The undersigned MANUFACTURER hereby certifies that the new boat described below,
the property of said MANUFACTURER,
Has been transferred this day of in
To
Whose address is
Invoice # Material Linear Polyethylene Year Manufactured
Serial # Model Color
Manufacturer’s Statement of Origin for Malibu Kayaks LLC
7110 Jackson St., Paramount, CA 90723 Tel: (562) 630 - 6282 Fax: (562) 630 - 4311
This Manufacturer further certifies that this was the first transfer of such new boat
in Ordinary Trade and Commerce.
(Authorized Signature) (Title of Position)
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