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

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CJA 20 APPOINTMENT OF AND AUTHORITY TO PAY COURT APPOINTED COUNSEL gg 53 I I CG PY
1. CIR./DIST./DIV. CODE 2. PERSON REPRESENTED VOUCHER NUMBER
AZX Urquidez, Felicia ~ I. ~• I I 1
3. MAG. DKT./DEF. NUMBER 4. DIST. DKT./DEF. NUMBER s. APPEALS DKT./DEF. NUMBER 6. OTHER DKT. NUMBER
I 2204-000882-OO2 2 _· » .· p = ~; · :j:‘rr‘~;{;"3’ {‘;(`)U; T I
7. IN CASE/MATTER OF (cm Name) S. PAYMENT CATEGORY 9. TYPE PERSON REPRESENTED 10. IgaPRESENiT;`x;TION#TYI?LE} NA
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U. S. V. Urquidez Felony Adult Defendant F] . ; Pre TIIQIVDIYQISIQH Mfg my
ll. OFFENSE(S) CHARGED (Cite Code, Title & Section) If more than one offense, list (up to five) major offenses charged, according to severity of offense.
1) 18 924B.F -- PENALTIES FOR FIREARMS
12. ATTORNEY'S NAME éliirst Name, M.I., Last Name, including any suffix) 13. COURT ORDER
AND MAILING ADDR SS {E O Appointing Counsel lj C C0·Counsel
lj F Subs For FederalDefender I] R Subs For Retained Attomey
Suite 1 2 lil P Subs For Panel Attorney 1] Y Standby Counsel
1 1 1 MOHIOS SU-cet Prior Attorney's Name:
Phoenix AZ 85003-0001 AnP·nn=n·sn¢D=ns= -»-T-—-— (
[1 Because the above-named person represented has testified under oath or has
6 otherwise satisfied this court that he or she (1) is financially unable to employ counsel and
Telephone Number: .340*1 3 (Z) does not wish to waive counsel, and because the interests ofjustice so require, the
attorney whose name appears in Item 12 is appointed to represent this person in this case,
14. NAME AND MAILING ADDRESS OF LAW FIRM(onIy provide per instructions) or
E Other (S tructions) _
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1 Signature of Presiding Judicial Officer or B Order ofthe Court
Date of Order Nunc Pro Tunc Date
Repayment or partial repayment ordered from the person represented for this service at
time of appointment. CI YES lj NO
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TOTAL MATHHECH MATH/TECH
CATEGORIES (Attach itemization of services with dates) C§Q$*y§D AMOUNT ADJUSTED ADJUSTED AQEQTILCQSAL
CLAIMED HOURS AMOUNT
Is. a. Arraignment and/or Plea _
b- nan nnn Dsnsnnnn Hsnnings - _
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c s· Ssntsnnng Hsnnnss

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h. other (Specify on addimmi sheets) _
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a. Interviews and Conferences _
n n ’ 0 C- Legnl research and brief writing =*‘
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3 .. Investigative .....1 Other work (S...a. 0. .1. eets > I
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19. CERTIFICATION OF ATTORNEY/PAYEE FOR THE PERIOD OF SERVICE 20. APPOINTMENT TERMHVATION DATE 21. CASE DISPOSITION
FROM TO IF OTHER THAN CASE COMPLETION
I Z2. CLAIM STATUS El Final Payment lil Interim Payment Number [I Supplemental Payment
1 Have you previously applied to the court for compensation and/or reniimbursement for this case? lj YES lj NO If yes, were you paid? El YES Cl NO
Other than from the court, have you, or to your knowledge has anyone else, received payment (compensation or anything or value) from any other source in connection with this
representation? [1 YES D 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. zs. TRAVEL EXPENSES 26. OTHER EXPENSES 27. TOTAL AMT. A1>1>Rx CERT
zs. SIGNATURE OF THE PRESIDING JUDICIAL OFFICER DATE zsa. JUDGE 1 MAG. JUDGE CODE
29. IN COURT COMP. 30. OUT OF COURT COMP. 31. TRAVEL EXPENSES 32. OTHER EXPENSES 33. TOTAL AMT. APPROVED
34. SIGNATURE OF CHIEF JUDGE, COURT OF APPEALS (OR DELEGATE)raymem DATE 34a. JUDGE CODE
approved in excess of the statutory threshold amount.
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Case 2:04-cr-00882-EHC

Document 89

Filed 12/09/2005

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