Az Form 800-20 - Cigarette Distributor'S Monthly Return Page 2

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AZ FORM 800-20
Inventory Schedule 1
Inventory of Participating Manufacturer’s Cigarettes
LEGAL BUSINESS NAME
BUSINESS (OR DBA) NAME
TOBACCO LICENSE NO.
FOR THE PERIOD OF
Please see defi nitions and instructions before completing this form. Please provide the following information with respect to all Participating Manufacturer’s cigarettes. A list of
Participating Manufacturers, and their brands authorized for sale in Arizona, is maintained and updated at the Arizona Attorney General’s web site,
PARTICIPATING MANUFACTURER’S BRANDS:
(a)
(b)
UNSTAMPED PACKS OF 20
STAMPED PACKS OF 20
(c)
(d)
(e)
(f)
Brand Family
Participating Manufacturer’s Name and Address
Beginning Inventory
Ending Inventory
Beginning Inventory
Ending Inventory
TOTAL ...............................................................................................................................
ADOR 11040 (9/13)
Page 2

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