Form Boe-501-Mj - Dealer Of Aircraft Jet Fuel Tax Return Page 11

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STATE OF CALIFORNIA
BOE-501-MJ (S10) REV. 4 (7-02)
BOARD OF EQUALIZATION
SCHEDULE F - AIRCRAFT JET FUEL EXPORTED
(If additional space is needed, please photocopy the schedule before making entries.)
Page
of
(a) COMPANY NAME
(b) ACCOUNT NUMBER
(c) MONTH/YEAR
(2)
(3)
(4)
(5)
(6)
(1)
INVOICE DATE
INVOICE NUMBER
BILLED GALLONS
MODE
POINT OF ORIGIN
SOLD TO
*
(PURCHASER NAME AND ADDRESS)
TCN OR STATE/PROVINCE
TOTAL
*
=
Barge
R
=
Rail
B
=
Truck
S
=
Ship (Ocean marine vessel)
J
=
Pipeline
PL

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