Certificate Of Mailing - Cassia County
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1CERTIFICATE OF MAILING
I hereby certify that a true and correct copy of the foregoing document (Notice of
Hearing) was on this date ___________________________ served upon the persons listed, at
the addresses set out below their names, by mailing to them a true and correct copy of said
document in a properly addressed envelope in the United States mail, postage prepaid.
Dated __________ day of ______________ 20 ______.
Applicant
State of Idaho
)
) ss
County of Cassia
)
Subscribed and sworn to be before me this _______ day of _____________________,
2_____, personally appeared before me and proved to me on the basis of satisfactory evidence to
be the person (s) whose name(s) are subscribed to this instrument, and acknowledged that they
executed the same.
SEAL
________________________________________________
Notary
Residing at______________________________________
Commission expires_______________________________
NOTE: This form is general in nature. Users are responsible for any form that is used, and
must ensure that it is accurate in content and should also ascertain that it meets the
requirements of state statues and county ordinances applicable thereto.
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