talton jr

20
STATE OF SOUTH CAROLINA (Caption of Case) Example: Application for a Class C Charter Certtficatc from John Doe dba Doe's Limo TaltonH_yb_n, Jr. dba Top Notch Movers ) ) ) ) ) ) ) / ) ) ) ) ) BEFORE THE PUBLIC SERVICE COMMISSION OF SOUTH CAROLINA TRANSPORTATION COVER SHEET DOC]_JET NUMBER: 2013 . 376 . T If thl.q isyour flr.qt tirol filing an appli¢_ion with the FSC,youwillnot havea Docket Number. The Commission will assiLm oneto you.If you havefiMd withtheCommissionbefore, aDocket Numberwas assigned rand .qhould boentered above. (pleasetypeorprint) Submitted by: Talt:on Haybln, 4000 College St:. Address: Newberry, SC 29108 Jr. Telephone: Fax: Other: (803)261-0386 talton.maybln_yahoo.com Emaih oR__ NOTF_:The covershcctandinformation containedherein, neither repl_c_norsupplements the filing and service of pleadings orother papers as required by law. This form is requireA for use by the Public Service Commission of SouthCarolina for the purposeof docketing and must NATURE OF ACTIO:N (Cheek all that apply) [_ Application - Class A/A Restricted [] Application - crass C Taxi [] Application - Class C Charter E_ Application - Class C Charter Bus [-_ Application - Class C Non-Emergency Application - Class C Stretchcr Van [_ Application - Class E Household Goods [_ Application - Class E Hazardous Waste [_ App[icafion [_ Request for Extension to Comply with Order Request forOrder Granting Authority to Obtain a Certificate of Public Convenience and Necessity to be Rescinded ['_ Request for Cancellation of Certificate [] Request for Suspension Request forReinstatement [-'7 Request for Name Change on Certificate E] Request to Amend Scope of Authority [] Request to Amend Tariff (rate increase, ete,) [] Reclucst to Amend Passenger Limit Request _'] Exhibit [] Late-Filed Exhibit Letter ...... [-7 Proposed Ord_- _] Publlsbe_s Affidavit [_ Reservation Letter .......... . Response [] Return to Petitiota [_ Other: If you have any questions about this form, please contact the PUBLIC SERVICE COMMISSION at 803-R96-5100. STATE OF SOUTH CAROLINA (Capt(on of Case) Example: Application t'or s Class C Charter Certificate fmrn John Doe dba Doe's Limo BEFORE THE PUBLIC SERVICE COMMISSION OF SOUTH CAROLINA TRANSPORTATION COVER SHEET Talton Maybin, Jr. dba Top Notch Movers DOCJfFT NUMBER: ) ir this i& your n»i ume fning an spplicsticn with the J&sc, ycu will nor have s Docket Number. The Commission will assign onc to ysv lr you have gled with the Commission before. s Dock&a Number ws& amignsd ) snd should bc entered above. (t&lease typo or print) Talton Maybin. Jr. 4000 collage St. Newberry& SC 29108 Telephone Fax: Other: Ktn ail: (803)261-0386 telton maybingyahoo coin NOTF.: 'i'hc cover &hect snd information contained herein neither roplscm nor supplements the filing snd service of pleadings or other papers es required by lsw This form is required for usc hy the public Service Commission of South Carolina for thc purpose of docketing snd must bc filled out corn letel . NATURE OF ACTIO.q (Check sll that apply) Q Application - Class A/A Restricted Application - Class C Taxi Application - Class C Charter Application - Class C Charter Bus g Applicatinn - Class C Non-Emergency Q Application - Class C Stretcher Van PX Applirstion - Class E Household Goods Q Application - Class E Hazardous Waste Application Q Request for Extension to Cnmply with Order i t Request for Order Granting Authority to Obtain a Certificate ~ of Public Convenience and Necessity to be Rescinded P Request for Cancellation of Certificate Q Request for Suspension Q Request for Reinstatement Request for Name Change on Certificate Q Request to Amend Scope of Authority Request to Amend Tariff (rate increase, etc.) Request to Amend Passenger Limit Request Exhibit Late-Filed Exhibit Q Letter Proposed Order P Publishers Affidavit Q Reservation Lener Q Response Return to Petition Q Other: If you have any questions about this form„please contact the PUBLIC SERVICE COMMISSION nt 803-896-6 1 00,

