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

_ CJA 20 APPOINTMENT OF AND AUTHORITY T0 PAY COURT APPOINTED COUN D
1. ClR.rDrsT.mtv. CODE 2. PERSON REPREsENTED v0U ·- Unio n COPY
AZX Moses, Rtchard FlECElVED ~·~—-
2.. MAG. DKTJDEF. NUMBER 4. DIST. DKTJDEF. NUMBER s. APPEALS DKTJDEF. NUMBE s. OTHER DKT. NUM.w.ll
2:04-000993-001' L; 4 ZU0
1. 1N CASEIMATTER OF [css. Name) s. PAYMENT CATEGORY 9. TYPE PERSON REPREsENTE• 1n. Rg;1·REsENT1.;T10N TSEET
.¤ "* _
U.S. v. Moses Felony Adult Defendant C ER I "' _
lt. OFFENSE(S} CHARGED (Clte U.S. Code, Tltle 3: Section) Ifruore than one offense, Hat (up to Ilve) major nlfeuses elsarged. a -· · g to sev y eftllleuse. J l ij Ep ·
1) 18 924C.F —- VIOLENT CRIME/DRUGSMJACHINE GUN `F?¤`(,T;:e.-.»;T~— —_»r e-e_· r r· . --—»— _
12. ATTORNEYS NAMl§léFirst Nzu·ne,l\1.l., Last Name. lncludlng any suffix) I3. COURT ORDER
AND MAILING ADD SS IH 0 Appolntlng Counsel El C Co·Counsel
Bums Kevin L_ El F Subs For Federalbefender I] R Subs For Retained Attorney
I 1 1 W MOUTOE lj P Subs For Panel Attomey El Y Standby Counsel
Sung Prior Attorney': Name:
PHOENIX AZ 85003 APv¤*¤¤¤•¤· ¤=·•== XL-B
E Because the above-named person represented has testlfled under oath or has
otherwise satlsfled thls court that ht or slte (1] is llnanclally unable to employ counsel and `
. (1) does not wish to waive counsel, and because the interests ofjuatlee so require. the
Telephone Number.
attorney whose name appears ln I 11 ls appointed to represent thLs person ln this case.
I4. NAME AND MAILING ADDRESS OF LAW FIRM [only provide per instructions) or 0;/
BURNS, NICKERSON AND TAYLOR Cl ‘·‘·""°’ lS°° ”""'“°“°'“l of S
tgnature o residing Jud le al Otlicer or By Order ofthe ourt
‘ .i_s..................
Date of Order Nunc Pro Tune Date
Repayment or partial repayment ordered trom the person representes litr this servtee at `
time of appointment. El YES El NO
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1s. CERTIFICATION or ATTORNEWPAYEE FOR THE PERIOD Or SERVICE 20. AP1·onsTm:eNTTERstmAuoN one 21. CASE D1sP0stT10N ‘
‘ FROM .1.0 sr omsza THAN csse coMr1.m·1oN
22. CLAIM STATUS I] Final Payment El Interim Paytnent Nusrlher .. . El Supplemental Payment
Have you previously spplled to the oourt for eompwsatiou andfor resnlmhursesnent lor this case'? [I YES Cl NO Eyes, were you paid? El YES Cl N0
Other than Ii-om the court, have you, or to your knowledge has anyone else, received payment {compensation or anything or value) Irons any other source in eonnecrlnn with this
representation? Q YES EI NQ If yes, glve details on atldltlunal sheets. ·
I swear or affirm the truth or correctness of the above statements.
Signature of Attorney: Date:
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za. IN COURT COMP. 24. OUT or COURT c0MP. zs. TRAVEL EXPENSES 2s. OTHER EXPENSES 2v. mms. Am·.AP1=a.ceaT
2s. SIGNATURE OF THE PRESIDING JUDICIAL OFFICER DATE us. JUDGE .· MAG. woot: CODE
29. IN COURT COMP. 30. OUT OF COURT COMP. st. TRAVEL EXPENSES 31. OTHER EXPENSES ss. T0TA1. AMT. Arraovnu
34. SIGNATURE OF CHIEF JUDGE, COURT OF APPEALS (OR DELEcATE}P»y...o.. DATE 34... JUncE CODE
approved ln excess ofthe statutory threshold amount.
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Case 2:04-cr-00993-DGC

Document 41

Filed 03/14/2006

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