FORM BR-Q

Bombay Prohibition Act, 1949 [1949 : Bom. XXV FORM BR-Q [See rule 8 (5)] COUNTERFOIL (To be kept on licensee’s record) Requisition for issue of spirit from the spirit room for the fortification of wine. Requisition No. ...................................... of 19. To, The Manufactory Officer, ............................................................................... Sir, Please issue .............................. litres of *rectified spirit/*absolute alcohol/*brandy for the fortification of wine. -------------------------------------------------------------------------------------------------------------------- Spirit required -------------------------------- Month Quantity StrengthAlcoholicVariety ofQuantity of and date in litres Proof wine to beeach VarietyRemarks content fortifiedof wine to be fortified (1) (2) (3) (4) (5) (6) (7) -------------------------------------------------------------------------------------------------------------------- Litres Litres -------------------------------------------------------------------------------------------------------------------- *Retain which is required. Signature of licensee or his Dated : authorised agent. 6751949 : Bom. XXV] Bombay Prohibition Act, 1949 FORM BR-Q [See rule 8 (5)] FOIL (To be kept on Manufactory Officer’s record) Requisition for issue of spirit from the spirit room for the fortification of wine. Requisition No. ...................................... of 19. To, The Manufactory Officer, ............................................................................... Sir, Please issue .............................. litres of *rectified spirit/*absolute alcohol/*brandy for the fortification of wine. -------------------------------------------------------------------------------------------------------------------- Spirit required -------------------------------- Month Quantity StrengthAlcoholicVariety ofQuantity of and date in litres Proof wine to beeach VarietyRemarks content fortifiedof wine to be fortified (1) (2) (3) (4) (5) (6) (7) -------------------------------------------------------------------------------------------------------------------- Litres Litres -------------------------------------------------------------------------------------------------------------------- *Retain which is required. Signature of licensee or his Date : authorised agent. Quantity issued on .................................. Manufactory Officer.