FORM BL. I.
[See rule 17(17)]
COUNTERFOIL
(For licensee's record)
Indent for spirit for manufacture of potable liquor
Name of Manufactory:
Indent No. _____ of 20_____ .
The Distillery Officer,
Sir,
Please issue ........................... litres of spirit for the manufacture of potable liquor in my/our manufactory.
I/We shall pay duty at the tariff rate on all wastages in excess of the prescribed allowance.
Signature of licensee or
his authorised agent.
Licence No.
Countersignature of the
Manufactory Officer.