Spreadsheet: 42f89faa-7240-4d94-ae8c-180e6e8e9afd
Sheet: Sheet1

CJA 20 APPOINTMENT OF AND AUTHORITY TO PAY COURT APPOINTED COUNSEL (Rev. 12.03) | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14 | Unnamed: 15 | Unnamed: 16 | Unnamed: 17 | Unnamed: 18 | Unnamed: 19 | Unnamed: 20 | Unnamed: 21 | Unnamed: 22 | Unnamed: 23 | Unnamed: 24 | Unnamed: 25 | Unnamed: 26 | Unnamed: 27 | Unnamed: 28
1.   CIR./DIST./DIV. CODE |  |  |  |  | 2.  PERSON REPRESENTED |  |  |  |  |  |  |  |  |  |  |  |  | VOUCHER NUMBER
 |  |  |  |  | 0
3.  MAG. DKT./DEF. NO. |  |  |  |  |  | 4.  DIST. DKT./DEF. NO. |  |  |  |  |  |  | 5.  APPEALS DKT./DEF. NUMBER |  |  |  |  |  |  |  | 6.  OTHER DKT. NO.
0 |  |  |  |  |  | 0
7.  IN CASE/MATTER OF (Case Name) |  |  |  |  |  | 8.  PAYMENT CATEGORY |  |  |  |  |  |  | 9.  TYPE PERSON REPRESENTED |  |  |  |  |  |  |  | 10.  REPRESENTATION TYPE
USA vs. |  |  |  |  |  | Felony |  |  |  | Petty Offense |  |  | Adult Defendant |  |  |  | Appellant | Appellant |  |  | (See Instructions)
 |  |  |  |  |  | Misdemeanor |  |  |  | Other |  |  | Juvenile Defendant |  |  |  | Appellee | [NAME]
 |  |  |  |  |  | Appeal |  |  |  |  |  |  | Other
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 of offense.
12.  ATTORNEY'S NAME (First Name, M.I., Last Name, including any suffix). |  |  |  |  |  |  |  |  |  | 13 | COURT ORDER
AND MAILING ADDRESS |  |  |  |  |  |  |  |  |  |  | O   Appointing Counsel |  |  |  |  | C   Co-Counsel
0 |  |  |  |  |  |  |  |  |  |  | F   Subs For Federal Defender |  |  |  |  | R   Subs For Retained Attorney
 |  |  |  |  |  |  |  |  |  |  | P   Subs For Panel Attorney |  |  |  |  | Y   Standby Counsel
 |  |  |  |  |  |  |  |  |  | Prior Attorney's Name:
 |  |  |  |  |  |  |  |  |  | Appointment Dates:
 |  |  |  |  |  |  |  |  |  |  | Because the above-named person represented has testified under oath or has otherwise satisfied this Court that he or she (1) 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
Telephone Number:
14.  NAME AND MAILING ADDRESS OF LAW FIRM (Only provide per instructions)
0 |  |  |  |  |  |  |  |  |  |  | Other (See Instructions)
0
0 |  |  |  |  |  |  |  |  |  |  | Signature of Presiding Judge or By Order of the Court |  |  |  |  |  |  |  |  | Date of Order
0 |  |  |  |  |  |  |  |  |  | Repayment or partial repayment ordered from the person represented for this at time of appointment.
