State of Montana
County of ..........
I, ........., of the county of .........., do swear that the fee book in my office contains a true statement in detail of all fees and compensations of every kind and nature for official services rendered by me, paid or chargeable, or by my deputies or assistants for the month of .........., 20..., and that this fee book shows the full amount received or chargeable in that month and since my last monthly payment; that neither myself nor, to my knowledge or belief, any of my deputies or assistants have rendered any official service, except for the county or state, that is not fully set out in this fee book; and that the foregoing statement is a correct copy of the statement.
......................... (Signature)
Subscribed and sworn to before me this ..... day of .........., 20...
Seal........... (Person authorized to take oaths)
.............. (Title or notarial information)
§ 7-4-2512, MCA