Form R-5388 - Schedule M - Terminal Operator - Annual Return Reconciliation Schedule Of Disbursement

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R-5388 (8/07)
Terminal Operator – Annual Return
Schedule M
Reconciliation Schedule of Disbursement
Company Name
LA Revenue Account Number
TCN
Filing Period
Gasohol
Gasoline
Undyed Diesel Fuels
Dyed Diesel Fuels
Aviation Fuels
Month
From Rack
Bulk Transfer
From Rack
Bulk Transfer
From Rack
Bulk Transfer
From Rack
Bulk Transfer
From Rack
Bulk Transfer
January
February
March
April
May
June
July
August
September
October
November
December
Total
The amounts to be entered on this schedule should be the totals from Schedule J filed with the Terminal Operator Monthly Return.

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