BULK SALES AFFIDAVIT



        State of _________________________________

        County of ________________________________



                ____________________________, of lawful age, being first 
        duly sworn, on oath states:

                    _________________________________________

                    _________________________________________

                    _________________________________________

                That he is the Seller in that certain contract for the 
        sale of assets dated ___________,20__ between himself, as Seller, 
        and ___________________ as Buyer;

                That this Affidavit is made pursuant to the terms and 
        provisions of the Uniform Commercial Code and is furnished to the 
        above named Buyer in connection with the sale and transfer 
        described and referred to in the above mentioned contract;

                That the following is a true, complete and accurate list 
        of all of the creditors of affiant and of all persons who, to the 
        knowledge of affiant, assert or have claimed to assert one or 
        more claims against affiant, together with the correct business 
        addresses of each such creditor or claimant and the amounts due 
        and owing to such creditors and claimants, to wit:

           Name of          Business        Amount         Admitted or
           Creditor         Address         Of Claim       Disputed

        1.____________      ___________     ___________    ______________

        2.____________      ___________     ___________    ______________

        3.____________      ___________     ___________    ______________


                                               __________________________
                                               (Signature)
        
                SUBSCRIBED and sworn to before me this _______ day of 
        _________, 20__.

                                                _________________________
                                                Notary Public


        My commission expires:

        _____________________________
        [Notarial Seal]                         Form 337