Form Alc 36 - Ohio Wine And Mixed Beverage Tax Return Page 2

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ALC 36
Rev. 11/07
Schedule A
Page 2
Bottled Beverage Received – Tax Not Paid
Please list invoices alphabetically.
Report in gallons, round to nearest hundredth
Out-of-State Supplier
14%
Mixed
Invoice
Invoice
Date
or “W” Permit Purchase
>14%-21%
Vermouth
Beverage
Sparkling
Cider
or Less
Date
Number
Rcv’d.
1. Total gallonage shown on invoices listed
Carry net totals forward to line 1

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