Form 374 - Non-Resident Brewery Monthly Report Of Beer Deliveries Into Maryland

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NON-RESIDENT BREWERY MONTHLY REPORT
FORM
374
OF BEER DELIVERIES INTO MARYLAND
NON-RESIDENT BREwERy: __________________________________________________________________
FOR THE MONTH OF _________________20_______
PERMIT NUMBER: _________________________________________________________________________
CONSIGNEE: (One Consignee Per Page) ________________________________________________________
Page ______ of ______
1
2
CASES OR KEGS
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Invoice
DATE
1/4
50 L
1/6
Number
24/7
24/10
24/11.2
24/12
24/16
24/22
12/32
½ Keg
12/25.4
Keg
Keg
Keg
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24 Total Cases/Kegs Shipped
Total Gallons for
this Consignee:
25 Multiply by Conversion Factor
1.313
1.875
2.100
2.250
3.000
2.063
3.000
7.750
15.500
13.210
5.167
2.381
26 Total Gallons by Container
COM/RAD 374
08/13

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