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Primary Producer’s Compliance Form
Courtesy
of Barbara Nitke, Fetish Photographer
Read the Interview with Barbara Nitke
Primary Producer’s Compliance Form
I am the primary producer of the photograph(s), and all associated
graphical images entitled__________________________________________.
The last day on which the attached images were created was:
______________________________________,__________.
(month) (day) (year)
Attached hereto are all the material required by 18 U.S.C. Section (s)
2257. I have inspected the originals of the photocopy of the
identification attached hereto. I believe all these attached materials
contain true and correct information. I am the custodian of records. The
original records are located at
________________________________________________________________________
________________________________________________________________________
(Address)
I declare under the penalty of perjury that the foregoing is true and
correct.
Executed this ____________day of_________________, _______.
(day) (month) (year)
In
________________________________________________________________________
Signature:_____________________________________________________________
Please print
name:_____________________________________________________________
~~~
Copyright 2005
This sample form is reprinted here with the explicit permission of the
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