MANUFACTURER’S DECLARATION OF ORIGIN
The manufacturer further certifies that this was the first transfer of said new SUP in ordinary trade and commerce,
and that all information given herein is true and accurate to the best of his knowledge.
NAME OF MANUFACTURER
Pelican International Inc.
1000 Place Paul-Kane
Laval QC H7C 2T2 Canada
AUTHORIZED BY
Marie-Christine Piedboeuf, President
SUP DESCRIPTION
SERIAL NUMBER (ZEP):
MODEL YEAR:
MODEL NAME:
LENGTH:
DEALER NAME:
ADDRESS:
CITY:
STATE/PROVINCE:
ZIP/POSTAL CODE:
9
Sold in the State / Province of
The undersigned manufacturer hereby certifies that the new SUP described
under the section SUP DESCRIPTION, the property of said manufacturer,
has been transferred on this
day of ,
on invoice number
to