Authority: IC 8-2.1-18-6
Affected: IC 8-2.1-18
Sec. 29.
PUBLICATION, FILING AND POSTING OF SCHEDULES.
NOTE A-Rates shall be stated in cents or in dollars per 100 pounds, per mile, per hour, per ton of 2,000 pounds, per ton of 2,240 pounds, per truckload of specified amount or per other defined unit.
___________________ (Correct Name of Carrier)
___________________ (Permit or Docket No.)
___________________ (Complete Address)
___________________ (Date)
Transmittal No. __________
The accompanying contract carrier schedule is sent to you for filing in compliance with the requirements of the Motor
Carrier Act, issued by _____ , and bearing P.S.C.I. No. _____ ; or Supplement No. _____ to P.S.C.I. No. _____ effective
_____ .
The following contracts or amendments to contracts with shippers for the transportation of property are sent to you for filing in compliance with the Regulations of the Commission. ________________________ ______________________
Name and address of shipper (Effective date of contract)
________________________ ______________________
Name and address of shipper (Effective date of contract)
________________________ ______________________
Name and address of shipper (Effective date of contract)
Signed ___________________________
Title _________________________
LETTER OF AUTHORIZATION TO FILE SCHEDULES OF CONTRACT CARRIERS
__________________________
(Complete name of carrier)
Permit or Docket No. _____
__________________________
__________________________
(Complete Address)
Date ________________
TO THE PUBLIC SERVICE COMMISSION OF INDIANA
901 STATE OFFICE BUILDING INDIANAPOLIS, INDIANA 46204 This is to certify that
(Name and address of individual authorized to act) is hereby authorized to sign letters of transmittal and transmit to the Commission thereunder for filing in compliance with the Motor Carrier Act, as amended, schedules and supplements thereto issued in the name and P.S.C.I. series of the carrier named herein, and contracts or amendments to contracts.
All such schedules and supplements are to be considered the official filings of the carrier named herein when tendered for filing by the individual named in the first paragraph hereof.
Name of Carrier ____________________
By ____________________
Verification:
The above statement was subscribed and sworn to before me this _____ day of _____ , 19 _____ .
___________________
Notary Public
45 IAC 16-3-29
Transferred from the Indiana Utility Regulatory Commission ( 170 IAC 2-3-29) to the Department of State Revenue ( 45 IAC 16-3-29) by P.L. 72-1988, SECTION 12, effective July 1, 1988.