Form G-1 - Grocery Inventory

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Form G-1
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Rev. 5/97
Grocery Inventory
Section 16-4-115(1), MCA states a retail license to sell beer or table wine in the original package for off-premises consump-
tion only may be issued to a qualified applicant whose premises proposed for licensing is operated as a bona fide grocery
store or a drug store licensed as a pharmacy.
ARM 42.12.126(2) “The retail inventory of $3,000 will be used as a basis for determining whether an establishment qualifies
as a “bona fide grocery store”. The retail inventory of at least $3,000 must be maintained at all times. The retail inventory
must include at least three different types of items in each of the following food groups; meats, vegetables, fruits, bakery
items, dairy products and household supplies. For example, three different types of items in the dairy products group would
be a cheese, a milk and a butter, but skim milk, chocolate milk and whole milk would not be considered as three different
types of items in the dairy products group.”
List three different types of food items you carry within each category listed below. Under Total Inventory state the total
dollar retail inventory maintained in these above six food groups.
Three Food Types
Meats
__________________
___________________
__________________
Vegetables
__________________
___________________
__________________
Fruits
__________________
___________________
__________________
Bakery Items
__________________
___________________
__________________
Dairy Products
__________________
___________________
__________________
Household
__________________
___________________
__________________
Total Inventory of Above Food Groups
$ __________________
I certify this inventory to be correct.
______________________________________
Signature
______________________________________
Trade Name \ County
______________________________________
Date
510

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