753.02 WRITTEN STATEMENT.
   Whenever any trees or boughs described in Section 753.01 are being transported within this State by any person other than a person required by such section to have a bill of sale or invoice, a true written statement shall accompany such shipment, which written statement shall set forth:
   (a)    The location of the lands from which such trees or boughs were removed. Such statement of location shall include, but not be limited to, the township, county and state in which such lands are located;
   (b)    The name, address and telephone number of the owner of the lands from which such trees or boughs were removed;
   (c)    The name, address and telephone number of the custodian of such lands if different from that of the owner. If the same, the statement shall so state;
   (d)    The name, address and telephone number of the driver of the vehicle transporting such trees or boughs.
   Such statement shall be signed by the owner or custodian of the lands from which such trees or boughs are removed or by the agent of either. The same written statement may be used for any number of shipments. (1954 Code Sec. 20.602)