The Municipal Court

for the City of (City)

(Address)

(City), Wyoming (Zip)

(307) (Telephone # )

Fax (307) (Fax Telephone #)

(Judge's Name)	(Judge's Name)

Senior Municipal Judge	Municipal Judge

(Clerk of Court's Name)

Clerk of District Court

(Address)

(City), WY (Zip)

Re: Docket No (Docket #)

CITY OF (City),

vs.

Defendant

Dear (Clerk of Court's Name);

Pursuant to Rule 3.05 of the Wyoming Rules of Appellate Procedure, the record in the above numbered and entitled matter has been completed. The filing fee to the District Court is enclosed in the form of a check for $60.00.

The record consists of 2 volumes. Volume I is the Criminal Docket, Volume II is a copy of the tape recording of the proceedings. This tape is attached to Docket # (Docket No..

The record is complete for purposes of Certification to the District Court, certified in accordance with the Wyoming rules of Appellant Procedure and is being transmitted to the District Court.

The Certification Order in this matter was filed on (Date written).

Very truly yours,

(Your Name)

Clerk of Municipal Court

IN THE MUNICIPAL COURT

FOR THE CITY OF (City)

CITY OF (City),	)

Appellee (Plaintiff)	)

)

VS.	)	DOCKET NO. Docket No.

)

Defendant,	)

Appellant (Defendant)	)

CERTIFICATE OF THE CLERK OF MUNICIPAL COURT

I, (Clerk's Name), Clerk of the Municipal Court within and for the City of (City) in the County of (County) in the State of Wyoming do hereby certify that the attached and foregoing are the original papers designated to be included in a Record on Appeal pursuant to Rule 3.05, Wyoming Rules of Appellate Procedure and that the same constitutes the Record on Appeal in the above captioned Matter, and I do hereby certify that the same is true and correct.

Witness my hand at my office in the City of (City), County of (County) State of Wyoming this Date legal.

___________________________________

CLERK OF MUNICIPAL COURT

TRANSMITTED RECORD

IN THE MUNICIPAL COURT

FOR THE CITY OF (City), WYOMING

CITY OF CHEYENNE,

Plaintiff,

vs.	Docket No. Docket No.

Defendant,

Defendant.