FORM D. S. XVII

Bombay Prohibition Act, 1949 [1949 : Bom. XXV FORM D. S. XVII [See rule 18 (3)] D. S. I Licence No. .............................. Name of the Licensee ........................... Period of the Licence ............................ Register of Stock Account of denatured spirit.................................... bonded Warehouse Description of Denatured Spirit 1 2 3 4 5 6 7 8 9 10 Date Opening Balance Number of denatur- ing vat from which received Register and page 11 12 13 14 15 16 and received 17 18 19 20 21 22 23 24 Deficiencies allowed On hand Received P.L. From denaturing vat P.L. Transferred from vat. another P.L. Denaturing P.L. Racking P.L. Other P.L. Total P.L. Issues Issued on passes Book and page Date Destination or purpose Litres Proof litres Delivered and in hand Transferred to another vat. P.L. Denaturing P.L. Blending P.L. Evaporation P.L. Racking P.L. Other P.L. Total P.L. Closing balance P.L. Remarks, if any and initials of the Officer in-charge of the Warehouse and licensee