MUST Be Retyped on Letterhead!


THE FOLLOWING MUST BE TYPED EXACTLY, OR PRINTED FROM THE LINK BELOW, ON ORIGINAL DEPARTMENT LETTERHEAD. 
Signed by certified Officer.


Click here for a version to print on your
department letterhead!

Please Note : Manufacturer refers to the producer of the products that we are distributors for.
For example Defense Technologies / Beretta / Pepperball / etc.


I _____________________________ hereby certify that my department is purchasing
the following weapons or devices for law enforcement use by the department
 of _________________________(department)
from ________________________(manufacturer).

*(Itemize what you are ordering here- brand, model, quantity, etc.)*

 

I further certify that these weapons or devices are not being purchased for the purposes
 of transfer or resale.

Signed:_______________________

Position:______________________

Date:_________________________