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

K ` CJA 20 APPOINTMENT OF AND AUTHORITY 'IU PAY COURT APPOINTED COUNSEL
1. CIR./DISTJDIV. CODE 2. PERSON REPRESENTED ; • · I · ·
-
AZX Lara Dommguez, Pablo
J. MAG. DKTJDEF. NUMBER 4. DIST. DKTJDEF. NUMBER s. APPEALS DKT./DEF. NUMBER p 6. OTgEtjEiT/EIBMBER I F
2:00-000251-001 ._.__COP
7. IN CASE·‘MATTER OF (case Name] B. PAYMENT CATEGORY 9. TYPE PERSON REPRESENTED . I0. l}§P FI€`l()N TYPE
, EE
U.S. V. Lara Dominguez Felony Adult Defendant Sup cd
11. 0FFENSE(S) CH ARGED (Cite U.S. Code, Title & Section) It more than one offense, list (op to tive] major ottnses charged, accorrli . to
1) 8 1326B.F -- REEN I RY OF REMOVED ALIEN—FELONY mSTTg®$@;2*%$§gOUR
-‘ - NA
“ - ..._._______ - .
l2. A'I'I`ORNE\"S NAME Egirst Name, M.I.,l.asIName,lncluding any suliix} I3. COURT ORDER l` nt-u " " "“""" "‘*'”•=*¤¤·= · ~
AND MAILING ADDR S ij 0 Appogmjng (jmmse] El C (_·,,.,CuumE| .
| L E E gulgs got $$:;*2 Defender E 5 gubsdlgorcliletniroed Att rney
S1-utc n s or an ttorney tau y ounse
TWD Centra] AVC. Prior Attorney sNau1e: ,, ,. ,,,.1,, ,.,.._ ,, ,
Phoemx AZ 85004 Av1¤¤i·=¤n¤¤¤¤¤¢¤= ...e..._
El Because the above—named person represented has testioed under oath or has
otherwise satistied this court that he or sho (Ilia tiznanclally unable to employ counsel and
·re|EphunE Number. (2] does not wish to waive counsel, and because the interests ofjustiee so require, the
attorney whose name appears in Item 12 ' app ted to represent this Tiuin thk case,
I4. NAME AND MAILING ADDRESS OF LAW FIRM (only provide per instructions) or I
HALL LAW FIRINJ [I Other (See instr ons} X
éintral AVC Signature ol' Presi ing Judicial Offi or By Order ol the Court
PIIOGUIX AZ Date of Order Num: Pro Tu e Date
Repayment or partial repayment ordered from the person represented for this s ervice at
time ofappoinnnent. El YES El NCI
TOTAL It·LATHr1’ECH MATI-L"f`E.CH
CATEGORIES (Amen nennzsoon or services mu. data) Cgfllgakgu éAIly£lplIg Aihrggjéigo .§DBg§]'II;lE¥_) *’*DRE{%‘§'·'*L
d, Trml _
(Rein per hvnr =$ l TOTAl$=
0
·» ¤- Msn r¤¤¤¤r·=¤· and brief writing
Q d-T1‘¤Y¢| time _
3 E, [nvestigntiv e and Other work (speeuy on amuoonal sheccu _
t .s... ....=s I me _
ig, Other Expenses (other than experi, transcripts. etc-l _
19. CERTIFICATION OF ATTORNEYJPAYEE FOR THE PERIOD O F SERVICE 20. APPOINTMENT TERMINATION DATE 21. CASE DISPOSITION
FROM T0 IF ornan THAN CASE CDMPLEIION
22. CLAIM STATUS [I Final Payment I] Interim Paym t Number i] Supplements! Payment
HIVE you previously applied to the court tor compensation andlor remimbursement for this case? Cl YES El NO ltyes, were you paid? [I YES K] NO
Other than from the court, have you, or tnyour knowledge has anyone else, received payment (compensation or anything or value) from any other source in connection with this
representation? El YES lj NO lfyes, give details on additional sheets-.
I swear cr aflirm the truth or correctness ofthe above statements.
Signature ofAt1.orney: Date:
»·
23. IN COURT COMP, 24. OUT OF COURT COMP. 25. TRAVEL EXPENSES 26. OTHER EXPENSES 21 TOTAL AMT. APPR .· CERT
zs. SIGNATURE OF THE PRESIDING JUDICLAL OFFICER DATE zss. Iuocexmc. Juoce coo:
29. IN COURT COMP. 30. OUT OF COURT COMP. J1. TRAVEL EXPENSES 32. OTHER EXPENSES as. TOTAL AMT. APPROVED
J4. SIGNATURE DF CHIEF JUDGE, COURT OF APP EALS (OR DELEGATE) rsymnn DATE 34a. JUDGE CODE
approved In exc5S of the statutory thrahold amount.
Case 2 :OO-cr-00251 —ROS Document 35 Filed O9/06/2006 Page 1 of 1

Case 2:00-cr-00251-ROS

Document 35

Filed 09/06/2006

Page 1 of 1