Mo. Rev. Stat. § 486.345
3. The certification of a facsimile shall be in type not smaller than eight-point and in substantially the following form:
State of ______ County (and/or City) of ______ I, ______ (name of notary), a Notary Public in and for said state, do certify that on ______ (date) I carefully compared the attached facsimile of ______ (type of document) and the facsimile I now hold in my possession. They are complete, full, true and exact facsimiles of the document they purport to reproduce.______ (official signature and official seal of notary)
(L. 1977 H.B. 513 § 31, A.L. 2004 H.B. 1193)