Colorado Code § 39-11-104

Publisher's affidavit - form
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(1) Every publisher or printer who publishes
such list and notice, immediately after the last publication thereof, shall transmit to the treasurer
of the proper county an affidavit of such publication made by such publisher, printer, or some
other person to whom the fact of publication is known, and no publisher or printer shall be paid
for such publication if he fails to transmit such affidavit within fourteen days after the last
publication.
(2) Such affidavit shall be substantially in the following form:
"I, .............., publisher (or printer) of the .............., a .............. newspaper, printed and
published in the county of .................. and state of Colorado, do hereby certify that the foregoing
notice and list were published in said newspaper, once in each week, for ...... successive weeks,
the last of which publications was made prior to the ................ day of ................, A.D. 20...., and
that copies of each number of said paper in which said notice and list were published were
delivered by carriers or transmitted by mail to each of the subscribers of said paper, according to
the accustomed mode of business in this office.
....................,
Publisher (or Printer) of the ...................
STATE OF COLORADO )
) ss.
County of ..................................................)
The above certificate of publication was subscribed and sworn to before me by the above
named .................., who is personally known to me to be the identical person described in the
above certificate, on the .................. day of .................., A.D. 20.... .
.................................
(SEAL)"

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