UNDERSIGNED CERTIFIES THAT THE FOLLOWING DESCRIBED PROPERTY:

PURCHASED FROM:

Mail Order House, Inc. DBA Enterprise Technology

__ Resale as a tangible personal property

__ To be incorporated as a material or pat of other tangible personal property to be produced for sale by manufacturing assembling, processing or refining

__ To be exported for sale, use, or other consumption outside of continental limits of the united states

__ To be sold outside of the seller's state

__ Other________________________________________________________________

This certificate shall be considered a part of each order which we shall hereinafter place provided such order contains our certificate number. This is to continue in force until revoked in writing,

DATED: ____________________ PHONE: _____________________________________



BUY'S PERMIT NO: _______________________________________________________


 
CERTIFICATE NO: ________________________________________________________



FIRM: __________________________________________________________________



ADDRESS: ______________________________________________________________



CITY: __________________________________ STATE: ________ZIP:_____________



SIGNATURE: _______________________________________TITLE: _______________