To ________ ________, clerk of the Town of ________, ________ County, Wisconsin:
Notice is hereby given by the undersigned that on ________ ___, 20__, one [naming the kind of animal and describing it as plainly as practicable], the owner of which is unknown, strayed upon land on which I reside: [describe premises], in the Town of ________, ________ County, Wisconsin, and was there found and taken up by me.
Dated this ______ day of ________, 20__.
[Signature]
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