Front:
Name
CALIFORNIA RE-SALE CERTIFICATE
I HEREBY CERTIFY: That I hold valid seller's Permit No.
issued
pursuant to the Sales and Use Tax Law, that I am engaged in the
business of selling
that the tangible personal property described herein which I shall purchase
from:
will be resold by me in the form of tangible personal property; PROVIDED,
however, that in the event any of such property is used for any purpose other
than retention, demonstration, or display while holding it for sale in the reg-
ular course of business, it is understood that I am required by the Sales and
Use Tax Law to report and pay tax, measured by the purchase price of such
property.
Description of such property to be purchased:
Dated:
19-
Purchaser
at
By and Title
Phone
FORM 40.
Back:
MALTBY ELECTRIC SUPPLY CO.
375 - 7th STREET
SAN FRANCISCO 3, CALIF.
UN. 3-5000
