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

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CJA 20 APPOINTMENT OF AND AUTHORITY TO PAY COURT APPOINTED COUNSEL D _.,_ LOGGED
1. CIRJDISTJDIV. CODE 2. PERSON REPRESENTED YOU CHER I}lL`WfB`ER _ ' ““ I ...... OPY
AZX · Thomas, Stephanie Dawn
3. MAG. DKTJDEF. NUMBER 4. DIST. DKTJDEF. NUMBER 5. APPEALS DKTJDEF. NUM BER 6. OTH rn? iw . rio ·
QR 2:03 -OOO764-OOS 5-
7. IN CASEINIATTER OF [Case Name] 8. PAYMENT CATEGORY 9. TYPE PERSON REPRESENTED · !=! lg ‘ E%'£AiEI-OHIGZPEZOUR
U. S. v. Thomas Felony Adult Defendant = SupEemS§d“§§1e°h O N/ll p
ll. OFFENSE{S] CHARGED (Cite U.S. Code, Title & Section] Ifmore than one utfense, list (up to five) major olienses charged, according o se; · ·‘ · -· . I ' TY
1) 18 111l.F —— MURDER, FIRST DEGREE -
12. AT'I`ORNEY'S NAME gint Name, MJ., Last Name, including any suB"tx) 13. COURT ORDER
AN-D MAILING ADD S E O Appoiatlng Cmmael EI C Co-Cotmsel
% ; gubs ger §ed;lral Defender S $ Subsdgoréletaitzled Attorney
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PHOENIX AZ 8 5034 Am>¤¤=¤·¤···t ¤·=¤= .._..——-»
K] Beuuse the above-named person represented has testified under oath or has
otherwise satisfied this eaurt that he or she (1} is financially unable to employ e nnsel and
. . 602 2-2 (2) does not wlah to waive counsel, and because the interests ofjustiee so require, the
Telephone Number.
attorney whose name · ppears in {tern 12 is appointed to represent this person in this case,
14. NAME AND MAILING ADDRESS OF LAW F'lR]\‘I(only provide per instructions} or
CROWE SCOTT, P .A. C1 other {see Instrqesio S)
V Signature of 1’rest£Sg Judicial Otiieer or By Order o%&e Court
__._...?.....Y-.-
Date of Order Rune Pro Tunc Date
Repayment or partial repayment ordered lrum the person represented for this service at
time of appointment. I] YES E NO
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19. CERTIFICATION OF ATTORNEYHAYEE FOR THE PERIOD OF SERVICE 20. Arrowrmem TERMINATION DATE 21. CASE DISPOSTTION
FROM TO IF 0TH:E.n THAN cAsE cc•MPI.ETION
22. CLAIM STATUS [I Final Payment [I Interim Payment Number ____ U Supplemental Payment
Have you previously applied to the court for eompensation andfor remlmbursement lor this case? Cl YES CI NO If yes, were you paid? D YES D NO
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? D YES U NO lfyes, give details on additional sheets.
l swear or affirm the truth or correctness ofthe above statements.
Signature of Attorney: Date:
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23. IN COURT COMP. 24. OUT OF COURT COMP. 25. TRAVEL EXPENSES 26. OTHER EXPENSES zi. TOTAL AMT. APPR} com
28. SIGNATURE OF TI-[E PRESIDING .l`U'DlCIAL OFFICER ' DATE zsa. Juncn .· MAG. ramen cont.
29. IN COURT COMP. 30. OUT OF COURT COMP. 31. TRAVEL EXPENSES 32. OTI-[ER EXPENSES ss. TOTAL AMT. APPROVED
34. SIGNATURE OF CHIEF JUDGE, COURT OF APPEALS (OR DELEGATE) Payment DATE 34a. IUDGE CODE
approved la excess of the statutory threshold amount. _ —
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Case 2:03-cr-00764-JAT

Document 1145

Filed 11/16/2005

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