Form Bt-7 Schedule C - Alcoholic Beverages Tax 2001 Page 2

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STILL WINES
DISTILLED
FORTIFIED
ALCOHOL AND
LIQUOR COOLER
BEER
Not Over 21% Alcohol
NAME AND ADDRESS
LIQUOR
WINES
COMPONENTS
Not Over
Wine Gallons
of person, firm, or corporation to whom
DATE
INVOICE
Over 21%
Wine Gallons
for Manufacturing
7% Alcohol
Produced by
Produced by
Convert Draft
All Other
Alcohol
alcoholic beverages were shipped or
SHIPPED
NUMBER
Wineries That
Small Wineries
Proof Gallons
Wine Gallons
and SPARKLING
Size to bbls.
Containers
Are Not Small
(Producing
returned
WINES
Wineries
Barrels
Wine Gallons
55,000 Wine Gal.
or less per year)
Wine Gallons
Total
FORM BT-7, SCHEDULE C, Back (Rev. 04/01)

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