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DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-1022 DBPR Form AB T 4000A-125-2 Rev. 12/03 BEVERAGES SHIPPED TO / WITHIN FLORIDA WINES shipped to / within Florida during the month of Name Yr Address City State Telephone No. Zip Contact Person List each shipment and file on or before the 10th of each month to the address above ATTN Bureau of Auditing LESS 17. 259 NATURAL THAN CIDER OR MORE SPARKLING...
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Florida Form 4000a 125 2
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