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

CJA 20 APPOINTMENT OF AND AUTHORITY TO PAY COURT APPOINTED C UW'; I E D LO y- C (TD
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1. CIR..·'DIST.fDIV. CODE 1. PERSON REPRESENTED . UCIIIFRQQIEIQEB CC py
AZX Ayala-Sandoval, Anuoco TT:
3. MAG. DKT./DEF. NUMBER 4. DIST. DK’l‘..·'DEF. NUMBER 5. APPEALS DKTJDEF. NU = ER I Hgl\·1BER
2:04~O06 136-OO] cg; 2:04-000731-001
7. IN CASE/MATTER OF {Case Name} 8. PAYMENT CATEGORY l 9. TYPE PERSON REPRESEV ’1`ElbLEH L1JG§I%E£ (
U.S. v. Ayala-Sandoval Felony · Adult Defendant [fyi rl. § ii ri ;· gt. fi _ gasc
11. OFF'ENSE(S) CHARGED (Cite U.S. Code, Title Ez Section) Hraore than one offense, list [up to live) major offenses dia ealdlccurdlng to spverity of oilense. ul _ Fi
1) S 1326A.F —- REENTRY OF REMOVED ALIEN ·············—······—·-»···-#»»-·~r<~—*
12. ATTORNEYS NAME éFlrst Name, M..l., [Ast Name, inciudlug any sum:) 13. COURT ORDER
AN-D MAILING ADDR SS E O Appainling Counsel I] C Co-Counsel
B % 5 guts For Federal Defender S R Subs For Retained Attorney
1615 I I uhs For Panel Attorney Y Standby Counsel
H 85220 Prior .·\ttnrncy s Name:
A|J])0l1'lIll\E.I'lI Date:
lj Because the above-named person represented has testified under oath or has -
{ otherwise s2tisi`ed this court that he or she (1] is financially unable to employ counsel and
i Telephone Mmmm ·93 (2) does not wislt to waive counsel, and because the interests ofjustice sa require. the
n attorney whose name appears in ltetn 12 is appointed to repr tmt this person In thls case,
` 14. NAME AND MAILING ADDRESS OF LAW FIRM(anIy provide per instructions) or V
` ‘ [I Other (See Instructions) g i [ Q n
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\ Signature of Presiding Judicial Ofiicer or By Order of the Court
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Date of Order Num: Pro Tune Date
Repayment or partial repayment ordered tram the person represented for this service at
time of appointment. [I YES EI NO
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TOTAL MA'1"l-IITECH MATHFTECH
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19. CERTIFICATION OF ATTORNEYIPAYEE FOR THE PERIOD OF S ERVICE 10. APPOINTMENT TERMJNATIQN DATE 21. CASE DISPOSITION
FROM TO 1'F OTHER THAN CASE COMPLETION
22. CLAIM STATUS I] Final Payment I] Interim Payment Number ___,,_,,,.,_ lj Supplernental Payment
Have you previously applied to the court for compensation andlor remhnbursement for this case? Q YES E NO [fy , were you paid? lj YES D NO :
Other than from. the court, have you, or ta your knowledge has any ne else, received payment (compensation or anything or value} from any other souroe in connection with this
representation? [I YES I;] NQ Ifyes, give detail: on additional sheets.
I swear or aftirm the truth or correctness of the above statements.
Signature ot`Attome·y: , __ . -__,.,.,,_. ..,.__ ,. ,,.,., Date:

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13. IN COURT COMP. 24. OUT OF COURT COMP. 25. TRAVEL EXPENSES 26. OTHER EXPENSES 27. TOTAI.. AMT. APPR r CERT
28. SIGNATURE OF THE PRESIDING JUDICIAL OFFICER DATE zsa. JUDGE IMAG. JUDGE CODE
29. IN COURT COMP. su; OUT OF COURT COMP. 31. TRAVEL EXPENSES 32. OTHER EXPENSES ss. TOTAL AMT. APPROVED
34. SIGNATURE OF CHIEF JUDGE, COURT OF APPEALS (OR DEI..EGATE)P¤ym¤i¢ DATE 34a. JUDGE CODE I
pproved in excess ofthe statutory threshold amount.
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Case 2:04-cr-00731-DCB

Document 23

Filed 10/26/2005

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