Form Ex 2-2 - Exporter'S Schedule Of Disbursements
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2EX 2-2
Rev. 4/04
P.O. Box 530 h Columbus, OH 43216-0530
Exporter's Schedule of Disbursements
Exporter's name
FEIN
Month/Year
Exporter type (check one)
Exported to state of _____________
Exporter Type A ___
Product Type - (Check One)
Exporter Type B ___
65 Gasoline
226 High Sulfur Diesel (Dyed)
142 Kerosene
227 Low Sulfur Diesel (Dyed)
160 Diesel Fuel (Clear)
Other Products
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Carrier
Carrier
Point of
Sold
Purchaser's
Date
Document
Gross
Name
FEIN
Mode
Shipped
Number
Gallons
Destination
To
FEIN
Total
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Parent category: Financial