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

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CJA 20 APPOINTMENT OF AND AUTHORITY TO PAY COURT APPOINTED COUNSEL - A . . . _ . . _
1. C[R.rI:•IST.mIV. CODE 2. PERSON REPRESENTED VOUCHER · . ifs! G t
AZX MendOza—Trej O, Reymundo . . , _
S. MAG. DKTJDEF. NUMBER 4. DIST. DKTJDEF. NUMBER s. APPEALS DKTJDEF. NUMBER 6. OTHER DKT; NUMBER K
·& 2:04-000388-001 MS . · , , ,,_
7. IN CASEJMATIER OF (cm Name) S. PAYMENT CATEGORY 9. TYPE PERSON REPRESENTED 10. REPRESENTATION TYPE
_ (See IIl$'l.T’IUtI0]lS
U.S. V. Mendoze—Tre]o Felony Adult Defendant CLEHWU18? ima: R . • .
ll. OFFENSEXS) CHARGED (Cite U.S. Code, Title & Section) Ifmore than one offense, list [up to live] major offenses charged, accord · Eve
l) 8 l326A.F —· REENTRY OF REMOVED ALIEN ’ em .-..... A... . , ..._F’ DEP =
12. ATTORNEY'S NAME “rst Name MJ., Last Name, including any sum:) 13. COURT ORDER
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AND MAILING ADDR SS H O Appoindng Counsel D C Co-Counsel
NA"`AZG= GREGORY ’· E .’?§;‘?i£2'.‘i§Z21“.i2?:I.”‘i.‘?" E i'$§?.'§i.‘Z§'é$.°.$§”.§“*“°”"
Suite #4 ’ '
O Rural Prior Attorney's Name:
Tgynpc Z APIJ0l¤lm£m Dau: .-——
I] Because the above-named person represented has testtiied under oath or has
otherwise satisfied this enurt that he or she (1) is tlnnneiaily unable to employ counsel and
{Elephant Numb": (2) does not wish to waive counsel, and because the interests ofjustine so require, the
attomey whose narne appears in Item 12 is appointed to represent this person in this ease, ‘
I4. NAME AND IVIAILING ADDRESS OF LAW FIRM (only provide per instructions) or `
PALMISANO AND ASSOCIATES PC D G“‘°'(G°“I" ‘ “‘} MLM
Signature ofPresiding Judiriul C|l`I`iter or By Order of th Court
TEIHPC AZ Date of Order Nun: Pro Tuna Date '
· Repayment or partial repaynépntggdered gpm the person represented for this service at
time of appointment. Y NO
TOTAL MAT]-Ifl`ECH MATHJTECH
CATEGORIES (Attach itemization or services mn. dates) C§QQf`}§,§D &AI1yIAcyhUI1§]1; AIitLIJ(l)J§’£lgD A`l?nJgSTElZi A§§{,Z§§{§,`“‘-L
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19. CERTIFICATION OF ATTORNEYIPAYEE FOR THE PERIOD OF SERVICE zo. ArPo1N·mvIENT :£'ECRMlNA’I’ION DATE 21. CASE DISPOSITION
FROM TO ni OTRER THAZN CASE CDMZPLETION ..
22.. CLAIM STATUS D Final Payment D Interim Payment Number ______ U Supplemental Payment
Have you previously applied to the court for compensation andfor remirnbursement for this case? I] YES D NO If yes, were you paid? Cl YES CI N0
Other than from the court., have yon, or to your knowledge has anyone else, reoeived payment (compensation or anything or value) from any other source ln connection with this
representation? I] YES I:} N0 Ifyes, give details on additional sheets.
l swear or affirm the truth or correctness of the above statements. Q
Signature ofAttomey: Date:
13. IN COURT COMP. 24. OUT OF COURT COMP. zs. TRAVEL EXPENSES za. OTHER EXPENSES zv. TOTAL AMT. Arrnr CERT
28. SIGNATURE OF THE PRESIDING JUDICIAL OFFICER _ DATE us. JUoGErMAG.`RIDGE Coon
29. IN COURT COMP. Su. OUT OF COURT COMP. S1. TRAVEL EXPENSES S2. OTHER E:·O>ENSE.S Q sa. TOTAL AMT.A1’1’R0\·'ZEl) 1
14. SIGNATURE OF CHIEF JUDGE, COURT OF APPEALS (OR DELEGATE)P¤ym¤t DATE ssa. JUDGE CODE
approved in excus ofthe statutory threshold amount. _
389 Z -CI‘- $3 'I OCUITIGFI » IG O4 O IO• 8QG O »

Case 2:04-cr-00388-ROS

Document 27

Filed 04/05/2006

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