Form R-24b - Schedule "Rr" - Beverage Tax Alcoholic Beverage Public Warehouse Page 2
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2R-24B (9-97, Rev. 2)
Page 2
NAME AND ADDRESS OF CONSIGNOR;
NAME, ADDRESS AND NEW JERSEY
MOTOR
NO. OF
SIZE OF
KIND OF
NAME AND ADDRESS OF PERSON
NO. OF
PICKED UP AT: NAME AND ADDRESS OF
TRANSPORTATION LICENSE OR
*KIND OF
CONT. IN
LICENSE
DATE OF
VEHICLE
PKG., SUCH
EACH
IN WHOSE NAME ALCOHOL OR
PACK-
LICENSED PREMISES, WAREHOUSE,
PERMIT NUMBER OF CARTMAN
NUMBER
RECEIPT
REGISTRA-
BEVERAGE
EACH
CON-
AS BBL., CS.,
ALCOHOLIC BEVERAGES ARE STORED
RAILROAD, FORWARDING CO., SHIP OR PIER
MAKING DELIVERY TO WAREHOUSE
AGES
TION NUMBER
PKG.
TAINER
CTN., ETC.
* IN COLUMN HEADED “KIND OF BEVERAGE” CLASSIFY AS EITHER BEER, LIQUOR, ALCOHOL, STILL WINES, VERMOUTH, SPARKLING WINES (including apple cider with more than 7% alcohol) or APPLE CIDER (3.2% to 7% alcohol).
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