FORM C.L.XVII
(See condition 5 of Licence in Form C.L.W. II)
[Monthly return of transactions of Country Liquor effected by C.I.W. II Licence of]
Shri/Smty Kumari/Messrs at...............— ....---- ...
during the month of .........................
(To be submitted to the Commissioner of Prohibition and Excise, Maharashtra State, Bombay and the Superintendent of Prohibition and Excise of the District by the licensee by 7th of every month)
Opening Balance on the first day of 20
| Serial No. | Variety of Liquor and its strength | 750 ml. Bottles | 375 ml. | 180 ml. | Quantity | 200 B.L. | B.L. |
|---|---|---|---|---|---|---|---|
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) |
Imported during the month
| Quantity in receptacles | Total B. L. (6+4) | Name of the manufactory | 750 ml. | 375 ml. |
|---|---|---|---|---|
| (9) | (10) | (11) | (12) | (13) |
Imported during the month
| Quantity in 180 ml. Bottles | Quantity in 200 B. L. | *B.L. receptacles | Total B. L. (15+18) | ||
|---|---|---|---|---|---|
| (14) | (15) | (16) | (17) | (18) | (19) |
Here mention the receptacles of any other capacity allowed to be filled in by the Commissioner.