Imported from other State in bottles and in other receptacles
| 200 B. L. receptacles in B. L. (17) | B. L. (18) | Quantity in (19) | Total B. L. (17+20) (20) | Indent No. and date received from the licensed retail shop (21) | Transport pass No. and date (22) | (23) |
|---|---|---|---|---|---|---|
Country Liquor supplied to retail licensees in bottles and in other receptacles
| Licence No. of the shop and name of the shop-keeper (24) | 750 ml. (25) | 375 ml. (26) |
|---|---|---|
Country liquor supplied to retail licensees in bottles and other receptacles
| 180 ml. bottles (27) | Quantity in receptacles (28) | 200 B. L. (29) | B. L. (30) | Quantity in (31) | Total B. L. (28+31) (32) |
|---|---|---|---|---|---|
Held in Balance in bottles and in other receptacles
| 750 ml. (33) | 375 ml. (34) | 180 ml. (35) | Quantity in bottles B. L. (36) | 200 B. L. (37) | B. L. (38) | Quantity in receptacles (39) | Total (36+39) (40) | Remarks, if any, and signature of the licensee or his authorised agent (41) |
|---|---|---|---|---|---|---|---|---|
Here mention the receptacles of any other capacity allowed to be filled in by the Commissioner.
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