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Declaration

This is to declare and certify that we have placed an inter-state purchase order on M/s Bose Corporation India Private Limited, New Delhi, for supply of a Bose sound system. This equipment is for personal use only and has no commercial value. We do not have a CST or a LST number. We further confirm and declare that this material will be transported from New Delhi to ___________________ on our request in line with our purchase order, at the delivery address declared hereunder: Name Shipping Address : :

Telephone

___________________ Authorized Signatory

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