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

I ¤-·»·~2¤ [Rav-4*96) - APPOINTMENT OF AND AUTHORITY TO. PAY COURT APPOINTED COUNSEL
1. JURISDI 1 n . . . . . A . v cl-lEn No. .
_ cTo _ 3 S APPEALS _ 2 MAG DOCKET no. l:g:Rt·ns§4c_T3:ic5cl<§TJ%Io ou 7
I1 El MAG. 2 I] DIST. 4 OTHER___; __, .- _ · — .
4. APPEALS DOCKET no. s. FOR(DISTFllCTlC|FlCUlT') c. 1.00. CODE 1. ci-lAneE1ol=PErvsE (us. or other eeeie eiaeiiem rA. CASE CODE ‘
e. in THE CASE o1= 9. Penson REPRESENTED [Puu. NA 'EIIJ * 9A agi]
U. S . vs HcCreary Derrick L. MoGreer 1 COPY '
1u. PERSON nEPnEsEn1‘E¤ 1sTATus1 11. PnooEED1nos(Dee¤n¤e pnetty) S
1 EI DEFENDANT-ADULT s il APPELLANT 5 III OTHEFI A · I; E B 2 8 ZODB
2 III DEFENDANT-JUVENILE 4 El APPELLEE Appeal
12. PAYMENT CATEGORY
A III FELONY c IZ] PETTY OFFENSE E III oTl-lEn CLEFIK U S DISTRICT COURT
e III MISDEMEANOFI o EX APPEAL ________;__________ DISTRICT OF AMZONA
1s. counr onoen 14. i=u1.i. NAME on ATTORN "G **7-- . * ’
O El Appolntlng Counsel F El Subs. for FD IHCWGIDQ 5¤l1l>¤l AND M ‘ " ‘ ·"·` ` ~
C III Co-Counsel FI EI Subs. for Retained Atty. Nancy Hinchcliffe
P III Subs. for Panel Atty. -
. NamB°,pr|mm°, mama? 11 West: Jefferson, Ste. 2
y Phoenix, AZ 85003-2302
Appt. DaIe Voucher No. _ _____
15. WOFIK PHONE 16A. Does the attorney have the preexisting agree-
ment (see Instructions) with a corporation,
Because the above-named "pereon represented? has teetI_1Ied_under oath or has 6O2__2 52_320O |¤¤|¤¤“¤Q 8 PF¤*¤¤¤l°¤¤' °°'P°*¤**°l'l°?
otherwise satisfied this court that he or she (1) ls financially unable to employ counsel EI Yes I:] No ‘
and ( Des not wish to waive counsel, and because the Interests of lustice so require, 16B_ OCIAL SECURITY NQ 1EC_ MPLOY§R |_D_ FQ
the at _ whose na 7 ·-·.·-e e I ·· 14 is ap Inted to represent this person In ~ ?Only provide per instructions) éinly prov de per nstructlons)
this case. . ’ — · ‘
0 . 16D. NAME AND MAILING ADDRESS on 1.Aw r=1nM I
' ` · · hy pI'O B pBl’ FIB TUC ODS
?AY__ '_ 64* (ol vie Ittl)
Slg. of esl iV’rw1,g]?’$·{ Orde of Court (ClerklDeputy) ~ ·
> x _1= 2 . -=· 4. > eee. 23, 2006 same as #1:1
• = e of Orde Nunc Pro Tunc Date A
A CLAIM FOR SERVICES OR EXPENSES _
_ SERVICE DATES Multiply rate per hour
Y- =·- ¤¤¤¤¤¤m¤¤1 ¤··¤~=r P·¤¤ __ EE1Et§?.‘¥?l2'é‘.?.L?—‘°
‘ ¤· ¤¤·• ¤¤·=* ¤¤*¤¤**·=¤ H¤¤**¤¤¤ __ °°'"°°"“"°“·
¤- M¤··¤¤== H¤¤¤¤¤= __ E~1¤·*·=·¤·· =··=·=·w- ‘
11A. TOTAL in
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B ¤- S¤¤*¤¤·=¤ H¤¤·1¤¤=· __ »
E =‘· F• 1¤·=¤**¤¤ H¤¤¤¤¤= __
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··- ¤·¤¤r ¤¤· =¤¤¤s¤
<¤=r¤ ve ¤·=·¤1= > ¢¤T»*~L H¤¤¤S= __ S ‘
*8- e ·M¤~¤¤·~¤ md <=¤¤*·=r¤¤=¤¤ __ Multiply renew ¤·=·¤r ‘
E ·=- ¤¤=¤·¤·¤¤ ¤¤¤ ~—··¤~··~¤ re-=·>r¤== }LI?§“·%’J?L?%‘é'§2·?“‘°'
3 ¤- L¤¤¤· ~=·¤r=¤ =¤¤ ·=¤¤*~=¤1·¤¤ =°*"¤°"1¤*'°" °¤'°*·
s ¤-1~·~¤···m¤~·· 1·~¤¤e> 121- gg5;,E<3,·gM<;F
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I ° me ¤¤~·¤¤f= >T¤T·¤L H¤¤¤S= ¤
TRAVEL, Loociue, MsAl.s Erc. AMOUNT _ ` oT1-lEn EXPENSES AMOUNT 19A. TOTAL TnAvEl. Exe
=
‘¤*’· T°“L°“'E“ E"-
__ 1
2**- °"""° *°““
MMED `
__ S
21._ CERTIFICATION 0l= ATTORNEYIPAYEE Foe PERIOD
F D Final Payment t [I Interim Payment No._i_ Has compensation andlor reimbursement lor work In this case previously been applied fof? D YES I] NO
It yes, were you paid? El YES I] NO lf yes, by whom where you paid? _,__ How l'I'ILICh?_,,_,,,_ Has the person represented paid any
money to you, or to your knowledge to anyone else, in connection with the matter for which you were appointed to provide representation'? EI YES I;] NO
lt yes, give details on additional sheets, ... v `
E swear or affirm the truth or correctness of the above statements V _ _ , , , >
SIGNATURE or ATTOFINEYIFAYEE P DATE
22. in counT comin. 23. our or oounr COMP. 24. TRAVEL EXPENSE 2s. OTHER EXPENSES 26. TOTAL AMT.
,_ E APPn0vEo:cEn‘L
gg $ · $ , $ $ $ _
gg 2r. sleNATunE 0l= PRESIDING JUDICIAL ol=l=lcEn , DATE 2TA. JUDGEIMAG.
EE CODE
EEE za. SIGNATURE oi= CHIEF JUDGE, cr. on APPEALS (on oEl.EeATE) · DATE 29. TOTAL AMT.
¤- _ APPROVED
. · ' - OO - ll I• n·| °O ·•O Z Ole '.g· •i .`
' GFllGtNAL·RE¥AiHEDEY Fil\¥ANCIAL.D£PUTYCI.ERK · ·- “ ' ‘ 5 -_ · - · -.

Case 2:04-cr-00313-FJM

Document 290

Filed 02/28/2006

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