Form 70003 - Cng (Compressed Natural Gas) Wholesaler/retailer/consumer Schedule Of Disbursements

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State of Oklahoma
Form 70003
DST - 230
December 2011
Oklahoma Tax Commission
(12/11)
CNG (Compressed Natural Gas) Wholesaler/Retailer/Consumer
Schedule of Disbursements
Wholesaler/Retailer/Consumer Name:
License Number:
FEIN:
Schedule Type:
Month/Year:
Product Code:
2
224
Schedule Type: (check one)
5
Gallons Equivalent sold tax collected
10
Gallons Equivalent sold to other tax-exempt entities
8
Gallons Equivalent sold tax-exempt to U. S. Government
10A Gallons Equivalent sold tax-exempt to farmers
9C Gallons Equivalent sold tax-exempt to public schools
10T Gallons Equivalent sold tax-exempt to Indian Tribes
9E Gallons Equivalent sold tax-exempt to Cities, Towns or Counties
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
Origin
Purchaser’s
Date
Document
Net Gallons
Gross Gallons
Billed Gallons
Carrier Name
Carrier FEIN Mode
State
Sold To
FEIN
Purchased
Number
Equivalent
Equivalent
Equivalent
TOTAL:

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