Form Boe-242-A - Distilled Spirits Imported Into California

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BoE-242-A (Front) rEV. 8 (10-10)
StAtE oF CALIFornIA
DISTILLED SPIRITS IMPORTED INTO CALIFORNIA
BoArD oF EQUALIZAtIon
Please read the instructions on the reverse before preparing this report.
For Month oF
ACCoUnt nUMBEr
Year
Page
of
Pages
(street, city, state and zip code)
nAME
BUSInESS ADDrESS
DESCRIPTION OF ALCOHOLIC BEVERAGES
WAYBILL,
VOYAGE NO.,
NAME OF SHIPPER
BILL OF LADING,
NAME OF VESSEL,
NAME OF
CODE NO.
PURCHASED
DATE
WInE GALLonS
INVOICE NO.
CITY AND STATE,
OR FREIGHT BILL
R.R. CAR NO. OR
nUMBEr oF P ACK-
WInE GALLonS
COMMON CARRIER
(BOE use only)
FROM
RECEIVED
100 ProoF
OR COUNTRY
TRUCK TRAILER NO.
AGES
oVEr 100 ProoF
or UnDEr
DAtE
no.
K
A
B
C
D
E
F
G
H
I
J
L
totals from previous page
74-00
1
74-00
2
74-00
3
74-00
4
74-00
5
74-00
6
74-00
7
74-00
8
74-00
9
74-00
10
TOTALS
The original of this report must be mailed to the State Board of Equalization, Special Taxes and Fees, P.O. Box 942879, Sacramento, CA 94279-0088.

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