Form 612-2 - Other Tobacco Products (Otp) Storage Warehouse Schedule - Dispositions

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FORM
OTHER TOBACCO PRODUCTS (OTP)
612-2
STORAGE WAREHOUSE SCHEDULE -
DISPOSITIONS
Corporate Name
Report Period (Month & year)
Location line 1
OTP License #
SW-
Location line 2
A
B
C
D
E
F
Date of
Bill of
Name and Address to whom
Product Type
Case
Number of
Dispostion
Lading #
shipped to or disposed of
Quantity
Cases
1
2
3
4
5
6
7
8
9
10
COM/RAD-ATT-612-2
Rev. 4/13

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