Form Rev-1047 As - Schedule F - Monthly Report Of Cigarettes And Cigarette Tax Stamps Page 2

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SECTION 2
SALES TO WHOLESALERS – Continued
NAME OF WHOLESALER
ADDRESS
CITY
STATE
ZIP CODE
TOTAL NUMBER OF CIGARETTES
TOTAL SALES TO WHOLESALE LICENSEES (Enter this total on front of this form. section #1, line 3.)
TOTAL

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