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Form C-Ef - Application For Certificate Of Public Convenience And Necessity For Operation Of Motor Vehicle Carrier

FORM C-EF

PUBLIC SERVICE COMMISSION OF SOUTH CAROLINA

101 EXECUTIVE CENTER DRIVE

POST OFFICE DRAWER 11649

COLUMBIA, SOUTH CAROLINA 29211

CLASS

E (HHG)

DATE

, 20

APPLICATION FOR CERTIFICATE OF PUBLIC CONVENIENCE AND

NECESSITY FOR OPERATION OF MOTOR VEHICLE CARRIER

Application is hereby made for a Certificate of Public Convenience and Necessity, in accordance

with the provision of S.C. Code Ann., § 58-23-10, et seq. (1976), and amendments thereto.

Name under which business is to be conducted (corporation, partnership, or sole

proprietorship, with or without trade name.)

(a) Street Address of Applicant

(b) Mailing address, if different from street address

SS No.

If incorporated, a copy of Articles of Incorporation must be attached.(If

incorporated outside of S.C., need S.C. Secretary of State “Foreign Corporation”

Certificate.)

(a) If a partnership, names and addresses of all persons having an interest in the

business. (b) If a corporation, names and addresses of two principal officers will

be sufficient.

(a)

Class E – the proposed rates and charges for service, rules and regulations

governing same are included herewith, as set forth on Exhibit “A”.

(b)

Class F – Contracts are included herewith.

The proposed commodities to be transported and the area to be served, as set forth

on Exhibit “C” included herewith.

The proposed list of equipment is as per Exhibit “D” included herewith.

Applicant proposes to operate service applied for as follows: (Check one)

(a) Intrastate Only

(b) Interstate Only

Form C-Ef - Application For Certificate Of Public Convenience And Necessity For Operation Of Motor Vehicle Carrier