Free 810ftf-7-03.p65 - California


File Size: 102.3 kB
Pages: 1
Date: July 24, 2003
File Format: PDF
State: California
Category: Tax Forms
Author: GVaughn
Word Count: 78 Words, 560 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.boe.ca.gov/sptaxprog/pdf/boe810ftf.pdf

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BOE-810-FTF (7-03)

STATE OF CALIFORNIA

GENERIC DISBURSEMENT SCHEDULE
(If additional space is needed, please photocopy the schedule before making entries.)

BOARD OF EQUALIZATION Page of
(e) MONTH/YEAR

(a) COMPANY NAME

(b) ACCOUNT NUMBER

(c) SCHEDULE CODE

(d) PRODUCT CODE

(1) CARRIER NAME

(2) CARRIER FEIN

(3) MODE

(4) POINT OF ORIGIN (TCN or State/Province) DESTINATION (TCN or State/Province)

(5) BUYER'S NAME

(6) BUYER'S FEIN

(7) DOCUMENT DATE

(8) DOCUMENT NUMBER

(9) NET GALLONS

(10) GROSS GALLONS

(11) BILLED GALLONS

TOTAL
CLEAR

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