Form Boe-217 - Common Carrier'S Report Of Delivery Page 2
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2BOE-217 (BACK) REV. 7 (10-10)
INSTRUCTIONS FOR COMPILING STATE BOARD OF EQUALIZATION FORM BOE-217
Prepare report in duplicate, retain copy and mail original to:
STATE BOARD OF EQUALIZATION
SPECIAL TAXES AND FEES
PO BOX 942879
SACRAMENTO, CA 94279-0088
A report on this form must be filed on or before the fifteenth day of each month covering deliveries made dur-
ing the preceding calendar month. A report must be filed each month whether or not any deliveries are made.
The report must be completed in each detail as called for under the various headings of the report.
A receipt must be obtained from the importer for each delivery of interstate shipments of alcoholic beverages
in California. Copy of this receipt showing all the information required on BOE-217 must be furnished to the
importer to whom the delivery is made.
COLUMN
A. Enter the complete name of the shipper as shown on the bill of lading and the city and state or
country in which the shipment originated.
B. In this column enter the name of the licensed importer to whom the delivery was made; or in the
case of delivery to a licensed public warehouse or “order notify” shipments, list the name of the
licensed importer for whom the shipment was delivered.
The California city in which delivery was made also must be shown.
C. Do not write in this column.
D. If the shipment entered California in a railroad car, the car number in which the shipment was
contained must be shown.
If the shipment entered California by water, the voyage number and the name of the vessel in
which the shipment was transported into California must be shown.
If the shipment entered California by motor carrier, the truck number must be shown.
E. & F. If the shipment entered California via railroad, the waybill and number must be shown.
If the shipment entered California by water, the steamship bill of lading date and number must
be shown.
If the shipment entered California by motor carrier, the pro number (or freight bill number) and
the date must be shown. It is important that the same number be reported in this column as that
shown on the delivery receipt furnished to the importer.
G. This column must show the total number of packages contained in the shipment.
H. This column must show the type of packages contained in the shipment (i.e., cs., cnt., bbl., drum,
etc.)
I. This column must show the kind of alcoholic beverage contained in the shipment (i.e., beer, wine,
whiskey, gin, vodka, etc.)
CERTIFICATION. �
The correctness of the report must be certified by a representative of the common carrier
filing the report. Only page 1 of the report need be certified.
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