Of perjury (Section 126 PC): On , Date Printed Name of Handgun Purchaser/Recipient performed the safe handling demonstration as required pursuant to Section 12071 (b) (8) (D) PC, with the handgun (or one of the same make and model) referenced on Dealer Record of Sale (DROS) # - , under the supervision of . Printed Name of Certified Instructor Certified Instructor Number Certified Instructor Signature Date Handgun Purchaser/Recipient Signature Date Dealer/Employee Signature FD 039.
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