A certificate of intent as provided for in section 2 of the enrichment law shall be in one of the two following forms:

1. (a) A continuing certificate covering all purchases for any time which shall be in the following general form:

   CERTIFICATE OF INTENT
   In compliance with the provisions of section 2 of the Kansas enrichment law, it is hereby certified by
   ________________________________________
   (Purchaser)
   that all unenriched flour purchased from
   ________________________________________
   (Seller)
   after	_______________	will be used only in the manufacture,
   	(Date)
   mixing, or compounding of white bread or rolls enriched to meet the requirements of the Kansas enrichment act or of products other than flour, white bread, or rolls.
   This certificate shall be cancelled only by written notice by the producer.
   ____________________	____________________
   Date	Agent of purchaser

2. (b) A certificate covering a single purchase order, in which case the certificate shall specify the exact quantity of flour covered by the certificate, the trade or brand names or other identifying marks on the flour containers, and any other information needed to identify the flour covered by the certificate. This type of certificate may be made a part of any regular purchase order form used by either the purchaser or seller, provided that the certificate of intent is placed on the face of the purchase order and the order is signed by an authorized agent of the purchaser.

(Authorized by K.S.A. 1965 Supp. 65-2305; effective Jan. 1, 1966.)