Arizona Form 835 - Domestic Farm Winery / Domestic Microbrewery / Domestic Cider Return Of Liquor Sold Page 3

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AZ FORM 835
Continuation Sheet
Month _______________________
MONTH YYYY
Schedule ____ No. ____ Of ____
Check only one box:
Vinous
Malt
Cider
DATE
INVOICE
NAME OF SUPPLIER/
SHIPPED/
NO. OF
NO. OF
DATE
NUMBER
PURCHASER
CITY
STATE
RECEIVED
GALLONS
LITERS
TOTAL THIS SHEET: Enter amounts on Schedule B, C or D ................................................
ADOR 11081 (9/13)
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