STATE OF NEW MEXICO

COUNTY OF _______________

IN THE FIFTH JUDICIAL DISTRICT COURT

_______________________________________,

Plaintiff,

vs.                                     NO:______________

_______________________________________

Defendant.

TO: _________________________________

        Judgment was entered and filed in the above cause on

the _____ day of __________________, _______.

             Clerk of the District Court

                   By:______________________________

               Deputy

Mailed on the ____ day of _______________, ________,

by __________________________.

[Approved, effective April 1, 1999.]