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Town of ________
________ County
For good and sufficient cause, we, the undersigned Town Board of the Town of ________, ________ County, Wisconsin, as the appointing authority for the town office of ________, hereby remove ________ ________ from that office. This order shall be served by mail or by personal service.
This order is effective on ________ ___, 20__, or upon receipt of the order by officeholder, whichever date is earlier.
Dated this ______ day of ________, 20__.
[Signatures of town board]
Note: This order to be filed with the clerk; see s. 17.16, Wis. stats. A town sanitary district officer may also be removed under this statute and this form can be adapted for that purpose.