AZ Form 815
Page 2
Schedule A
Purchases of Spirits or Vinous and Malt/Cider Liquors Received During the Month
Check One Box Only:
Spirit
Vinous
Malt
Cider
Date
Invoice
Name of Supplier
City
State
Gallons
Liters
received
Date
Number
Total this sheet ............................................................................................................................................
Total all continuation sheets .......................................................................................................................
Convert liters to gallons. 1 liter = 0.264172 U.S. gallons ............................................................................
Total gallons this month. Enter here and on line 2a, page 1. .....................................................................
ADOR 20-2048 (3/97)