END USE and END USER CERTIFICATION
- 1. END USE/END USER CERTIFICATION Please read and certify the following export control notifications: 1) I (We) acknowledge that the items to be received from Richard Maxwell ., under our purchase order(s) are possibly export controlled from the United States by the International Traffic in Arms Regulation (ITAR) and may be listed under the United States Munitions List (See 22CFR 121). 2) I (We) acknowledge that items controlled under the United States Munitions List require the registration of manufactures and exports with the U.S. Department of State, Directorate of Defense Trade Controls (DDTC) prior to any export from the United States (See 22CFR 122). 3) I (We) acknowledge that items controlled under the United States Munitions List prior to export or temporary import, unless the export or temporary import qualifies for an exemption under the ITAR, require an export license or other approval from the DDTC prior to any export from the United States (See 22CFR123). 4) I (We) acknowledge that items controlled under the United States Munitions List, before exporting any hardware therein controlled, using a license or exemption, the DDTC registered applicant/exporter, or an agent acting on filer’s behalf, must electronically file the export information with U.S. Customs and Border Protection using the Automated Export System (AES) in accordance with appropriate time lines (See 22CFR123.22). 5) I (We) acknowledge that items on the United States Munitions List exported from the United States will comply with the requirements specified under U.S. regulations and also in compliance and full knowledge of Items 1 through 4 listed above and the ITAR (See 22CFR Parts 120-130). I (We) certify, as an authorized employee, knowledge of the above listed items and will assume full responsibility for compliance with any United States export laws and regulations prior to any export from the United States of product(s) received from Richard Maxwell SIGNATURE_______________________________ PRINT NAME________________________________ TITLE____________________________________ COMPANY NAME_____________________________ CITY/STATE/COUNTRY___________________________________ DATE SIGNED___________________ Richard Maxwell 13622 Bracken Street Arleta, CA 91331 (818)399-1158 richardmaxwell1958@inbox.com sml 041012