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Page 1: Talton Jr

STATE OF SOUTH CAROLINA

(Caption of Case)

Example: Application for a Class C Charter Certtficatc from

John Doe dba Doe's Limo

TaltonH_yb_n, Jr.

dba Top Notch Movers

)))))))/

)))))

BEFORE THE

PUBLIC SERVICE COMMISSION

OF SOUTH CAROLINA

TRANSPORTATION COVER SHEET

DOC]_JET

NUMBER: 2013 . 376 . T

Ifthl.qisyourflr.qttirolfiling an appli¢_ionwiththe FSC,youwillnothaveaDocketNumber.The CommissionwillassiLmone toyou.IfyouhavefiMdwiththeCommissionbefore,aDocketNumberwas assigned

rand.qhouldboenteredabove.

(pleasetypeorprint)Submitted by: Talt:on Haybln,

4000 College St:.Address:

Newberry, SC 29108

Jr. Telephone:

Fax:

Other:

(803)261-0386

talton.maybln_yahoo.com

Emaih oR__

NOTF_:The covershcctand informationcontainedherein,neitherrepl_c_norsupplementsthe filingand serviceofpleadingsorotherpapers

asrequiredby law. This form is requireA for use by the Public Service Commission of SouthCarolina for the purposeof docketing and must

NATURE OF ACTIO:N (Cheek all that apply)

[_ Application - Class A/A Restricted

[] Application - crass C Taxi

[] Application - Class C Charter

E_ Application - Class C Charter Bus

[-_ Application - Class C Non-Emergency

Application - ClassC Stretchcr Van

[_ Application - Class E Household Goods

[_ Application - Class E Hazardous Waste

[_ App[icafion

[_ Request for Extension to Comply with Order

Request forOrder Granting Authority to Obtain a Certificateof Public Convenience and Necessity to be Rescinded

['_ Request for Cancellation of Certificate

[] Request for Suspension

Request forReinstatement

[-'7 Request for Name Change on Certificate

E] Request to Amend Scope of Authority

[] Request to Amend Tariff (rate increase, ete,)

[] Reclucst to Amend Passenger Limit

Request

_'] Exhibit

[] Late-Filed Exhibit

Letter ......

[-7 Proposed Ord_-

_] Publlsbe_sAffidavit

[_ Reservation Letter .......... .

Response

[] Return to Petitiota

[_ Other:

If you have any questions about this form, please contact the PUBLIC SERVICE COMMISSION at 803-R96-5100.

STATE OF SOUTH CAROLINA

(Capt(on of Case)Example: Application t'or s Class C Charter Certificate fmrn

John Doe dba Doe's Limo

BEFORE THEPUBLIC SERVICE COMMISSION

OF SOUTH CAROLINA

TRANSPORTATION COVER SHEET

Talton Maybin, Jr.dba Top Notch Movers

DOCJfFTNUMBER:

) ir this i& your n»i ume fning an spplicsticn with the J&sc, ycu will nor

have s Docket Number. The Commission will assign onc to ysv lr you

have gled with the Commission before. s Dock&a Number ws& amignsd

) snd should bc entered above.

(t&lease typo or print)Talton Maybin. Jr.

4000 collage St.

Newberry& SC 29108

Telephone

Fax:

Other:

Ktnail:

(803)261-0386

telton maybingyahoo coin

NOTF.: 'i'hc cover &hect snd information contained herein neither roplscm nor supplements the filing snd service of pleadings or other papers

es required by lsw This form is required for usc hy the public Service Commission of South Carolina for thc purpose of docketing snd must

bc filled out corn letel .

