Form Dst - 201 - Schedule 15b - Terminal Operator Schedule Of Disbursements

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105-24
State of Oklahoma
DST - 201 - 15B
Oklahoma Tax Commission
(12/05)
Schedule 15B
Terminal Operator Schedule of Disbursements
Terminal Name
FEIN
Terminal Code
Month/Year
P
T
RODUCT
YPE (Check One)
065
Gasoline
123
Alcohol
160
Diesel Fuel - Undyed
241
Ethanol
072
Kerosene - Dyed
125
Aviation Gasoline
170
Biodiesel - Undyed
079
E-85
130
Jet Fuel
171
Biodiesel - Dyed
122
Blending Material
142
Kerosene - Undyed
228
Diesel Fuel - Dyed
1
2
3
4
5
6
7
8
9
10
Dest
Carrier
Mode
Supplier
Date
Document
Net
Gross
Carrier
State
Name
Code
Supplier
FEIN
Shipped
Number
Gallons
Gallons
FEIN

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