Form Cg 1501-A - Unstamped Cigarette Purchases Page 2
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1
2Name
Employer ID No.
Idaho State Tax Commission
Permit Number
Tax Period
FORM CG 1501-A
Page
of
UNSTAMPED CIGARETTE PURCHASES
Permit Number
.
COMMONWEALTH BRANDS
695901
INVOICE
NUMBER OF
INVOICE DATE
INVOICE
NUMBER OF
INVOICE DATE
NUMBER
CIGARETTES
MO / DA / YR
NUMBER
CIGARETTES
MO / DA / YR
BRING THE BALANCE
BRING THE BALANCE
>
>
FORWARD FROM PREVIOUS
FORWARD FROM PREVIOUS
PAGE CG 1501-A
COLUMN CG 1501-A
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41
61
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42
62
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43
63
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44
64
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45
65
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46
66
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47
67
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48
68
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49
69
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50
70
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51
71
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52
72
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53
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54
74
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55
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56
76
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57
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58
78
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59
79
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60
80
TOTAL
TOTAL
*If this is the last page for this vendor, carry the total forward to CG 1501-F, Part II Summary.
EFO00153
*If this is NOT the last page for this vendor, carry the total forward to the next page CG 1501-A.
12-11-2006
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