NATURE OF ACTIO.q (Check sll that apply)

Q Application - Class A/A Restricted

Application - Class C Taxi

Application - Class C Charter

Application - Class C Charter Bus

g Applicatinn - Class C Non-Emergency

Q Application - Class C Stretcher Van

PX Applirstion - Class E Household Goods

Q Application - Class E Hazardous Waste

Application

Q Request for Extension to Cnmply with Order

i—

t Request for Order Granting Authority to Obtain a Certificate

~ of Public Convenience and Necessity to be Rescinded

P Request for Cancellation of Certificate

Q Request for Suspension

Q Request for Reinstatement

Request for Name Change on Certificate

Q Request to Amend Scope of Authority

Request to Amend Tariff (rate increase, etc.)

Request to Amend Passenger Limit

Request

Exhibit

Late-Filed Exhibit

Q Letter

Proposed Order

P Publishers Affidavit

Q Reservation Lener

Q Response

Return to Petition

Q Other:

If you have any questions about this form„please contact the PUBLIC SERVICE COMMISSION nt 803-896-6 1 00,

Page 2: Talton Jr

P.O. B_ .534Newberry, SC 29108Tol: (81_) 276.1 t18Fax;(803)278"6922

January 27, 2014

LAW OFFICES

PYATT LAW FIRM, LLC

P.O, Box 12041Cohmabia. $C 29211Tel: (803) 750"5929Fax: (803) 760-fi956_va ttlaw@o vs ttlawfu._,_m_#._

Web: www.ovattlawfirmllemet

Reply W: Columbia Office

PublicServiceCommission of South Carolina

Attn:Clerk'sOffice

Post OfficeDrawer l1649

Columbia, SC 29211

RE: Application of Talton Maybin, Jr. d/b/a Top Notch for a Cla,ss E (Household Goods)

Dqcket No.: 2013-376-TOur Case No.: 2013-082

Dear Sir or Madam:

Enclosed herein for filing are the Transportation Cover Sheet, Application for Certificate of Pub]ic

Convenience and Necessity for Operation of Motor Vehicle Carrier, Regulations and Schedule of

Charges Applicable to Certain Intrastate Household Goods Moves within the State of South Carolina,and Uniform Household Goods Bill of Lading and Freight Bill regarding the above referenced matter.

I have enclosed one (1) copy of each for clocking and return in the stamped, self-addressed envelope

herewith provided.

Should you have any questions, please advise.

William L. Pyatt

WLP/rls

_T :!i'"

Ex_closures

cc: Courtney D, Edwards, Esquire (w/enclosures)

LAW OFFICES

PYATT LAw FIRM, LLC

F.O. Box 584Newtoeny, SC 29108Tel: (Bes) 276 1118Fax: (BII3) 276 6922QyatSJitefina5I2ldLeoutb,OSS

F.O, Box 12041Columbia, SC 29211Tel'803) 750 5929Fax'803) 760-5956

wlgtggatthLu~o!msl

Web:

Reply to'olumbia Office

January 27, 2014

Public Service Commission of South CarolinaAttn: Clerk's C)fiicePost C)%ce Drawer 11649Columbia, SC 29211

RE; Application of Talton Maybin, Jr. d/b/a Top Notch for a Class E (Household Goods)

Our Case No.: 2DI3-082

Dear Sir or Madam:

Enclosed herein for filing are the Transportation Cover Sheet, Application for Certificate ofPublic

Convenience and Necessity for Operation of Motor Vehicle Carrier, Regulations and Schedule of

Charges Applicable to Certain Intrastate Household Goods Moves within the State of'outh Carolina,

and Uniform Household Goods Bill of Lading and Freight Bill regarding the above referenced matter.

I have enclosed one (I) copy of each for clocking and return in the stamped, self-addressed envelope

herewith provided.

Should you have any questions, please advise.

