Authority: IC 8-2.1-18-6
Affected: IC 8-2.1-18
Sec. 32.
POWERS OF ATTORNEY.
POWER OF ATTORNEY
P.S.C.I. M3 No. _____
Cancels P.S.C.I. M3 No. _____
___________________________
(Name of Carrier)
___________________________
(Post Office Address)
_____ , 19 _____
Know all men by this instrument:
That (Name of granting carrier-see paragraph (d) of Rule 5,) a contract carrier of property by motor vehicle, does (do) hereby make, constitute and appoint (Name of principal agent) attorney and agent to publish and file for such carrier (Here specify affirmatively the precise authority given to the agent; that is, either distance tariffs and supplements thereto or tariffs and supplements thereto naming rules and regulations as promulgated by the Department of Transportation to govern the transportation of hazardous material) as permitted or required of contract carriers by motor vehicle under the authority of Department of Transportation issued pursuant thereto and does (do) hereby ratify and confirm all that said attorney and agent may lawfully do by virtue of the authority herein granted and does (do) hereby assume full responsibility for the acts and failures to act of said attorney and agent.
And, further, that (Name of granting carrier-see paragraph (d) of Rule 5) does (do) hereby make and appoint (Name of alternate agent) alternate attorney and agent to do and perform the same acts and exercise the same authority herein granted to (Name of principal agent) in the event and only in the event of the death or disability of (Name of principal agent).
_____________________
(Name of Carrier)
By _____________________
(See paragraph (e), Rule 5) Attest (If a corporation):
, Secretary. (Corporate Seal) Duplicate mailed to , Agent.
_________________________________________________
_________________________________________________
POWER OF ATTORNEY
P.S.C.I. M4 No. _____
Cancels P.S.C.I. M4 No. _____
________________________
(Name of Carrier) ________________________
(Post Office Address)
_____ , 19 _____
Know all men by this instrument:
That (Name of granting carrier-see paragraph (d) of Rule 5), a contract carrier of property by motor vehicle, does (do) hereby make, constitute and appoint (name of agent) attorney and agent to publish and file for such carrier (Here specify affirmatively the precise authority given to the agent; that is, either distance tariffs and supplements thereto or tariffs and supplements thereto naming rules and regulations as promulgated by the Department of Transportation to govern the transportation of hazardous materials) as permitted or required of contract carriers by motor vehicles under the authority of Department of Transportation issued pursuant thereto and does (do) hereby ratify and confirm all that said attorney and agent may lawfully do by virtue of the authority herein granted and does (do) hereby assume full responsibility for the acts and failures to act of said attorney and agent.
____________________
(Name of Carrier)
By ____________________
(See paragraph (e), Rule 5) Attest (If a corporation:
, Secretary. (Corporate Seal) Duplicate mailed to , Agent.
_________________________________________________
_________________________________________________
REVOCATION NOTICE
___________________________
(Name of Carrier)
___________________________
(Post Office Address)
_____ , 19 _____
Know all men by this instrument:
Effective _____ , 19 _____ , power of attorney P.S.C.I. M. _____ No. _____ issued by
(Name of Carrier) in favor of
(Name of agent and of alternate, in any)
________________________________
(Name of Carrier)
By _________________________________
(See paragraph (d) and (e) of Rule 5) Attest (If a Corporation):
, Secretary. (Corporate Seal)
Duplicate mailed to , Agent.
(Name of Agent)
________________________________________________
(Address)
________________________________________________
(Date)
45 IAC 16-3-32
Transferred from the Indiana Utility Regulatory Commission ( 170 IAC 2-3-32) to the Department of State Revenue ( 45 IAC 16-3-32) by P.L. 72-1988, SECTION 12, effective July 1, 1988.