COMMERCIAL USE OF THE STATE SEAL OF TEXAS
MANUFACTURER/VENDOR'S AFFIDAVIT OF SALES TO STATE AGENCIES AND/OR ELECTED OFFICIALS
I__________________________________________________, _________________________________ of (officer's title) (name of authorized officer of manufacturer or vendor) _____________________________________________ certify that ________________________________
(name of manufacturer or vendor) [description of product(s)]
________________________________________________________________________________________ (description continued)
will not be made available to the general public.
Sales will be made only to:
[ Please mark applicable item(s)]
1. _____ an elected official for a political purpose. 2. _____ a Texas State Agency for an official use in performing a State function.
Signature of officer of manufacturer or vendor
State of _____________________ County of ________________ Sworn to and subscribed before me on the ______ day of ___________________________, __________.
(Seal of officer administering oath)
Signature of officer administering oath
FORM #3303 Oct. 1999