Form Com/att-027-2 - Public Storage Report Of Beer, Wine And Distilled Spirits Shipped And Delivered Dispositions

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Comptroller of Maryland
MATT Regulatory Division
Alcohol and Tobacco Tax
P.O. Box 2999
Annapolis, Maryland 21404-2999
410-260-6381/888-784-0145
Fax#410-974-3201
Sheet No.
Public Storage Report
of Beer, Wine and Distilled Spirits Shipped and Delivered
Dispositions
Report of
Address
Month of
, 20
.
Abbreviations:
Cases - cs
Cartons - ctn
Kegs - kg
Barrels - bbl
P A C K A G E S
Col. 1
Col. 2
Col. 3
Col. 4
Col. 5
Col. 6
Col. 7
Date Orig.
Date
Ref.
Rec’d From (License or Permit Holder)
Rec’d
Shipped
No.
Beer
Wine
Spirits
Disposition to (Addressee)
See reverse side of form COM/ATT-027 for instructions
COM/ATT-027-2
Rev. 07/07

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