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Shipping
Order Recipient
Enter the name and contact information of the individual who will be receiving this order.
Billing & Payment
California State Billing Requirements
Charge Against
Certification of Approval of Executive Officer (CA Form 65 Only)
I HEREBY CERTIFY, on my own personal knowledge, that this order for the purchase of the items specified above is issued in accordance with the procedure prescribed by law governing the purchase of such items for the State of California; that all such legal requirements have been fully complied with.