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

(NAME)
(ADDRESS)	Docket # (DOCKET #)
(CITY, STATE ZIP)

NOTICE OF FAILURE TO APPEAR

You have failed to post bond in this case or appear on the ______ day of ________________, 20____ as required in your citation number ___________issued to you on the ____ day of _________________,20____.

If you fail to post bond in the amount of $ __________ immediately, a warrant will be issued for your arrest and you may be prosecuted for failure to appear under City Code __________________, the penalty for which is up to $750.00, 6 months in jail or both.

Signed on this date: ________________, 20____.

__________________________

Clerk

PLEASE RETURN THIS NOTICE WITH PAYMENT

NO PERSONAL CHECKS OR CREDIT/DEBIT CARDS ACCEPTED