Statement Of Earnings - Sc Public Service Commission - 2000

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SOUTH CAROLINA PUBLIC SERVICE COMMISSION
GROSS RECEIPTS FOR THE TWELVE (12) MONTHS ENDING DECEMBER 31, 2000
HAZARDOUS WASTE FOR DISPOSAL CARRIERS
______________________________________________________________________________
Company Name
FEIN
______________________________________________________________________________
Address
Telephone #
______________________________________________________________________________
City
Officers of Company:
President _____________________________________________
Secretary _____________________________________________
Treasurer _____________________________________________
STATEMENT OF EARNINGS
Total Intrastate Regulated Receipts in South Carolina for the Twelve (12)
Months Ending December 31, 2000 $ ______________________
Certificate Number: ____________________________
State of ___________________________________________________________
County of _________________________________________________________
Personally appeared before me _______________________________________
Who, being duly sworn, says that he/she is the __________________________
Of the __________________________ Company and that the foregoing
statement for the year ending December 31, 2000 is correctly taken from the
books and records of said Company, and is true to the best of his/her
knowledge and belief.
Sworn to before me this ___________ day of ___________ , 2000____.
________________________________
_____________________
________________________________ (L.S.)
Notary Public
Return Address:
Public Service Commission of South Carolina
Audit Department-Attn. Harold Callaway
P.O. Drawer 11649
Columbia, SC 29211
Return Deadline August 31, 2000

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