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


File Size: 56.7 kB
Pages: 1
Date: December 8, 2005
File Format: PDF
State: Arizona
Category: District Court of Arizona
Author: unknown
Word Count: 774 Words, 4,573 Characters
Page Size: 622.08 x 792 pts
URL

https://www.findforms.com/pdf_files/azd/23685/71.pdf

Download CJA 20 - Appointment - District Court of Arizona ( 56.7 kB)


Preview CJA 20 - Appointment - District Court of Arizona
¤¢*2°lF‘°'-"TTT‘l· APPOINTMENT OF AND AUTHORII Y TO PAY COURT APPOINTED COUNSEL I
1. JUHISDICTION - ,
_ _ 7 _ I 3 IE APPEALS 2. MAG. DOCKET N0. a. pier. cr. DOCKET No. VVOUCHER No. ’ 4
‘ T U MAP 2 U DIST- 4 lil-¤THErIL cv—02-1896-PHX- CB A 101].53 2. ‘
4. APPEALS DClGl 05-16643 A Ninth Circuit: CAUSF Appea · ·-··~ - ~-·-—I
t·°i.» "-~:'?l _
e. IN THE cAsE OF e. I=EI=IsoN REPRESENTED rI=uI.I. MEI eA. No. I
Shadid" Dora Sc:hr:I.ro· et: al. , 1. ; 3 rg; REFFIES.
. V5 ’ ’ Alfred Phi11p Sh did 1
1¤. PERSON I=IePeesENTEo (STATUS) 11. PI=Ioc§EoINesices¤rI¤e briefly _
1 III DEFENDANT-—ADULT ;=. tl! APPELLANT 5 III on-1EI=t PPEP DEU S ZUU5 I
2 E] DEFENDANT—JUVEN|LE 4 III APPELLEE , I
12. PAYMENTCATEGORY l , W . _ p I
A III FELONY c III PE`|TY OFFENSE E {J OTHEFI - ` I I
e III MISDEMEANOFI In E APPEAL - · ·
I . . I l' *
1:.1. count OFIDEFI _ 14. FULL NAME OF Arroe ¥lPA¥EE{FIrSt Name,-M.l.,.Last1Name,. -. -
O m Appoiniing Counsel F D Subs, for FD . |fIClt.Idii‘Ig Suffix] AND MAILING ADDRESS
C g Cc-Counsel R I] Subs. for Retained Atty. Michele MOI-Etti, Esq.
P Subs. for Panel Atty.
‘ Name of prior panel attorney 767 1- SW 1- I? th P]-ECE
Lake Butler, Florida 32054
Appr. Dele;........_..._ Voucher No.L.... .__
_ _ · - ;·_;;— 5. WORK PHONE 16A. Does the sttomey have the preexisting agree-
NILI14- Cr2¢Ut7' COMM l5$m··-|6'(·•F9¢$ ' ° ment (see Instructions) with a corporation,
Because the *7; 386_[*96_07U 1 inc"-ldlng A PV°l955l°na' ¤°"P°"at'°n?
-—-- ;;;. .- — ---··;-; ...;.-...;. . l:IYes ¤No
t:6 attorn · · name pears · tem ulnted to represent this person in (Only provide per instmgticns) 160 EJ~r:ErL|£gv§1§gIo2r Rlrgructionsl
t is c · - .
I / / . ` 16D. NAME AND MAILING ADDRESS OF LAw FIRM
> _ _ Ld (Only provide per Instructions)
Sig. 0 ' · iding Judicial Officer o y O of Court [Cie ll eputy)
' . F.•¤*
> 9 as > Dec. 1 , 2005 same as #14
D = of Or er Nunn Pro Tunc Date V
CLAIM FOR SERVICES OR EXPENSES ·
SERWCE DATES Ml-IIYIPIY r¤l¤ ver lI¤¤r
·;_ times total hours to
A ·’~"1·*¤¤m¤~* ~I·T*¤* PTP ..bI..I.r ··I.. ¤......··
¤— I-PII AMI ·==¤P~·=·¤ He-rI~¤¤ my ¤·Sa I ··=·*-
·=- M P ¤· TPI T"- TTTTAT T"-
§ _ count coMP.
¤ A- S¤¤·==~¤¤ H ¤a¤¤ ¤==
E T- T*¤r¤·=¤**·=¤ **¤¤*T··¤S __
¤- Arm Perl
A- °T*T°' lS°°°"’ ¤¤ ¤¤¤**l¤¤¤* =*lI¤·=*-=I
IIr-==== =
T8- A- T¤T¤~T·rw¤ and ¤¤¤*P¤···=¤=I ‘ Murrrpw r¤l¤ per rw
I- - - times total hours. Enter
g ¤— °¤=¤T¤T¤¤ MT *¤I·¤·~·¤¤ r¤·=¤r=*=I total our of wr--
8 G- Teal ¤===·==¤r==II and PP I·"IT¤¤ __ =°m¤°P**T'°" Pm-
*5 d. Travel time [Specify on additional sheets) 18A. TOTAL OUT OF
,_ . . . . count coMP.
D e. Investigative and other work (Speclfy on additional sheets]
° IMA er I TOTAL HOURS-I= A
19. TRAVEL, LODGING. MeAt.s src. AMOUNT OTHER EXPENSES AMOUNT 1eA. TOTAL TRAVEL EXR
=
P _ PT'- T°T·°~T °T*'ET' PTT-
CD
; A
>< _ _ 2°- GRAND T°TtT
1 W MMED
t
21. CEFITIFICATION or ArroI=INEvIPAvEE Poe PERIOD _ TO
F I3 Final Payment I IZ Interim Payment N0._____ Has compensation andlor reimbursement for work in this case previously been applied for'? I;] YES El NO
lf YES, were you paid? Cl YES III NO If yes, by whom where you paid? ____ How much? - 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 tc provide representation? I;] YES lj NG
If yes, give details on additional sheets. _,.,.,.,___
I swear or affirm the truth or correctness of the above statements > - P
SIGNATURE or ATIOFIN EYJPAYEE one
22. IN couer coMP. 2s. our OF couer COMP. 24. TRAVEL EXPENSE 25. orI1eI=I EXPENSES 26. TOTAL AMT.
,. AI=·PeovEcIcEI=Ir.
QE $ $ $‘ S 5 _
g2 27. SIGNATURE oe PsEeI¤INe JUDICIAL OFFICER DATE 21A. JuI:•sEIMAo.
g; CODE
& D.
(5 za. SIGNATURE OF CHIEF .IuoeE, cr. OF APPEALS Ion DELEGATE) DATE ze. TOTAL AMT.
IA AI>PI=IovIao
I S ";.»»
A _--· _ -e pn.- _ __ ;. . gg n ‘ ’TT utf-f_
ORIGINAL . seas ¤ l tid? 2*1* ' ' ' ' ' ° " L-——=¤*
_....e . x..·»a.I£

Case 2:02-cv-01896-RCB

Document 71

Filed 12/06/2005

Page 1 of 1