Form L-2118 - Eligible Purchaser Schedule Of Motor Fuel Purchases

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STATE OF SOUTH CAROLINA
1350
1350
DEPARTMENT OF REVENUE
L-2118
ELIGIBLE PURCHASER SCHEDULE
(Rev. 12/20/07)
OF MOTOR FUEL PURCHASES
4206
PURCHASER NAME
MONTH/YEAR
LICENSE NUMBER
FEI NUMBER
SCHEDULE TYPE
PRODUCT TYPE
CIRCLE ONE
1. Gallons Received User Fee Paid
65
Gasoline
*Enter the number of Gallons exported from
South Carolina bulk storage
167
Low Sulfur Undyed Diesel Fuel
1
2
3
4
5
6
Point Of
Terminal
Supplier
Date
Document
Billed
City
Name
Shipped
Number
Gallons
Origin
Destination
42061010

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