Form 3008 - Schedule Of Terminal Operator Disbursements
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MISSOURI DEPARTMENT OF REVENUE
DLN
FORM
TAXATION DIVISION
3008
P.O. BOX 300, JEFFERSON CITY, MO 65105-0300
(573) 751-2611
TDD (800) 735-2966
PAGE
(REV. 02-2011)
SCHEDULE OF TERMINAL OPERATOR DISBURSEMENTS
OF
SEE INSTRUCTIONS ON REVERSE SIDE
TERMINAL OPERATOR
TERMINAL CODE
SCHEDULE TYPE
FEIN
MONTH, YEAR
__ __ __ __ __ __ __ __ __
__ __ / __ __ __ __
PRODUCT TYPE (CIRCLE ONE)
TYPE OF SCHEDULE (List one per sheet)
065 — Gasoline
124 — Gasohol
142 — Kerosene
228 — Dyed Diesel Fuel
284 — Bio-Diesel – Undyed B100
TD — Gallons Disbursed
123 — Alcohol
125 — Aviation Gasoline
072 — Dyed Kerosene
122 — Blending Components
285 — Soy Oil
6X — Gallons Delivered per Exchange Agreement
241 — Ethanol
130 — Jet Fuel
160 — Diesel Fuel
(Identify)
290 — Bio-Diesel – Dyed B100
2
4
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8
9
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12
1
3
7
11
CARRIER
EXCHANGE
EXCHANGE
DEST.
SUPPLIER’S
DATE
DOCUMENT
GROSS
NAME OF CARRIER
MODE
SUPPLIER
NET GALLONS
FEIN
PART. FEIN
PARTNER
STATE
FEIN
SHIPPED
NUMBER
GALLONS
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PAGE TOTAL
0
0
SCHEDULE TOTAL
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MO 860-2125 (02-2011)
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Parent category: Financial