Form 13-9-B - Application For Refund Of State Sales Tax

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Form 13-9-B
12-2007
Application for Refund of State Sales Tax
Blue Star Mothers of America, Inc.
Period/Quarter_____________________________
Supplemental Page
Page _______ of _______
Chapter:
FEIN:
Contact Name:
Email:
Receipt/Invoice Detail
Date of Purchase
Vendor Name
Street Address
City/Zip
Taxable Sales
Sub Total of this Page
$

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