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


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Date: October 26, 2006
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State: Arizona
Category: District Court of Arizona
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i l FILED LODGED
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l CJA 20 APPOINTMENT OF AND AUTHORITY TO PAY COURT APPOINTED COUNSEL —··-— ECEVED H-.- COPY
I. CIR./DIST./D IV. CODE 2. PERSON REPRES ENTED VOUCHER NUMBER 2
I AZX Dewall, Douglas •
J. MAG. DKT./DEE. NUMBER 4. DIST. DKTJDEF. NUMBER s. APPEALS DKTJDEF. NUMBER IS. OTHER D T. U S DIS HIST COUH
2:04-000422-002 T
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. = ' ' ' ' AHIZO NA
7. IN CASEIMATTER OF reasoning) II. PAYMENT CATEGORY 9. TYPE PERSON REPRESENTED III. IEZPIIQ AEITXIITION TYPE - DEPU
` ee ns I I- I "
U.S. v. Dewall Felony Adult Defendant Supervt · I · · · - · · · ·
ll. OFFENSE{S] CHARGED [Cite U.S. Code, Title & SECIIOIZI) Ifmore than one oiTense, lit [up to tive) major ofknses charged, according to severity ofotfense.
I) 18 1152. F -- LAWS GOVERNING INDIAN COUNTRY
IZ. AT'I`0RNEY'S NAME Egiirst Name, M.I., Last Name, including any suflix) I3. COURT ORDER
AND MAILING ADDR S [Ei O Appointing Counsel Cl C Co-Counsel
Nickerson Dal-jus Q F Subs For Federal Defender 1] R Subs For Retained Attorney
lll W. M6mO€’ Suite 1500 Ci. P SubsF0r Panel Attorney [I Y Standby Coutwet
Phoenix AZ 85U03— 1724 *’*·=·* A**·>*¤=I ¤*‘*==·=¤= —-————————
A Appointment Date:
Cl Because the above—named person represented has testified under oath or has
otherwise satisfied this court that he or she (I) is financially unabte to employ counsel and
Telephum Number. I I {2) does not wish tn waive counsel, and because the interats ofjustiee so require III-e
V ' ~ 4 attorney whose name appea I5 nted to represent this person I.l'l this case,
I4. NAME AND MAILING ADDRESS OF LAW FIRM {only provide per Instructions) or
BURNS , NICKERSON AND TAYLOR D °"‘" IS" '“s ”‘“"“l I
Signature of Presiding Ju ' ial Ofiioer or By Order ofthe I
‘ __... .T
AZ Dale nfOrder Nunc Pro Tune Dnte
Repayment or partial repayment ordered from the person represented for this service at
time ofappointment. I] YES El NU
5 · W · ‘‘°’ ’ "Il?**
. . ~··* ’."¤I
TOTAL NIATIIFTECI-[ NIATII/TECH
CATEGORIES (Anson nemnsraon ofservices with dates) CEQIIIQIIQD é\lIl—'lAtl)I`I./Llgg Atyligplylgn .;·*;]%r[Jg%”I]§lQI_D WRQQIBQIIAL
‘ ¥’* I`. .... ‘ 2i'
I'} I. Revocation Hearings
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C d· Travel time
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19. CERTIFICATION OF ATTORNEY/PAYEE FOR THE PERIOD O F SERVICE 20. APPOINTMENT TERMINATION DATE 21. CASE DISPOSITION
FROM T0 IF OTHER THAN case COM'PLE’l`l0N
ZZ. CLAIM STATUS [I Final Payment lj Interim Payment Number I;] Supplemental Payment
Have you previously applied Io the court for compensation and/or remlmbursement for this use? I] YES I] NO If yes, were you paid? El YES D NO
Other than from the court, have you, or toyour knowledge has anyone else, received payment (compensation or anything or vahte) from any other source in connection with this
representation? El YES El N0 Ifyes, give details on additional sheets.
I swear or affirm the truth 0r correctness ofthe above statements.
Signature ofAtlorney: - ? . .....; Date: in .. ..-. .
€ Z "' . ‘”‘£¤ -, . ·$*E’*
=5o-..
23. IN COURT COMP. 24. OUT OF COURT COMP. 25. TRAVEL EXPENSES 26. OTHER EXPENSES :1. 'l`OTALAh1T.APPR/CERT
2II. SIGNATURE OF THE PRESIDING JUDICIAL OFFICER DATE zss. ounce I MAO. wooo cone
29. IN COURT COMP. 30. OUT OF COURT COMP. 31. TRAVEL. EXPENSES J2. OTHER EXPENSES as. TOTAL AMT. APPROVED
34. SIGNATURE OF CHIE JUDGE COURT OF APP EAI? (pn EG E) Payment DA , 34 JUDG C0 E
at t°*° I ··· IIIEII ··*P·=IOe·sxe*2**:tH»$·I*c:I*—0042 — J iii Alijocu ment 77 Iilled 10/26/2006 Page Ii oi 1

Case 2:04-cr-00422-FJM

Document 77

Filed 10/26/2006

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