Proof of publication of the notice or other material under ORS 193.310 to 193.360 and 251.295 shall be by affidavit of the owner, manager, assistant manager or program director of the station, in substantially the following form:

AFFIDAVIT OF BROADCAST

State of Oregon, )

) ss.

County of ______ )

I, _____, being first duly sworn, depose and say that I

am the owner, manager, assistant manager or program director of station _____, a radio (television) station broadcasting from _____ in the aforesaid county and state; that the notice (or other material) described as _____ was broadcast on the following days: (here set forth dates and times when the same was broadcast).

Subscribed and sworn to before me _____

(Month)

(Day),

2___.

Notary Public for Oregon

My commission expires: ______

______________________________________________________________________________

[1967 c.63 §5]