1[FORM R.S. IV

--- Page 1 --- 1949 : Bom. XXV] Bombay Prohibition Act, 1949 255 I request that a transport pass for the above quantity of rectified spirit may be issued to me. I hereby undertake to abide by the conditions of the transport pass and the provisions of the Bombay Prohibition Act, 1949, and the rules, regulation and order made thereunder. Place : Date : Signature of the applicant. To, कल (णा०्छग ०६ ..................-----०-००००००००० ००००-०० Through the District Prohibition and Excise Officer ...............---०००-०००--००-०- ०-० ] 1TFORMR.S. IV [See rule 20 (2)] Pass for the transport of rectified spirit (including absolute alcohol) from the licensed premises of a person holding a sale licence or from a Government warehouse or distillery *[or any licensed distillery or warehouse] to the licensed premises of a licesee holding a licence in Form R.S.II, 3[R.S.1 or R.S. VI-A]. Part I (Counterfoil). (1) Serial Number. (2) Name and address of the person transporting the rectified spirit (including absolute alcohol). (3) Licence number of the transporter. 1. Subs. by G.N. of 19-11-1957. 2. Ins by GN. of 28-2-1961 3. Subs by G.N. of 26-9-1966  --- Page 2 --- 256 Bombay Prohibition Act, 1949 [1949 : Bom. XXV 4. Quantity and description of the spirit-- ‘(Dozen 'TDozen Dozen *Amount to fees paid bottles bottles bottles ------------------------------------ Kind of spirit ' [Proof each of 750 each of 500 each of 250 Pass Special Total litres] millilitres] millilitres] —_— millilitres] Fee Fee Fee Rs. P Rs. P. Rs. P. Rectified Spirit : Absolute Alcohol (5) Route. (6) Name and address of the person holding a sale licence or Government warehouse or distillery. (7) Number and date of the requisition order. (8) The purpose for which rectified spirit is to be transported. (9) Date up to which the pass shall be valid. This pass is granted under and subject to the provisions of the Bombay Prohibition Act, 1949, and the rules made thereunder authorising the abovementioned transport, subject to the following condition, namely:- The consignment shall not be broken in transit. Dated: Signature of the Officer issuing the pass. छ्श्ंशाथाणा ..................--------- Seal of the Officer issuing the pass * These particulars are not to be given in the case of transport of rectified sprit by a person holding, a licence in Form R.S.II, incidental to its purpose from person holding a sale licence in Form R.S.VI 1. Ins. by GN. of 26-9-1966  --- Page 3 --- 1949 : Bom. XXV] Bombay Prohibition Act, 1949 257 FORM R.S. IV PARTI Pass of the transport of rectified spirit (including absolute alcohol) from the licensed premises of a person holding a sale licence or from a Government warehouse or distillery '[or any licensed distillery or warehouse] to the licensed premises of a licensee holding a licence in Form R.S. IT [R.S. VI. or R.S. VIA] [To be handed over to the applicant for sending with the consignment] (1) Serial Number (2) Name and address of the person transporting the rectified spirit (including absolute alcohol). (3) Licence Number of the transporter. (4) Quantity and description of the spirit. *[Dozen *[Dozen "(Dozen *Amount of fees paid bottles bottles bottles | ------------------------------------ Kind of spirit ' [Proof each of 750 each of 500 each of 250 Pass Special Total litres] milliliters] milliliters] — milliliters] Fee Fee Fee Rs. P Rs. P. Rs. P. Rectified Spirit : Absolute Alcohol (5) Route. (6) Name and address of the person holding a sale licence or Government warehouse or distillery. (7) Number and date of the requisition order. (8) The purpose for which rectified spirit is to be transported. (9) Date upto which the pass shall be valid. This pass is granted under and subject to the provisions of the Bombay Prohibition Act, 1949, and the rules made thereunder authorising the abovementioned transport, subject to the following condition, namely:- The consignment shall not be broken in transit. Dated: Signature of the Officer issuing the pass. फिल्बंशाभा0ा ........................... Seal of the Officer issuing the pass Rectified 9011//0501ए(2./4100101 5710001 .................................. Signature of the person holding a sale licence or of the Warehouse Distillery Officer. *These particulars are not to be given in the case of transport of rectified spirit by a person holding a licence in Form R.S.Ii, incidental to its purchase from person holding a sale licence in Form R.S. VI. 1. Subs. by G. N. of 28-2-1961. 