Form Alc 81a (Schedule A,b) - Bottled Or Canned Beer (Beer And Malt Beverage) Sold In Interstate Commerce Or To Military Installations Page 2

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ALC 81A
Rev. 4/10
P.O. Box 530
Columbus, OH
43216-0530
Schedule B
Beer and Malt Beverage Sold in
Interstate Commerce or to Military Installations
(Please attach this form to the ALC 81)
Name
Account number
Month
Invoice
Invoice
Date
Number
Purchaser
1/4 Bbls
1/2 Bbls
1/6 Bbls
13.2 Gal.Kegs
1. Total quantities shown on invoices listed
1.395
2.790
0.930
2.376
2. Tax rate
$
3. Tax to be refunded (line 1 X line 2)
$
Carry net totals forward to line 6 on your ALC 81.
Schedule A on page 1

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