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Get CA CDTFA-269-A (Formerly BOE-269-A) 2018-2024

E preparing this report. (a) ACCOUNT NUMBER (b) FOR MONTH OF (c) Year (d) TAXPAYER (name of importer) Page of NAME OF SHIPPER CITY AND STATE OR COUNTRY NAME OF COMMON CARRIER 1 2 CDTFA USE ONLY CODE NUMBER 3 R.R. CAR NO. NAME OF VESSEL AND VOYAGE NO. OR TRUCK TRAILER NO. 4 WAYBILL, BILL OF LADING, OR FREIGHT BILL NUMBER 5 BEER STILL WINE 2. 3. 4. 5. 6. 7. 8. 9. 10. INVOICE NO. DATE RECEIVED CASE GALLONS KEG GALLONS NOT OVER 14 PERCENT GALLONS OVER 14 PERCENT GALLONS WINE.

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