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

CJA 20 APPOINTMENT OF AND AUTHORITY TO PAY COURT APPOINTED COUNSEL
1. CIRJDISTJDIV. CODE 2. PERSON REPRESENTED * YV- ' ‘· · ‘ F — ‘
AZX Smith, Michael Dewayne I FILED LODGED
3. MAG. DKTJDEF. NUMBER 4. DIST. DKT.rDEF. NUMBER 5. APPEALS DKTJDEF. NU BER H ··` DKT. @@5}
2:04-000677-001 ‘** — '
'I. IN CASEIMATTER OF (cm Name) 8. PAYMENT CATEGORY 9. TYPE PERSON REPRESE A@lSER$. ON TYPE
U.S. v. Smith Felony Adult Defendant a Case
I1. OFFENSE(S) CHARGED (Cite U.S. Code, Tltle & Section) If more than one offense, llat (up to nre) major ¤IT¤¤¤¤ nba u·¤st¤[S!pmcT CQURT
I) 18 924A.F -- PENALTIES UNDER I8:922(A),(D),(G),(_I),(J) OR (O) [MSTHCT OF ARRONA
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I2. AT°I`DRNEY'S NAMI§léFirst Name., MJ., Last Name, including any auflh) I]. COURT ORDER
AND MAILING A.DD SS FB O Appotnring Counsel I] C Co-Counsel
ANU EI FSIJF Fed IDef der EI RSnhsl·` Retainedmtorney
I§E;n#’2g6 ACE lj P s:a: Fgyngnhnolxy EI v snanngrconnsat
Luhrs Tower Prior Attom¤y's smc:
45 W. JCECISDH Ave ·*PP°*"""“'“ mm —-—·-—·————
Phoenix AZ 85003 ` ` EI a ul no an mmm nm mono: min- to orhas
otl1erWlu:e];etlslilI%tI IItDE.oI:a.:t ti|]¤I::::rr:1:e [1) is Emnelally IIIBIIJID to employ nunuael and
Telephone Number; g l (2) does not wish to walve counsel, and because the interests ofjustiee so require, the
attorney whose name appears In Item I2 is appointed to represent this person ln ttls can,
I4. NAME AND MAILING ADDRESS OF LAW FIRM [only provide per instructions] or ‘ _,l ‘
KENT AND RYAN P.L.C. U °"'°“‘*S°° ""“’“°‘*
I Signature ol`Pre.sltIin utl cla Oliicer or By Order ofthe ourt
· .....;..1
AZ Date ol' Order Nunc Pre Turn: Date
Repayment or partial repayment ordered from the person represented for this sewice at
time ofappointment. EI YES I] ND
_ _ OURS TOTAL MATl·lJ'I`ECl-l MATT-IITECI-I ADDITIONAL
CATEGORIES (Attach ttemizatton ofservlm with dates) CEMMED AIiI1Jg5%D A`l;A.llc]’%'II;]E_I_D REVIEW
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3 e Investigative and Other work {span ·»· ··w¤··¤»· nm} EEE? - LE _
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nv. rmn Expense (uname. parkng. mn. ···¤¤·=·g». no __
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19. CERTIFICATION OF ATTORNEYIPAYEE FOR THE PERIOD DF SERVICE 20. Arrcmnmnr TERM1'NA'l'lON DATE 21. CASE DISPOSITION
FROM TD rr DTI-IER THAN casa COM'PLETl'IDN
22. CLAIM STATUS I] F'm¤I Payment [1 Interim Payment Number El Supplemental Paynnmt
Have you previously applied to me eonrt for compensation andfor remimbursement for this ease? EI YES EI NO Ifyes, were you paid? I] YES D NO
Other than from the court. have yon, or to your knowledge has anyo · e else, received payment {compenmtion or anytlslllg or value) from any other source in ·-» nneedon with this
representation'? [I YES I] NO Ilya, give deulls on adnitlonalaheeta.
l swear or affirm the truth or correctness of the above statements.
Signature of Attorney: Date: A

23. IN COURT COMP. 24. OUT OF COURT COMP. 25. TRAVEL EXPENSES 26. OTHER EXPENSES 21. r0·rA1. AMr.A1·rurcEn*r
28. SIGNATURE OF THE PRESIDING JUDICIAL OFFICER DATE zaa. mocmrmc. muon com:
29. IN COURT COMP. 3o. OUT OF COURT COMP. 31. TRAVEL EXPENSES 32. OTHER EXPENSES as. ’1‘0TA1. AMI Arrnovnn
34. SIGNATURE DF CHIEF JUDGE, COURT DF APPEALS (OR DELEGATE) Payment DATE 34a. JUDGE CODE `
approved In excess ofthe statutory threshold amount. .
Case 2:O4—cr—OO677-FJIVI Document 8 Filed 05/10/2006 Page 1 of 1 _

Case 2:04-cr-00677-FJM

Document 8

Filed 05/10/2006

Page 1 of 1