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

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. RECEIVED M., COPY
CJA zo APPOINTMENT OF AND AUTHORITY TO PAY COURT APPOINTED COUNSE
I. CIR.»'DIST..l'DIV. CODE 2. PERSON REPRESENTED VOUC i R NUMBEA ' ° ° I I I
AZX Rubi0—Diaz, ROIJBITD
3. MAG. DKT./DEF. NUMBER it. DIST. DKTJDEF. NUMBER s. APPEALS DKTJDEF. NUMBER . IS)B`E§Bll£-D · · ·
L i20nA
2:03-001692-001 _ » 2:03-000460-001 · [)]3TFilCT OF AR _ _ _
1
1. IN CASEIMATTER OF (cm Name) S. PAYMENT CATEGORY 9. TYPE PERSON REPRESENTED Io. · · = · · _ = ·.i . E.
_ _ _ F ee—kts·ttjut•ttI>tl'sf{
U.S. v. Rubi0—D1az Felony Adult Defendant Supervtscd eleese
ll. OFFENSE(S) CHARGED (Cite U.S. Code, Title St Section) Htaore than one offense, list [up to Eve} major offenses charged. according to severity oI'oIi’ense.
1) S 1326A.F -· REENTRY OF REMOVED ALIEN
I2. ATTORNEYS NAME érim Name, M.t., Last Niiiiie, iiieiiieiiig any sums) 13. COURT ORDER
AND MAILING ADDR SS @ O Appointlng Couttsel l] C Co-Counsel
ANNE E F Subs For Federal Defender [3 R Subs For Retained Attorney
PMB D P Subs For Panel Attorney lj Y Standby Counsel
1333 E_ Baseline Reed '"°' **“°’“'Y" "'““’
Gilbert AZ 85233-1545 ·‘·PP°'¤*¤¤“ P¤*°= -·-—-—-·
El Because the shove-named person represented has testified under oath or has
otherwise aatitlied this court that he or she {1) is financially unable to employ oounael and
Telephone Numb". I (I) does not wish to waive counsel, and because the interests ofjustioe so require. the
attorney whose eatae appenn in {te 12 is appointed to represent this person in this case.
14. NAME AND MAILING ADDRESS OF LAW FlRM(only provide per instructions) or G_/
ANNE M. WILLIAMS PC U °•*··* fsu ‘··***··=**·=*·S> G 2 { Q

ééféascline Road Signature of Presiding Judicial Oflicer or By Order of the Coun
GIIIIJCII AZ 3 -1 Date o|'0rder Nunn Pro Tune Date
Repayment or partial repayment ordered from the person represented for this servlet at
time of appointment. I] YES E] NO
TOTAL MATHFFECH MATHITECI-I
CATEGORIES (Attach itcmlzatlon of services with datesl Cgggggn Aggiirli-EZQAUIAL `
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16. s. Interviews and Conferences
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3 A Investigative sim Other work tspeiry DII additional nee) c‘i?._§ _
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i I9. CERTIFICATION OF ATTORNEYJPAYEE FOR THE PERIOD OF SERVICE 20. APP0mTMENT TERMINATION DATE 21. CASE DISPOSITION
l tr OTHER TIIAN cAsE COMPLETION
g FROM __________. TO ___,__,;,,,_..
A 22. CLAIM STATUS El Final Payment El lnoerlut Payment Number __,Y,.. EI Supplemental Payment
Q Have you previously applied to the court for compensation andlor remltnhunement for this case? E YES EI NO H yes, were you pald'! I] YES [I NO
` Other than from t.he court, have yon, or to your knowledge has anyone eke. received payment (compensation or anything or value) from any other source in connection with this
representation? I] YE$ [I NO II` yu, give details on additional sheets.
I swear or affirm the truth or correctness of the above statements.
Signature of Attorney: Date:
¤’P *-.
23. IN COURT COMP. 24. OUT OF COURT COMP. 15. TRAVEL EXPENSES 26. OTHER EXPENSES 27. TOTAL AMT. APPR I CERT
zs. SIGNATURE OF THE PRESIDING JUDICIAL OFFICER DATE tts. JUDGEIMAG. JUDGE CODE
29. IN COURT COMP. so. OUT OF COURT COMP. st. TRAVEL EXPENSES 31. OTHER EXPENSES sis. TOTAL AMT. APPROVED
S4. SIGNATURE OF CHIEF JUDGE, COURT OF APPEALS (OR DELEGA'I`E)P¤yment DATE 14a. JUDGE CODE
approved In excess of the statutory threshold amount.
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Case 2:03-cr-00460-SRB

Document 25

Filed 04/19/2006

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