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COLONY INSURANCE COMPANY CONVENIENCE STORE PDQ SUPPLEMENTAL APPLICATION General Agent Name Insured Name Date: Address GENERAL INFORMATION Operating Hours: Receipts: Food: Liquor: Gas: Other: TOTAL:
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How to fill out gallons of gas:

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Park your vehicle next to a gas pump at a gas station.
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Gallons of gas refers to the total amount of gasoline or fuel used or sold by an individual or business.
Businesses that sell or use gasoline or fuel are required to file gallons of gas with the appropriate authorities.
You can fill out gallons of gas by documenting the total amount of gasoline or fuel used or sold within a specified period and submitting it to the relevant agency or department.
The purpose of gallons of gas is to track and monitor the usage of gasoline or fuel for regulatory compliance and taxation purposes.
The information that must be reported on gallons of gas includes the total amount of gasoline or fuel used or sold, as well as any associated taxes or fees.
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