Form L-2195 - Motor Fuel Manufacturers Monthly User Fee And Fee Calculation Page 5

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SCHEDULE 1 - SALES/EXEMPTIONS
Name
License Number
FEIN
Month/Year
SCHEDULE 1
PRODUCT TYPE (Circle One)
SCHEDULE TYPE (Circle One)
Use a separate schedule for each product type
1A
Gallons Sold For Export
Biodiesel Undyed (B100)
170
1B
Gallons Exempt for US Government Sales
Substitute Fuel
092
1C
Gallons Exempt for SC Dept Educ School Buses
1D
Gallons Sold for Other Exempt Sales
1E
Gallons Sold Blended with Dyed Fuels
MODE
DESTINATION
SOLD TO
DATE
DOCUMENT
GALLONS
NAME OF CARRIER
STATE
NUMBER
TOTAL GALLONS

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Parent category: Financial
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