Form 612-1 - Other Tobacco Products (Otp) Storage Warehouse Schedule - Acquisitions
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1
2OTHER TOBACCO PRODUCTS (OTP)
FORM
612-1
STORAGE WAREHOUSE SCHEDULE -
ACQUISITIONS
Corporate Name
Report Period (Month & year)
Location line 1
OTP License #
SW-
Location line 2
A
B
C
D
E
F
G
Date Received
License
Receipt
Received
Product Type
Case Quantity
Number of
Number
Number
From
Cases
1
2
3
4
5
6
7
8
9
10
COM/RAD-ATT-612-1
Rev. 4/13
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