Section 1530

Section 1530.EXHIBIT A Purchase Agreement for Purpose of Transportation

Date

, 20

The undersigned seller: (Check one – if licensed buyer, must give license number)
Timber Grower	Sawmill		Concentration Yard
Timber Buyer	License No.		Phone: AC (	)	-

(Name)		(Address)

stipulates that the undersigned buyer,

(Name)

License Number

(Address)

Phone: AC (

)

has purchased from the seller "forest products, tree or trees"

List Species:

Removal from the seller's control shall be on,

or between

and

(Date)

If transportation is to be by conveyance other than the buyer's own means, the contracted transporter's name, address, phone number and status (employee, contract hauler, etc.) should be given here:

Point of origin (location of timber, woodland, log yard, etc.) by county, township, range and section number is:

Point of destination:

We hereby certify that the aforementioned forest products, tree or trees have been purchased from the designated seller or are being transported with the knowledge and consent of the buyer, and that the person in possession is an agent or employee of the buyer.

Date of purchase:


Signature of Seller		Signature of Buyer

Provide Daily Log of Loads Hauled on Reverse

(Source: Amended at 27 Ill. Reg. 7752, effective April 21, 2003)