Form Ct-40 Schedule C-2 Sales And Transfers Of Connecticut Stamped Cigarettes Outside Of Connecticut Resident Distributor Page 2

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Column 2
Column 3
Column 1
Column 4
Name and Address to Whom Sold, Transferred, or Returned
Date
Invoice No.
No. of Cigarettes
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1
Subtotal (Enter on front)
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1
CT-40 (Rev. 12/01) (Back)

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