FORM C.L. XVI—Contd.
| 750 ml. (20) |
375 ml. (21) |
180 ml. (22) |
Total Quantity (23) |
200 B. L. (24) |
* B.L. (25) |
|---|---|---|---|---|---|
| Supplied to retail sale shop licensees during the month and wastage, if any | |||||
| Total Quantity in receptacles B.L. (26) |
Total (23 + 26) B.L. (27) |
Wastage, if any with reasons (28) |
750 ml. (29) |
375 ml. (30) |
180 ml. (31) |
| Held in balance at the close of the last day of the month | |||||
| Held in balance at the close of the last day of the month— Contd. | |||||
|---|---|---|---|---|---|
| Total Quantity in bottles B.L. (32) |
200 B.L. (33) |
*B.L. (34) |
Total Quantity in receptacles (35) |
Total B.L. (32 + 35) (36) |
Remarks, if any (37) |
No __________ Dated __________
Submitted for favour of information to
- The Commissioner of Prohibition and Excise, Maharashtra State, Bombay–1.
- The Superintendent of Prohibition and Excise.
Signature of the licensee or his authorised agent.
*Here mention the receptacles of any other capacity allowed to be filled in by Commissioner.