FORM DS.R-2-A
Name of denatured spirituous preparations ........................... Form of licence ................................
Name and address of the licensee No. of licence ...................................
Register of accounts of denatured spirituous preparations purchased and sold by the wholesale licensee and retail licensee during the month of ................... 19 .
| Date | Opening balance | Quantity purchased from the licensed manufacturer | Quantity purchased from the wholesale licensee |
|---|---|---|---|
| (1) | (2) | (3) | (4) |
| Litres Bottles Litres Bottles Litres Bottles | |||
| Name of the manufacturer; wholesaler; from whom the denatured spirituous preparations shown in columns 3 to 5 are purchased and his licence No. and address | Quantity imported | No. and date of import pass under which import incidental to the purchase of the denatured spirituous preparations shown in columns 3 to 5 is made | Total of columns 2 to 5 |
| (5) | (6) | (7) | (8) |
| Litres Bottles Litres Bottles | |||
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