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Notice_of_animal_at_large 172.02 * Notice of animal at large.

To ________ ________:

Notice is hereby given, that on ________ ___, 20__, the undersigned took up a ________ [describe animal], owned by you, found running at large in the Town of ________, ________ County, Wisconsin, and the animal is now at ________ [describe premises]; and you are hereby requested to take the animal away within 5 days after the receipt of this notice and to pay my reasonable charges for keeping the animal: The sum of $________, plus a $5 forfeiture as provided by law for the taking up of the animal.

[Signature]