STATE OF FLORIDA
COUNTY OF
Before the undersigned authority personally appeared, who on oath does solemnly swear (or affirm) that she or he has knowledge of the matters stated herein; that a notice stating the substance of a contemplated law or proposed bill relating to
(here identify bill)
has been published at least 30 days prior to this date, by being printed in the issues of (here state day, month and year of issue or issues) of the, a newspaper or newspapers published in County or Counties, Florida (or) there being no newspaper, by being posted for at least 30 days prior to this date at three public places in County or Counties, one of which places was at the courthouse of said county or counties, where the matter or thing to be affected by the contemplated law is situated; that a copy of the notice that has been published as aforesaid and also this affidavit of proof of publication are attached to the proposed bill or contemplated law, and such copy of the notice so attached is by reference made a part of this affidavit.
Sworn to (or affirmed) and subscribed before me this day of, (year) , by (name of person making statement) .
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known OR Produced Identification
Type of Identification Produced
Fla. Stat. § 11.03