Schedule B - Purchased By Contractee And Taxes Paid To Vendor Form

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Name of Contract Holder:
Page ____ of ____
Contract Construction Period:
Enterprise Zone Contract #:
Louisiana Dept. of Revenue Sales Tax Account #:
SCHEDULE B - Purchased by Contractee and Taxes Paid to Vendor
Vendor
Vendor
Delivery
Purchase
4% State Sales
Description
Name
Invoice #
Date
Amount
Tax Paid
Page/Grand Total
Rev 10/02

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