FORM No. N-111/R
[&e rule 15(1)]
Register of Receipts and Sales of Neera at the Neera Retail Sale Centre No. ............................................. at....................................................... in the Taluka of ............................... in the District of diiruig the month of._____________ 19 .
NAME OF THE N-OI LICENSEE
Quantity of Neera received
| Date | ml. Pass or Note No. and Date | Name of the supply centre from which received | Time of receipt hrs. mts. |
Quantity of Neera sold 1 ml. |
Quantity of Neera destroyed 1 ml. |
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|---|---|---|---|---|---|---|---|---|
| (1) | (2) | (3) | (4) | |||||
Articles manufactured from Neera—
| Quantity of Neera used for manufacture of Gur and other articles 1 ml. |
Rab Kg. g |
Gur Kg. g |
Sugar Kg. g |
Sweets (Sugar syrup) Kg. g |
Closing time hrs. mts. |
Signature of the Licensee or his Authorised Servant | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (5) | (6) | (7) | (8) | |||||||||