Spirituous Beverages Shipped To-Within Florida
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Spirituous 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: Spirituous Beverages Shipped To-Within Florida, 4000A-125-3, Florida Statewide, Department Of Business And Professional Regulation
DBPR Form AB&T
4000A-125-3
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
SPIRITUOUS 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
CONSIGNEE'S CITY
LOCATION
NAME OF CONSIGNEE
INVOICE
DATE
NUMBER
UNDER 17.259% OVER
17.259%
55.78%
55.78%
GALLONS GALLONS GALLONS
Subtotals this page
GRAND TOTALS FOR MONTH
Proof:
17.259% by volume = 34.518 Proof
55.78% by volume = 111.56 Proof
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