IJ&'-,j'jdWilliam L. Pyatt

WLP/rls

Enclosures

cc: Courtney D, Edwards, Esquire (w/enclosures)

Page 3: Talton Jr

PUBLICSERVICECOMMISSIONOFSOUTHCAROLINA101ExecutiveCenterDrive,SuiteI00

Columbia,SouthCarolina29210(Mailingaddress:PostOfficeDrawer 11649, Columbia, SC 29211)

Phone: (803) 896-5100 FAX: (803) 896-5199

APPLICATION FOR CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY FOR OPERATION OFMOTOR VEHICLE CARRIER

Select Class: (Check one)

I_ E (HHG) - Household Goods

[] E (HAZ) - Hazardous Material

Date: Januaxy 27, 2014

IMPORTANT! If application is to amend scope of authority, a current annual report must be on file with the Commission

hi.fgre application will be accepted. If application is for a NEW CERTIFICATE, do not submit annual report.

Check one:

[] New Application

[] Amended Scope of Authority

Current Scope:

(list counties)

Amended Scope:

(list counties)

1. Name under which business is to be conducted (corporation., partnership, or sole propd_orship, with or without trade name.)

Talton Maybin, J_,, dba Top Notch Movers

#000 College St.,. Newberry, SC 29108Stre_.AddressofApplicant

{803)321-0386

M_ling Address ofApplican_(ifdif_rent _omstreetaddress)

Phone FAX

f'__l+f _. rn=vh'I _(a_r_th n_ - e_om Email Address

,Iftbe Applicant is an LLC or a corporation, a copy of the Certificate of Existence from the South Carolina

Secretary of State and the Articles of Incorporation must be attached. (If incorporated outside of SC, attach South

Carolina Secretary of State "Foreign Corporation" Certificate.)

Ioff0

PUBLIC SERVICE COMMISSION OF SOUTH CAROLINA

101 Exccutivc Center Drive, Suite 100

Columbia, South Carolina 29210

(Mailing address: Post Office Drawer )1649, Columbia, SC 29211)

Phone:(803) 896-5100 FAX:(803) 896-5199

APPLICATION FOR CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY FOR OPERATION OF

MOTOR VEHICLE CARRIER

Select Class: (Check one)

[3E (HHG) - Household Goods

C] E (HAZ) - Hazardous Material

Date: January 27, 2014

IMPORTANT! If application is to amend scope of authority, a current annual report must be on tile with the Commission

befoxe application will bc accepted. If application is for a NEW CERTIFICATE, do not submit annual report.

Check one:

[3 New Application

Amended Scope ofAuthority

Current Scope:(list counties)

Amended Scope:(list counties)

l. Name under which business is to be conducted (corporation, partnership, or sole proprietorship, with or without trade name.)

Talton Maybin, Jt'., dba Top Notch Movers

(s000 Guile e St. Itesrber SO 29108Street Address o App icant

ing ress 0 App Nant I i eront trom street ross)

8 . 3 1-0386Phone

Emsi Address

2. If the Applicant is an LLC or a corporation, a copy of the Certificate of Existence from the South Carolina

Secretary of State and the Articles of Incorporation must be attached. (If incorporated outside of SC, attach South

Carolina Secretary of State "Foreign Corporation" Certificate.)

1 of lo

Page 4: Talton Jr

3. Select Entity Type: (Check one)

[_ Individual Owner/Sole Proprietorship

[_ Partnership - List names and address of all person having an interest in the business.

[] Corporation - List names and addresses of two pri.,eipa] officers,

4. Applicant proposes to operate s¢rvice as follows: (Check one,)

(_ Intrastate Only 0 Interstate Only 0 Both

5, Is applicant certified to provide intrastate transportation of household goods in another state: (Check one.)

0 Yes _Z) No

If yes, attach a letter from the regulatory agency in the state(s) stating applicant is in compliance with the rules and

regulations of said state agency.

6. Has applicant been convicted of operating with no intrastate household goods authority or failure to abide

by the rules and regulations pertaining to the intrastate transportation of household goods in this state or any

other state? (Cheek one.)

C) Yes _) No

I,f yes, list dates and nature of convictions below.

