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

GJA 20 APPOINTMENT OF AND AUTHORITY TO PAY COURT APPOINTED COUNSEL
1. c1R.rD1sT.xD1v. CODE 2. PERSON REPRESENTED YOUCHER NUMB R A, FILE D I L l nnln I l l
AZX Mosely, Louisa Kay _ _ —·— ODGED ,
i- =wg¤ OPY
3. MAG. DKTJDEE. NUMBER 4. DIST. DKTJDEF. NUMBER s. APPEALS DKT./DEF. NUMBER ITHERTD . · • . - L`.
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1. IN CASEIMATTER or (cu. Name) s. PAYMENT CATEGORY 9. TYPE PERSON REPRESENTED tu. ‘13lmE§_§m° i- ww l I J’
U.S. v. Mosely Felony Adult Defendant J upervised lielease
11- OFFENSE(S) CHARGED (Clit! US. COBB, Title & SECEOII] H more than one oiTense, lEst(up to ilve) major offenses charged, geeording to sev; ty o o Q I H
J 1) 18 1708.F -- THEFT OR RECEIPT OF STOLEN MAIL MATTER - gv ‘ F ARE NA
12. ATTORNEYNS NAME £First Nasne, M.I.,Last Name, including any $ulTut} 13. COURT ORDER S
AND MAILING ADDR SS IE 0 Appolntlng Counsel [I C Co-Counsel
I:] F Suhs For Federal Defender Cl R Subs For Retained Attorney
3 N, lj P Subs For Panel Attorney CI Y Standby Counsel
O16 Prior Attorney'; Name;
Appointment Date: _______
lj Because the abovvnamed person represented has testitied under oath or has A
otherwise satisfied this court that he or she (1) is tlnaneislly miable oo employ counsel and
Tdephnne Number: (2} does not wish to waive counsel, and because the Interests dfjustice so require, the
attorney whose name appears in Item 12 is appointed to represent this person ln this case,
14. NAME AND MAILING ADDRESS OF LAW FIRM[on13· provide per instructions) or
' ij Other (See on
Signature ot`Presiding Judicial Oflieer or By Order of e Court `
......._.....
Date of Order Nunn Pl'0 Tum: Date
Repayment or partial repayment ordered from the person represented For this service at
time of appointment. El YES Cl NO
TOTAL MAT]-IITECH MATHTFECH
CATEGORIES (Amen itemization of services wml dates) CEQEQQD éilxvgolploéalg AI;-iIE)J§]I£l§D aAl%4Jg.%T1_;F.I_D Af_¥E’{§}§,{,"AL
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16. B.I1'llZ|$l'Yll3WS and cmnmnces
$ E cumming and evaewing meas ¤e-
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11. Travel Expenses (lodging, parking, mesh, manage, en.)
J%i?€‘JEiiZE ¤ ?¤-Ear; 1:;:=E%¤.E<¤;E%‘§ii;;%?é§Ee2iEE?iii .%.?;:.;~;5¤;.?‘;¤:¤-¤ -;¤-1; --.i‘-¤.-%·-¤¤¢
18- 0*Jwr Expenses (mer ¤=¤¤ •===1=·¤r¤» ¤¤¤¤¤rJP¢¤» ¤¢¤~J if2-;.;;2iii·§i§Z;i‘§%;.5;i ;.- 1;%%-;_Q_:ji’ .
19. CERTIFICATION OF ATTORNEYIPAYEE FOR THE PER10D OF SERVICE zo. A1·1>o1NT1vn:Nr ·1·Em»¤NAT1oN DATE 21. CASE DISPOSITION
FROM I T0 xr onma THAN casa COMPLETION _
22. CIEAIM STATUS E Final Payment EI Interim Pagnnent Number _.t D Supplemental Payment
Have you previously applied to the court for compensation andfor remimhursement for this case? EI YES G NU Il' yes, were youipnld? U YES I] NO A
Other than from the court, have you, or to your knowledge has anyone else, received payment (enmpenaation or anything or value) from any other source ln connection with fhls
representation? [I YES [I N0 If yes, give details on additional sheets.
{ swear or affirm the truth or correctnua of the above statements.
Signature of Attorney: Daste=
E ’‘:‘
za. IN COURT COMP. 24. OUT OF COURT COMP. 2s. TRAVEL EXPENSES ze. OTHER EXPENSES :-1. TOTAL AM·1·.APPm com
‘ za. SIGNATURE OF THE PRESIDINQ JUDICIAL OFFICER DATE · I na. nmcruvmc. moor com:
29. IN COURT COMP. su. OUT OF COURT COMP. 11. TRAVEL EXPENSES 32. OTHER EXPENSES ‘ sz. TOTAL AMT. APPROVED
34. SIGNATURE OF CHIEF JUDGE, COURT OF APPEALS (OR DELEGATE)Payment DATE 2.4.. JUDGE CODE l
approved In excess ofthe statutory threshold amount. V `
`. ·` i` iii6" vv i• I · 36 ·• i· 66 `iii =.•· •

Case 2:02-cr-00602-SMM

Document 80

Filed 04/06/2006

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