FORM C.L. XII
Monthly return of transaction at the Country Liquor Manufactory of ....... during the month of ........ 19 .
See rule 6 (40)
FORM C.L. XII
(See rule 6 (40))
Monthly return of transaction at the Country Liquor Manufactory of _______________________
during the month of _______________________ 19___
(To be submitted by the licensee by the 5th of every month)
(Note— Separate registers should be maintained for 25' U.P. and 40' U.P. Country Liquor.)
Spirit
| Item | Bulk Litres | Proof Litres | Remarks | |
|---|---|---|---|---|
| 1. | Opening Balance | ___ | ___ | ___ |
| 2. | Receipt from Distillery | ___ | ___ | ___ |
| 3. | Total Stock (S. Nos. 1 and 2) | ___ | ___ | ___ |
| 4. | Wastage, if any, in transit | ___ | ___ | ___ |
| 5. | Issues for manufacture of Country Liquor | ___ | ___ | ___ |
| 6. | Wastage in manufacture of Country Liquor | ___ | ___ | ___ |
| 7. | Balance in stock at the end of month | ___ | ___ | ___ |
| 8. | Number of batches — (a) manufactured (b) in unfinished condition at the end of the month | ___ | ___ | ___ |
9. Particulars of Country Liquor Manufactured —
| Variety of Liquor and its Strength | Bulk Litres | Opening | Number of bottles of other receptacles | ||||
|---|---|---|---|---|---|---|---|
| (1) | (2) | 750 ml. | 375 ml. | 180 ml. | Total Quantity in bottles | 200 B.L. | *B.L. |
| (3) | (4) | (5) | (6) | (7) | (8) | ||
| _______________________ | ___ | ___ | ___ | ___ | ___ | ___ | ___ |
1 Subs. by G. N. of 20-6-1977.
FORM C.L. XII—contd.
Manufactured during the month
| Total Quantity in receptacle (9) | Bulk Litres (10) | Number of bottles or other receptacles 750 ml. (11) | 375 ml. (12) | 180 ml. (13) | Total Quantity in bottles (14) | 200 B.L. (15) | *B.L. (16) | Total Quantity in receptacles (17) | ||
|---|---|---|---|---|---|---|---|---|---|---|
| ___________ | ___________ | ___________ | ___________ | ___________ | ___________ | ___________ | ___________ | ___________ | ___________ | ___________ |
___________________________________________________________________________
___________________________________________________________________________
Total stock
| Bulk Litres (18) | Number of bottles or other receptacles 750 ml. (19) | 375 ml. (20) | 180 ml. (21) | Total Quantity in bottles (22) | 200 B.L. (23) | *B.L. (24) | Total Quantity in receptacles (25) | ||
|---|---|---|---|---|---|---|---|---|---|
| ___________ | ___________ | ___________ | ___________ | ___________ | ___________ | ___________ | ___________ | ___________ | ___________ |
___________________________________________________________________________
___________________________________________________________________________
Issued during the month
| B. Lts. (26) | 750 ml. (27) | 375 ml. (28) | 180 ml. (29) | Total Quantity in bottles (30) | 200 B.L. (31) | *B.L. (32) | Total Quantity in receptacles (33) | Amount duty paid during the month (34) |
|---|---|---|---|---|---|---|---|---|
| ___________ | ___________ | ___________ | ___________ | ___________ | ___________ | ___________ | ___________ | Rs. _____ P. _____ |
___________________________________________________________________________
FORM C.L. XII—contd.
Balance stock at the end of the month
Number of bottles or other receptacles
| Litres | 750 ml. | 375 ml. | 180 ml. | Total Quantity in bottle | 200 B.L. | *B.L. | Total Quantity in receptacles | Remarks |
|---|---|---|---|---|---|---|---|---|
| (35) | (36) | (37) | (38) | (39) | (40) | (41) | (42) | (43) |
___________________________________________________________________________
I/We declare that the particulars in this statement have been correctly stated.
(Signature of the licensee or his authorised agent).
Countersigned and submitted to the ___________ Commissioner of Prohibition and Excise.
Superintendent
.......................................................................
Manufactory Office
___________________________________________________________________________
* Here mention the receptacles of any other capacity allowed to be filled in by the Commissioner.]