7. Has applicant ever had a certificate authorizing the trhnsportation of household goods revoked in this state or

arty other state? ( Check one.)

O Yes (_ No

If yes, list dates and nature of revocations below.

2oe10

3 Select Entity Type: (Check one)

[3 Individual Owner/Sole Proprietorship

P Partnership - List names and address of all person having an interest in the business.

Q Corporation - List names and addresses of two pri:.cipai officers.

4. Applicant proposes to operate service as follows: (Check onc,) Intrastate Only 0 Interstate Only 0 Both

S. Is applicant certified to provide intrastate transportation of household goods in another state: (Check onc.)

0 Yes ID No

ffyes, aaach a letierfrom the regulatory agency in the state(sl stating applicant is in compliance with the rules and

regulations ofsaid state agency.

6. Has applicant been convicted of operating with no intrastate household goods authority or failure to abide

by the rules and regulations pertaining to thc intrastate transportation ofhousehoid goods in this state or any

other state? (Check one.)

Q Yes I%3 Nc

Ifyes, list dates and nature ofconvictions below.

7. Has applicant ever had a certificate authorizing the tr'ensportation of household goods revoked in this state or

any other state'l ( Check one.)

Q Yes Mo

lfyes, listdates andnature ofrevocatinns below.

2orlo

Page 5: Talton Jr

Applicantisfinanciallyabletofurnishtheservicesasspecifiedinthisapplicationand submitsthefollowing

statement of assetsand liabilities.

BALANCE SHEET

Assets_:

Cash

Receivables

Real Estate

Buildingsand Equipment (Net)

Motor Vehicles(Net)

Garage Equipment (Net)

Machinery and Tools (Net)

Supplies on Hand

Prepaids and Other Assets

Total Assets *

Liabilities andEquity_

Accounts Payable

Notes Payable

Mortgages Payable

Equipment Obligations

Accrued Salaries and Wages

Other Accrued Obligations

Other Liabilities

Total Liabilities

Capital Stock

Retained Earnings

Total Equity

Total Liabilities and Equity *

0

0

N

0

0

Balance at Time Application is Filed:Month Year

* Total Assets = Total Liabilities and Equity

3 ofl0

0

0

0

0

,15.ooo.oo

$15,D00.00 (2000 G'PIC

O

Applicant is financially able to furnish the services as specified in this application and submits the following

statement of assets and liabilities.

BALANCE SHEET

Balance at Time Application is Filed:

Month Year

* Total Assets Total Liabilities and Eqttity

3 ot10

Page 6: Talton Jr

PROPOSED RATES AND CHARGES FOR SERVICE

Prot_osed_ Charges (List only maximum charg,_s per mile or_tr_II_-o_b-__-)2"

$80.00 per hour

COMMODITIES TO BE TRANSPORTED AND AREA(S) TO BE SERVED

Commodities to be Transported: (Check one)

['_ Household Goods, as defined in R 103-2 ]0(1)

[_] Hazardous Wastes, as defined in R103-21.0(2)

_O_e of AuthodW: Che_ck all__c.tJ.R_w_hich _'ou are reoue.s inlL__J °n to ooerate,

You will only be allowed to operate in those counties checked below. You may request "Statewidc"

authority if'you intend to operate in all counties in South Carolina.

Abbeville [-7Cherokee [_ Florer.ze [-']Lce [-']Saluda

E] A.iken [_ Chester [_]Georgetown _] Lexington [_] Spartanburg

13All..dal_ [] Cho.teaio_d C]Groonv,lo D Marion Elsumtor

[] Anderson _] Clarendon [_ Greenwood El Marlboro [_] Union

[] B,=b,,g _ co,_on [] _amp,on [] _,Co,_i,k [--tWil,i,_,b_rg

Barnwell [] Darlington _ Horry r_ Newberry _ York

E3B_fo_ [2D,,o. EllJ_,p_r C o_o.eo

[_ Berkeley [_ Dorchester _ Ker._haw [_ Orangeburg [--"]$t_ttewid,

c,t.o_. _ sd_,_etd _ L,oc..,,o, D Picken,

[-] Chtirleston [_ Fairfield _ Laurens [_ Richland4 ofl0

Ruyttggdjhtttggd

880.00 per hour

PROPOSED RATES AND CHARGES FOR SERVICE

h:~r'eor ' ra )i

COM1VIODITIES TO BE TRANSPORTED AND AREA(S) TO BE SERVED

Commodities to be Transported: (Check one)

