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

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CJA 20 APPOINTNIENT OF AND AUTHORITY TO PAY COURT APPOINTED COUNE eL A -— -- - " "·· “"—--L· I
1. CIR..·'DIST..'DI\’. CODE 2. PERSON REPRESENTED VOL II—TEII·1rNUlI'1BER\ M I- r - " U}- I
AZX Kelly, Ltktshe I. I ,
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3. Mao. DKTJDEF. NUMBER 4. DIST. Dt1=1;.s1.s Dt $@2:02-000611-002 I I
7. IN CASEIIWITTER OF (Case Name) II. PAYMENT CATEGORY 9. TYPE PERSON REPRESENTEID ` J` I. ill II.`I%SI§iPI;tI§§E‘i'TETION*ITI\<’PE" I
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U.S. v. Kell · Felont Adult Defendant Su €I"·.·'1SCIZI` ’eIea·se I
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I I. OFFENSFXS} (`HARC ED (Cite [..5. Code, Tiflt: & Section) lI`ntore than one uII`euee. list [up to live) tttajur oITenses cltarged, according tu seveFfIj·a`l`6I’I1anse:- t - . .. M I____ j
I) IS 924B.F ~- PENALTIES FOR FIREARMS
IZ. A'I`TORNEY'S NAME (First Name, NL]., Last Name, including anysuifix) I3. COURT ORDER
AND MAILING ADDRESS E 0 Appoizttiug Counsel lj C Co—Counsel
Y ; 5u:s Eur iederal Defender S E gubsdlgor Retained Attorney _
Bulldlng Suit`? Su s or attelstttorneg X tan 3 Cnunse
` Road - Prior Attorney'.: Name:
Mesa AZ 85206-3449 ·*PP¤*"““°¤*D¤*¤* ......—[..e
U Because the above-named person represented has testified under oath or has
H utherwise satisfied this enurt that he or she (J) is Iinnncially unable to employ counsel and
Tdephoug Numbnr: 8.) (1} does not wish to waive counsel, and because the interests ol justice so require. the
I]¥[Ol‘I'IE}' \\`I'lt1StE1'lI1{1’lE HpI>EiI£'S III llblll is Uj.I|]|.`IIIIltIi IO fl']ll'l'SCE'I[ IIIIS |]¢!I’hfJII III IIIIS CLISC.
I4. NAME AND MAILING ADDRESS OF LAVIF FIRl\*1(only provide per instructions) or
LAW OFFICE OF ANTHONY B. BINGHAIVI PC E O"‘°’I$““ '"""'“""“l · OY
Signature ol` Presidiugjludicin Ofiicer or By Order HI The CtI1.Ir"l
IVISSB. Date of Order None Pro Tune Date
Repayment or partial repayment ordered irom the person represented Ihr this service at
time nf appointment. Z YES El NO
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2;. 3. interviews and ctmtmms .
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lg b. Obtaining and reviewing records :;-1
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`I9. CERTIFICATION OF AT'l`ORNEY`IPAY'EE FOR THE PERIOD OF SERVICE 20. AP!’0IN'l”MENT T‘ER.l\1l.NAT10N DATE 21. CASE DISPOSITION
tr OTHER THAN cast; c0MPLET10t<
FROM TO
I 22. CLAIM S"I`.·$.TUS I] Final Payment EI Interim Payment Number It Supplemental Payment
Have you previously applied Io the court For compensation andfor remimhursement for this ease? CI YES I] NO Iliyes, were you paid? I] YES U N0
Other than Irom the court, have you, or to your knowledge has anyone else. received payment [compensation ur anything or value] from any other source in connection with this
representation? YES I] NQ II yes. give details on additional sheets.
I swear or afiirm the truth or correctness of the above statements.
Sigttnture ol Atlurttvj. llate; __
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23. IN COURT COMP. 24. OUT OF COURT COMP. 25. TRAVEL EXPENSES 26. OTHER EXPENSES 27. TOTAL Atvrr. APPRICERT
.18. SIGNATURE OF THE PRESIDING JUDICIAL OFFICER DATE zstt. Jtrnce .· mac. IUDGE CODE
_ 29. IN COURT COVIP. 30. OUT OF COURT COMP. 31. TRAVEL EXPENSES 32. OTHER EXPEWSITS sa. 'l`O'I”A`l. AMT. at=t>R0vI2D
34l SIGNATURE OF CHIEF JUDGE, COURT OF APPEALS {OR DELEGATE)Payment DATE 34a. JUDGE CODE
approved in excess ui the statumtjv threshold amount.
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Case 2:02-cr-00611-SRB

Document 96

Filed 09/09/2005

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