nu-um.: _ (2)dooe not wlelntovvnive eoumel. andbonuee tl¤eintn1·nt3•f]|¤t1¤•|•:equlr¤.li¤ ~ I -
_ attorney wlnoeennntuppeere In Item I3 Ieeppotntee to represent tits pereenln tltle ¤ee; ` ‘
I4. NAME AND MAILING ADDRESS OF LAW F`IRM(oetIy provide perinetructitmaj or V I V _. I
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V I I I Signntoreo-I _ing u ic; er or 3 oV ourl` I I V‘ I I
V V V Daoeofgrder - · N||¤¤PNT\•||¢DNF . V I
V — Repayment or partial repayment erdered Iron the penn represented Ihr tile at-Hin et I' -- _
· time ofnppointment. EIYIESV NO ` ‘ V · IV · I I I `
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‘ b. Bail and Detention Hearings _ _¤IZ V.V. I VV V: IV'- ` VI I II
I e. Motion Hearings -I-VVVV-VIE:-III-ISI-IW V‘I- II- V V‘V‘ ‘ V if- ·‘ * VV
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V I VV _ 19. CERTIFICATION OFATTORNEYJPAYEE FDR THE PERIOD OF SERVICE — 10.Arvotm1vt.e1~I·r1·I:1t1»ura.eT1ort¤»t2Ir: V 21- CASE DISPOSIITION ` V
FROM . 1,0 nr trmzn rmuv cesm cowmmrnort I
22. CLAIM STATUS I;|FineII*eyment Ijlleterlnirhyment Number ,_,_,_,._ DSup Iesnentei Payment V I _ . I , V
Have you previously applied to the court [or eornpensaolon endior renehohorsement for thla case? EYES 5 NO ll‘yee,were you pelal? EI YES ' ` CI NO ‘ ‘ I I I -
I Other than from the court. have yon, or to your knowledge hea anyone else, received payment (compenndon or nnydrlog or value) from my other source in connection with thi; I I ’
` representation? GYES I I:] N0 lfyu, give deulkon nddltlonnlaheeta. I .· I _
I swear or nfllrm the truth or correctness ofthe above slatzments. ‘ - I IV QI I I I - V I
y 4 Vslgnatureefimorney: _ _ I , _ ,, ,I.,.,_,.,_ Date: V · VV ` V` V
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V VV zs. SIGNATURE OF THE PRESIDLNG JUDICIAL OFFICER I _ DATE I V I I » ue .tvt>Ga::rn.&t:.Viiroc1.Iconn V h VI I- V
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_ I I approvedIuutcueufthetntuterythreeheldemeuet- I _ I p I. I - I I _ I I ` I I _I_ _ II Ir
I · I I I Case 2:OO—cr—OO269-SRB Document 9 · - • • _ • • : . g - I • I ‘ I _· III‘ - * I I c
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Case 2:00-cr-00269-SRB

Document 9

Filed 10/05/2005

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