_ ( 1. (.IuI=tIs¤IcrIoN ( 3 I3 APPEALS _ ( z. MAG. welter No. ~ e. ensr cr.n0cI
4. APPEALS DOCKET NO. 5. ‘FOFI (DISTRICT (CIRCUIT) 5. LOC. CODE 7. CHARGEIOFFENSE {U.S. or other code citation) TA. CASE CODE
- 05-15152 I :i.nl:}1 Circuit CAUSF Appeal - _
4 ` -.•;I¤
B. IN THE CASE OF 9. I=I;I=Is0N REPFIESENTED TJLL NA E) ' ‘ |:(LEg A.
` Richard Farrell Dora B . Schriro Dir . Richard Ferre 1 " FI -
VS ’ ‘ - · ‘ ; IVED COPY _
10. PERSON REPRESENTED (STATUS) 11. PROCEEDINGS (Describe briefly) `
1 III DEFENDANT-ADULT CI El APPELLANT s III OTHEFI - I ·
2 III DEFENDANT-JUVENILE 4 III AF·I¤eI.I.I·zIz Appeal A PR 1 1 ZDUB
12. PAYMENT cxreeonv .
A I] I=eI.oNv c @PETTY OFFENSE Ia III on-IaI=I CLEQK U 5 DISTRICT COURT -
B ij M|SDEMEANOFI D APPEAL DISTRICT OF ARENZONA
13. coum ORDER A _ 14, FULL NAME OF A1·ronN ‘ ; smears: Name. MJ. I.ssIAN¤BEP I *
0 I3 Appolntlng Counsel F ij Subs. for FD |¤°iUd¥¤Q SUWIGANU MAI S? =""'i'“-Y*· - - - - ·
C I3 Co-Counsel R III Subs. for Retained Atty. ']Q‘,g_g;,g_ Allen , Esq , ·
P III Subs. for Panel Atty.
Name of ,,,,0, 9,,,,,,,, moms, , 438 Grand Avenue , # 15 1
Big Fork, Montana 59911
. Appt. Dat Voucher No 7
I 15. WORK PHONE 16A. Does the attomsy have the preexisting agree-
a ment (see Instructions) with a corporation,
Because the above-named "person represented" hestestttied under oath or has _ 1_800_3 1 7__ 168 A *¤¤*I-ldi¤Q E PV¤*¤¤¤|¤¤¤i ¤°'l'P°'¤“¤¤?
otherwise satisfied this court that he or she (1) ls tinanclalty uneble to employ counsel ` EI Yes EI No
and (2) does not wish to waive counsel end because the Interests of justice so require,
the attorney whose name appears In Item 14 ls appointed to represent this person In TSE gglmtxglons) wc` m§LI?ro{v§§eIpEr wlgructlonst
this case.
@4 {JQ S Iso. NAME AND MAILING ADDRESS OF LAW I=mM ‘
P (Only provide per instructions) -
Sig. of Presiding Judlctat ofncsr or By Order of Court (CIerk!DepuIy)
p ‘ y March 31 , 2006 same as tile
Date of Order Nunc Pro Tunc Date A
_ CLAIM FDR SERVICES On EXPENSES
. S¤¤v·¤¤ . ¤¤r¤S Mulflntv me pe IW
I- S- S~rr¤¤¤r·r¤S··· ···Sl¤r PSSS __ }JL'}Z?n‘?i2'é`§.T1??·*°
S- SSS .¤~=· ¤···-=¤S¤¤ +···=r···¤=. SSSSS··SSS*SS-
·=- •S¤**¤S= r··=¤···¤S __ SMS SSSSS SSSSS-
e SSS- WAS '"
D couer comp.
¤ SA- S¤·SS··=¤ HS¤r·¤¤S
E S- SSWSSSISS *SSSS¤¤S
¤- A==¤S=-SIS ¤¤¤¤ .
S- °¤¤Sr
S- S *¤·S~¤¤w=· SSS SSSSSSSSSS N¤·¤I»·»· rm par hwr
E S- ¤¤t¤·¤S¤¤ SSS r¤~·SSS·*¤¤ rS¤==r=SS iL"r§‘··1§’J?'¤??.'$T;1F"‘°'
5 S- LS¤=·• ·SSS¤r·=¤ =··=· SSS ~·SS¤¤ ·=S····=SSSSSSS SSSSS-
·= S- rm S-SS
0 . couer COMP.
5 S- *r··rSS¤*¤=·*··S SSS ¤**·Sr ·~S·*
1e. TRAVEIE, LODGING, MEALS src. AMouNr OTHER EXPENSES AMOUNT 1sA. rom. rnAvIa. exe
S
E SSS-`T°**S°""S" 5***
E l S
S SS- °S'*S'“° T°“S
CLMMED
S
( 21. CERTIFICATION OF ATTORNEYIPAYEE Foe PERIOD ·ro
F I3 Final Payment I ij Interim Payment No. ___ Has compensation andtor reimbursement for work in this casa previously been applied for? EI YES EI NO
II yes, were you paid? I] YES Ei No It 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 lor which you were appointed to provide representation? III YES ij NO
tt yes, give details on additional sheets. ....._.,_..,;,,,, 4, _ _
I swear or affirm the truth or correctness of the above statements V _ , - _ . .- A > *i_ _’ _
- SIGNATURE or ATTOHNEYIPAYEE . mrs
22. IN counr coma 2s. our oI= counr cow. 24. rnAveI. EXPENSE za. OTHER EXPENSES ze. rom. AMT,
,_ _ APPHOVEDICERT
55 S S ( $ $ 5 (( _ ( ( (
E; 21; SIGNATURE OF PRESIDENG JUDICIAL oI=I=IceI=I · · mrs 21A. .Iuoee·MAe.
2.,, _ _ CODE (
R; - - ’ - I l
sRE'l'AttI|EDB"{FINANCEAL'DEP(IfY'CLERK( - -- —. - . _ - e -
Case 2:04-cv-00260-EHC-BPV
Document 31
Filed 04/11/2006
Page 1 of 1
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