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

CJA 20 APPOINTMENT OF AND AUTHORITY TO PAY COURT APPOINTED COUNSEL FILED • · GED
1. C[R.fDIST..·’DIV. CODE 2. PERSON REPRESENTED A VOUCHER NU BER RECEIVED CO . Y
AZX Hunking, Keith wm
3. MAG. DKTJDEF. NUMBER 4. DIST. DKTJDEF. NUMBER 5. APPEALS DKTJDEF. NUMBER 6. OTHER
2:04-000224-001 2:04-000994-001ifg - ZUU5
7. IN CASEIMATTER OF (Case Name) 8. PAYMENT CATEGORY 9. TYPE PERSON REPRESENTED 10. OCN TYPE
US Hu:o.l<1n` Fl Adopt- d . T 'CT€¤ F*T
· · V- H C OHY U B B'] mt “P ailtsaziesasr a . .
11. OFFENSE(S) CHARGED (Cite U.S. Code, Title & Section) Ifmore than one offense, list (up to five) major offenses charged, according to e - __`Lg D E F
1) 18 4082.F -- ESCAPE FROM CUSTODY ~~-~—~-~~~~·T ` Y ~ ~- - -·—. .-...»
12. ATTORNEY'S NAN1-ERj€Flrst Name, MJ., Last Name., including any suflix] 13. COURT ORDER
AND MAILING ADD SS E 0 Appngmtng (jmmm Q {3- Cq-Cgungd
I] F Subs For Federalllefender I] R Subs For Retained Attorney
N lj P Subs For Panel Attorney E Y Standby Counsel
PHOENIX AZ g50i]3-452g Prior Attorney': Name:
Appointment Date: `
EI Because the above-named person represented has tesriiied under oath or has
otherwise satisfied this court that he or she (1] is financially unable to employ counsel and
Telephone Numb?. (2) dos not wish to waive oounse.1, and because the interests ofjustiee so require, the
attorney whose name appears in Item 12 ls appointed to represent this person in this case,
14. NAME AND MAILING ADDRESS OF LAW FIRM [only provide per instructions] or
EI Other e ns notions)
Signature ot`Presiding Judicial Officer or B Order of the Court
M.
' Date of Order Nom: Pro Tum: Date
Repayment or partial repayment ordered from the person represented for this service at
time nfappolntment. El YES EI N0
A
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. . . . . I-toons TOTAL M·‘*TH"TECH MATHHECH Aoomonar.
CATEGORIES (Attach iterrnzatnon of servnces with dates) CLADMED REVIEW
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FROM TO ___i _ nt OTHER THAN CASEVCQMPLETION
Z2. CLAIM STATUS lj Final Payment ljlnterlm Payment Number __,__,_,,,,_ lj Supplemental Payment
Have you previously applied to the court for eompensation andlor remlmbursement for this case? I] YES E NO 11`yes. were you paid? I-.] YES [I NO .
Other than from the wort, have you, or to your knowledge has anyone else, reoelved payment (compensation or anything or value) from any other source in connection with this
representation? [I YES I] NO If yes. give details on additional sheets.
I swear or aftirm the truth or correctness of the above statements.
Signature of Attorney: Date: `
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23. IN COURT COMP. 24. OUT OF COURT COMP. 25. TRAVEL EXPENSES 26. OTHER EXPENSES 27. TOTAL AMT. APPR J CERT
28. SIGNATURE OF THE PRESIDING JUDICIAL OFFICER DATE sua. moon .· MAG. JUDGE com:
29. IN COURT COMP. 30. OUT OF COURT COMP. 31. TRAVEL EXPENSES 32. OTHER EXPENSES 22. Torn:. AMT. APPROVED -
34. SIGNATURE OF CHIEF JUDGE, COURT OF APPEALS (OR DELEGATE)Payment DATE 34a. JUDGE CODE _
approved us excess of the statutory threshold amount.
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Case 2:04-cr-00994-PGR

Document 41

Filed 12/07/2005

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