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