Application For Motor Carrier Certificate Before The Alabama Public Service Commission Page 4
ADVERTISEMENT
1
2
3
4
5
6
7APPENDIX “B”
MOTOR VEHICLE LIST
TO:
ALABAMA PUBLIC SERVICE COMMISSION
P. O. BOX 304260
MONTGOMERY, AL 36130
LEGAL NAME:
MAILING ADDRESS:
CITY:
STATE:
ZIP CODE:
The above mentioned carrier hereby describes that the following vehicles are used in Motor Carrier
operations:
MAKE
CAPACITY
MODEL
TAG NUMBER
VIN NUMBER
(Last 10 Digits)
Attach additional sheet if needed or list provided by Company
I, the undersigned, under penalty for false statement, do hereby certify that the above information is true and
correct and that I am authorized to execute and file this document on behalf of the above carrier. I further
understand that this list must be maintained in accordance with Alabama Public Service Commission rules and
must be furnished to the Alabama Public Service Commission upon request.
______________________________________________________
(Signature)
______________________________________________________
(Title)
(Date)
Revised 2012
APSC Form No. 14H
-4-
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form 23-ep - Application For Enrollment To Practice Before The Internal Revenue Service As An Enrolled Retirement Plan Agent (erpa)
Education
Form 23-ep - Application For Enrollment To Practice Before The Internal Revenue Service As An Enrolled Retirement Plan Agent (erpa)
Education
Related Categories
Parent category: Business