Form Gas-1209 - Motor Fuel Terminal Operator Annual Return Page 2

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GAS-1209
Page 2
Yearly Summary
Gasoline
Undyed Diesel
Dyed Diesel
Undyed Kerosene
Dyed Kerosene
Jet Fuel
Aviation Gasoline
of Transactions
by Month
Net Gallons
Total
Net Gallons
Total
Net Gallons
Total
Net Gallons
Total
Net Gallons
Total
Net Gallons
Total
Net Gallons
Total
(From GAS-1204)
Loss / <Gain>
Disbursements
Loss / <Gain>
Disbursements
Loss / <Gain>
Disbursements
Loss / <Gain>
Disbursements
Loss / <Gain>
Disbursements
Loss / <Gain>
Disbursements
Loss / <Gain>
Disbursements
January
February
March
April
May
June
July
August
September
October
November
December
Totals
(To Line 1)
Title:
Signature:
Date:
I certify that, to the best of my knowledge, this return is accurate and complete.

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Parent category: Financial
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