FORM D.S.P. 1>C
Form of licence D. S. P.
Name of the denatured spirituous preparation
Licence No
Name and address of the Licensee
Register of daily sales of denatured spirituous preparations.
| Name and address of the person to whom denatured spirituous preparation is sold and the number of his licence, if any | litres Bottles | |||||
|---|---|---|---|---|---|---|
| Date (1) | Name (2) | Address (3) | No of licence, if any (4) | Quantity sold (5) | Signature of the licensee or his authorised nokar | Remarks |
| Day's total sales | Litres Bottles | |||||