FORM R. S. II-B

--- Page 1 --- 1949 : Bom. XXV] Bombay Prohibition Act, 1949 247 FORM R.S. II-B [See rule 15(b)] R.S.I ॥1८श०1०८ 1५०. ................. - Name of the licensee Period of the licence ............... Monthly return showing rectified spirit (including absolute alcohol) received used and held in balance during the month Of ........ccccccceeeeeeeeeeeeeeees 20. Opening balance on the first day of the Quantity purchased month Month Litres/Bottles Bottles of Bottles of | Litres/Bottles Bottles of Bottles of of 750 ml. 500 ml. each 250ml. each of 750 ml. 500ml. 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 on the last day of the month Litres/Bottles Bottles of Bottles of Litres/Bottles Bottles of | Bottles of Remarks, of 750 ml. 500 ml. 250 ml. — of 750 ml. 500 ml. 250 ml. if any and each each each each each each initials of the licensee प्र 8 9 Signature of the licensee].