FORM D. S. XXII

Bombay Prohibition Act, 1949 [1949 : Bom. XXV FORM D. S. XXII [See rule 18 (7)] D. S. I Licence No. .............................. Name of the Licensee .............................. Period of the Licence ............................ Register of issues under bond (duty free) and to Government liquors warehouses —————————————————————————————————————————— Number and date Amount authorised Strength Destination Date when Number of cask of permit to be removed authorised racked 1 2 3 4 5 6 —————————————————————————————————————————— —————————————————————————————————————————— —————————————————————————————————————————— Weight of empyt Weight of full Weight of spirit Temper ature Indication Strength package package 7 8 9 1 0 1 1 1 2 —————————————————————————————————————————— —————————————————————————————————————————— —————————————————————————————————————————— Weight of spirit Bulk litres Proof litres Vat from which Date and hour when Remarks per litre drawn spirit removed 1 3 1 4 1 5 1 6 1 7 1 8 —————————————————————————————————————————— ——————————————————————————————————————————