3 Household Goods, as defined in R103-210(1)

P Hazardous Wastes, as defined in R103-210(2)

~Re ri~QLutb0~i~hckg)l cojgtlj' a~in exmigpjsttLlp~ee.

You will only be allowed to operate in those counties checked below. You may request "Statewide"

authority ifyou intend ta operate in all counties in South Carolina.

Q Abbev illa

A ikcn

Q Allendale

Anderson

Bamberg

Q Barnwell

Q Beaufort

Q Berkeley

g Calhoun

Charleston

Cherokee

Q Chester

Q Chesterfield

Q Clarcndon

Colleton

Darlington

Q Dillon

Dorchester

Edgefrcid

Q Pairiield

Q Florence

Q Georgetown

Q Green ville

Q Greenwood

Q Hampton

Herry

P Jasper

g Kershaw

Q Lancaster

Laurens

4 of 10

Lce

X Lexington

Marion

Q Marlboro

McConnick

Newberry

Q Gconce

Q Orangcburg

Q Pickens

X Richland

P Saluda

Q Spartanburg

Q Sumter

P Umon

Q Wigiamsburg

Q York

Statcvnde

Page 7: Talton Jr

DESCRIPTION OF EQUIPMENT

You are not required to own a vehicle to file an application. However, prior to being issued a cet'dficate by ORS,

you will be required to have obtained a vehicle.

MAKE YEAR. & MODEL VIN_ EMPTY WEIGHT

GHC 2000 1GDJG3 IR7X 1033633 2, J.00

5 off0

DESCRIPTION OF EQUIPMENT

You are stat required to own a vehicle to file an application. However, prior to being issued a certificate by ORS.

you will bt required to have obtained a vehicle.

EMPTY WEIGHT

5 of 10

Page 8: Talton Jr

INSURANCE QUOTE

This form M.IL___ by an A.tLT.I:LOJg]_ - NC£COM_-ANY J_EPpgsgNTA'TIVILThe insurance quote must be complete, listing current insurance premiums. At the discretion of the Commission, a copy of current

insurance policies may be required. Do not provide a copy of insurance policies unless requested, You wi}l not be required to

pumhue insurance until your application has been approved and _ order has been issued by the PSC, THIS IS ONLY A QUOTE,

The following insurance quote is for:

-- " " .... Name of Applica,_t

': " --- , Address of Applicant /

AM_O_gRt_ofPremium:

Liability Insurance $

Cargo Insurance $

Limits _O j _,_a_ O_ C5 L.

Lie*t, 6 7 ' /Oo 0 C 5 L_

* Attach Certificate of Insurance if available.

_£_/Vl _oo_at,4

Name bf lns_hmce Company

- Home Offf6e Address-of Comp£ny

qct q ,-.'-taJYff

I am familiar with the Commission's Rules and Regulations relating to insurance requirements and the above quote

meets the minimum insurance limits prescribed. The insurance company making this quote is authorized by the

South Carolina Department of Insurance to do business in South Carolina.

lollol cv,Date v Authorized Insurance Company Representative's Signature

* Form E _nd Form H Certificates of Insurance are required to b¢ filed with the Office of Regulatory Staff (ORS). The scheduleof

minlm=m limi_ for Hog.hold Goods carriersare listed below:

Vehicle liability for vehiclesIcssthan 10,000 Ibs,GVWR $ 500,000

Vehicle liability for vehigles10,000 Ibs.or more GVWR $ 750,000

Cargo - For lossof ordamageto propertycarriedon any one motor vehicle $ 2.,500

For lossof or damageto oragg_g_te of lossesor damagesof or to propertyoccurringat $ _,000

