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State Tax ID: Unprocessed Retail Marijuana Transferred during : Month/year Pounds or Items AMR * Taxable Value 1 Weight in Pounds of Bud/Flower Transferred X $649 $ 2 Weight in Pounds of Shake/Trim Transferred X $204 $ 3 Number of Immature Plant Transfers X $14 $ 4 Weight in Pounds of Wet Whole Plants X $71 $ 5 Number of Seeds X $9 $ 6 Bud Allocated for Extraction Rate X $354 $.

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