MUNICIPAL COURT COMMITMENT

THE STATE OF WYOMING	IN THE MUNICIPAL COURT

COUNTY OF (County)	_____________________________

JUDGE

THE CITY OF CHEYENNE,

PLAINTIFF,

vs.	DOCKET NO.__________________

__________________________

DEFENDANT.

JUDGEMENT AND SENTENCE OF THE COURT

TO THE KEEPER OF THE (County) COUNTY JAIL, GREETINGS:

WHEREAS, the above named defendant has been found guilty and sentenced to be imprisoned in

the (County) County Jail for a period of ___________ days.

THEREFORE, in the name of the Municipal Court, I command you to receive the said defendant

into your custody, in the (County) County Jail aforesaid, in accordance with the terms hereof, there to

remain until he shall be discharged by the due course of the law.

Given under my hand and seal this_________day of __________________________, 20_______

__________________________________________

MUNICIPAL COURT JUDGE

DATE AND TIME OF RELEASE:_______________________________________________________