Form DPSSP6709 "Minimum Monthly Fuel Sales Meter Reading Report" - Louisiana

What Is Form DPSSP6709?

This is a legal form that was released by the Louisiana State Police - a government authority operating within Louisiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2015;
  • The latest edition provided by the Louisiana State Police;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DPSSP6709 by clicking the link below or browse more documents and templates provided by the Louisiana State Police.

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Download Form DPSSP6709 "Minimum Monthly Fuel Sales Meter Reading Report" - Louisiana

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LOUISIANA GAMING CONTROL BOARD
GAMING ENFORCEMENT DIVISION
7919 INDEPENDENCE BLVD (BOX A-17)
BATON ROUGE, LA 70806
MINIMUM MONTHLY FUEL SALES METER READING REPORT
Month of _________, 20______
LICENSE NUMBER:
TYPE OF FUEL
Mechanical or Console Reading
(Circle One)
LICENSE NAME:
**Please attach console report**
Pump
Beginning Reading
Ending Reading
Gallons Sold
No.
1
2
3
4
5
6
7
8
9
10
TOTALS
Less Adjustments : (GALLONS)
Please Attach Explanation
TOTAL GALLONS SOLD
Initials of Preparer
DPSSP 6709 (rev 5/2015)
LOUISIANA GAMING CONTROL BOARD
GAMING ENFORCEMENT DIVISION
7919 INDEPENDENCE BLVD (BOX A-17)
BATON ROUGE, LA 70806
MINIMUM MONTHLY FUEL SALES METER READING REPORT
Month of _________, 20______
LICENSE NUMBER:
TYPE OF FUEL
Mechanical or Console Reading
(Circle One)
LICENSE NAME:
**Please attach console report**
Pump
Beginning Reading
Ending Reading
Gallons Sold
No.
1
2
3
4
5
6
7
8
9
10
TOTALS
Less Adjustments : (GALLONS)
Please Attach Explanation
TOTAL GALLONS SOLD
Initials of Preparer
DPSSP 6709 (rev 5/2015)