Form Pt-103.2 - Residual Petroleum Product - Transfers Out Of Page 2

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PT-103.2 (3/01) (back)
State or province exported to
Name of petroleum business
FEIN
Month/year
Part II - Sales in New York State for immediate export
Purchaser’s
Carrier’s
Date
Loading
shipped
point
Name
FEIN
Name
FEIN
Gallons
Total gallons
.............................................................................................................
(enter here and on Form PT-103, line 13)

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