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Get WA LIQ-871 2012-2024

Ised Report (check box) License Name Location Address YEAR City, State & Zip Current licensee lists are available at LCB website: http://www.liq.wa.gov/taxreporting/licensee-list (1) SUPPLIER'S WSLCB LICENSE NO. (2) PURCHASED FROM SUPPLIER'S NAME (3) WINE LITERS CITY Total Liters / Dollars / Gallons from all other pages (If multiple pages used) (6) GRAND TOTAL Liters / Dollars / Gallons (7) Signature of Person Completing Form (4) SPIRIT DOLLARS ($$) Conversions: Ounces Times the Nu.

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