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FORM NO. H.D.3
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(See Chapter VIII, Vol.III)
Licence for the retail sale of BHANG
 
Note:- Counterfoil of this licence will be signed by the licensee and filed in the Collector's office.
District:-
No.of Licence in Register:-
Name vendor:-
Locality of vend
Be it known that
Resident of
Is hereby authorized to the undersigned. Collector of Keonjhar to open a shop at___________for the retail sale of Bhang from the date of this licence to the 31st March,19……….
It is required of the holder of this licence, as a non condition of this licence remaining in force, that he duly and faithfully perform and abide to the following articles and the general conditions applicable to all Excise Licences hereto annexed:-
  1. I.That he pay to Government in advance a monthly fee of Rs……………in the following manner:-

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