Fill and Sign the Wy Affidavit Form

STATE OF WYOMING ) IN THE DISTRICT COURT ) SS COUNTY OF       )       JUDICIAL DISTRICT In the Matter of the Change ) Civil Action Case No.       Of Name of ) ) )       ) Petitioner ) AFFIDAVIT OF PUBLICATION State of Wyoming County of             , being first duly sworn, deposes and says: I, ________________________ do solemnly swear that I am one of the publishers of the __________________ , a newspaper of general circulation published ______ times each week at _________ , State of Wyoming; that the notice attached hereto , and which is a part of this affidavit and a part of the proof of publication, was published in said newspaper for ______ consecutive ______ , the first publication having been made on the ______ day of __________________ 20 ______ , and the last one on the ______ day of __________________ , ______ , That said notice was published in the regular and entire issue of every number of the paper, during the period and times of publication, and that the notice was published in the newspaper proper, and not in the supplement. IN WITNESS WHEREOF, I have hereunto set my hand this ______ day of ____________ , A.D. 20 ______ . ______________________________ Signature SUBSCRIBED and sworn to before this ______ day of ____________ , 20 ______ . Publication Fee $__________ ______________________________ Notary Public Affidavit of P blicitatiof È bage 1 of P 1