Form Wv/dis-01 - West Virginia Wine Distributor'S Report Page 2
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3WV/DIS-01
WEST VIRGINIA WINE DISTRIBUTOR'S REPORT
rtL167V 8 Web
SCHEDULE A - SUPPLIER PURCHASES
(List Only Purchases From Suppliers)
SUPPLIER
LOCATION
INVOICE DATE
INVOICE NUMBER
TOTAL LITERS
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Total Schedule A (Enter here and on Page 1 Line 2)
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SCHEDULE B - TRANSFERS IN (List Only Purchase Transfers from Other WV Distributors)
SUPPLIER
LOCATION
INVOICE DATE
INVOICE NUMBER
TOTAL LITERS
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Total Schedule B (Enter here and on Page 1 Line 3)
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Page 2 of 3
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