Original
(To be sent to the Distillery Officer)
Indent for spirit for manufacture of Country Liquor
Name of Manufactory .......................................................................................................................
Indent No. ....................................... of 20 ........................
The Distillery Officer,
please issue ........................ litres of spirit for the manufacture of Country Liquor in my/our Manufactory.
We shall pay duty at the tariff rate on all wastages in excess of the prescribed allowance.
Signature of licensee or his Authorised Agent.
Licence No.
Countersignature of the Manufactory Officer.