(Form of Certificate)
State of Nevada }
}ss.
County of.................. }
To the (insert "City Council," or "Board of County Commissioners," or other name of governing body) of ................................, Nevada:
I hereby certify and report that the foregoing is the assessment roll and assessments made by me for the purpose of paying that part of the cost which you decided should be paid and borne by special assessments for ................ Improvement District No. ..........; that in making such assessments, I have, as near as may be, and according to my best judgment, conformed in all things to the provisions of chapter 271 of NRS.
.......................................................................
Engineer
Dated at......................., Nevada, ........... (month) ........ (day) ........ (year)
NRS 271.375