FORM R. S. VI-D

: Bom. XXV] Bombay Prohibition Act, 1949 FORMR. S. VI-D [ See rule 32 (1)] R. S. VI licence No. ....................... Name of the licensee...................... Period of the licence...................... Register of account of rectified spirit (including absolute alcohol) received, sold and held in balance during the month of ................................. 19. –––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– Date Opening balance Quantity received Source of Supply (Litres) (Litres) (1) (2) (3) (4) ––––––––––––––––––––––––––––––––––––––––––– Bottles Bottles Bottles Bottles Bottles Bottles of 750 of 500 of 250 of 750 of 500 of 250 ml. each ml. each ml. each ml. eachml. each ml. each –––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– ________________________________________________________________________________ ________________________________________________________________________________ Name, Transport licence pass Total of columns 2 and 3 Quantity sold in each No. and ________________ Litres transaction address of the No. Date (Litres) purchaser (5) (6) (7) (8) _______________________ _______________________ Bottles Bottles Bottles Bottles Bottles Bottles of 750 of 500 of 250 of 750 of 500 of 250 ml. each ml. each ml. each ml. each ml. each ml. each ________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ No. and date of the transportTotal quantity sold during Remarks, pass of purchaser the whole month Closing balance if any and holding R. S. II Litres (Litres) initials of licence the licensee (9) (10) (11) (12) ________________________ ______________________ Bottles Bottles Bottles Bottles Bottles Bottles of 750 of 500 of 250 of 750 of 500 of 250 ml. each ml. each ml. each ml. each ml. each ml. each ________________________________________________________________________________ _________________________________________________________________________________