1[FORM R. S. II-A

--- Page 1 --- 246 Bombay Prohibition Act, 1949 [1949 : Bom. XXV 1TFORM R.S. I-A [See rule 15(b)] R.S.I ॥1८थ10०९ 1५०. ................. Name of the licensee Period of the licence ............... Monthly return showing rectified spirit (including absolute alcohol) received used and held in साकार चंदाफाह 11९ काठा#1 ० ...........................----- 20. Opening balance Quantity received Date __Litres/Bottles Bottles of Bottles of | Litres/Bottles Bottles of Bottles of of 750 ml. 500 ml. each 250ml. each of 750 ml. 500 ml. each 250ml. each each each 1 2 3 Transport pass Totals of columns 2 and 3 Source of supply No. Date _Litres/Bottles of Bottles of Bottles of 750 ml. each 500 ml. each 250 ml each 4 5 6 Quantity used Closing balance Remarks, Litres/Bottles Bottles of | Bottles of Litres/Bottles Bottles of | Bottles of if any and of 750 ml. 500 ml. 250 ml. of 750 ml. 500 ml. 250 ml. initials of the each each each each each each licensee 7 8 9 1 Ins. by G.N. of 26-9-1966.