FORM-D.S. XXVIII
[See rule 45-A]
D. S. V Licence No
Name and Address of the Licensee
Period of the Licence
Monthly return showing the receipt and sale by wholesale of Denatured Spirit during the month ........................19 .
| Receipt during the month | Quantity of Denatured Spirit Bottles filled | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| (a) Opening Balance Excise or Customs Bonded warehouse |
(b) Licensed manufacturer bottled |
(c) Wholesale licensee |
(d) Quantity imported |
Aggregate Quantity | Sales during the month | ||||
| Litres/Bottles | Litres | Litres | Litres | Total of columns 1 (a) and (2) minus columns 1 (b) and column (4) Litres |
Total of columns 1 (a) and column (4) Bottles |
Quantity sold within the State of Maharashtra D.S. IV D.S. V D.S. VI D.S. VII D.S. VIII Litres/ Bottles Litres/ Bottles Litres Bottles Litres |
Quantity exported (7) Litres |
||
| Dryage and/or wastage and/or breakage (8) Litres/Bottles |
Closing balance [column (5) minus columns (8) and (9)] (10) Litres/Bottles |
Remarks if any (11) |
|||||||
Date ............................ Signature of the Licensee ............................