Form Ab&t - Out Of State Cigarette Importer'S Detail Report - Department Of Business And Professional Regulation

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DBPR Form AB&T
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
4000A-256-2
DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO
1940 NORTH MONROE STREET • TALLAHASSEE FL 32399-1022
OUT OF STATE CIGARETTE IMPORTER'S DETAIL REPORT
Permit No.
Name
of
For the Month of
Yr
Reporting Period
through
SALES TO FLORIDA DISTRIBUTORS
NUMBER OF PACKS
Cigarette
Country
Florida
Invoice
of Origin
Permit No.
Name and Address of Florida Distributor
Number
Date
10's
20's
25's
(7501)
Transaction Totals (Transfer totals to page 1, line 1)

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