Form Ab&t 4000a-105-1 - Liquor Manufacturer'S Monthly Report Page 2
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4LIQUOR MANUFACTURER'S MONTHLY REPORT DETAIL
BULK SPIRITS
License Name
of
, Florida.
For the month of
, Yr.
Reporting Period
/
/
through
/
/
A SEPARATE PAGE MUST BE COMPLETED FOR EACH TYPE OF TRANSACTION
RETURN TO STOCK
SOLD IN STATE
BULK SPIRITS TRANSFERRED
PREVIOULSLY REPORTED SOLD
TO BOTTLING PREMISES
RECEIVED FOR BONDED STORAGE
SOLD OUT OF STATE
DATE
INVOICE NUMBER
NAME OF CONSIGNOR OR CONSIGNEE
PROOF GALLONS
SUBTOTAL THIS PAGE
TRANSACTION TOTAL
DBPR Form AB&T 4000A-105-2
Revised 1/99
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