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STATE OF WYOMING ) IN THE MUNICIPAL COURT COUNTY OF ALBANY ) SS IN THE CITY OF LARAMIE CITY OF LARAMIE ) MUNICIPAL JUDGE MEREDITH OAKES PETERSON CITY OF LARAMIE, ) CITATION # Plaintiff, ) ) Vs. ) ) ) Defendant. ) REQUEST FOR BOND MODIFICATION COMES NOW the Defendant, and respectfully requests that the Court amend the conditions of his/ her bond to allow him/her to leave the State of Wyoming to travel to from to Reasons for travel are as follows: WHEREFORE, the above stated reasons, the Defendant respectfully requests that this Court amend the Defendant’s conditions of bond to allow him to leave the State of Wyoming on the above stated dates. RESPECTFULLY SUBMITTED this day of Defendant ---PAGE BREAK--- STATE OF WYOMING ) IN THE MUNICIPAL COURT COUNTY OF ALBANY ) SS IN THE CITY OF LARAMIE CITY OF LARAMIE ) MUNICIPAL JUDGE MEREDITH OAKES PETERSON CITY OF LARAMIE, ) CITATION # Plaintiff, ) ) Vs. ) ) ) Defendant. ) WAIVER OF EXTRADITION I, the Defendant, state that I have read and understand my extradition rights and rights under the interstate detainer act and that I do hereby waive all extradition rights and process and consent to return to the State of Wyoming, from any and all jurisdictions in or outside of the United States where I may be found, and that I will not contest any effort to return me to the State of Wyoming. I have read or had read to me this entire document, and I understand the conditions of the same and agree thereto. DATED this day of Defendant STATE OF WYOMING ) ) ss. COUNTY OF ALBANY ) Subscribed and sworn to before me this day of 20__ by Notary Public/ Clerk of Court My commission expires: