Report Of Malt Liquor Shipments | Pdf Fpdf Docx | Maine

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Report Of Malt Liquor Shipments | Pdf Fpdf Docx | Maine

Report Of Malt Liquor Shipments

This is a Maine form that can be used for Liquor Licensing And Inspection Division within Statewide.

Alternate TextLast updated: 3/5/2019

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STATE OF MAINE BUREAU OF ALCOHOLIC BEVERAGES AND LOTTERY OPERATIONS DIVISION OF LIQUOR LICENSING & ENFORCEMENT 8 STATE HOUSE STATION , AUGUSTA, ME 04333 - 0 008 Phone: (207) 287 - 4482 or (207) 287 - 4492 REPORT OF MALT LIQUOR SHIPMENTS By Holders of a Malt Ce rtificate of Approval Issued by the Division Authorizing the Sale of Malt Liquor to Wholesaler Licensees within the State. Report for the Month of 20 This record shall be filed with the liquor licensing & Enforc ement Division, Augusta, Maine on or before the 15 th day of each calendar month. Name: Address: Permit or License # * ** EMAIL *** Name of Whole saler Maine Purchase Order Number Invoice Number Invoice Date Total Gallonage Per Invoice * ** Please Include All listed Invoice(s) with this report. *** Total Gallons Shipped: Dated at This day of ,20 State of By: By: If a corporation, report must be signed by duly authorized officer. (Printed Name) Malt Liquor Shipment F orm Rev 11 - 2018 Replaced 9 - 2016 American LegalNet, Inc.

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