Decatur Auto Parts Forms - page 13

1.
RESALE EXEMPTION
– This is to certify that all merchandise purchased under the resale provisions
of the law on and after this date from the above-named seller is for the purpose of resale.
__________________________________________ _________________________________________
PHONE #
FAX #
_________________________________________ _________________________________________
PURCHASER’S
FEDERAL ID #
EMAIL ADDRESS
2500 N. WOODFORD ST. DECATUR, IL 62526
PH # 217-877-4371 FAX # 217-877-4394
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