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

\CJ A 20 APPOINTMENT OF AND AUTHORITY T O PAY COURT APPOINTED COUNSEL (Rev. 5199)
I. CIR./DISTJ DIV. CODE 2. PERSON REPRESENTED VOUCHER NUMBER
Ninth Circuit Jor e Avina de-Anda jg!-,__ ‘
3, MAG. DKT./DEF. NUMBER 4. DIST. DKT./DEF. NUMBER 5. APPEALS DKT./DEF. NUMBER tg" NUMB
CR-04-I64-PHX-PGR 08-10171 , _ _ L | E •
7, IN CASE/MATTER OF (Case Name} 8. PAYMENT CATEGORY 9. TYPE PERSON REPRESENTED `I'Ut·tt "T'*"·r rl ON TYPE CO
[I Felony [I Petty Offense I] Adult Defendant X Appellant (See lrtrtmctioml `\— PY
Avina de -Anda [I Misdemeanor I] Other I] Juvenile Defendant lj Appellee SE
X al __i_. ElOther P . `ry.
I I. OFFENSE(S) CHARGED (Cite U.S. Code. Title & Section) Umare than one qdimse. list (tut tofive} major oflenrer charged. according · severity ofqfferrre. U J °
Appeal CLER
. Dtsirrrc . .
12. ATTORNEYS NAME (First Name. MJ., Last Name. including any sujix). 13. COURT ORDER E Y (_ l ` AFIIQYQNA
AND MAILING ADDRESS X O Appointing Counsel n ` "“'··· · ~- =_‘ QE U ..`
David Eisenberg, Esq. D F Subs For Federal Defender El R Subs For ’ · H =· »= = . _ Q _ _
33I North I" Avenue, #l08 El P Subs For Panel Attorney D Y Standby Counsel " T
Phoenix, AZ 85003 _
Prior Attorney`s
_ Appointment Dates:
602-452 2932 [1 Because the above·named person represented has testitied under oath or Ims otherwise
Telephone Number; satisfied this Coun that he or she (I) is financially unable to employ counsel and (2) does ml
wish to waive counsel, and because the interests of justice so require, the attorney whose
I4. NAME AND MAILING ADDRESS OF LAW FIRM (Only provide per instructions) name appears in Item I2 is appointed to represent this person in this case. OR
lj Other §See Instrrrctioru)
Signature of Presiding Judicial Officer or By Order of the Court
lé Sym H ZQQB
Dat of Order Nunc Pro Tune Date
Repayment or partial repayment ordered from the person represented for this service at time
appointment. [1 YES [I NO
CLAIM FOR SERVICES AND EXPENSES . FOR COURT USE ONLY -‘
TOTAL MATI-I/TEC H. MATI-VTECH.
CATEGORIES {Attach itemtzarion q/services with dates} CII-EKARSD AMOUNT ADJUSTED ADIUSTED ADl&'gg\TlAL
CLAIMED HOURS AMOUNT
rr. Ami nrrrrarorrrra __
rr Barr and Detention rrwrrr _____
C, Motion nm r __
e. serrremr ;I—Iea · rr __
r rrmcrrrmr rms T _ _
. R estroom _ _
it other s m on ruzrirrrwrrrt rim _ _
rum; ran noun = s Tomas: _____
B, rmmrews and corrrmrm —_
rr. ormrrr. and mrrwrr. records __
C. re ar mma mr rrrrcrwrrrrrr _____
rr. rmi time __
e. 1¤v¤S1is= tive and Miter wcrk S ct va ¤d¤1iti¤¤¤!¤h¤¤¤ __ —__
RATE ran noun ~ s rents: _ _
rr. Travel ar ms tart ar . . rtr» , mms, mtim e. rrr. __
H 0t1¤¤r Ex mes other rtw er rr. tr¤··-wri t-¤. ==¢·¤· __ _
GRAND Tomas CLAIMED Arm nowsmo r _____
I9. CERTIFICATION OF ATTORNEY/PAYEE FOR THE PERIOD OF SERVICE 20, APPOINTMENT TERMINATION DATE 2I. CASE DISPOSITION
T0 IF OTHER THAN CASE COMPLETION
22. CLAIM STATUS El Final Payment El Interim Payment Number [Il Supplemental Payment
Have you previously applied to the court for conpensation and/or reirrbursement for this El YES EI NO Ifyes, were you paid? El YES El NO
Other than from the Court. have you. or to your knowledge has anyone else, received payment (compensation or anything ofvalue) from any other source in connection with this
representation? I3 YES E N0 If yes, give details on additional streets.
I swear or afllrnr the truth or correctness of the above rtaternents.
Signature of Attomey Date
APPROVED FOR PAYMENT — COURT USE ONLY
23. IN COURT COMP, 141 OUT OF COURT COMP. 25, TRAVEL EXPENSES 26. OTHER EXPENSES 27. TOTAL AMT. APPRJCERT.
28. SIGNATURE OF THE PRESIDING JUDICIAL OFFICER DATE 28a. J UDGBMAG. JUDGE CODE
29. IN COURT COMP, 30. OUT OF COURT COMP. JI. TRAVEL EXPENSES 32, OTHER EXPENSES 33. TOTAL AMT. APPROVED
14. SIGNATURE OF CHIEF JUDGE, COURT OF APPEALS (OR DELEGATE) Payment approved DATE 34a, JUDGE CODE
in ercers o/the statutory threshold amount.
Case 2:04—cr—00164-PGR Document 57 Filed O9/16/2008 Page 1 of 1

Case 2:04-cr-00164-PGR

Document 57

Filed 09/16/2008

Page 1 of 1