Form 105-50-A - Fuel Blender - Schedule Of Receipts

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Form Number 105-50-A
State of Oklahoma
State of Oklahoma
State of Oklahoma
State of Oklahoma
State of Oklahoma
Revised 9-04
Oklahoma Tax Commission
Oklahoma Tax Commission
Oklahoma Tax Commission
Oklahoma Tax Commission
Oklahoma Tax Commission
DST – 220
DST – 220
DST – 220
DST – 220
DST – 220
Fuel Blender
Fuel Blender
Fuel Blender
Fuel Blender
Fuel Blender
Schedule of Receipts
Schedule of Receipts
Schedule of Receipts
Schedule of Receipts
Schedule of Receipts
(04/04)
(04/04)
(04/04)
(04/04)
(04/04)
Fuel Blender Name
FEIN
Schedule Type
Month/Year
2B
Product Type (check one)
Product Type (check one)
Product Type (check one)
Product Type (check one)
Product Type (check one)
091
Waste Oil
123
Alcohol
243
Methanol
100
Transmix
142
Undyed Kerosene
284
Undyed Biodiesel
122
Blending Materials
241
Ethanol
1
2
3
4
5
6
7
8
9
10
11
Point of
Carrier
Carrier
Mode
Seller’s
Seller’s
Date
Document
Net
Gross
Billed
Name
FEIN
Code
Name
FEIN
Received
Number
Gallons
Gallons
Gallons
Origin Dest

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