Form L-2195 - Motor Fuel Manufacturers Monthly User Fee And Fee Calculation Page 6
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6INSTRUCTIONS FOR SCHEDULE 1
COLUMN 1 CARRIER
Enter the name of the company that transported the product.
COLUMN 2 MODE OF TRANSPORT
Enter the mode of transport. Use one of the following:
J = Truck
R = Rail
COLUMN 3 POINT OF DESTINATION
Enter the name of the State of destination.
COLUMN 4 PURCHASER
Enter the name of the purchaser.
COLUMN 5 DATE
Enter date sold.
COLUMN 6 DOCUMENT NUMBER
Enter the identifying number from the invoice.
COLUMN 7 GALLONS
Enter gallons.
43516020
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Parent category: Financial