FORM IV

Bombay Prohibition Act, 1949 [1949 : Bom. XXV FORM IV [See rule 7 (2)] Fermentation and distillation Register DISTILLERY —————————————————————————————————————————— Materials used ————————————— Date when setNo. of wash-Description Weight Water litres orSpent wash up or whenback or receiver Kilogram orstrength of singlelitres or proof spirit sent toor vat litres or singledistilled spiritlitres of single still for distilled spirit distilled spirit distillation 1 2 3 4 5 6 —————————————————————————————————————————— —————————————————————————————————————————— —————————————————————————————————————————— Total wash Saccharometer readings corrected for temperature produced——————— —————— ——————— ———————— —————— Initial On day On day On day When sent to still 7 8 9 10 11 12 —————————————————————————————————————————— —————————————————————————————————————————— —————————————————————————————————————————— Presumed produceDate and hourStill No. Nos. of wash Total material used No. of degree based on when sent to backs sent toin prepartation of attenuation attenuation still still wash distilled 13 14 15 16 17 18 —————————————————————————————————————————— —————————————————————————————————————————— 6071949 : Bom. XXV] Bombay Prohibition Act, 1949 FORM IV—contd. —————————————————————————————————————————— Sprit out turned ————————————————————————————————— Total presumed Recover No. Litres Strength andProof litres produce based on temperature attenuation 19 20 21 22 23 —————————————————————————————————————————— —————————————————————————————————————————— —————————————————————————————————————————— Percentage by which Percentage of loss or Litres proof spiritactual product is greaterLoss on Gain ongain on redistillation per kilogram or less than theredistillation redistillation presumed produce 24 25 26 27 28 —————————————————————————————————————————— —————————————————————————————————————————— —————————————————————————————————————————— Date removed toVat No. or Still No. warehouse or forto which removalVat Book Stock Book Remarks redistillation page page 29 30 31 32 33 —————————————————————————————————————————— ——————————————————————————————————————————