Az Form 800-20 - Schedule F - Summary Of Purchases

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AZ FORM 800-20
Schedule F
Summary of Purchases
LEGAL BUSINESS NAME/DBA NAME
TOBACCO LICENSE NO.
FOR THE PERIOD OF
M
M D D Y Y Y Y
M
M D D Y Y Y Y
to
Total received from:
Packages of 20
Schedule A-1: Participating Manufacturers ......................
Schedule A-2: Nonparticipating Manufacturers ................
GRAND TOTAL (Enter here and on page 1, line 2) ...........
Page 17
ADOR 11040 (9/13)

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