Schedule 501a - Terminal Operator'S Schedule Of Receipts

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SF# 49088
Schedule 501A
(R3 \ 12-08)
Terminal Operator’s Schedule of Receipts
Terminal Operator Name
License Number
FEIN
Terminal Code
Month/Year
.
You may photocopy this blank schedule for future filings. Attach additional sheets if necessary
Please see the product code matrix on the Web site at
Transporter Information
Position Holder Information
(2)
(7)
(8)
(1)
(3)
(4)
(5)
(6)
Name/
Name
FEIN
Document
Document
Net
Mode
FEIN
Address
Date
Number
Gallons
Total

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Parent category: Financial
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