To whom it may concern:
Notice is hereby given that on ________ ___, 20__, the undersigned took up a ________ [describe animal] found running at large on that day in the Town of ________, ________ County, Wisconsin, and the animal is now at my residence, ________________ [give address or describe premises], in the town, the owner of the animal being unknown to me.
Dated this ______ day of ________, 20__.
[Signature]
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