Liquor Manufacturer'S Monthly Report Form - 2003
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1LIQUOR MANUFACTURER'S MONTHLY REPORT
Licensee Name
of
FL
For the month of
20
Reporting Period
through
SUMMARY OF TRANSACTIONS
GALLONS
GALLONS
GALLONS
under 17.259%
17.259% - 55.78%
over 55.78%
1.
Beginning Balance
2.
Produced
3.
Returned to Stock
4.
5.
Total to Account For
6.
Sold In-State
7.
Sold Out-of-State
8.
Breakage
9.
Reprocessed
10. Destroyed
11. Taxable Samples
12.
13.
Total Accounted For
14. Ending Balance
15. Inventory (Actual)
16. Over/Short
DBPR Form AB&T 4000A-110-2
Rev. 12/03
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