THIS FORM IS TO BE USED BY THE NEW LICENSEE WHEN PURCHASING LIQUOR STOCK
FROM THE CLUB OWNER WHO IS SELLING OUT.
Date of
Old Club Licensee
Inventory
(Complete Club Name)
(Club Address)
New Club Licensee
Making Purchase
(Complete Club Name)
(Club Address)
INVENTORY OF LIQUOR STOCK
Number of
Size of Bottle
Brand Name
Dollar Value
Bottles
(Gal., Qt., etc.)
Total for number of bottles column 1 and for dollar value in column 4 . . . . . . . . . . . . . . . . . . . .
ABC-204
(REV. 4/01)