Utah State Tax Commission
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TC-391
Rev. 2/90
Schedule of Exempt Beer Sales to the United States Government
Name Address Account number Month
20 ____
Date Invoice or Reference number Number of cases and barrels Name of transporter Name of purchaser Destination Consignee and address 24/ 11 oz. 24/ 12 oz. 12/ 32 oz. 1/4 BBL 1/2 BBL 1/1 BBL
Total packages (Cases or kegs) Factor for conversion to barrels (multiply) Total barrels (Barrel = 31 gals. or 3968 oz.) Round two decimal places. Grand total barrels To form TC-386, line 7. (Attach Certificate of Exemption,TC-392.) Attach this form to Beer Tax Return, TC-386.
Total .06653 .07258 .09677 .25 .5 1
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Print Form TC-391.CDR 11/94