Type information on screen then print. Don't forget to sign and fax
 805-577-9188 or mail to:  Simi Valley Photo Labs - 660 East Los Angeles,
CA - 93065.


Date: Purchased for the following purpose:

Must put an X in a least one box below.
  Resale as a tangible personal property

  To be exported for sale, use or consumption 
              outside the continental limits of the United states.
  To be sold outside seller's state. 
  Tax exempt permit is not required by my 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.         

BUYER'S TAX PERMIT NO.    DATE ON PERMIT
COMPANY NAME 
ADDRESS    
CITY STATE ZIP PHONE

SIGNATURE_____________________________________TITLE 

  Type information on screen then print. Don't forget to sign and fax
                          805-577-9188 or mail to:  Simi Valley Photo Labs - 660 East Los Angeles,
                          CA - 93065.