FORM V

Bombay Prohibition Act, 1949 [1949 : Bom. XXV FORM V [See rule 8 (3)] Distiller’s declaration of wash made I hereby declare that the undermentioned wash has been prepared this day in the ............................................................... Distillery .......................................... : —————————————————————————————————————————— Material used WaterSpent Total Number—————————— Litreswash wash Original Remarks of wash-DescriptionQuantity Litresprepared specific back Litre gravity 1 2 3 4 5 6 7 8 —————————————————————————————————————————— —————————————————————————————————————————— Dated this day of 19. Chemist and Supervisor, Process Section. —————————————————————————————————————————— FORM VI [See rule 9 (1) and 10 (1)] Notice to remove wash or spirits I hereby give notice that I propose to remove wash/spirit as follows : —————————————————————————————————————————— Name and number of Name and number of Date and hour of removalvessel from which still or vat to be Remarks to be removed removed to 1 2 3 4 —————————————————————————————————————————— —————————————————————————————————————————— (At least one hour’s notice to be given in each case.) Dated this day of 19. Distillery Manager.