Sd Eform 0889 - Malt Beverage Tax Report Page 2

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Part C
Malt Beverages Received During Month
Malt Beverages
Date
Invoice
Received
Number
Supplier
Barrels
TOTALS
0
PURCHASED FROM WHOLESALERS WITHIN THE STATE (detail for line 5c)
TOTALS
0
1.
PRINT FOR MAILING
EXIT
CLEAR FORM
2.

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