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


File Size: 134.6 kB
Pages: 1
Date: December 8, 2005
File Format: PDF
State: Arizona
Category: District Court of Arizona
Author: unknown
Word Count: 707 Words, 4,987 Characters
Page Size: 622.08 x 792 pts
URL

https://www.findforms.com/pdf_files/azd/32837/28.pdf

Download CJA 20 - Appointment - District Court of Arizona ( 134.6 kB)


Preview CJA 20 - Appointment - District Court of Arizona
. Eaten y LODGED
RECEIVED COPY
- CJA 10 APPOINTMENT OF AND AUTHORITY T0 PAY COURT APPOINTED COUNSEL "
1. CIR..·'DIST.!Dl'V. CODE 2. PERSON REPRESENTED VOUCI-[ER NUMB R
AZX Campillc, Cody Lee ‘ E 0
3. MAG. DKTJDEF. NUMBER 4. DIST. DKTJDEF. NUMBER S. APPEALS DKTJDEF. NUMBER 6. l%K§I.3,,l$i.]1l\»§’Il]5l¥%TF€l
. , ._ ;-¤ .. . CT 1 OURT
2:03-005267-001 · 2:03-001227-001 ih-; { QM, , .. A Nh
7. IN CASE/MATTER OF (Case Name) 8. PAYMENT CATEGORY 9. TYPE PERSON REPRESENTED I0. ESENTATION TYPE E | EP QTY
. *5*.- .. c..E??"§i"’i; ·‘’* .:*"*¢‘··—·· 1 —··r:·<::;-: . ., .....
U.S. v. CRITIPIIIO Felony Adult Defendant Stipcnnsed eleasc
11. OFFENSE(S) CHARGED (Cite U.S. Code, Title & Section) Ifmore than one otTense, I1st(up tn tive) major offenses charged, according to severity ofoffenre.
1) 21 841A=MD.F —— MARIJUANA - SELL, DIST RJBUTE, OR DISPENSE
12. ATTORNEYS NAME élisirst Name, M.I.. Last Name. including any sufT.x] 13. COURT ORDER
AND MAILING ADDR S 3 0 neppointing Counsel Ei C Co-Counsel
I] F Subs For Federal Defunter lj R Saba For Retained Attorney
817 lj P Subs For Panel Attorney Ei Y Standby Counsel
AZ Prior Attorney s Name:
Appointment Date:
[I Because the above-named person represented has testified under oath or has
otherwise satisfied this court that he or she {1) is financially unable to employ counsel and
Tnkphmm Numb": (2) does ot wish to waive counsel, and because the interests ofjustlce so require, the
attorney whose name appears ln Item 12 is appointed to represent-this person in this case,
14. NAME AND MAILING ADDRESS OF LAW FIRM(only provide per i.rutruct.ions] or
I] Other (sggjons) M E Z
Signature ofPresiding Judicial Officer nr y Ord ofthe Court
_....... ......—
Date nf`Drder Nunc Pro Tuna Date
Repayment or partial repayment ordered from the person represented for this service at
time of appoi.n.t..u1u|t. ij YES El NO
-‘·-
TOTAL MATHITECH M.ATH.·"l"ECH
cnnzconms An 1. we · u t · to u ter HOURS AMOUNT Aomsmo aoiusmu ADDYHUNAL
‘ ““ ‘ “““ ‘°'“°°"" “ ‘ CLAIMEP .¤.......E.. HOURS AMOUNT EEEEEE
is. ... Arraignment andfnr mn

E EEE EEE EE*E··E·>¤ HEEEEEE
C e S¤¤*=¤·EEEHE¤Ei¤EE -
_Q r. ne........n.... Hearings
.‘‘= :i;i=;.i:=i·:.>·‘?¥:i-€` EiEEEE§¤§i%i`E%¤§Ei¤%§;2E.¤Z-¤E;E5-EZ¤%§%·E£ZE¥£*¤:§-·§¤§.¤:=z¤‘E
§ r- Am:·==·1s €·>¤··¢ ’-..
M »»»r » -— H-
$3 E <>E¤EE¤g =··E ~=E¤wE·g
,, .. L..g... ..m..». .....1 »..a..t...nt..._.
{ ;;;·;=:;;:-;‘:,;e.i-,.5;.gf:Q:Q2.}:§:Q2§;i?:z*;;-§-;_g=;g; ;‘§‘;jg;-§;;jj;g§g5g·;‘§s‘g’§gfg§`g_Q`gA§2g_5g§`jQ;:Q§:,Q?:
C d, Travel time -Eggggggij;.g;;;ggg;f;;;g‘;_;é.;·;;;;;Q;V;{5:.;-;.;g,§.g;_z_f;g;,;,;gg;;-
ii °~ I""°s“g““"° ml 0***** EEE * me h¤»r > _
¤=·. nmn Expense a»¤en. p·rm¤. mm. ¤·¤=-ee eo -_
E OEM EEPEEEE <¤·E·r Em ¤¤»¤··» ¤=¤==~E¤=¤· EE->
19. CERTIFICATION OF ATTORNEYIPAYEE FOR THE PERIOD OF SERVICE 2.0. APP0lN'I`MENT TERMINATION DATE 21. CASE DISPOSITION
FROM K TO n~‘ tmmn mm cast. COIPIPLETION
22. CLAIM STATUS E Final Payment I] Interim Payment Number ,__ Ei Supplemental Payment
Have you previously applied to the court for compensation andfor romimhnirsement for this case? Cl YES D NO Ifyes, were you paid? KI YES El NO .
Other than from the court, have you, or to your knowledge has anyone else, received payment (compensation or anything ur value) from any other source in connection with this
representation? [Zi YES D NQ If yu, give details on additional sheets.
I swear or affirm the truth or correctness of the above statements. `
Signature ofAtt¤rney: Date:
23. IN COURT COMP. 24. OUT OF COURT COMP. 25. TRAVEL EXPENSES 26. OTHER EXPENSES 27. TOTAL am. mn 1 cmnr
28. SIGNATURE OF TI-IE PRESIDING JUDICIAL OFFICER DATE zua. JUDGEIMAG. JUDGE CODE
29. IN COURT COMP. 30. OUT OF COURT COMP. 21. TRAVEL EXPENSES 32. OTHER EXPENSES ss. TOTAL AMT. Arrnovmo
34. SIGNATURE OF CHIEF JUDGE, COURT OF APPEALS (OR DELEGA'I'l·'J)Paymenr DATE 34:1. JUDGE CODE
approved in excess of the statutory threshold amount.
· ·° 6° - "" "’ i•• · `S ·• `O Iii ‘.•· e

Case 2:03-cr-01227-PGR

Document 28

Filed 12/07/2005

Page 1 of 1