Schedule Ct-1c - Cigarettes Transferred From Massachusetts Into Another State Page 2

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To whom sold
Number of cigarettes
Date
Invoice
a. 20s
b. 25s
c. Miscellaneous
transferred
number
Name
Address
Stamped
Stamped
Unstamped
Amounts from other side
Subtotals
Total. Add columns a, b and c. Enter here and on Form CT-1, line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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