0 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | [NAME]
CLAIM FOR SERVICES AND EXPENSES |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | FOR COURT USE ONLY
CATEGORIES (Attach itemization of services with dates) |  |  |  |  |  |  |  |  | HOURS CLAIMED |  |  |  |  |  | TOTAL AMOUNT CLAIMED |  |  | MATH/TECH. ADJUSTED HOURS |  |  | MATH/TECH. ADJUSTED AMOUNT |  |  | ADDITIONAL REVIEW
 |  |  |  |  |  |  |  |  | 9/1/13 - Current ($110/hr) |  | 1/1/10 - 8/31/13 ($125/hr) |  | 3/11/09 - 12/31/09 ($110/hr)
15 | a. Arraignment and/or Plea |  |  |  |  |  |  |  | 0 |  | 0 |  | 0
In Court | [NAME] and Detention Hearing |  |  |  |  |  |  |  | 0 |  | 0 |  | 0
 | c. Motion Hearings |  |  |  |  |  |  |  | 0 |  | 0 |  | 0
 | d. Trial |  |  |  |  |  |  |  | 0 |  | 0 |  | 0
 | e. Sentencing Hearings |  |  |  |  |  |  |  | 0 |  | 0 |  | 0
 | f. Revocation Hearings |  |  |  |  |  |  |  | 0 |  | 0 |  | 0
 | g. Appeals Court |  |  |  |  |  |  |  | 0 |  | 0 |  | 0
 | h. Other (Specify on additional sheets) |  |  |  |  |  |  |  | 0 |  | 0 |  | 0
 |  |  |  |  | TOTALS (15a-15h): |  |  |  | 0 |  | 0 |  | 0
 |  |  |  |  | TOTALS x Rate/HR: |  |  |  | 0 |  | 0 |  | 0 |  | 0
16 | a. Interviews and Conferences |  |  |  |  |  |  |  | 0 |  | 0 |  | 0
Out of Court | [NAME] and reviewing records |  |  |  |  |  |  |  | 0 |  | 0 |  | 0
 | c. Legal research and brief writing |  |  |  |  |  |  |  | 0 |  | 0 |  | 0
 | d. Travel time |  |  |  |  |  |  |  | 0 |  | 0 |  | 0
 | e. Investigative and other work (Specify on additional sheets) |  |  |  |  |  |  |  | 0 |  | 0 |  | 0
 |  |  |  |  | TOTALS (16a-16e): |  |  |  | 0 |  | 0 |  | 0
 |  |  |  |  | TOTALS x Rate/HR: |  |  |  | 0 |  | 0 |  | 0 |  | 0
17 | Travel Expenses (lodging, parking, meals, mileage, etc.) |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
18 | Other Expenses (other than expert, transcripts, etc.) |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
GRAND TOTALS (CLAIMED AND ADJUSTED): |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
19.  CERTIFICATION OF ATTORNEY/PAYEE FOR THE PERIOD OF SERVICE |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 20.  APPOINTMENT TERMINATION DATE IF OTHER THAN CASE COMPLETION |  |  |  |  |  |  | 21.  CASE DISPOSITION
FROM: | 00:00:00 |  |  |  |  | TO: |  | 00:00:00
22.  [NAME] |  |  |  |  |  | Final Payment |  |  |  |  | Interim Payment      Number |  |  |  |  |  |  |  |  | Supplemental Payment
Have you previously applied to the court for compensation and/or reimbursement for this case?                                                                                    If yes, were you paid?           Other than from the Court, have you, or to your knowledge has anyone else, received payment (compensation or anything of value) from any other source in connection with this representation?                                                If yes, give details on additional sheets. I swear and affirm the truth or correctness of the above statements.
Signature of Attorney |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Date
APPROVED FOR PAYMENT    ---    COURT USE ONLY
23.  IN COURT COMP. |  |  |  | 24.  OUT OF COURT COMP. |  |  |  |  | 25.  TRAVEL EXPENSES |  |  |  |  |  | 26.  OTHER EXPENSES |  |  |  |  |  | 27.  TOTAL AMT. APPR./CERT.
28.  SIGNATURE OF THE PRESIDING JUDGE |  |  |  |  |  |  |  |  |  |  |  |  |  |  | DATE |  |  |  |  |  | 28a.  JUDGE CODE
29.  IN COURT COMP. |  |  |  | 30.  OUT OF COURT COMP. |  |  |  |  | 31.  TRAVEL EXPENSES |  |  |  |  |  | 32.  OTHER EXPENSES |  |  |  |  |  | 33.  TOTAL AMT. APPR./CERT.
34.  SIGNATURE OF CHIEF JUDGE, COURT OF APPEALS (OR DELEGATE) Payment approved in excess of the statutory threshold amount |  |  |  |  |  |  |  |  |  |  |  |  |  |  | DATE |  |  |  |  |  | 28a.  JUDGE CODE