CALIFORNIA - CERTIFICATE OF RESALE

FIRM NAME: _______________________________________________________________________________


I HEREBY CERTIFY,

that I hold a valid seller's permit No. __________________________________________________
issued persuant to the Sales and Use Tax Law; that I am engaged in the business of selling.

__________________________________________________________________________________________
that the tangible property described herein which I shall purchase from:

__________________________________________________________________________________________
will be resold by me in the form of tangible property; PROVIDED, however, that in the event any such property is used for any purpose other than retention, demonstration, or display while holding it for sale in the regular corse of business, it is understood that I am required by the Sales and Use Tax Law to report and pay the tax, measured by the purchase price of such property.

Description of property to be purchased: _________________________________________________

__________________________________________________________________________________________

Dated __________________________________ Signature: ______________________________________

at _____________________________________ By and Title ____________________________________

Phone __________________________________ Address _________________________________________


__________________________________________________________________________________________
(Signature of Purchaser or Authorized Agent)

________________________________________________________________ (Title)