FORM C.L. XIII
Indent for the supply of Country Liquor
See rule 7 (1)
FORM C.L. XIII
[See rule 7 (1)]
(To be kept on Wholesale Licensee's record)
Indent for the supply of Country Liquor
Wholesale Licence No. ______________ Indent No. ______________
Date ______________
To
The Manufactory Licensee of Country Liquor
______________
______________
Sir,
Please supply ______________ Bulk litres of country liquor in the following receptacles :
| Strength of Country Liquor (1) | Variety (2) | No. of casks or Kegs of the capacity of 200 B.L. 100 B.L. 50 B.L. (3) | No. of bottles of the capacity of 750 ml. 375 ml. 180 ml. (4) |
|---|---|---|---|
| ______________ U.P. | |||
| ______________ U.P. | |||
| ______________ U.P. |
Total No. . ______________
Quantity in Bulk Litres . . ______________
Signature of the Wholesale Licensee or his
authorised agent.
Quantity issued under Transport Pass No.
______________ dated ______________
Manufactory Officer
Dated :
Submitted to the Manufactory Officer.
Endorsement of the Manufactory Licensee.
______________
1. Subs. by G. N. of 20-6-1977.
Here affix
Court Fee
Stamp
FORM C.L. XIII—contd.
[See rule 7(1)]
(To be sent to the Country Liquor Manufactory Licensee)
Indent for the supply of Country Liquor
Wholesale Licence No. _______________ Indent No. _______________
Date _______________
To
The Manufactory Licensee of Country Liquor
_________________________________________
_________________________________________
Sir,
Please supply _______________ Bulk litres of country liquor in the following receptacles :
| (1) Strength of Country Liquor | (2) Variety | (3) No. of casks or Kegs of the capacity of 200 B.L. _____ 100 B.L. _____ 50 B.L. | (4) No. of bottles of the capacity of 750 ml. | (5) 375 ml. | (6) 180 ml. |
|---|---|---|---|---|---|
| ............................. U.P. | |||||
| ............................. U.P. | |||||
| ............................. U.P. |
Total No. .....................................................
Quantity in Bulk Litres .....................................................................
Signature of the Wholesale Licensee or his
authorised agent.
Quantity issued under Transport Pass No.
............................. dated .............................
Manufactory Officer
Submitted to the Manufactory Officer.
Endorsement of the Manufactory Licensee.
Dated : .............................
Serial No. ..............................................