FORM-D. S. XXXI

Bombay Prohibition Act, 1949 [1949 : Bom. XXV FORM-D. S. XXXI (See rule 45-B) D. S. VII. Licence No. ................................. Name and Address of the Licensee......... Period of the Licence .................................. Monthly return showing the receipts and sale by retail of Denatured Spirit during the month of ............................... 19 . —————————————————————————————————————————— Sales for the month ——————————————————————— Opening Receipts Total of (a) (b) (c) (d) Balance during columns (1) D. S. II D. S. III D. S. IV D. S. V the month and (2) permit- Licence- Licence- Licence- holders holders holders holders (1) (2) (3) (4) —————————————————————————————————————————— Bottles Bottles Bottles Bottles Bottles Bottles Bottles —————————————————————————————————————————— —————————————————————————————————————————— Total of columns (4) and (5) Closing balance [column (3) Breakage, if any minus column (6)] Remarks (5) (6) (7) (8) —————————————————————————————————————————— Bottles Bottles Bottles —————————————————————————————————————————— Date .............................. Signature of the Licensee.