Form 800-20 - Cigarette Distributor'S Monthly Report - 1996 Page 5
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7AZ Form 800-20
Page 5
Schedule
A-4
Distributor's Record of Cigarettes Received
Other Manufacturers
Packages
Name
Address
Date
Invoice Number
Quantity
Total. Enter here and on Schedule E, page
ADOR 20-2027 (3/96)
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