Form Tt-14 - Monthly Report Of Non-Resident Cigarette Stamping Agent Page 2

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SCHEDULE A
- Stamped Cigarettes Shipped Into or Delivered in Virginia During Month
(TT-14)
Name____________________________________________________
Month/Year ________________________
Date
To Whom Shipped or Delivered
Invoice
Shipped or
Invoice Number
Number of Packs
Date
Name
Address
Delivered
Separate sheets may be used in lieu of Schedule A and attached to the report (Enter on Form TT-14, Line 5) ► TOTAL

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