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STANDARD QUOTATION SPECIFICATION FORM VENDOR OF RECORD 1. STATE 3. BRAND NAME 5. STATE STOCK 8. TYPE 11. AGE/VINTAGE 15. DISTILLED/PROD. BY 16. ADDRESS 17. BOTTLED BY 19. SOLD UNDER ANY OTHER LABEL STATE CODE 2. DATE SUBMITTED 4. EFFECTIVE DATE 7. SPECIAL PURCHASE ORDER PLAN 10. FORMULA 13. DOMESTIC 14. IMPORTED 14a INBOND YES NO 6. BAILMENT 9. CLASS 12. PROOF/ALCOHOL 20. SHIP POINT REASON FOR CHANGE AGE/VINTAGE/PROOF CHANGE SIZE CHANGE SCC/UPC CHANGE PROOF AGE EXPLAIN 22. FRT. PER CWT 21. FOB POINT CASE COST CHANGE VENDOR CHANGE NEW ITEM OTHER 3 LITER/ 1. 75 LT/ 4 LITER PALLET/TIER/WEIGHT CHANGE PACK CHANGE OTHER Explain on Line 54 375 ML/ 200 ML/ 50 ML/ 750 ML 500 ML 187 ML 100 ML 32. UNIT PACK 33. OUNCES PER BOTTLE 34. BOTTLES / SLEEVE 35. VENDOR - UPC COMPANY - 6 DIGIT - UPC BRAND - 6 DIGIT 36. 2ND VENDOR - UPC COMPANY - 6 DIGIT 37. SHIP. CONT. CODE - SCC first 8 digits SHIP. CONT. CODE - SCC last 6 digits 39. CASES / PALLET CASES / LAYER 40. CASE WEIGHT LBS 41. NET COST FOB SHIP POINT 42. U*S* FREIGHT 43. OCEAN FREIGHT 44. MARINE INSURANCE 45. OTHER CHARGES / BAILMENT 46. DISCOUNT OR INSERT NET 47. TOTAL INVOICE COST 48. CASE DIMENSIONS L/W/H INCHES 49. BOTTLE DIMENSIONS D/W/H 50. LAST/PREVIOUS QUOTED COST 51. DATE LAST/PREVIOUS QUOTE 52. CASE COST INCREASE/DECREASE 53. CASE COST 54. REMARKS INDICATE MI ADA 55. Is this a product for which you want a limited listing period. 56. TERMS NET/DISC. 57. REPRESENTATIVE FOR THE STATE NAME LIC NO TELEPHONE FAX STATE USE If yes the listing ends / 58. AGE/VINTAGE 15. DISTILLED/PROD. BY 16. ADDRESS 17. BOTTLED BY 19. SOLD UNDER ANY OTHER LABEL STATE CODE 2. DATE SUBMITTED 4. EFFECTIVE DATE 7. SPECIAL PURCHASE ORDER PLAN 10. FORMULA 13. DOMESTIC 14. IMPORTED 14a INBOND YES NO 6. DATE SUBMITTED 4. EFFECTIVE DATE 7. SPECIAL PURCHASE ORDER PLAN 10. FORMULA 13. DOMESTIC 14. IMPORTED 14a INBOND YES NO 6. BAILMENT 9. CLASS 12. PROOF/ALCOHOL 20. SHIP POINT REASON FOR CHANGE AGE/VINTAGE/PROOF CHANGE SIZE CHANGE SCC/UPC CHANGE PROOF AGE EXPLAIN 22. BAILMENT 9. CLASS 12. PROOF/ALCOHOL 20. SHIP POINT REASON FOR CHANGE AGE/VINTAGE/PROOF CHANGE SIZE CHANGE SCC/UPC CHANGE PROOF AGE EXPLAIN 22. FRT. PER CWT 21. FOB POINT CASE COST CHANGE VENDOR CHANGE NEW ITEM OTHER 3 LITER/ 1. 75 LT/ 4 LITER PALLET/TIER/WEIGHT CHANGE PACK CHANGE OTHER Explain on Line 54 375 ML/ 200 ML/ 50 ML/ 750 ML 500 ML 187 ML 100 ML 32. FRT. PER CWT 21. FOB POINT CASE COST CHANGE VENDOR CHANGE NEW ITEM OTHER 3 LITER/ 1. 75 LT/ 4 LITER PALLET/TIER/WEIGHT CHANGE PACK CHANGE OTHER Explain on Line 54 375 ML/ 200 ML/ 50 ML/ 750 ML 500 ML 187 ML 100 ML 32. UNIT PACK 33. OUNCES PER BOTTLE 34. BOTTLES / SLEEVE 35. VENDOR - UPC COMPANY - 6 DIGIT - UPC BRAND - 6 DIGIT 36. UNIT PACK 33. OUNCES PER BOTTLE 34. BOTTLES / SLEEVE 35. VENDOR - UPC COMPANY - 6 DIGIT - UPC BRAND - 6 DIGIT 36. 2ND VENDOR - UPC COMPANY - 6 DIGIT 37. SHIP. CONT. CODE - SCC first 8 digits SHIP. CONT. CODE - SCC last 6 digits 39. 2ND VENDOR - UPC COMPANY - 6 DIGIT 37. SHIP. CONT. CODE - SCC first 8 digits SHIP. CONT. CODE - SCC last 6 digits 39. CASES / PALLET CASES / LAYER 40. CASE WEIGHT LBS 41. NET COST FOB SHIP POINT 42. U*S* FREIGHT 43. OCEAN FREIGHT 44.

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