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Spirit And Wine Monthly Report 35-7080 - Nebraska
| Spirit And Wine Monthly Report Form. This is a Nebraska form and can be used in Liquor Control Commission Statewide . |
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NEBRASKA LIQUOR CONTROL COMMISSION SPIRIT AND WINE MONTHLY REPORT SHIPPER NAME ________________________________ DOING BUSINESS AS __________________________ NO SHIPMENTS SHIPMENTS TO: ___________________________________ (NEBRASKA WHOLESALER) SHIPPER LICENSE NUMBER ____________________ REPORTING MONTH______________________YEAR ___________ NO OF BOTTLES IN CASES SHIPMENT DATE REPORT EACH INVOICE AND GRAND TOTAL NUMBER OF CASES BOTTLE SIZE SPIRIT GALLONS WINE GALLONS NEBRASKA LIQUOR CONTROL COMMISSION ______________________________ _______________________ ______________ SIGNATURE PRINT NAME DATE _________________________ CONTACT TELEPHONE NO ____________________________ CONTACT E-MAIL ADDRESS 301 CENTENNIAL MALL SOUTH PO BOX 95046 LINCOLN NE 68509-5046 TELEPHONE 402-471-2571 FAX 402-471-2814 35-7080 07/08 American LegalNet, Inc. www.FormsWorkFlow.com
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