FORM -D. S. XXIX

Bombay Prohibition Act, 1949 [1949 : Bom. XXV FORM -D. S. XXIX (See rule 45-B) D. S. VII. Licence No. ............................ ........... Name and Address of the Licensee............ Period of the Licence ............................. ......... Register of accounts of denatured spirit received a nd sold by retail during the month of ............................... 19 . —————————————————————————————————————————————————————————————————————— Receipts ————————————————————————————— Name of wholesale Quantity No. and Date of transportRemarks if Date Opening Balance Licensee from whom received pass under which the Total of Quantity sold Closing any, and initials received transport incidental to columns (2) balance of the licensee the purchase shown in and (4) column (4) is made (1) (2) (3) (4) (5) (6) (7) (8) (9) —————————————————————————————————————————————————————————————————————— Bottles Bottles Bottles Bottles Bottles ——————————————————————————————————————————————————————————————————————