Monthly Alabama National Guard Canteen Gasoline Report - Alabama Department Of Revenue Page 2
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1
2AUTHORITY
This reporting form and the instructions are given in compliance with State Military Department Regula-
tion Number 4-2, as provided in Section 31-2-81, Code of Alabama 1975.
INSTRUCTIONS FOR ALL CANTEENS
1. All gasoline must be purchased from and delivered by a dealer or distributor duly licensed and bonded
by the Alabama Department of Revenue. Records of all purchases and sales must be maintained and
available for inspection by authorized personnel of the Alabama Department of Revenue.
2. An authorized officer or employee of the canteen must issue and deliver to the dealer or distributor a
properly completed exemption certificate covering each purchase of gasoline using regulation exemp-
tion certificate forms. All certificates charged to you must be accounted for when audited. If any cer-
tificate is mutilated and not used to purchase gasoline, the certificate must be marked “void.” Attach
the white original and the yellow copy of the voided certificate to your next monthly report.
3. Certificates are to be issued in triplicate. The white original should be given to your gasoline dealer or
distributor at time of purchase. The yellow copy must be attached to your monthly report to this
department. The pink copy should be retained in the book for audit purposes. If the white original
certificate is lost or destroyed, do not issue a duplicate out of the certificate book; give the dealer
a letter containing all data in the original certificate, date issued, document number and number of gal-
lons purchased, certifying that this is a true and correct copy.
4. This report is due on a monthly basis, that is all receipts of gas for one month and only that month
should be included on that month’s report. If you skipped an exemption certificate from a previous
month, put that certificate on a separate report. This report is due by the 10th day of the month follow-
ing the month of activity.
NOTE: Additional certificates may be obtained by writing to the Alabama Department of Revenue at the
mailing address indicated on the front of this form or by calling (334) 242-9608.
ALL PREVIOUS NRLT:CR FORMS ARE OBSOLETE AND SHOULD BE DESTROYED.
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