Form Dst-217 - Schedule 1 - Tankwagon Importer Schedule Of Receipts
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1
2105-26
DST - 217
State of Oklahoma
Schedule 1
Oklahoma Tax Commi s si o n
(10/98)
Tankwagon Importer Schedule of Receipts
Importer Name
FEIN
Month/Year
S
T
P
T
RODUCT
YPE (Check One)
CHEDULE
YPE (Check One)
65
Gasoline
130
Jet Fuel
1A
Gallons Received Tax Paid (Terminal in Oklahoma)
72
Dyed Kerosene
142
Undyed Kerosene
1B
Gallons Received Tax Paid (Terminal out of Oklahoma)
122
Blending Material
160
Undyed Diesel Fuel
3
Gallons Received Tax Free by Tankwagon from ______
125
Aviation Gasoline
228
Dyed Diesel Fuel
4
1
2
3
5
6
7
8
9
12
Dest
Carrier
Mode
Terminal
Supplier
Supplier
Date
Document
Billed
Carrier
Name
Code
Code
Name
FEIN
Shipped
Number
Gallons
FEIN
Origin
Dest
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