Power of Attorney No. . . . . . . . . . . . . | |
. . . . . . . . . . . . | |
(Name of company) | |
. . . . . . . . . . . . | |
(Post office address) | |
. . . . . . , 19. . . |
KNOW ALL MEN BY THESE PRESENTS: |
That the (Name of company) has made, constituted, and appointed and by these presents does make, constitute and appoint (Name of agent appointed) its true and lawful attorney and agent for the said company, and in its name, place and stead, (1) for it alone, and (2) for it jointly with other companies, to receive concurrences in, and to file, rate schedules and supplements thereto, as required by the Washington Utilities and Transportation Commission. (Show limitations, if any) . . . . . . . . . . . . |
. . . . . . . . . . . . |
. . . . . . . . . . . . |
And the said (Name of company) does hereby give and grant unto its said attorney and agent full authority to do and perform all and every act and thing above specified as fully, to all intents and purposes, as if the same were done and performed by the said company, hereby ratifying and confirming all that its said attorney and agent may lawfully do by virtue hereof, and assuming full responsibility for the acts and neglects of its said attorney and agent hereunder. |
In witness whereof the said company has caused these presents to be signed in its name by its . . . . . . President and to be duly attested under its corporate seal by its . . . . . . Secretary, at. . . . . , in the state of. . . . . , on this. . . . day of. . . . . . , in the year of our Lord nineteen hundred and . . . . |
. . . . . . . . . . . . | |
(Name of company) | |
By . . . . . . . . . . . . ATTEST Its . . . . . . . . . . . . . . . . . . . . . . . . . , President . . . . . . . . . . . . . . . . . . . . . . . . . Secretary (Corporate seal) |
CONCURRENCE NO. . . . . . |
Name of Company (or individual) . . . . . . . . . . . . . . . . . . . . . . . . |
THIS IS TO CERTIFY |
That the. . . . . . . . assents to and concurs in the publication and filing of Rate Schedules or Supplements thereto which the . . . . . . . . . . . . . . . or its agent, now has on file or may make and file with the Washington Utilities and Transportation Commission over the following route, . . . . . . . . . . . . |
. . . . . . . . . . . . |
and hereby makes . . . . self a party to and bound thereby insofar as such schedules contain rates, rules or regulations applying for services specified, until this authority is revoked by formal and official notice of revocation filed with the Washington Utilities and Transportation Commission and with the . . . . . . . . . . . . |
. . . . . . . . . . . . |
Name of Company . . . . . . . . . . . . | ||
Traffic Officer . . . . . . . . . . . . | ||
Street Address . . . . . . . . . . . . | ||
Post Office . . . . . . . . . . . . | ||
Issued . . . . . . . . . . . . | Effective . . . . . . . . . . . . |
REVOCATION NOTICE
. . . . . . . . . . . . | |
(Name of company) | |
. . . . . . . . . . . . | |
(Post office address) | |
. . . . . , 19. . . | |
Know all men by these presents: | |
Effective . . . . . , 19. . . , power of attorney No.. . . . issued by . . . . . . . . . . . . . . . . . . in favor of . . . . . . . . . . . . . . . . . . is hereby canceled and revoked. | |
. . . . . . . . . . . . | |
Name of Company | |
By . . . . . . . . . . . . ATTEST Its . . . . . . . . . . . . . . . . . . . . . . . . . , President . . . . . . . . . . . . . . . . . . . . . . . . . Secretary (Corporate seal) Duplicate mailed to . . . . . . at . . . . . . |
Wash. Admin. Code § 480-149-150
Order R-16, § 480-149-150, filed 2/3/70; Public Service Commission Cause No. T-9494, filed 4/5/61.