FORM P. L., XII

: Bom. XXV] Bombay Prohibition Act, 1949 FORM P. L., XII [See rule 17 (44)] Register showing the accounts of colouring and flavouring substances used in the manufacture of potable liquor in the Manufactory of ................................... -------------------------------------------------------------------------------------------------------------------- Opening Balance Name of substance Quantity of ----------------------------------------------------------------------------------------- Serial No.Date Colouring Flavouring Colouring Flavouring substance substance (1) (2) (3) (4) (5) (6) -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- Quantity issued for use in the manufacture Quantity received Total quantity of of potable liqour --------------------------------------------------------------------------------------------------------------- ColouringFlavouringColouringFlavouringVareity of substance substance substance substance liquor -------------------------------- ColouringFlavouring substance substance (7) (8) (9) (10) (11) (12) (13) -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- Quantity in balance Signature of-- ----------------------------------------------------------------------------------------------- Colouring Flavouring Manufactory Licensee or his Remarks substance substance officer authorised agent (14) (15) (16) (17) (18) -------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------