FORM -D. S. XXVIII

: Bom. XXV] Bombay Prohibition Act, 1949 FORM -D. S. XXVIII (See rule 45-A) D. S. V. Licence No. ..................................... Name and Address of the Licensee.......... Period of the Licence ................................. Monthly return showing the receipt and sale by wholesale of Denatured Spirit during the month of ............................... 19 . Receipt during the month (a) (b) (c) (d) Quantity of Opening Balance Excise or Licensed Wholesale Quantity De natured No. of Customs manufacturer licensee imported Spirit Bottles Bonded bottled filled warehouse (a) 1 (b) (2) (3) (4) Litres/Bottles Litres Liters Litres Litres Litres Bottles Aggregate Quantity Sales during the month Total of Total of Quantity sold within the State of M aharashtra columns 1 (a) columns 1 (b) and (2) minus and column (4) D.S. IV D.S. V D.S. VI D.S. VII D.S.P. I (5) (6) Litres Bottles Litres/ Litres/ Litres Bottles Litres Bottles Bottles Quantity Total of Dryage and/or wastage Closing balanc e exported columns (6) and (7) and/or breakage, [column (5) minus Remarks if any columns (8) and (9)] (7) (8) (9) (10) (11) Litres Litres/Bottles Litres/Bottles Litres/Bottles Date .............................. Signature of the Licensee.