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

CJA 20 APPOINTMENT OF AND AUTHORITY TO PAY COURT APPOINTED COUNS I ··
1. c1a.m1s*rm1v. cone 1. reason aoraasiawrnn vooc TFT. .... * ' ’
AZX Dubos, Robert Edward Alan Fq;§@§|VE;i cg py
3. MAG. DKTJDEF. NUMBER 4. DIST. DKTJDEF. NUMBER 5. APPEALS DKTJDEF. NUMBER 6. OTHER DKT. NUMBER
2:02-005044-001 ‘ f\ 2:O2—UOO307»UOi E 'rl” · I I I I _
7. IN CASEJMATTER OF (Case Name} S. PAYMENT CATEGORY 9. TYPE PERSON REPRESENTED I0. R(§'.Pl}EtSEETATiON TYPE
DI TIS l"IIIZ 0115
U.S. v. Dubos Felony Adult Defendtmt O LE F$I1]J E·lQI€l35}IDUHT
II. OFFENSEG} CHARGED (Cite U.S. Code, Title 8: Section] lfmore than one ofiense, Iist [up to live] major oH'enses charged, acc rrIjn¤ tn s AIT s . I!
l] IS l708.F -- THEFT OR RECEIPT OF STOLEN MAIL MATTER I fi T, D lzm-ITY
12. ATTORNEY'S NAIVIE éFirst Name, M.I., Last Name, including any sullix] 13. COURT ORDER
AND MAILING ADDR SS E O Appointing Counsel El C Co—Counse1 '
Z] F Subs For Federal Delender El R Subs For Retained Attorney
Suite CI P Subs For Panel Attorney lj Y Standby Counsel
N. Sweat Prior Atturney's Name:
Phoenix AZ 85008-000i A¤i>¤i¤¤·¤=¤· ¤=··*== —-_- ·
E Because the above-named person represented has testified under oath or has
_ otherwise satisfied this court that he or site (1) is financially nnahle to employ oounsel and
TEIBFIWM Numb"; D · I (2) does not wish to waive counsel, and because the interests ofjuslcice so require, the
attorney whose name appears in Item 12 isnppointed to represent this person ln this case,
14. NAME AND MAILING ADDRESS OF LAVV F1RlVI(onIy provide per instructions) ur
THE LAW OFFICES OF ADRIAN P. FON I ES PLC U ml"' is°‘ E¥°“°I“‘} I; Q I
Strcct Signature of Presiding Judicial Oflieer or By Orde l' the Court
2 M
Phoenix Date of Order Nun: Pro Tune Dore
Repayment or partial repayment ordered from 115 person represented for this service nt
time ofappointment. l:l YES lil N

TOTAL MATH/TECH MATHITECH
cyrnooates (Attach nemtzz.-one or services with dates) CILIQIIIQIQQD glygoplyg Atilsglsjyztén .ko`gté%1];1aro AEQIIQQIEIQIFAL
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19. CERTIFICATION OF ATTORNEYIPAYEE FOR THE PERIOD OF SERVICE 2.0. APPOINTMENT TERMINATION DATE 2.1. CASE DISPOSITION
FROM TO is ornate THAN casa COMPLETION
Z2. CLAIM STATUS lj Final Payment lj Interim Payment Number M E Supplemental Payment
Have you previously applied to the court for compensation kndlor remimhursaement for this case? lil YES l:l NO Ifyea, were you paid? l;l YES El NO
Other than from the court, have you, or to your knowledge has anyone else, received payment (compensation or anything ur value] from any other source in connection with this
representation? lj YES lj NO Ifyes, give details on additional sheets.
I swear or affirm the truth or correctness of the above statements.
Signature of Attorney: .. Date:


23. IN COURT COMP. 24. OUT OF COURT COMP. 25. TRAVEL EXPENSES 26. OTHER EXPENSES 27. TOTAL AMT. APPRJCERT
28. SIGNATURE OF THE PRESIDING JUDICIAL OFFICER DATE 23a. .l'Ul>GE I MAG. JUDGE CODE
29. IN COURT COMP. 30. OUT OF COURT COMP. 31. TRAVEL EXPENSES 32. OTHER EXPENSES 33. TOTAL AMT. APPROVED
34. SIGNATURE OF CHIEF JUDGE, COURT OF APPEALS (OR DELEGATE)Payment DATE 34a. JUDGE CODE
approved in excess ofthe statutory threshold amount.
ase 2 :02—cr—00307-EHC Document 73 Filed 02/01 /2006 Page 1 of 1

Case 2:02-cr-00307-EHC

Document 73

Filed 02/01/2006

Page 1 of 1