DATE RECEIVED
INVOICE
INVOICE
FROM WHOM PURCHASED
MANUFACTURER’S INVOICE PRICE
INTO STOCK
NUMBER
DATE
(NAME AND ADDRESS)
(BEFORE DISCOUNTS AND/OR DEALS)
Enter total from Form 4388, page 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Enter total here and on Line 2 of Form 4387 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$