NOTICE!!

Before any auto’s are shipped from this warehouse, the information blanks below must be filled in completely, signed by a principal of the company, and returned to:

JIMERSON CUTLERY

3012 Armand St.
Monroe, LA 71201

Phone (800) 634-3402
Fax (318) 651-8499

THERE ARE NO EXCEPTIONS

Note: Except where your signature is required, please print clearly & distinctly.

ACKNOWLEDGMENT AND REPRESENTATIONS

We/I, _________________________________________ are/am "bonafide" dealers as described in 18 USC 1716 (g) (2) (1-4) and as such represent and state that sales will not be made to the general public, but will only be made to those individuals and entities described in 18 USC Section 1716 (g) (2) (1-4) and 15 US 1244 (2-4).

Dated this _____ day ________ 20____

SIGNATURE ___________________________________ PRINTED NAME____________________________________

COMPANY NAME _________________________________________________________________________________

ADDRESS _________________________________________________________________________________________

CITY ________________________________________ STATE _________________ ZIP CODE___________________

PHONE NUMBER ______________________________ FAX NUMBER ______________________________________

18 USC 1716 (G) (2) (1-4) provides this summary: Switchblade knives can be shipped to civilian and armed forces supply or procurement officers and employees of the Federal government ordering or procuring or purchasing such knives in connection with activities in the Federal government; to supply or procurement officers in the National Guard, the Air National Guard or militia of the state or territory of the District of Columbia ordering, procuring of purchasing such knives in connection with the activities of such organizations; to supply or procurement officers or employees of the municipal government of the District of Columbia of the government of any state or territory of any county, city or other political subdivision of a state or territory ordering, procuring or purchasing such knives in connection with the activities of such government.

15 USC 1244 provides in summary: Knives can be shipped by common carrier, that sale, transportation or distribution, possession or introduction into interstate commerce of switchblade knives is authorized if it is pursuant to a contract with the armed forces or any member or employee thereof acting in the performance of his or her duty may possess switchblade knives and may have them shipped to him and sold to him or her. The possession and transportation upon his or her person of a switchblade knife or a blade 3 inches or less is authorized to any handicapped individual who has the use of only one arm.