2. Subs. by G. N. of 26-9-1966  --- Page 4 --- 258 Bombay Prohibition Act, 1949 [1949 : Bom. XXV FORMR.S.IV Pass of the transport of rectified spirit (including absolute alcohol) from the licensed premises of a person holding a sale licence or from a Government warehouse or distillery '[or any licensed distillery or warehouse] to the licensed premises of a licensee holding a licence in Form R.S. IT [R.S. VI. or R.S. VIA] PART II [To be sent to the person holding a sale licence or Warehouse Officer or Distillery Officer from whom the rectified spirit is to be purchased] (1) Serial Number (2) Name and address of the person transporting the rectified spirit (including absolute alcohol). (3) Licence Number of the transporter. (4) Quantity and description of the spirit. 2[Dozen 2[Dozen 2[Dozen *Amount to fees paid bottles bottles bottles ------------------------------------ Kind of spirit * [Proof each of 750 each of 500 each of 250 Pass Special Total litres] milliliters] milliliters} milliliters] Fee Fee Fee Rs. P. Rs. P. Rs. P. Rectified Spirit : Absolute Alcohol (5) Route. (6) Name and address of the person holding a sale licence or Government warehouse or distillery. (7) Number and date of the requisition order. (8) The purpose for which rectified spirit is to be transported. (9) Date upto which the pass shall be valid. This pass is granted under and subject to the provisions of the Bombay Prohibition Act, 1949, and the rules made thereunder authorising the abovementioned transport, subject to the following condition, namely:- The consignment shall not be broken in transit. Dated: Signature of the Officer issuing the pass. छिल्ग्नशाभाणा ...................-------- Seal of the Officer issuing the pass Rectified 9011//0501ए(2.1000015१110001.................................. Signature of the person holding a sale licence or of the Warehouse Distillery Officer. *These particulars are not to be given in the case of transport of rectified spirit by a person holding a licence in Form R.S.Ii, incidental to its purchase from person holding a sale licence in Form R.S. VI. 1. Subs. by G. N. of 28-2-1961. 2. Subs. by G. N. of 26-9-1966.  --- Page 5 --- 1949 : Bom. XXV] Bombay Prohibition Act, 1949 259 FORMR.S. IV Pass of the transport of rectified spirit (including absolute alcohol) from the licensed premises of a person holding a sale licence or from a Government warehouse or distillery '[or any licensed distillery or warehouse] to the licensed premises of a licensee holding a licence in Form R.S. IT [R.S. VI. or R.S. VI A] PARTIV °[To be sent through the *[Inspector or the Sub-Inspector of Prohibition and Excise, as the case may be], in whose jurisdiction the licensed premises of the person holding a sale licence or warehouse or distillery, as the case may be, is situated, to the *[Inspector or the Sub-Inspector of Prohibition and Excise, as the case may be,] of the place to which rectified spirit is to be transported]. (1) Serial Number (2) Name and address of the person transporting the rectified spirit (including absolute alcohol). (3) Licence Number of the transporter. (4) Quantity and description of the spirit. 4[Dozen 4[Dozen 4[Dozen *Amount of fees paid bottles bottles bottles = ------------------------------------ Kind of spirit ‘+ [Proof each of 750 each of 500 each of 250 7855 Special Total litres] milliliters] milliliters] _—_— milliliters] Fee Fee Fee Rs. P Rs. P’ Rs. P Rectified Spirit : Absolute Alcohol (5) Route. (6) Name and address of the person holding a sale licence or Government warehouse or distillery. (7) Number and date of the requisition order. (8) The purpose for which rectified spirit is to be transported. (9) Date upto which the pass shall be valid. This pass is granted under and subject to the provisions of the Bombay Prohibition Act, 1949, and the rules made thereunder authorising the abovementioned transport, subject to the following condition, namely:- The consignment shall not be broken in transit. Dated: Signature of the Officer issuing the pass. फिल्ग्नशाभा0णा ..........................- Seal of the Officer issuing the pass Rectified 9011//0501ए(2/100101 5710001 .................................. Signature of the person holding a sale licence or of the Warehouse Distillery Officer. * These particulars are not to be given in the case of transport of rectified spirit by a person holding a licence in Form R.S.II, incidental to its purchase from person holding a sale licence in Form R.S.VI. 1. Subs. by GN. of 28-2-1961 3. Subs. by GN. 2. Subs. by GN. of 24-2-1956 4. Subs. by GN. of 26-9-1966.