Form Wv/dis-01 - Distributor'S Summary Of Wine Purchases, Sales & Inventory Page 2

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DISTRIBUTOR'S REPORT
SCHEDULE A
SUPPLIER PURCHASES (LIST ONLY PURCHASES FROM SUPPLIERS)
INVOICE
INVOICE
CONSIGNOR
DATE
NO.
NAME OF WINERY OR SUPPLIER
LOCATION
LITERS
TOTAL SCHEDULE A (TO BE ENTERED ON LINE 2)
SCHEDULE B
TRANSFERS IN (LIST ONLY PURCHASE TRANSFERS FROM OTHER WV DISTRIBUTORS)
INVOICE
INVOICE
CONSIGNOR
DATE
NO.
NAME OF WV DISTRIBUTOR
LOCATION
LITERS
TOTAL SCHEDULE B (TO BE ENTERED ON LINE 3)
SCHEDULE C
TRANSFERS OUT (LIST ONLY SALES TO OTHER WV DISTRIBUTORS)
INVOICE
INVOICE
CONSIGNOR
DATE
NO.
NAME OF WV DISTRIBUTOR
LOCATION
LITERS
TOTAL SCHEDULE C (TO BE ENTERED ON LINE 7)
ATTACH ADDITIONAL COPIES IF NECESSARY
INVOICE COPIES MUST BE ATTACHED

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