Bonded Weighmaster'S License For A Business Or Individual Form (Page 5 of 6) in pdf

Bonded Weighmaster'S License For A Business Or Individual Form Page 5

STATE OF MISSISSIPPI

Department of Agriculture and Commerce

Weights and Measures Division

P. O. Box 1609

Jackson, MS 39215-1609

Lester Spell, Jr., D.V.M., Commissioner

WEIGHMASTER’S OATH

(Business or Individual)

I, the undersigned, being fully vested with authority to act for and in behalf of Bonded Weighmasters License

applicant

Business or Individual (PLEASE PRINT)

Physical Address (No P. O. Boxes)

City

State

Zip Code

Mailing Address

City

State

Zip Code

do solemnly swear that I have read the Bonded Weighmasters Law of the State of Mississippi and Rules and

Regulations adopted thereunder and fully understand requirements imposed upon a bonded weighmaster

licensee, and affirm that said business meets all requirements to be licensed as a Bonded Weighmaster and agree

that all employees acting in behalf of said business will lawfully and faithfully perform and fulfill the duties and

responsibilities devolving upon them by reason of their position and fully understand that if said business or any

person employed by it violates any provisions of said law or rules or regulations adopted thereunder, the business

will become amenable to the law and subject to the punishment therein, so help me God.

It is understood that this oath expires on the same date as business’ weighmaster license or upon revocation of

such license by the Commissioner for cause.

2 WITNESSES:

Name (print or type)

Signature

Date

Title

Bonded Weighmaster'S License For A Business Or Individual Form Page 5