FROM F. L. R. 11

Bombay Prohibition Act, 1949 [1949 : Bom. XXV FROM F. L. R. 11 [See rule 16 (4)] Register of day to day accounts showing the quantity of Champagne, Por t-type Wine, Port-Wine, Wincarnis, Vibrona, Manola and Buckfast Tonic Wine, sold on prescription and the balance held in stock Licence No. ................Name of the licensee ........................... –––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– No. of transport Opening balanceQuantity receivedpass under whichTotal (Total ofQuantity sold onClosing balanceSignature of the DateC/P.T./P/W/W/V/C/P.T./P/W/V/M/quantity shown inCols. 2 &3) C/prescription C/P.T./(Col. 5-6) C/P.T/licensee or hisRemarks M/BBCol. 3 is receivedP.T./P/W/V/M/BP/W/V/M/B P/W/V/M/Bauthorised servant (1) (2) (3) (4) (5) (6) (7) (8) (9) –––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– Litresml.Litresml.Litresml.Litresml.Litresml. ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––