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

AJAAAIAAA-ATAAT APPOINTMENT OF AND AUTHORITY TO PAY COURT APPOINTED COUNSEL I
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I _ 3 [X APPEALS 2 MAG DOCKET N0 s DIST CT DOCKET NO VDUCHEFI NO 1 0 1 5 1 ,7
I 1 III MAG. 2 I] DIST. 4 El OTHER (jg-()I5I·-1229-PHX-I_I 1,
4. APPEALS DOCKET No. 5. FOR (DISTFIIQTICIFICUIT} s. Loc. cops 1. CHARGEIOFFENSE u.s. or other was enanenl 1A. CASE cope
05—~10567 Ninth Circuit A CAUSF Appeal ——-.. 1- _v___
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s. IN TI-IE CASE OF sa. PERSON REPRESENTEDIF L A I .- em P
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U. S . V5 Yanez-Hernandez Jug); Yanez—HerrLa glez ,-11 I II-;,II.. I II-FTF I
10. PERSON REPRESENTED (STATUS) 11. PROCEEDINGS (Describe riefly) 7 ‘“‘- T Y
1 III DEFENDANT-ADULT 3 E APPELLANT 5 III oTI-IEI=I ‘ Appeal
2 Ci DEFENDANT—JUVENILE 4 I] APPELLEE UC T 7 EUUE
12. PAYMENT CATEGORY . I
A III FELONY c E PE`|TY OFFENSE E I] ·oTI-IEe T·*` · ;- - I. ._ I
e El MIsbEMEANoI=I o IX APPEAL - , i . ` `
1:1. c um oepee 14. FULL NAME 0 A oeNEvIPAvEE (FIrst Nome, M.I.; Last`Na e.
0 [IB Appmnting COUDSSI F lj 5ub3_ for FD Including Suffix) AND MAILING ADDRESS . ,.I I I I,
C EI Co—Counsel R I] Subs. for Ftetalned Atty. ’ Lynn H&Imi].fOTI1 , Esq . L
P- I] Subs. for Panel Atty. `
Name of prlor panel attorney ‘ 240 North Center .
I Mesa, Arizona 85201
Appl. D8te Voucher No. _________________________
15. WORK PHONE 16A. Does the attorney have the preexisting agree-
ment (see Instructions) with a corporation,
Because the above-named "person represented" has testified under oath or has gI80__6gIgI__O0g3 ll'l¤I¤dll'lQ E PTDIGSSIPTTPI POTPOVPLIOP?
otherwise satisfied thls court that he or she (1) is flnanclally unable to employ counsel CI Yes CI No
and (2) does not wish to waive counsel, and because the interests of justice so require, IBB SOCIAL SECURITY NO_ IBC MPIDYEFI ID NO
the attorney whose name appears in Item 14 is appointed to represent this person in ` (Only provide per Instructions) ` Ehly provlde per Instructions]
thls case. _
Iso. NAME ANI:1 MAILING ADDRESS OF LAW FIRM
P (Only provlde per Instructions)
Sig. ol Presiding Judicl Officer or Ely Order of Court (ClerkIDeputy) _
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Dale o Order Nunc Pro Tunc Date
p ~ CLAIM FOR SERVICES OR EXPENSES
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19. TFIAVEL, LODGING, MeALs ETC. AMOUNT 0T1-IEe EXPENSES ~· AMOUNT 19A. TOTAL TRAVEL EXP.
_ _ A
A __ TOO TOTAL OTTLOO OTA
03
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A __ AO- OAAAO TOTAL
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21. CERTIFICATION OF ATTOFINEYIPAYEE Poe PEFI|OD TO
F EI Flnal Payment I I] Interim Payment No. M_ Has compensation endfor reimbursement for work in this case previously been applied for? I`.] YES EI NO
If yes, were you paid? I] YES I] NO If yes, by whom where you paid? _ _ How much'?_____i 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 provtde representation? I] YES III NO
If yes, give details on additional sheets. i
I swear or affirm the truth or correctness of the above statements > >
SIGNATURE OF A1·roeN EYIPAYEE DATE
22. IN COURT COMP. 23. our OF couI=IT coMP. 24. TRAVEL EXPENSE 25. OTHER EXPENSES ze. TOTAL AMT.
I_ APPRDVEDICERI
QE $ $ _ $ - $ $ _
S; 21. SIGNATURE OF PeEsIoING JUDICIAL OFFICER DATE 21A. JUDGEIMAG.
2 < cops
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45 ze. SIGNATURE OF cI—IrEP JUDGE, cr. oI= APPEALS {oe DELEGATE) 2e. TOTAL AMT.
¤. APPI=¤oveo
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otasaistzsi. L FEl¥ef1£*¤·$Q%§1L LAEPLITY CLERK ‘ -

Case 2:04-cr-01229-NVW

Document 33

Filed 10/07/2005

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