[OMITTED

ANNEXURE-35

Monthly Return of Stocks and Receipts of Central Excise Stamps obtained on credit/Cash

Name of factory .................. Superintendent of Central Excises. Range........Address........Division............		Address...............................                     Month........20........
I. Unused Opening balance ------------------------------------ Received from the Treasury -------------------------		Rs. __________________
	Total	__________________
Affixed to boxes and booklets and stored in store-room Damaged and handed over to the proper officer ------- Lost in process or otherwise not accounted for -------- Closing balance --------------------------------------		__________________
	Total	__________________
II Affixed to boxes or booklets Opening balance ------------------------------------- Brought into store-room. -----------------------------		Rs. __________________
	Total	__________________
Cleared from factory --------------------------------- Closing balance --------------------------------------		__________________
	Total	__________________
III Central Excise Stamps Purchased For Cash Opening balance ------------------------------------- Received from the Treasury --------------------------		__________________
	Total	__________________
Affixed to boxes or booklets -------------- Damaged and handed over to the proper officer ------- Lost in process or otherwise not accounted for -------- Closing balance --------------------------------------		__________________
	Total	__________________

I declare that to the best of my knowledge and belief the information furnished herein is true and complete.

Place:

Date:

Signature of assessee

[Note:-For Central Excise Stamps purchased on cash, only Part III should be filled] ]

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