FORM D.S.P. 1-E
D. S. P. 1 Licence No
Name of the Licensee
Period of the Licensee
Monthly return of the denatured spirit furnished by the licencee for the month 19___
| Denatured Spirit | ||||
|---|---|---|---|---|
| Month and date | Opening balance of denatured spirit on the first day of the month | Quantity of denatured spirit received | Source of supply | Total of columns 2 and 3 |
| 1 | 2 | 3 | 4 | 5 |
| Liters | ||||
| Liters | Liters | Liters | ||
| Quantity used | Purpose for which used | Closing balance on the last day of the month | Remarks, if any and initials of the licensee |
|---|---|---|---|
| 6 | 7 | 8 | 9 |
| Liters | |||
| Liters | Liters | ||
Signature of the licensee
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