IN THE MUNICIPAL COURT

FOR THE CITY OF (City), WYOMING

CITY OF (City),	)

PLAINTIFF,	)

vs.	) DOCKET NO________________________	)

________________,	)

DEFENDANT.	)

AFFIDAVIT

I, (Clerk's Name), do solemnly swear that on or about the ____ day of ______________, 20____, in the City of (City), State of Wyoming, the said Defendant, above named, did unlawfully violate Section (Statute #)

TO WIT: The above named Defendant failed to ___________________after having given their promise to do so.

Contrary to the form or such ordinance in such case made and provided and against the peace and dignity of the State of Wyoming.

CLERK OF COURT

SUBSCRIBED AND SWORN before me this day of , 20 .

MUNICIPAL JUDGE

IN THE MUNICIPAL COURT FOR THE CITY OF (City)

AND THE STATE OF WYOMING

Criminal Action No. ________________

THE CITY OF (City),	)

PLAINTIFF,	)

vs.	)

) BENCH WARRANT

(NAME)	)

(ADDRESS)	)

(CITY, STATE ZIP)	)

DEFENDANT.	)

THE CITY OF (City)

To the Chief of Police and all Peace Officers, Greetings:

WHEREAS, it has been shown to the Judge of this Court that the above named Defendant

has failed to comply with lawful orders of this Court in the above-entitled matter, in that the said

Defendant violated Section (Section #) FAIL TO ______________________________

WE DO THEREFORE COMMAND YOU that you do without delay take and bring the

Defendant before the said Court located in (City), Wyoming to show cause why the Defendant should not be found in contempt of this Court.

IT IS FURTHER ORDERED that pending such appearance before the said Court, the

aforesaid person shall post a good and sufficient bond in the sum of $___________.00 CASH BOND)

_________________________________dollars, that upon failure of the aforesaid person to make such bond, you confine them in the Detention Facility designated by the City of (City), and there safely keep and detain them until they may be brought before the Court.

DATED this day of , A.D. 20 .

Judge

STATE OF WYOMING	)

COUNTY OF (County)	) ss.

I hereby certify that I have duly executed the within Writ on this day of ,

A.D.20 , by as I am therein commanded.

Chief of Police

by