Schedule 10 - Schedule Of Tribal Sales Page 2

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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
Type
Delivery
(if applicable)
m/d/yyyy
Gallons Sold
Total Gross Gallons

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