Example End-use Certificate / End-User Statement We (Firmname, Adress, Country) hereby certify that the items/products listed below are ordered and purchased by us from (Firmname, Adress, Country) We hereby also certify that the items/products will not be used in the oil industry for: –use in deep water oil exploration and production or; –Arctic oil exploration and production or; –shale oil projects, including fraccing, in Russia. Contract number Date of contract Products Quantity Specific end-use Signature IUD 046 - 1B*1FD Name of signer in block letters Position of signer Issuing date Stamp:
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