Opinion
2:09-cr-00299-SRC
05-07-2012
CJA 20 APPOINTMENT OF AND AUTHORITY TO PAY COURT APPOINTED COUNSEL (Rev. 12/03,
1. CIT/DIST/DIV CODE
2. PERSON REPRESENTED
VOUCHER NUMBER
3. MAG. DKT/DEF NUMBER
4. DIST DKT/DEF NUMBER
5. APPEALS DKT/DEF NUMBER
6. OTHER DKT NUMBER
7. IN CASE/MATTER of (Case Name)
8. PAYMENT CATEGORY
[√] Felony [] Petty Offense
[] Misdemeanor [] Other
[] Appeal
9. TYPE PERSON REPRESENTED
[√] Adult Defendant [] Appellant
[] Juvenile Defendant [] Appellee
[] Other _________________
10. REPRESENTATION TYPE
(See Instiuction)
11. OFFENSE(S) CHARGED (Cite U.S. Code. Title & Section) If more than one offense list (up to five) major offenses charged according to severity fo offense.
12. ATTORNEY'S NAME (First Name. M.I., Last Name, including any suffix)
AND MAILING ADDRESS
Telephone Number : _________________
13. COUTE ORDER
[√] O Appointing Counsel
[] F Subs For Federal Defender
[] P Subs For Panel Attorney
[] C Co-Counsel
[] R Subs For Retained Attorney
[] Y Standby Counsel
Prior Attorney's _________________
Appointment Dates: _________________
[] Because the above-named person represented has testified under oath or has otherwise satisfied this Court that he or she (I) is financially unable to employ counsel and (2) does not wish to waive counsel, and because the interests of justice so require, the attorney whose name appears in Item 12 is appointed to represent this person in this case. OR
[] Other (See Instructions)
_________________
Signature of Presiding Judge 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 appointment. [] yes [] NO
14. NAME AND MAILING ADDRESS of LAW FIRM (Only provide per instructions)
+----------------------------------------------------------------------------------------------+ ¦CLAIM FOR SERVICES AND EXPENSES ¦FOR COURT USE ONLY ¦ +-----------------------------------------------------------------+----------------------------¦ ¦ ¦ ¦ ¦ ¦MATH ¦MATH/ ¦ ¦ ¦ ¦CATEGORIES ¦HOURS ¦TOTAL ¦TECH. ¦TECH. ¦ADDITIONAL¦ ¦ ¦(Attach itemization of services with dates) ¦CLAIMED¦AMOUNT ¦ADJUSTED¦ ¦REVIEW ¦ ¦ ¦ ¦ ¦CLAIMED¦ ¦ADJUSTED¦ ¦ ¦ ¦ ¦ ¦ ¦HOURS ¦AMOUNT ¦ ¦ +---+---------------------------------------------+-------+-------+--------+--------+----------¦ ¦ ¦a. Arraignment and/or Plea ¦ ¦ ¦ ¦ ¦ ¦ ¦ +---------------------------------------------+-------+-------+--------+--------+----------¦ ¦ ¦b. Bail and Detention Hearings ¦ ¦ ¦ ¦ ¦ ¦ ¦ +---------------------------------------------+-------+-------+--------+--------+----------¦ ¦ ¦c. Motion Hearings ¦ ¦ ¦ ¦ ¦ ¦ ¦ +---------------------------------------------+-------+-------+--------+--------+----------¦ ¦ ¦d. Trial ¦ ¦ ¦ ¦ ¦ ¦ ¦ +---------------------------------------------+-------+-------+--------+--------+----------¦ ¦15.¦e. Sentencing Hearings ¦ ¦ ¦ ¦ ¦ ¦ ¦ +---------------------------------------------+-------+-------+--------+--------+----------¦ ¦ ¦f. Revocation Hearings ¦ ¦ ¦ ¦ ¦ ¦ ¦ +---------------------------------------------+-------+-------+--------+--------+----------¦ ¦ ¦g. Apptals Court ¦ ¦ ¦ ¦ ¦ ¦ ¦ +---------------------------------------------+-------+-------+--------+--------+----------¦ ¦ ¦h. Other (Specify on additional sheets) ¦ ¦ ¦ ¦ ¦ ¦ ¦ +---------------------------------------------+-------+-------+--------+--------+----------¦ ¦ ¦(RATH PER HOUR = $) TOTALS: ¦ ¦ ¦ ¦ ¦ ¦ +---+---------------------------------------------+-------+-------+--------+--------+----------¦ ¦ ¦a. Interviews and Conferences ¦ ¦ ¦ ¦ ¦ ¦ ¦ +---------------------------------------------+-------+-------+--------+--------+----------¦ ¦ ¦b. Obtaining and reviewing records ¦ ¦ ¦ ¦ ¦ ¦ ¦ +---------------------------------------------+-------+-------+--------+--------+----------¦ ¦ ¦c. Legal research and brief writing ¦ ¦ ¦ ¦ ¦ ¦ ¦16.+---------------------------------------------+-------+-------+--------+--------+----------¦ ¦ ¦d. Travel time ¦ ¦ ¦ ¦ ¦ ¦ ¦ +---------------------------------------------+-------+-------+--------+--------+----------¦ ¦ ¦e. Investigative and other work ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦(Specify on additional sheets) ¦ ¦ ¦ ¦ ¦ ¦ ¦ +---------------------------------------------+-------+-------+--------+--------+----------¦ ¦ ¦(RATH PER HOUR = $) TOTALS: ¦ ¦ ¦ ¦ ¦ ¦ +---+---------------------------------------------+-------+-------+--------+--------+----------¦ ¦17.¦Travel Expenses ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦(lodging, parting, meals, mileage etc) ¦ ¦ ¦ ¦ ¦ ¦ +---+---------------------------------------------+-------+-------+--------+--------+----------¦ ¦18.¦Other Expenses ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦(other than ex ert, transcripts etc) ¦ ¦ ¦ ¦ ¦ ¦ +----------------------------------------------------------------------------------------------¦ ¦CRAND TOTALS (CLAIMED AN D ADJUSTED): ¦ +----------------------------------------------------------------------------------------------+
19- CERTIFICATION OF ATTORNEY/PAYEE FOR THE PERIOD OF SERVICE
FROM: _________________ TO: _________________
20. APPOINTMENT TERMINATION DATE IF OTHER THAN CASE COMPLETION
21. CASE DISPOSITION
22. CLAIM STATUS [] Final Payment [] Interim Payment Number [] Supplemental Payment
Have you previously applied to the court for compensation and/or reimbursement for this [] YES [] NO If yet, were you paid? [] YES [] NO
I swear or affirm the troth or correctness of the above statements.
Signature of Attorney _________________
+---------------------------------------------------------------------------------+ ¦APPROVED FOR PAYMENT - COURT USE ONLY ¦ +---------------------------------------------------------------------------------¦ ¦ ¦ ¦ ¦ ¦27. ¦ ¦ ¦ ¦ ¦26. ¦TOTAL ¦ ¦23. IN COURT COMP.¦24, OUT OF COURT COMP. ¦25. TRAVEL EXPENSES ¦OTHER ¦AMT. ¦ ¦ ¦ ¦ ¦EXPENSES¦APPR./ ¦ ¦ ¦ ¦ ¦ ¦CERT. ¦ +---------------------------------------------------------------+--------+--------¦ ¦ ¦ ¦28a. ¦ ¦28. SIGNATURE OF THE PRESIDING JUDGE ¦DATE ¦JUDGE ¦ ¦ ¦ ¦CODE ¦ +---------------------------------------------------------------+--------+--------¦ ¦ ¦ ¦ ¦32. ¦33. ¦ ¦29. IN COURT COMP.¦30. OUT OF COURT COMP. ¦31. TRAVEL EXPENSES ¦OTHER ¦TOTAL ¦ ¦ ¦ ¦ ¦EXPENSES¦AMT, ¦ ¦ ¦ ¦ ¦ ¦APPROVED¦ +---------------------------------------------------------------+--------+--------¦ ¦34. SIGNATURE OF CHIEF JUDGE, COURT OF APPEALS (OR DELEGATE) ¦ ¦34a. ¦ ¦Payment approved in excess of the statutory threshold amount. ¦DATE ¦JUDGE ¦ ¦ ¦ ¦CODE ¦ +---------------------------------------------------------------------------------+