Dbpr Form Ab&t 4000a-205-5 - Cigarette Monthly Report Off-Premise Storage

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CIGARETTE MONTHLY REPORT OFF-PREMISE STORAGE
Permit Name
of
FL
For the Month of
20
Reporting Period
through
SUMMARY OF OFF-PREMISE STORAGE
Beginning Balance
20s
s
1. Beginning Balance
2. Received
3. Total To Be Accounted For
4. Transfers
5. Total Accounted For
6. Ending Balance
7. Physical Inventory
8. Over / Short
RECEIVED INTO STORAGE
Date
Invoice Number
Name of Manufacturer
20s
s
TOTAL
(Forward to Line 2 above. Invoices must be listed on page 3, Purchased Out-of-State)
TRANSFERS TO THE LICENSED PREMISE
Date
Invoice Number
20s
s
TOTAL
(Forward to line 4 above)
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
DBPR Form AB&T
DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO
4000A-205-5
1940 NORTH MONROE STREET, TALLAHASSEE, FL 32399-1022
Rev. 12/03

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