Dbpr Form Ab&t 4000a-105-3 - Liquor Manufactirer'S Monthly Report Page 2
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3LIQUOR MANUFACTURER'S MONTHLY REPORT DETAIL
BULK SPIRITS
Licensee Name
of
FL
For the month of
20
Reporting Period
through
A Separate Page Must Be Completed For Each Type Of Transaction
TRANSACTION TYPE
Return to Stock
Sold In-State
Bulk Spirits Transferred
Previously Reported Sold
To Bottling Premises
Received For Bonded Storage
Sold Out-of-State
DATE
INVOICE NUMBER
NAME OF CONSIGNOR OR CONSIGNEE
PROOF GALLONS
Subtotal This Page
Transaction Total
DBPR Form AB&T 4000A-105-2
Rev. 12/03
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