FORM P.L., IX
1[See rule 18(3)]
Name of the potable liquor Manufactory
Accounts of samples of the potable liquor taken for analysis
| Quantity issued | Quantity used for analysis | Quantity returned to the manufactory and mixed with the main bulk | Initials of the Manufactory Officer | Remark | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Date of drawing samples | Variety of liquor | Batch No. | Litres | Millilitres | Litres | Millilitres | Litres | Millilitres | ||
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | (10) | (11) |
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