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

¤~'*2°l“¤T-**96* ` APPOINTMENT OF AND AUTHORITY TO PAY COURT APPOINTED COUNSEL · `
_ 1. Junlsolct . ns c. pocket no. a. DIST. ct. DOCKET no. VOUCHEFI no.
-_ IONT 3[§APPEALS - 2 A -
1 I] MAG. 2 lj DIS'IZ 4 I] OTHEFt___,.__ .. , CV-00-1422-JAT .
4. APPEALS DOCKET no. s. FOFI (DTSTFIICTIGIHCUIT) s. Loc. cops 1. GHARGEIOFFENSE ru . - · .» ode cltallonl 1A. CASE oooe
05-15010 Ninth Circuit CAUSF APPEAL ._ FILES
V I I -
8. IN tl-lla CASE ol= e. manson REPRESENTED (FULL NA El RFC · sA. 'TW " *
-.e L EIVED TGWS
Scott: VS Terry L. Stewart; et 1. , Bobby J. Scott ..l¤» · l
10. PERSON REPFIESENTED ISTATUSE 11. PROCEEDINGS {Describe briefly) OC =
1 III DEFENDANT-ADULT a APPELLANT s III otl-len T 2 6 2005 `
2 lj DEFENDANT-JUVENILE A I] APPELLEE _,,_ Habeas Corpus A peel
12. s=AvmEnt CATEGORY CLERK IJ [_),;;,—,y,C.,. (_
A III FELONY o [II PETTY OFFENSE E lll OTHER UlFS`l'lllr;-,i I,. ,. '. .,,.,5PUm
e [I l.·llsoEmEAnon o E APPEAL _.,,.,,.,_ I . J ` To "}T""?‘
T3- COURT ORDER 14. FULL nAmE on Attol=tnEvlPAyEE 4Plm emo, T
O W Appolntlng Counsel F E] Subs. for FD including Suffix) AND MAILING ADDRESS ' TT"`
C III Cc-Counsel R El Subs. for Retained Atty.
P III suns. rc: Panel Atty. Tara Allen , Esq .
· Name of prior panel attomey A39 Grand Avenue , 15 1
Appt. Date _____ voucher No._;_______________ Bis Fcrkr Mgutana 59911 - -
15. WORK PHONE 16A. Does the attorney have the preexisting agree-
800 317 1 682 ment (see Instructions) with e corporation,
Because the above-named "person represenIed" has testified under oath or has ' " ` |¤¤|¤d|¤9 ¤ I¤f¤fB55l¤l'l¤' ¤¤TP¤l'¤TT°¤?
otherwise satlsfled this court that he or she (1) ls flnanclaliy unable to employ counsel U Yes EI No
and (2) does not wish to waive counsel, and because tha interests of lustlce so require, 16B SOCIAL SEC Fu-I-Y NO LOY
the attorney whose name appears in item i4 is olnted to represent ihls person in ` (Only pF¤V|d¤ ger |¤Stf¤<>t|¤¤Sl wc, Pi¤\E§¤[PEi hI'lgT¤¤ii¤¤5)
this CEBB.
leo. NAME AND MAILING Aooness OF l.Aw FIRM
> (Only provide per Instructions)
Slg. of Presiding Ju r or y r e rt lClerk.'Deputy)
· Oct 1S" 2005 A
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Da : of O er Nunc Pro Tunc Date Same as
_ - - CLAIM FOR SERVICES OR EXPENSES
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P _ _ _ , count oomP.
I5 e. IRVESTIQBTIVB and other work [Speclfy on 8ddI1IDI‘I3I sheets) »
° lee is > TTM ·T¤¤¤S= S
ls. TRAVEL, LODGING, mEAl.s Etc. AMOUNT OTHER EXPENSES AMOUNT 1eA. TOTAL TRAVEL Exn
__ S
T TTT- TOTAL °T"T'T TTT-
E ____ $
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ue _ _ CLNMED
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21. CEFITIFEGATION OF ATTORNEYIPAYEE FOFI penloo
F U Final Payment I I] Interim Payment N0.__, Has compensation arldlor reimbursement lorworklnlhis case previously been applied for? I] YES I] NO
If yes, were you paid? K] YES I] NO lf yes, by whom where you paid? ____,,,.,. How much?_____v 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? E YES El NO
If yes, give detaits on additional sheets. .
l swear or affirm the truth or correctness of the above statements " " .
SIGNATURE OF Artonn EYIPAYEE DATE
22. IN count comn 23. out OF count comn 24. tnAvEL EXPENSE 2s. OTHEFI EXPENSES ze. TOTAL Amt.
,_ APPnovEolc:Ent.
¤§ $ $ $ $ . $ _
EJ 2 zr. slenAtul=lE OF PHESIDING JUDICIAL OFFICER DATE 2rA. JUDGEIMAG.
0 >· CODE
as -
E 5 za. SIGNATURE OF CHIEF woes, ct. DF APPEALS lon DELEGATE} DATE ze. TOTAL Amt.
¤- APPROVED
- - nn- A y A n-- ---- 2- A A; -__. _, S
V _ ' • - ' V T V v v l • • • 1 • • U T I
OREEHNAL - lttstanaso HEI? Fsrenslsme .loEPt.rllY GLERK -


Case 2:00-cv-01422-JAT

Document 33

Filed 10/26/2005

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