Form Mfd 6 - Inventories And Receipts - Departament Of Safety Road Toll Bureau, State Of New Hampshire

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NOTICE
STATE OF NEW HAMPSHIRE
SCHEDULE NUMBER:
6
ROAD TOLL BUREAU
USE THIS FORM FOR SCHEDULE:
MONTH/YR. ______________
“INVENTORIES AND RECEIPTS”
PAGE ________ OF ________
DISTRIBUTOR NAME: ____________________________________________
6-INVENTORY TRANSFERS & ADJ’S
FEIN: _________________________________________________________
A
B
C
D
List Inventory Transfers & Adjustments of Undyed Special Fuel individually.
Undyed
Undyed
EXPLANATION
Jet Fuel
FOR FUTURE USE
Diesel
Kerosene
--WITHOUT DETAILED EXPLANATIONS, YOUR ADJUSTMENTS MAY BE DISALLOWED--
NOTE: There must be one (1) schedule submitted for each product type or it may be disallowed.
PRODUCT TOTALS THIS PAGE
>
DIESEL AND KEROSENE TOTAL TO LINE 6 (UNDYED SPECIAL FUEL) ON THE MFD1-S/AF REPORT (Total of col. A & B) >
JET FUEL TOTAL TO LINE 6 ON THE MFD 1-S/AF REPORT (Total of col. D) >
Form MFD 6 (Rev. 07/05)

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