Schedule 10 - Schedule Of Tribal Sales

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Schedule of Tribal Sales – Schedule 10
Company Name
License Number
Reporting Period
Instructions: Record the appropriate Product Type in section 4 using the product type code. Record the appropriate Tribal Code in section 2.
Product Types
065 – Gas oline
130 – Jet Fuel
145 – Kerosene Low Sulfur
147 – Kerosene High Sulfur
*999 – Other (Please list
124 – Gasohol
142– Kerosene (clear)
(clear)
(clear)
_______________)
228 – Dyed Diesel Fuel
244 – Methanol
074 – Kerosene High Sulfur
072 – Kerosene (dyed)
160 – Undyed Diesel Fuel
125 – Aviation Gasoline (AVGAS)
(dyed)
073 – Kerosene Low Sulfur
123 – Alcohol
(dyed)
Tribal Code
01 – Rosebud Sioux Tribe
05 – Lower Brule Sioux Tribe
09 – Cheyenne River Sioux Tribe
02 – Standing Rock Sioux Tribe
06 – Oglala Sioux Tribe
03 – Crow Creek Sioux Tribe
07 – Sisseton-Wahpeton Sioux Tribe
04 – Flandreau Santee Sioux Tribe
08 – Yankton Sioux Tribe
1
2
3
4
5
6
7
8
9
Purchaser’s Name
Purchaser’s
Tribal Enrollment
Product
If Bulk Delivery Location of
IFTA License Number
Date Sold
Number of
Purchaser’s Signature
(Please Print)
Tribal Code
Number
Type
Delivery
(if applicable)
m/d/yyyy
Gallons Sold
Total Gross Gallons

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