FORM C.L. XII—contd.
Balance stock at the end of the month
| Number of bottles or other receptacles | Litres | 200 B.L. | B.L. | Total | Remarks | ||||
|---|---|---|---|---|---|---|---|---|---|
| 750 ml. | 375 ml. | 180 ml. | Total | Quantity in bottle | Quantity in receptacles | ||||
| (35) | (36) | (37) | (38) | (39) | (40) | (41) | (42) | (43) | |
I/We declare that the particulars in this statement have been correctly stated.
(Signature of the licensee or his authorised agent).
Countersigned and submitted to the Commissioner of Prohibition and Excise.
Superintendent
Manufactory Office
* Here mention the receptacles of any other capacity allowed to be filled in by the Commissioner.