FORM C.L. XXIII
Monthly return of transaction at the country liquor retail sale shop of ......................... during the month of ................................................................ 19
See rule 42
FORM C.L. XXIII
(See rule 42)
Monthly return of transaction at the country liquor retail sale shop of ___________
during the month of ___________ 19___
(To be submitted to the Inspector of Prohibition and Excise and the Superintendent of the District by the licensee by 5th of every month)
Licence No. ___________ Name and Address of the licensee ___________
___________
Opening balance as on 1st day of the month
| (1) Serial No. | (2) Variety of Liquor | (3) Strength | In bottles and other receptacles and in loose | (4) 750 ml. | (5) 375 ml. | (6) 180 ml. | (7) 200 ml. | (8) *B.L. | (9) *B.L. | (10) B.L. | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
Total No.
Quantity in B.L.
Received from Warehouse licensee
| (11) 750 ml. | (12) 375 ml. | (13) 180 ml. | (14) 200 ml. | (15) *B.L. | (16) *B.L. |
|---|---|---|---|---|---|
Sold to permit-holders in bottles and in loose during the month
| (17) 750 ml. | (18) 375 ml. | (19) 180 ml. | (20) *ml. | (21) Loose B.L. | (22) Wastage if any B.L. |
|---|---|---|---|---|---|
Total No.
Quantity in Bulk litres
1 Subs. by G.N. of 20-6-1977.
FORM C.L. XXIII — contd.
| Held in balance on close of the last day of the month | Remarks if any, and explanation for wastage and signature of the licensee or his authorised Agent | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| 750 ml. | 375 ml. | 180 ml. | 200 B.L. | * B.L. | * B.L. | Loose B.L. | |||
| 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 | ||
Total No.___________________________________
Quantity in Bulk litres___________________________________
No.________________________________ Date________________________________
Submitted to :
- The Superintendent of Prohibition and Excise __________________________________________________________
- The Inspector of Prohibition and Excise __________________________________________________________
* Here mention the receptacles of any other capacity allowed to be filled in by the Commissioner.
'[FORM C.L.A.II
(Deleted)
'[FORM C.L.XXIV]
(Deleted)
1 Deleted by G. N. of 8-8-1979.