Form Abl-908 - Request For And Acknowledgement Of Receipt Of Keg Identification Tags Alcohol Beverage Licensing

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STATE OF SOUTH CAROLINA
1350
1350
DEPARTMENT OF REVENUE
ABL-908
REQUEST FOR AND ACKNOWLEDGEMENT OF
(Rev. 10/10/08)
4363
RECEIPT OF KEG IDENTIFICATION TAGS
STATE OF SOUTH CAROLINA
South Carolina Department of Revenue
Alcohol Beverage Licensing
License Holder's Name:
License Holder's Address:
License Holder's License or Permit Number:
Number of Keg ID Tags Requested:
Keg Identification Tag Numbers Furnished to License Holder:
From:
To:
By the signature attested to herein below, the undersigned does hereby attest that they
are acting on behalf of the above-referenced License Holder; and does hereby request
and does hereby acknowledge receipt of the Keg Identification Tags listed above.
Signature on Behalf of Licensee
Print Name of Person Signing
Signature of DOR Employee
43631019

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