Form Dr-309637 Draft - Petroleum Carrier Information Return - 2018 Page 4
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6DR-309637
R. 01/13
Page 4
Company Name
FEIN
Collection Period Ending
(mm/dd/yy)
GALLONS
DIESEL
A. Gasoline
B. Undyed
C. Dyed
D. Aviation
1. Total gallons of petroleum product loaded
at a Florida terminal or bulk plant and
delivered to another state (Attach Schedule
14A): ...........................................................
2. Total gallons of petroleum product loaded
at an out-of-state terminal or bulk plant
facility and delivered in Florida (Attach
Schedule 14B): ............................................
3. Total gallons of petroleum product loaded
at a Florida terminal or bulk plant and
delivered in Florida (Attach
Schedule 14C): ...........................................
4. Total gallons of petroleum product
transported (Total of Lines 1 through 3): .....
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Parent category: Financial