1949 U.S. Internal Revenue Order Form For Opium

United States Internal Revenue Order Form For Opium or Coca leaves, or compounds, manufactures, salts, derivatives or preparations therof under section 2 of the act of Congress, approved December 17, 1914. 

Special tax under said Act in each of the classes and at the location specified below must be paid for a fiscal period covering the date inserted by the purchaser before this form may be used.

Dated: 3/28/1949

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