_lacc

If you wish to self-insure your motor vehicles for liability and propertydamage,you mustcomplywith S.C, Code Ann. Sections56-9-60and 58.23-010, Formore information,contactVickJ¢ Coker with the Departmentof Motor Vehiclesat (g03) 896-8457.

if you wish to _pply as a self-insured for worker's ¢onlpen_ttion coveragein South Carolinayou may do so with the South CarolinaWork¢YsCompan_ion Commission(WCC) providedthat you will b¢ able to; i) posta suretybondor letter-of.credit with theWCC fors minimum of $500,000, 2) ttgreeto pay a yearly self.insurance tax, and 3) agree'to pay an annual assessmentto the South CarolinaSecondInjury Fufld, For morn information. =ont,_ctthe WCC Self-lnstirmn_eDivision at(803) 737-._712or on the web at www.wcc.s',at¢.

Sc.ustself-inSurancC, 6 Of 10

INSURANCE QUOTE

This form lgI53Jl~hlRLKXJILAMUIIIIpIKII by an hlEIIDThc insurance quote tnust be complete, listing cununt insurance premiums. At tbe discretion of thc Commission, a copy of current

insurance policics may be required. Do not provide a copy of insurance policies unless requested. You will not be required to

purchase insurance until your application has been approved and an order has been issued by the PSC. THIS IS ONLY A QUOTE.

The following insurance quote is for:

Name of Applicant

Address of Applicant

At)INtttt of7rsmtuNLt

Cargo insurance $ «~~I=Limits

v Attach Certificate of Insurance if availablc.

arne ns ce ompuny

ome ice A dress o ompany

I am familiar with the Commission's Rules and Regulations relating to insurance requirements and the above quote

meets the minimum insurance limits prescribed. Thc insurance company making this quote is authorized by the

South Catollna Department of Insurance to do business in South Carolina.

Authorized lnsutance Company Represen

'oun E and Farm H Certificates of Insurance sre required to be filed w(tli thc G((ice of Regulatory Staff ((}RS). The tnbedulc of

minimum limits for Household Goods caniers src )(stas below:

Vehicle hsbillty for vehicles lass than 10,000 lbs. GVWR

Vehicle )iebility for vchiclcs 10,000 lbs. or more GVWR

Cargo - For loss of or dmnage ta propnny carried on any nne motor vehicle

For loss of or damage to or aggregate of losses or damages of or ta property nccurring et

an oaetimeaad lace

$ 500,000

8 750,000

$ 2,500

$ 5,000

2(OTI CFlf you wish to self-insure your motnr vehicles for liability and property 6araage, ynu must cnmply with S c. Code Ann. scminns 56zn60

md 58 23 C(0, Fnr morc information, contact Vlckie Coker with tbe (3cpartmcnt of S(ntnr Vehicles st (803} 896.8457.

(f yav wish tn apply as a self-insured for workm"s compensation cnvcrage in South Carolina you msy do so with the South Carolina

Warker's Compensation Commission (WCC) provided that ynu will b» able to. 1) post s surety bond or letter-sf credit with the WCC far

a minimum of $500,000, 2) agree ta pay a yearly self-insurance tax, snd 3) agree tn Fay an annual assessment ta thc South Caroline

Second lnjwy Fund. For mnre (nformation. contact ihe WCC Self-insurance t)iv(sian st (803) 737.5712 nr on the wcb at www wcrstatc.

tc us/ra)f-insurance. 6 of )0

Page 9: Talton Jr

Tal_o_ Maybin, Jr.

N_ime

U.S.D.O.T No.ICC No.

1. Does Applicant have a Safety Rating from the U.S.D.O.T.7

© Yes No "O

IfYes,indicateratingbelow and providecopy.

C) Satisfactory C) Conditional

.

Pending (Submit when received.)

