Form Ab&t - Tobacco Products Distributor'S Monthly Report Detail

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TOBACCO PRODUCTS DISTRIBUTOR'S MONTHLY REPORT DETAIL
Permit Name
of
FL
For the Month of
20
Reporting Period
through
TAX PAID PURCHASES FROM OTHER FLORIDA DISTRIBUTORS
Wholesale
Date
Invoice Number
Name and Address of Florida Distributor
Sales Price
Total
(DO NOT Transfer this total to the Summary Page)
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
DBPR Form AB&T
DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO
4000A-300-3
1940 NORTH MONROE STREET, TALLAHASSEE, FL 32399-1022
Rev. 12/03

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