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

CJA 10 APPOINTMENT OF AND AUTHORITY TO PAY COURT APPOINTED COUNSEL Q ii? I I ‘ .- i
I. CIRIDIST./Div. CODE 2. PERSON REPRESENTED VOUCHER PJUMBER i
AZX Urbma, Rafael Ramirez i = ,-, l ‘EP 9 I F 1
J. MAG. DKTJDEP. NUMBER 4. DIST. DKT./DEF. NUMBER 5. APPEALS DKT./DEF. NUMBER 6. OTHER DKT. NUMBER 5
2:03-003280-001 g2:03-001292-001 ‘ —i I Iipqi . jyj. ii-
7. IN CASE/l\·lATTER OF iciirp Name] 8. PAYMENT CATEGORY 9. TYPE PERSON REPRESENTED , III. Ig:PpE;sENT.gTION~TvP‘E‘ · "
_ ’ i ee n ructtons _ · E . J-
U.S. v. Urbma Felony Adult Defendant '_·` L l Probation Re.voce.t10n . ‘ ‘ . j
II. (}F`FENSE(S) CHARGED (Cite U.S. Cutie, Title Sc Section} Il' more than one offense, list [np to live) major offeosm charged, according to severity ofoflense.
l) 18 924B.F -- PENALTIES FOR FIREARMS
11. ATTORNEY'S NANIE (First Name. M.1.. Last Name. including any suflis] I3. COURT ORDER
AND MAILING ADDRESS Q] 0 Appuinigng Coun,] U C c,,-Cm,m,E]
Svgplgvy, F Subs Eur Eederal Defender E 5 Subs For Retained Attorney
N. Street ~- P Solis or nnel Attorney Standby Counsel
phggmx AZ 35()()6-23()7 |’··¤r M¤¤¤==i‘5 N¤l¤==
Appointment Date:
ij Because the obovvnomed person represented has testiiied under oath or has
otherwise satislied this court that he or she {I) is financially unable to employ nsel and
Tglnphnne Number: l i 7 (2) does not wish to waive counsel, and because the interests ofjustice so requsrtiilthe
attorney whose name appears in ltem I2 is appointed to represent this person in this case,
14. NAME AND MAILING ADDRESS OF LAW FIRIVl(only provide per instructions) or 9 `
ij Other {See Instructions) pf _ Q gy ' E J
Signotnre ol' Presiding Judicial Ofhoer or By Order of the Court
, __;..
Date of Order Nunc Pro Tunc Date
Repayment or partial repayment ordered from the person represented for this service at
time ol' appointment. Ei YES ij NO
- -.· w ww ·

TOTAL MATHFFECH MAT!-DTECH
CATEGORIES {Attach iipiiiiziiiiiivi pr services with dates) CE§’}I[i*§D AMOUNT ADJUSTED ADJUSTED A§’_g{,"*;§E%*AL
· CLAIMED HOURS AMOUNT
ii. I. Arraignment iiipiiii pivii
P- Ball M D¤I¤·II*·>·¤ H==·Il¤=S
. . .‘'`
i- **9**0** H==·¤¤ps
I -...-_
- II P R¤~·¤¤=¤*·=·¤ H•==¤*¤s=i
“ g. Appeals Cllllrt _
Ii. Ompi (spppity pp iiiiiiiiipiiiii poppin _ ·e__
iiiiii l-—·»·=i I Tomi _
0 . . . .
., p. Legal r¢S¢M¢h and pi-or writing .
_·£ v. Investigative vii ii Other ivpvii ipimiiv vii ivviiii .i vim) _
r
vii.i...vii......=i i ipplpsi _
ii. Travel Expenses tiviiiiiivg, psi-iiiiig, iiivvir, iiiiiviigv, vip.;
H 0il··=i lripipspi l·»·li» il·=·¤ =~ip·ip II »¤i= ppp. =i=·l
.

19. CERTIFICATION OF A'l"TORNEYfPAY`EE FOR THE PERIOD OF SERVICE 20. ;iFPg0Lr;Tl:1ENTTgR£tuégTrON Ddgg 21. CASE DISPOSITION
FROM TO T THAN A E MPLETI
Z2. CLAIM STATUS 1] Final Payment Ci lnterirn Payment Number E Supplemental Payment
Have you previously applied to the court For compensation and/or remimbnrsement for this case? E YES Ei NO If yes, were you paid? EYES [I N0
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 EI NQ lfyes. give details on additional sheets.
l swear or affirm the truth or correctness of the above statements.
Signature of Attorney; Dale:
-‘
vii i?. Ii
23. IN COURT COMP. 24. OUT OF COURT COMP. zs. TRAVEL EXPENSES 26. OTHER EXPENSES 11. TOTAL AMT. API-RICERT
2s. SIGNATURE OF THE PRESIDING JUDICIAL OFFICER DATE zss. woes .· MAG. .l'U'DGE cont:
· 29. IN COURT COMP. Ju. OUT OF COURT COMP. 31. TRAVEL EXPENSES 32. OTHER EXPENSES ss. TOTAL AMT. APPROVED
34. SIGNATURE OF CHIEF JUDGE, COURT OF APPEALS (OR DELEGATE)Psyvipiii DATE 34ii. JUDGE CODE
approved in excess ofthe statutory Lhreshold amount.
- ase 2:03-cr-01292-FJ I\/I Docu ment 43 Filed 08/23/2005 Page 1 of 1

Case 2:03-cr-01292-FJM

Document 43

Filed 08/23/2005

Page 1 of 1