Complete all areas below.
Locations of aircraft (jet) fuel storage facilities in Massachusetts
Storage capacity (in whole gallons)
1.
2.
3.
4.
5.
6.
Names and addresses of sources of aircraft (jet) fuel supplies purchased last year in Massachusetts
Gallons purchased (in whole gallons)
1.
2.
3.
4.
5.
6.
Names and addresses of customers for aircraft (jet) fuel
Gallons sold (in whole gallons)
1.
2.
3.
4.
5.
6.
Check one:
Corporation
Partnership
Individual
Other
Specific nature of business
If corporation: State in which incorporated
Date of incorporation
Name of president
Name of treasurer
If partnership: Name(s) of partner(s)
Date of formation of partnership
If individual or other: Date business started
If more space is needed, attach additional sheets.
50 9/10 CPSERV3195OSD2011001
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