Schedule "S" (Form R-25) - Alcoholic Beverage Public Warehouse Page 2

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R-25 (9-97, Rev. 2)
Page 2
NAME AND ADDRESS OF PERSON
NAME AND ADDRESS OF PERSON
KIND OF PKG.,
NO. OF
WITHDRAWING ALCOHOL OR ALCOHOLIC
RELEASE
LICENSE
DATE OF
FROM WHOSE ACCOUNT THE ALCOHOL
*KIND OF
NO. OF
SUCH AS
SIZE OF EACH
CONTAINERS
NUMBER
NUMBER
BEVERAGES; ALSO NAME AND ADDRESS OF
OR ALCOHOLIC BEVERAGES
BEVERAGE
PACKAGES
BBL., CS.,
CONTAINER
WITHDRAWAL
IN EACH PKG.
CONSIGNEE
WERE WITHDRAWN
CTN., ETC.
* IN COLUMN HEADED “KIND OF BEVERAGE” CLASSIFY AS EITHER BEER, LIQUOR, ALCOHOL, STILL WINES, VERMOUTH, SPARKLING WINES (including apple cider with more than 7% alcohol) or APPLE CIDER (3.2% to 7% alcohol).

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