Form 2666 - Michigan Unredeemed Beverage Container Deposit Report - 2010 Page 2
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1
2Unclaimed Bottle Deposit Purchases/Sales
2666, Page 2
Sales: (for overredeemers)
Indicate the dollar value of the empty returnable beverage containers you sold to an underredeemer(s). Enter the total
dollar value of containers you sold on line 5, on the reverse side of this form.
Company Sold To
Account Number
Value of Empty Returnable Beverage Containers Sold:
$
Address (Street or RR#)
+
City, State, ZIP Code
Company Sold To
Account Number
Value of Empty Returnable Beverage Containers Sold:
Address (Street or RR#)
$
+
City, State, ZIP Code
Company Sold To
Account Number
Value of Empty Returnable Beverage Containers Sold:
Address (Street or RR#)
$
City, State, ZIP Code
TOTAL Value of Containers Sold:
Total Dollar Value of Containers Sold:
$
Purchases: (for underredeemers)
Indicate the dollar value of the empty returnable beverage containers you purchased from an overredeemer(s). Enter the
total dollar value of containers you purchased on line 8, on the reverse side of this form.
Company Purchased From
Account Number
Value of Empty Returnable Beverage Containers Purchased:
$
Address (Street or RR#)
+
City, State, ZIP Code
Company Purchased From
Account Number
Value of Empty Returnable Beverage Containers Purchased:
$
Address (Street or RR#)
+
City, State, ZIP Code
Company Purchased From
Account Number
Value of Empty Returnable Beverage Containers Purchased:
$
Address (Street or RR#)
City, State, ZIP Code
TOTAL Value of Containers Purchased:
Total Dollar Value of Containers Purchased:
$
NOTE: If more than three companies are involved, photocopy this form and attach all the pages to your report.
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Parent category: Financial