FORM R. S. III

--- Page 1 --- 250 Bombay Prohibition Act, 1949 [1949 : Bom. XXV FORM R.S. III [See rule 18] ॥४०............... Requisition for rectified or absolute alcohol Part I (To be kept with the Inspector of Prohibition and Excise countersigning the requisition.) 186 ...............------००-०--० 10, arehouse . “Distillery ees Sir(s), Please supply me/us with ‘[litres/bottles of * milliliters each] of rectified spirit/ /40580प्रा2 810010110 .................................. Purposes. The number of my rectified spirit Sale licence issued by '[possession licence/bottling licence. ] 112 (०1॥6८एणर्०णा ........................ 18 ........०००००००००००००००० ००००-०० Yours faithfully, Signature of the purchaser. Countersigned. Inspector of Prohibition and Excise ............ Date ............ ४०.............. Seal of the Officer Countersigning The requisition. Part II handed over to the licensee ON ..............c cece eeeeeeeseeeeeees Part III sent to the supplying licensee, warehouse officer or distillery officer on Part IV sent to the Inspector of Prohibition and Excise in whose charge the Licensed premises of the person holding a sale licence, warehouse or distillery is डॉपवॉटितेणा .............................. पा॥119101 0 (12 500)॥01912089/0001....................................... “हह हा १टाणी€2त ७111 ॥121100150९0'5 30000१५501 ..................................... Signature of the Inspector of Prohibition and Excise. 1 Subs. by GN. of 26-1-1966.  --- Page 2 --- 1949 : Bom. XXV] Bombay Prohibition Act, 1949 251 FORM R.S. II [See rule 18] No. Requisition for rectified spirit or absolute alcohol Part (To be handed over to the applicant and to be kept by him with the passes.) ॥॥8०60............................. Date.. To, The _Warehouse Officer, Distillery Sir(s), Please supply me/us with ‘flitres/bottles of * milliliters each] of rectified spirit / ६७5०2०0 0णि.................................. Purposes. The number of my rectified spirit sale licence issued by '[possession licence/bottling licence.] 11९(016०णर्0ा ..............----००००-००-०-०-०००००००+»०५- 15.............. वा हाहा, Yours faithfully, Signature of the purchaser. Countersigned. Inspector of Prohibition and Excise ............ 132.................... Seal of the Officer Countersigning The requisition. ]रेटट 0120 50111/30501॥(2 9120101 5000102001 ................................... Signature of the person holding a sale licence or of The _Warehouse _ Officer, Distillery 1 Subs. by G.N. of 26-9-1966.  --- Page 3 --- 252 Bombay Prohibition Act, 1949 [1949 : Bom. XXV FORMRS. I [See rule 18] No Requisition for rectified spirit or absolute alcohol Part Il (To be sent to the person holding a sale licence or to the Warehouse Officer or Distillery Officer from whom the rectified spirit is to be purchased) To, Messrs The VehOUse OFFicer, Distillery Sir(s), Please supply me/us with '[litres/bottles of * millilitres each] of rectified spirit/ absolute alcohol for .................................. purposes. sale licence The number of my rectified spirit issued by '[possession licence/bottling licence.] 112 (१01600र्ण ............. ...... 18 .......०-००००००००००००००० ००००-०० Yours faithfully, Signature of the purchaser. Countersigned. Inspector of Prohibition and Excise .................4 1096 ............---७ ॥४०.............. Seal of the Officer Countersigning The requisition. Rectified spirit/absolute alcohol supplied on ........... 0.20. e cece ene cceeeseseseetetetetee erences Quantity supplied Signature of the person holding a sale licence or of The _Warehouse _ Officer, Distillery 1. Subs. by G. N. of 26-9-1966.  --- Page 4 --- 1949 : Bom. XXV] Bombay Prohibition Act, 1949 253 FORMR:.S. III (See rule 18) No Requisition for rectified spirit or absolute alcohol Part IV (To be sent to the Inspector of Prohibition and Excise in whose charge the licensed premises of a person holding a sale licence, warehouse or distillery is situated. ॥०8०९............................ ॥3वॉट.................... eee eee To, h The Warehouse (ट्या, Distillery Sir(s), Please supply me/us with ‘[litres/bottles of *millilitres each] of rectified spirit / absolute alcohol for ............ 0. ce ceee cece eee ee eee Purposes. The number of my rectified spirit sale licence issued by ‘possession licence/bottling licence.] 116(01॥6€८एणार्ण ................-------- 18 ............. “वान Yours faithfully, Signature of the purchaser. Countersigned. Inspector of Prohibition and Excise .................64 10986 ................- ४०.............. Seal of the Officer Countersigning The requisition. Verified from the register of the supplying Licensee or the Warehouse/Distillery (ीव्शाणा ..................------------- Intimation of the supply sent to the Prohibition and Excise Officer countersign- ing the requisition ON ........ 0.0... ce ceee eee ee eee eee aee ee ececeeeaeeeeeaeeeeeaee Signature of the Inspector of Prohibition and Excise. 1. Subs. by ७. N. of 26-9-1966.