Form Dbpr Abt-6018 - Application For Primary American Source Of Supply And Brand/label Registration Page 7

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PRIMARY AMERICAN SOURCE of SUPPY LICENSURE and BRAND/LABEL REGISTRATION APPLICATION
SECTION 4 - Enter all required information below (refer to directions on instruction sheet; attach additional sheets if necessary).
Approval Date
Brand
Container
Alc.
Brand Name
Type*
Proof
(Division Use
Number
Size(s)
% Vol.
Only)
DIVISION USE ONLY
** TYPE: Enter the number code in the “Type” field above:
[1] Distilled Spirit
[10] Malt
Master Number:
[4] Spirits Base Cooler
[11] Malt Base Cooler
Receipt Number:
[5] Pre-mixed Cocktail
[13] Natural Sparkling Wine
[7] Vinous
[15] Cordial Liqueur
[8] Wine Base Cooler
[16] Liqueur
7

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Parent category: Legal
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