Arizona Form 800-25 - Cigarette Distributor'S Monthly Report - 1998 Page 3

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AZ Form 800-25
Page 3
Attach Schedule C
Schedule D
List All Sales to Tax Exempt Purchasers By Reservation
Number of Packages Sold
Invoice
Green
Blue
Red
Registration #/Name
Reservation
Tax Free
Total
$.725
$.50
Subtotal By Tribe
Subtotal By Tribe
Subtotal By Tribe
Total
ADOR 20-2042 (9/98)

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