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Report_to_cooperative_educational_service_agency_of_clerks_of_school_districts_in_the_town 60.33 (9) (b) * Report to cooperative educational service agency of clerks of school districts in the town.

STATE OF WISCONSIN
Town of ________
________ County

To the administrator of [legal name of cooperative educational service agency]:

Pursuant to s. 60.33 (9) (b), Wis. stats., the names and addresses of the school district clerks in the Town of ________, ________ County, Wisconsin, are set forth below:

The post-office address of the undersigned is ________.

Dated this ______ day of ________, 20__.

[Signature of town clerk]