10. Sale of foreign liquor विदेशी दारूची विक्री

Collector of............. ____

Seal of the District.

Collector

Place.....................................

Specimen signature of the permit-holder

[CERTIFICATE]

This is certify that Mr./Mrs./Miss (Shri /Smt./Kumari)

whose specimen signature

appears below holds a * Permit No

dated under rule + of the Bombay Foreign Liquor Rules, 1953, valid up to .................................... for the following quantity offoreign liquor:

Quantity

Specimen signature of the permit-holder ______

Seal of the

Collector

Collector of................................

Place ...................................

Dated...........................................

* please specify here the kind of permit.

+ Here specify the relevant rule.

(Reverse oftemporaiy resident's permit)

Details ofpurchases offoreign liquor

No. ofunits allowed P. M.	Signature of (i) the holder of a Vendor's licence or (ii) Progressive Officer -in-charge of Govt. Depot or (iii) Hotel or Club Remarks
total for the month in units	Quantity purchased in units (State Completed licensee and name of the Depot, Hotel or Club or the shop holding vendor's licence, as the case may be)
Date
(1) (2) (3) (4) (5) (6) (7)
Spirits Wines Fermented units and indicate fractions liquors by signs

1. Ins. by G. N. of 24-2-1956.