| Held in balance on close of the last day of the month | Remarks if any, and explanation for wastage and signature of the licensee or his authorised Agent | ||||||
|---|---|---|---|---|---|---|---|
| 750 ml. | 375 ml. | 180 ml. | 200 B.L. | — B.L. | — B.L. | Loose B.L. | |
| 23 | 24 | 25 | 26 | 27 | 28 | 29 | |
Total No.
Quantity in Bulk litres
No Date
Submitted to:
— Here mention the receptacles of any other capacity allowed to be filled in by the Commissioner.
1[FORM C.L. XXIII1
1[FORM C.L. XXIV]1
1(Deleted)1
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