Dbpr Form Ab&t 4000a-032 - Notice Of Differential Prices Or Change Of Prices - Department Of Business And Professional Regulation - Florida

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DBPR Form AB&T
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
4000A-032
DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO
Rev. 07/04
1940 NORTH MONROE STREET • TALLAHASSEE, FL 32399-1022
NOTICE OF DIFFERENTIAL PRICES OR CHANGE OF PRICES
(MALT BEVERAGES)
Distributor
Date
Address
License No. JDBW
KLD
City
Beginning Date
Notice No.
-
Page
of
Ending Date
Counties Where Price is in Effect:
SIZE AND
CASE
POSTED PRICE
CASH PRICE
BRAND NAME
PACKAGE
QUANTITY
PER CASE
AFTER POSTING
Authorized Signature
Title
DIVISION APPROVAL
Mail this form to the attention of the Bureau of Auditing to the
address above.
Date
Approved By:

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