Form S-209 - Purchaser'S Statement To Seller For Animals Purchased And U In Qualified Research Or Manufacturing
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1
2Purchaser’s Statement to Seller For
P
U
R
street address
city
state
zip
C
H
A
S
E
R
S
E
L
street address
city
state
zip
L
E
R
Quantity used
Quantity used
Quantity
exclusively
exclusively
and directly in
and directly in
manufacturing
research or manufacturing by the type of entity I have indicated, and the information supplied is true and accurate.
(print or type)
Title
S-209 (N. 3-12)
Wisconsin Department of Revenue
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