FORM D.S.XXX
(See rule 45-B)
D. S. VII. Licence No. ..........................
Name and Address of the Licensee
Period of the Licence ................................
Register of daily sale transactions of denatured spirit made by retail during the month ...................................... 19 .
| (1) Date | (2) Name of permit or licence-holder | (3) Address of permit or licence-holder | (4) No. and kind of permit/licence spirit sold | (5) Quantity in bottles of | (6) Remarks, if any and initials of the licensee |
|---|
Y-373-58
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