FORM D. S. XXXII

: Bom. XXV] Bombay Prohibition Act, 1949 FORM-D. S. XXXII (See condition 10 of Form D. S. IV) D. S. IV–Licence No. ................................. Name and Address of the Licensee......... Period of the Licence ................................. Register of accounts of Denatured Spirit used for bonafide Medical, Scientific and Educational purposes during the month of ............................... 19 . —————————————————————————————————————————— Date Opening Quantity of Source of Total of Quantity used balance Denatured Spirit Supply Columns (2) and (3) purchased (1) (2) (3) (4) (5) (6) —————————————————————————————————————————— —————————————————————————————————————————— —————————————————————————————————————————— Purpose for which used Closing balance [column (5) Remarks, if any, and initials minus column (6)] of the licensee (7) (8) (9) —————————————————————————————————————————— Litres/Bottles