Form 800-20 - Cigarette Distributor'S Monthly Report - 1996 Page 6

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AZ Form 800-20
Page 6
Attach Schedule C
Schedule D
List All Sales to Tax Exempt Purchasers By Reservation
Number of Packages Sold
Invoice
Green
Blue
Red
Registration #/Name
Reservation
Total
Date
Number
Tax Free
$.58
$.40
Subtotal By Tribe
Subtotal By Tribe
Subtotal By Tribe
Total. Enter here and line 4b, page
ADOR 20-2027 (3/96)

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