Fillable Form 720-Cs - Carrier Summary Report (Page 3 of 3) in pdf

Form 720-Cs - Carrier Summary Report Page 3

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Form 720-CS (Rev. 9-2010)

Page

Corrected

Void

Carrier name as shown on Form 720-CS

EIN

Form 637 registration number

For the month ending (enter MM/DD/YYYY)

Schedule B

Carrier Deliveries

Facility name. Complete a separate Schedule B for each facility.

Facility control number

Page

1 Product Code (PC).

Enter the PC (see instructions). A separate schedule is

For more than one Schedule B, for each different PC, number each sheet. For

required for each PC

▶

example, 1 of 4, 2 of 4, etc.

2 Enter in the columns below the information requested for the PC on line 1 above.

(d)

(a)

(b)

(c)

(e)

(f)

(g)

Vessel official number

Consignor

Mode

Document

Net

(required when mode

EIN

name

code

date

number

gallons

code is B, S, IB, IS, EB, or ES)

3 Total.

Add amounts in column (g) and enter the total. If there is more than one page for a PC, add the amounts from each page and enter the result on

the last page of Schedule B for that PC. Do not enter page subtotals. Enter the amount from column (g) on Form 720-CS, Part II, line 2, in the column for

the applicable PC

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

▶

720-CS

Form

(Rev. 9-2010)