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

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C-IA 20 APPOINTMENT OF AND Aumomw TO my comm- Appom-mp (3 • FILED ____,. LODGE .
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1. CIR./DISTJDIV. coma z. reason neraesnmen e I · • t ,: ='!“=ll'L*" ° I
y AZX Caxrillo, Rhotm Ramon I
I 3. MAG. DKTJDEF. NUMBER 4. DIST. ¤·1cr.mEF. NUNEBER s. A1¤12·1tALs m<·r.mmv. NUM { · ;`F* i'1‘: t= ER ‘ _
2:04-005 l45—OO1 .g2:O4-000555-001 .
` 7. IN CAsE.·MATT1:It OF {cur Name) s. PAYMEN11 CATEGORY 9. TYPE PERSONVREPRESEN ED CLE I · N " E.
U. S. v. Carrillo ` Felony I _ Adult Defendant D T ’t E.: ;‘g·_§g_ ; ·‘
ll. OFFENSEXS) CHARGED (Cite U.S. Cude,Tit1e St Section) if more than one oIl’ense,Het (up to tive) majoroffenae: eha:-g
1) 18 170S.F —- THEFT OR RECEIPTOF STOLEN MAIL MATTER ·
12. ATTORNEYS NAME élgirst Name, MJ., Last Nome, ln•:iud1ttgaa‘Iya’ufE¤I) I3. COURT ORDER I `
AND MAILING ADDR S ` IX O Appnlnting Counsel I;] C Co-Counsel .
· - - [I Sul1sFor Federal Defender III R Subs.For Retained Attorney
W Hu_ESé Drive . ` _ D P Suite For Panel Attorney I] Y S¤tndhyCou1uel
Tempe AZ 85282-0001 ‘ A W **··¤·t'·N¤*·== »-—-————-———-——-—— ~ ·
_ . t Appointment Date: __________,_,,___.,.,_
Cl Because the above-named person represented has testified under oath or ltaa ‘
` otherwise aathtiedthtseourt tshotheor she [1)Ir Enaneially unable to entplnyoounaelaud .
Q Telephone Number: 23 1-3 4 (1) does not with to vraive eonnaet, and because the Interests ofjuatioe ec require, the
y attorney w·I·:o.te name appears ln Item I2 is appointed to represent this person in this uae.
~ 14. NAME AND MAILING ADDRESS OF LAW FIRM(only provide pu instructions) or . ’
I El Other (see Instructions) O‘·’ I . I .
I A A igaatore of Pruidi · g Jutlleial mer or By rder ofthe Court ~ I h
A _...........;.-»
_ Damon! Order · Nunc Pm Tum: Date
` Repayment or partialrepaytuent ordered from the person represented for this service at
_ V time of appointment. I ` [I YES EI NO .
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11 Travel Expenses (lodging, puldngs muh, _ I f` Q ._·' I ‘-_· I _
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19. CERTIFICATION OF ATTORJWEYIPAYEE FOIL at I at ` <}D`OI*' SERVICE 2-0. A1'P 'l’ER1V1INAIION]3ATE 21. ' CASE DISPOSITION t
FROM TO I . . 1F orumamam cast: COM.l'I.rE'I`lOl’•l _ .
2.2.. CLAIM STATUS I] Flnalhyment Dlnterbn Payment Number _,_,__ I]Sup kmentalhyment ` - ‘ l .
Have you previously applied tu the court for compensation amlforremimborsement for this ease? Cl YES [5 NO Hyu, were you paid? D YES E NO
Other than from the wort, have you. or to yourknowledgelnaa anyone else. received payment {emnpensation or anything or value) from any other source In eonnectloo with this
represeotatlon? I] YES I] NO Lfyes. give detathaa additional aheet:. ,
I swear or afilrm the truth or correctnessrof the above atatetnents. _ I I
Signature afAuorney: Date:
2 3. IN COURT . I 14. K OUT OF COURT’COIIt£P; 257. RAY:/’E . ENSES H n 2.6. OTH`ER‘EXPE S W rr. TOTAL 1*. t com r _
28. SIGNATURE OF TI-IE PRESIDING JUDICIAL OFFICER » DATE 28::. IUDGEJMAG. JUDGE CODE ,
29. IN COURT COMP. 30. OUT OF COURT COMP. 31. TRAVEL EXPENSES y 32.. OTHER. EXPENSES 33. TOTAL AMT. APPROVED
34. SIGNATURE UF CHIEF JUDGE, COURT OF (OR DELEGATE}Pay:nmt ‘ DATE ~ 34a. JUDGE CODE V
approved In excess ofthe statutory threaholtl amount. ` L · . . . _
, Case 2:04-cr—00555¤ECV Document 70 Fnlod 10/ • • · . Q - • - A

Case 2:04-cr-00555-ECV

Document 70

Filed 10/03/2005

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