K.S.A. 19-4738
Verification of Mailing
(12-1-06)
IN THE DISTRICT COURT OF
COUNTY, KANSAS
The County of _____________, Kansas,
vs.
Accused person’s name
VERIFICATION OF MAILING
The undersigned hereby certifies that on the
day of
, 2____
Signature of Law Enforcement Officer, Code Enforcement
Officer or Clerk of District Court