Free Notice of Appeal - Notification Form - District Court of Arizona - Arizona

UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT NOTICE OF APPEAL NOTIFICATION FORM Court of Appeals No. CASE INFORMATION: Short Case Title: Mazet v. Halliburton Co Long-Term Disability Plan, et al., District, Division & Judge AZ - PHX - Judge Frederick J. Martone District Court Case No. CV 04-493-PHX-FJM Date Complaint Filed: 3/11/04 Date Appealed order/judgment entered: 8/29/08 Date NOA filed: 9/15/08 Date of Indictment/Information Plea Hearing COA Status (check one): 9 granted in full (attach order) 9 granted in part (attach order) 9 no COA required (2241)

Sentencing 9 denied in full (send record) 9 pending

9 Certificate of Record included - No Court Reporter Court Reporter(s) Name & Phone Number: Linda Schroeder-Willis: 602-322-7249

Magistrate Judge's Order? If so, please attach. FEE INFORMATION Date Docket Fee Paid: 9/15/08 Date IFP granted: Is IFP pending? 9 yes 9 no US Government Appeal? 9 yes 9 no Companion Cases? Please list: Date Docket Fee Billed: Date IFP denied: Was IFP limited 9? Revoked 9?

Please attach copy of any order granting, denying or revoking IFP. COUNSEL INFORMATION (please include email address) Appellate Counsel: Appellee Counsel: 9 retained 9 CJA 9 FPD 9 Pro Se 9 Other ----- Please attach appointment order. : See attached docket for names/addresses/phone numbers DEFENDANT INFORMATION Prisoner ID Address: Custody 9 yes 9 no Bail

Other docs included in this packet: Name & Phone Number of Person Completing this Form: Sally Turner 602-322-7212 Ninth Circuit - Please acknowledge receipt of this appeal on the enclosed copy. Case 2:04-cv-00493-FJM Document 99 Filed 09/17/2008 Page 1 of 1