Form Att-70-A - Liquor Wholesalers Summary Of Total Distilled Spirits Sales To Retail Dealers Within Each County Page 2

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ATT-70-B (Rev 12/12)
Georgia Department of Revenue
Alcohol and Tobacco Division
Telephone: (404) 417-4900
E-mail:
ATDIV@dor.ga.gov
LIST OF RETAILERS AND TOTAL AMOUNT OF DISTILLED
SPIRITS SOLD TO EACH DURING THE MONTH
WHOLESALE DISTRIBUTOR
CITY
STATE LICENSE NO.
SOLD DURING THE CALENDAR
SOLD IN THE COUNTY OF
COUNTY NUMBER
MONTH
Select Month
A SEPARATE SHEET MUST BE USED FOR EACH COUNTY SOLD IN
SHIPMENTS
TRADE NAME, OWNER, NAME, STREET AND
Retailers State
Value Gross Sales To
Value Gross Sales To
REPORT IN LITERS
CITY
License Number
Retailers Before Any
Retailers After Any/
LITERS
HUND
Discount
All Discount (Net)
GIVE TOTALS ONLY AT THE END OF EACH
COUNTY LISTING

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