FORM R.S. H-B
[See rule 15(b)]
R.S.II licence No ................
Name of the licensee
Period of the licence .
Monthly return showing rectified spirit (including absolute alcohol) received used and held in balance during the month of............................................ 20.
| Opening balance on the first day of the month | Quantity purchased | |||||||
|---|---|---|---|---|---|---|---|---|
| Month | Litres/Bottles of 750 ml. each | Bottles of 500 ml. each | Bottles of 250ml. each | Litres/Botlles of 750 ml. | Bottles of 500ml. each | Bottles of 250ml. each | ||
| 1 | 2 | 3 | ||||||
Transport pass Totals of columns 2 and 3
| Source of supply | No. | Date | Litres/Bottles of 750 ml. each | Bottles of 500 ml. each | Bottles of 250 ml. each |
|---|---|---|---|---|---|
| 4 | 5 | 6 | |||
| Quantity used | Closing balance on the last day of the month | Remarks, if any and initials of the licensee | |||||
|---|---|---|---|---|---|---|---|
| Litres/Bottles of 750 ml. each | Bottles of 500 ml. each | Bottles of 250 ml. each | Litres/Boltles of 750 ml. | Bottles of 500 ml. | Bottles of 250 ml. | ||
| 7 | 8 | 9 | |||||
Signature of the licensee].