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

CJA 20 APPOINTMENT OF AND AUTHORITY TO PAY COURT APPOINTED COUNSiEIj""'”` _ dw--I [Mm M n · ·
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1. CIR./DIST./DIV. CODE 2. PERSON REPRESENTED VOU V I R' NUMIQERY if _` ACFY
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AZX Whelan, Dennis I , .. .. . ~ ~·l·*K ‘ s · ~~···
3. MAG. DKT./DEF. NUMBER 4. DIST. DKT./DEF. NUMBER 5. APPEALS DKT./DEF. NUMBERi 6. OTHER DKT. NUMBER
2:O4—0O6080—O0l {‘;&2ZO4—OOO397-OOI `Dfm l | 0 8
7. IN CASE/MATTER OF (Case Name) 8. PAYMENT CATEGORY 9. TYPE PERSON REPRESENTED I 10. REPRESENTATION TYPE V M
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U .S. v. Whelan Felony Adult Defendant e K., ( obatidnslljeifoci { gh j
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I1. OFFENSE(S) CHARGED (Cite U.S. Code, Title & Section) lf more than one offense, list (up to five) major offenses charged, ac rgng to severity of offense. Qi I`)
I) 18 l708.F -- THEFT OR RECEIPT OF STOLEN MAIL MATTER _ _,.._ we __», I
I2. ATTORNEY`S NAME éFirst Name, M.I., Last Name, including any suilix) I3. COURT ORDER
AND MAILING ADDR SS [E O Appointing Counsel Cl C C0-Counsel
I;.] F Subs For Federal Defender I] R Subs For Retained Attorney
3 N I] P Subs For Panel Attorney I] Y Standby Counsel
1 6 Prior Attorney's Name:
Appointment Date: _____;__
U Because the above-named person represented has testified under oath or has
otherwise satisfied this court that he or she (1) is financially unable to employ counsel and
Telephone Numb". (2) 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,
I4. NAME AND MAILING ADDRESS OF LAW FIRM(only provide per instructions) or
er( ee Ljwc gens X my C-
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Signature of Presiding Judicial Officer or By Ord r 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. lj YES [I NO
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A " is
I TOTAL MATH/TECH MATH/TECH
‘ . . . . . HOURS ADDITIONAL
f Y AMOUNT ADJUSTED ADJUSTED
I CATEGORIES (Attach itenuzation o seruces with dates) CLAIMED CLAIMED HOURS AMOUNT REVIEW
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is. a. Arraign ment aaa/or Plea -
l ss- Bsil sms ¤s*s¤t*s¤ Hsmnes *4

u f. Revocation Hearings
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h- Othsr _
me h»»r =$ > ¤>mS= _
16. a. Interviews and Conferences - _
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0 c. Legal research and brief writing _
ff e. Investigative and Other work (specify on additional sheets) gh.
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* Mia hour =$ > T<>¤·ALs= _
*7- Tss"' Exssnsss <*s¤g*¤¤» sssssssgi mss*s· m"s=·g·=· s*s·>
18. Other Expenses (other than expert, transcripts, etc.)
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19. CERTIFICATION OF ATTORNEY/PAVEE FOR THE PERIOD OF SERVICE 20. APPOINTMENT TERMINATION DATE 21. CASE DISPOSITION
ns ori-usa THAN CASE COMPLETION
FROM TO
ZZ. CLAIM STATUS [I Final Payment [I Interim Payment Number I] Supplemental Payment
Have you previously applied to the court for compensation and/or remimbursement for this case? Cl YES I] NO If yes, were you paid? I] YES lj 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? [I YES [I NO If yes, give details on additional sheets.
I swear or affirm the truth or correctness of the above statements.
Signature of Attorney: Date: V
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23. IN COURT COMP. 24. OUT OF COURT COMP. Z5. TRAVEL EXPENSES 26. OTHER EXPENSES 27. TOTAL AMT. APPR! CERT
Z8. SIGNATURE OF THE PRESIDING JUDICIAL OFFICER DATE 28a. JUDGE / 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) Payment DATE 34a. JUDGE CODE
approved in excess ofthe statutory threshold amount.
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Case 2:04-cr-00397-DGC

Document 23

Filed 12/08/2005

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