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Get Mc 368 - Biodiesel Producer-user Report

R Report Period: PLEASE PRINT OR TYPE Name and Location Address: Account No. MUST BE FILED BY THE LAST DAY OF EVERY MONTH FOR TRANSACTIONS OCCURRING IN THE PRECEDING MONTH DATE OF PRODUCTION TYPE OF FUEL PRODUCED AND/OR USED GROSS GALLONS TOTAL GALLONS FY 09 CLEAN UP FEE * STATE GROSS TAX RATE TOTAL GALLONS X $ 0.0075 $ 0.27 $ 0.2775 TOTAL TAX DUE Sign below and remit to: Department of Motor Vehicles Motor Carrier Division 555 Wright Way Carson City, NV 89711-0600.

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