PROOF OF POSTING NOTICE.
State of __________, county of __________, town of __________, ss.
D.S. being sworn, says that on the ______ day of __________, A.D. 18______, he served the within notice upon each of the occupants of the land through which the within described road may pass, by leaving copies as follows: To A.B. personally; to C.D. at his usual place of abode with E.F., a person of suitable age and discretion, (describing each service.)
That, also, on the ______ day of __________ A.D. 18______, he posted copies of the within notice in three public places in said town, to-wit: At (naming the places.)
D.S.
Subscribed and sworn to before me this ______ day of __________, 18______.
E.W.R., Justice of the Peace.