FORM D. S. XIX

Bombay Prohibition Act, 1949 [1949 : Bom. XXV 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Issued Deficiencies allowed 15 16 17 18 19 Excess deficiencies charged with duty On hand and received Delivered Amount received Received Delivered Delivered Transit P.L. Increase from Opening Balance on the first day of the month P.L. From Warehouse P.L. Racking P.L. Other P.L. Total P.L. Excess deficiencies in transit order to be charged with duty P.L. Transferred from other vats P.L. Transferred to other vats P.L. Issues for denaturation P.L. Blending P.L. Evaporation P.L. Racking P.L. Transit P.L. Other P.L. Remarks, if any and initials of the Officer in-charge of the Warehouse and licensee Closing balance on the last day of the month P.L. Other P.L. Total P.L. Date. Signature of licensee FORM D. S. XIX [See rule 18 (4)] D. S. I Licence No. .............................. Name of the Licensee ........................... Period of the Licence ............................ Monthly return of stock account of rectified spirit intended for denaturation for the month of 19 . Warehouse.