[4-704, 3-704]

STATE OF NEW MEXICO
IN THE ___________________ COURT
__________________________ COUNTY

__________________________________, Plaintiff

against

__________________________________, Defendant

    Receipt of $_______________in (full) (partial) satisfaction of the judgment in this case.

__________________, ______ (date)

                    ______________________
                    Party or attorney

                    ______________________
                    Address

                    ______________________
                    City, State, zip Code