Form Pt 1 - Oregon Liquor Control Commission Schedule 1 Statement Of Malt Beverage Imported Into The State Of Oregon

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OREGON LIQUOR CONTROL COMMISSION
Print Form
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SCHEDULE 1
STATEMENT OF MALT BEVERAGE IMPORTED INTO THE STATE OF OREGON
December
2020
Month ___________________Year __________________________
_
_____________________________________________________________________
(Name of Licensee)
PURCHASED OR RECEIVED FROM
MALT BEVERAGE/CIDER
INVOICE DATE
INVOICE NUMBER
OLCC LICENSE NUMBER
NAME
BARRELS
Total Number of Barrels
(To Line 1 Statement)
(and Line 2 of inventory Sch 7)
(To Column A)
THIS SCHEDULE MUST BE FILED IN DUPLICATE
PT 1 (Rev 11/07)
(See Instructions on Reverse Side)

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