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Page 1 of 1 <br />Certificate of Destruction <br />Axon Enterprise,Inc. <br />Certificate of Destruction <br />IMPORTANT: Agnecy must include an attachment with the serial numbers of all Products destroyed. <br />Customer certifies that all Products will be removed from service to be destroyed and/or rendered <br />permanently nonfunctional.Products must not be resold or redistributed.Destruction of Products should be <br />performed according to Customer’s policy.Axon is not responsible for Product warranty or any liability related <br />to Products certified as destroyed,and reserves the right to require verification that destruction has been <br />performed. <br />The undersigned represents and warrants that he/she is duly authorized and has legal capacity to execute and <br />deliver this Certificate of Destruction on behalf of the Agency. <br />Return the signed form and your purchase order/quote, if applicable, to your sales representative and <br />also to our returned materials authorization department at rma@axon.com. <br />Axon, TASER, M26, X26, Axon Body, Axon Body 2, Axon Dock, Axon Flex, Axon Flex 2, Axon Fleet, and the “Delta Axon Logo” are trademarks of Axon <br />Enterprise, Inc., registered in the US and other countries. For more information, visit www.axon.com/legal. All rights reserved. © 2018 Axon <br />Enterprise, Inc. <br />Agency Name: _____________________________________ <br />Product(s) & Quantity to be Destroyed (“Product”):_______________________________________ <br />________________________________________________ <br />Signature (Digital is acceptable or scan) <br />________________________________________________ <br />Printed Name, Title <br />________________________________________________ <br />Date <br />Form completed by: