STATE OF WYOMING	)

COUNTY OF (County)	)

IN THE MUNICIPAL COURT

FOR THE CITY OF

(City), WYOMING

CITY OF (City), WYOMING,	)

Plaintiff,	)

vs.	)	Docket No. _____________________

)

______________________________,	)

Defendant.

ORDER SETTING CONDITIONS OF BOND

AND

SUPERVISION FOR PRE-TRIAL RELEASE

Your bond has been set at ________________________. Your release or continued release from jail will be subject to the following conditions:

1. You must appear on ____________________________________,__________ at _____________ AM / PM and at all other court proceedings as required by this court.

2. You must not leave (County) County without permission from this court.

3. You must not commit a federal, state or municipal offense during the period of release.

4. You must not contact, bother or harass any witness or party who may be called to testify against you in this matter or any other court proceeding in which you are a party.

5. You must keep your attorney and the City Attorney advised of your correct address, you phone number and your present whereabouts at all times.

6. You must not cause, provoke or engage in any conduct which would tend to provoke a disturbance with any party or witness who may be called to testify in any proceeding involving you in the Municipal Court for the City of (City).

7. You must maintain employment, or if unemployed, actively seek employment.

8. You must not consume alcohol or use any controlled substances.

9. ____________________________________________________________________

____________________________________________________________________________.

10. ___________________________________________________________________

____________________________________________________________________________.

Any violation or a combination of violations or the conditions of bond set out herein shall subject you to arrest and revocation of your release and bond.

DATED this _________ day of _________________________, ________.

__________________________________

Municipal Judge, City of (City)

As a condition of my release, I agree to these conditions.

__________________________________

Defendant.