Malt Beverages Shipped To-Within Florida
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Malt Beverages Shipped To-Within Florida Form. This is a Florida form and can be use in Department Of Business And Professional Regulation Statewide.
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Tags: Malt Beverages Shipped To-Within Florida, 4000A-125-1, Florida Statewide, Department Of Business And Professional Regulation
DBPR Form AB&T
4000A-125-1
Rev. 12/03
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO
1940 NORTH MONROE STREET • TALLAHASSEE, FL 32399-1022
BEVERAGES SHIPPED TO / WITHIN FLORIDA
MALT BEVERAGES shipped to / within Florida during the month of
Name
Yr
Address
City
State
Telephone No. (
)
Zip
Contact Person
List each shipment and file on or before the 10th of each month to the address above, ATTN: Bureau of Auditing
NAME OF CONSIGNEE
CONSIGNEE'S CITY
LOCATION
INVOICE
DATE
NUMBER
16 OZ or
> 16 OZ to
LESS
32 OZ
CONTAINER CONTAINER
BULK
GALLONS
Subtotals this page
GRAND TOTALS FOR MONTH
Individual containers of 32 ounces or less shall have imprinted thereon in clearly legible fashion, by any permanent method, the word "Florida" or "FL", and no other
name or abbreviation of any state name, in not less than 8-point type. For exemption approval, contact DAB&T, Bureau of Licensing, Brand Registration Section.
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