Form 800-20 - Cigarette Distributor'S Monthly Report - 1996 Page 4

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AZ Form 800-20
Page 4
Schedule
A-3
Distributor's Record of Cigarettes Received
R. J. Reynolds
Packages of 20
U. S. Tobacco
Packages of
Date
Invoice Number
Quantity
Date
Invoice Number
Quantity
Total. Enter here and on Schedule E, page
Total. Enter here and on Schedule E, page
ADOR 20-2027 (3/96)

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