It is therefore ordered and determined that a road be and the same is hereby laid out (or altered) and established according to the description last aforesaid, and it is hereby declared to be a public highway, four rods wide, the said description above given being the center of said road.

Given under our hands, this, &c., (dated and signed officially by the supervisors.)

SURVEYOR’S REPORT.

To the supervisors of the town of __________, county of __________, and
state of __________: 

The undersigned having been employed by you to make a survey of a road in said town would report that the following is a correct survey thereof, as made by me under your directions, to-wit:  (Give an accurate description of the road by course and distance) and that below is a correct plot of said road according to said survey. (Dated and signed.)

RELEASE OF DAMAGES.

State of __________, county of __________, town of __________, ss.: 

Whereas, a road was laid out (or altered or discontinued) on the _____ day
of __________, A.D. 18_____, by the supervisors of the said town of
__________, on the petition of (six) legal voters, owning real estate, or
occupying real estate under the homestead or pre-emption laws of the
United States, or under contract from the state of __________, within one
mile (or eight legal voters freeholders and residents of the town within
two miles) of said road; which said road (or alteration, or
discontinuance) is set forth and described in the supervisors’ order, as
follows, viz.:  Beginning (describe the road as in the order laying it out);
which said road passes through certain lands owned by us as described
below: 

Now, therefore, know all men by these presents, that we, the owners of the lands described below, for value received, do hereby * release all claims to damages sustained by us by reason of the laying out (or altering, or discontinuing) and opening said road through our lands, viz.:  (Here give a description of the lands and their owners’ names.)*

In witness whereof, we have hereunto set our hands and seals this day of
__________, A.D. 18_____. (Signatures and seals.) Signed, sealed and
delivered in presence of two witnesses.

AGREEMENT AS TO DAMAGES.

(Use form “Release of Damages” to the * then substitute to the next * as follows:) do hereby “agree to and with the said supervisors that the damages sustained by us by reason of laying out (or altering, or discontinuing) said road be ascertained and fixed, and the same are hereby ascertained and fixed as follows:  (Describe the lands, give the owners’ names, and the amounts agreed on;” and conclude as in form “Release of Damages.”)

AWARD OF DAMAGES.