Form Alc-1561-D1 - Dealers (Class B) Monthly Report Of Class B Beverages Shipped Into Oklahoma Dealers Excess Of 3.2% By Weight

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Oklahoma Tax Commission
ALC-1561-D1
Alcohol and Tobacco Section
September 2011
Dealers (Class B) Monthly Report of Class B Beverages
Shipped Into Oklahoma Dealers
Excess of 3.2% by Weight
____________________________________________________________
__________________________________________
Manufacturer Name
License Number
___________________________________________ ______________
For the Month of
Year
Shipped To
Date
Name
OTC License Number
Invoice Number
Barrels
Town
SUBTOTAL
(if more than one page)
TOTAL
The undersigned brewery or duly authorized agent state, under penalty of perjury, that this report is true and correct.
_________________________________________________ _______________
___________________________________
Signature
Date
Official Title

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