Form 06-134 - Texas Schedule Of Motor Fuel Transporter Deliveries - 2002
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1
206-134
PRINT
(Rev.9-03/2)
b.
95170 Original Report
a.
DO NOT WRITE IN SHADED AREAS
TYPE or PRINT
TEXAS SCHEDULE OF MOTOR FUEL
c. Taxpayer number
d. Filing period
TRANSPORTER DELIVERIES -- EXPORTS
f.
e. Taxpayer name
1. Seller name
2. Seller
taxpayer
number
3. Purchaser name
4. Purchaser
taxpayer
number
9. Shipping
10. Terminal
5. Prod.
6. Mode
7. Dest.
8 . Date
control
doc. no.
type
removed
number
11. Bulk plant
12. Invoiced
name and
gallons
address
1. Seller name
2. Seller
taxpayer
number
3. Purchaser name
4. Purchaser
taxpayer
number
9. Shipping
10. Terminal
5. Prod.
6. Mode
7. Dest.
8 . Date
control
doc. no.
type
removed
number
11. Bulk plant
12. Invoiced
name and
gallons
address
1. Seller name
2. Seller
taxpayer
number
3. Purchaser name
4. Purchaser
taxpayer
number
9. Shipping
10. Terminal
5. Prod.
6. Mode
7. Dest.
8 . Date
control
doc. no.
type
removed
number
11. Bulk plant
12. Invoiced
name and
gallons
address
1. Seller name
2. Seller
taxpayer
number
3. Purchaser name
4. Purchaser
taxpayer
number
9. Shipping
10. Terminal
5. Prod.
6. Mode
7. Dest.
8 . Date
control
doc. no.
type
removed
number
11. Bulk plant
12. Invoiced
name and
gallons
address
1. Seller name
2. Seller
taxpayer
number
3. Purchaser name
4. Purchaser
taxpayer
number
9. Shipping
10. Terminal
5. Prod.
6. Mode
7. Dest.
8 . Date
control
doc. no.
type
removed
number
11. Bulk plant
12. Invoiced
name and
gallons
address
1. Seller name
2. Seller
taxpayer
number
3. Purchaser name
4. Purchaser
taxpayer
number
9. Shipping
10. Terminal
5. Prod.
6. Mode
7. Dest.
8 . Date
control
doc. no.
type
removed
number
11. Bulk plant
12. Invoiced
name and
gallons
address
TOTAL INVOICED GALLONS
TOTAL INVOICED GALLONS
FOR ALL PAGES
(Sum of Item 12)
(Enter on Item 1 of Texas
FOR THIS PAGE ONLY
Motor Fuel Transporter Report, Form 06-128)
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