FORM D.S.P. 1-E

Bombay Prohibition Act, 1949 [1949 : Bom. XXV FORM D.S.P. 1-E D. S. P. 1 Licence No. . . . . . . . . . . . . . . . Name of the Licensee . . . . . . . . . . . . . . . . Period of the lLicensee . . . . . . . . . . . . . . . . Monthly return of the denatured spirit furnished by the licence for the month of . . . . . . . . . . . . . . . . . . 19 . —————————————————————————————————————————— Month and date Opening balance of Quantity of Source o f supply Total of columns denatured spirit on denatured sprit 2 and 3 the first day of the received month 1 2 3 4 5 —————————————————————————————————————————— Liters Liters Liters —————————————————————————————————————————— —————————————————————————————————————————— Quantity used Purpose for which used Closing balance on the Remarks, if any and last day of the month initials of the licensee 6 7 8 9 —————————————————————————————————————————— Liters Liters —————————————————————————————————————————— Signature of the licensee . . . . . . . . . . . . . . . . . . .