Form 323 - Resident/non-Resident Dealer'S Monthly Report Of Beer Deliveries Into Maryland

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RESIDENT/NON-RESIDENT DEALER’S
FORM
323
MONTHLY REPORT OF BEER DELIVERIES
INTO MARYLAND
NON-RESIDENT/RESIDENT DEALER: ___________________________________________________________
PERMIT NUMBER: _________________________________________________________________________
FOR THE MONTH OF _________________20_______
CONSIGNEE: (One Consignee Per Page) ________________________________________________________
Page ______ of ______
1
2
3
CASES OR KEGS
4
5
6
7
8
9
10
11
12
13
14
15
16
Foreign
Invoice
DATE
Beer
50 L
Number
24/7
24/10
24/11.2
24/12
24/16
12/32
1/4 Keg
½ Keg
1/6 Keg
Release No.
Keg
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24 Total Cases/Kegs Shipped
Total Gallons for
this Consignee:
25 Multiply by Conversion Factor
1.313
1.875
2.100
2.250
3.000
3.000
7.750
15.500
13.210
5.167
26 Total Gallons by Container
COM/RAD 323
08/13

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