C) Unsatisfactory

Have any of Applicant's drivers or vehicles been places "out of service" by Trar_sport Police safety o_cers in

the past twelve (12) months?

O Yes CR No

3. Are there currently any outstanding judgment(s) against the Applicant?

0 Yes (_ No

4. Is Applicant familiar with all statutes and regulations: including safety regulations and workers' compensa'do_

laws that govern for-hire motor carrier operations in South Carolina, and does Applicant agree to operate

in compliance with these statutes and regulations?

(_ Yes (9 No

5. Is Applicant aware of the Commission's insurance requirements and the insurance premium costs associatedtherewith? (The Insurance Quote on Page 6 must be completed, listing current insurance premiums.)

(_ Yes 0 No

7of10

ExllihLt~~Wl~li tsw~g~W~

Talton Maybin, Jr.arne

V.S.D.O.T No.

1. Does Applicant have a Safety Rating from the U.S.D.O.T,?

0 Yes Q No Q Pending (Submit when received.)

lfYes, indicate rating below and provide copy.

0 Satisfactory 0 Conditional 0 Unsatisfactory

2. Have any of Applicant's drivers or vehicles been places "out of service" by Transport Police safety officers in

the past twelve (12) months?

Q Yes Qt No

3. Are there currently any outstanding judgment(s) against the Applicant'

Q Yes &Ii No

4, Is Applicant familiar with all statutes and regulations, including safety regulations and workers'ompensation

laws that govern for-hire motor carrier operations in South Carolina, and does Applicant agree to operate

in compliance with these statutes and regulations?

9 Ycs Q No

5. Is Applicant aware of the Commission's insurance requirements and the insurance premium costs associated

Iherewith? (The insurance Quote on Page 6 must be completed. listing current insurance premiums.)

(xl Yes 0 No

?cf10

Page 10: Talton Jr

PUBLIC SERVICE COMMISSION OF SOUTH CAROLINAPOST OFF'ICE DRAWER l 1649

COLUMBIA, SOUTH CAROLINA 292]]

ApplicantisfamiliarwiththeprovisionofS.C.Code Ann. §58-23-I0,etseq.(1976),and amendments thereto,and R.103-I00throughR.103-241oftheCommission'sRulesand RegulationsforMotor Carriers(Volume 26,

S.C.Code Ann. Regs.,1976),and R.38-400throughR.38-503 oftheDepartmentofPublicSafety'sRulesand

RegulationsforMotor Carriers(Volume 23A, S.C.Code Ann., 1976)and amendments thereto,and hereby

promisescompliancetherewith.

S.C.Code Ann. Section58-3-250states,inpart,thateveryfinalorderoftheCommission must be servedby

electronicservice,registeredorcertifiedmail,upon thepartiestotheproceedingortheirattorneys.

Please check the applicable box:

The Applioant AOREES to receive future Commission orders rc]atexito the Applicant's authority in South Carolinal-" throug,h theCommission'seServi_ System.The Applicant mtthodzesthe Commissionto serveitsordersby usingthe c-

mail addressas it appears on page one of this Applicatio_.

I_c_e Applicant DOES NOT AOREE to receive future Commission ordars related to the Applicant's authority in Southt_otinathroughthe Commission's eScrviee System.

The Applicant for the Certificate of Public Convenience and Necessity as set forth in the foregoing, swear or

affirm that all statements contained in the above application are true and correct.

- - Applican_ignature

Title of Applicant (i).g. President, Owner, etc.)

STATE OF SOUTH CAROLINA ))

cOvNrvo_ )" _- _"t "#c,"T_ _ )

. _SVORNToB FoF, ME.

.....N-otaryPublic -"_ ¥'L _"

8 off0

I'UBLIC SERVICE COMMISSION OF SOUTH CAROI. iNA

POST OPPICE DRAWER I 1649

CO'I UMBIA, SOUTH CAROLINA 29211

Applicant is familiar with thc provision of S.C. Code Atm. $58-23-10, et seq.() 976)r and amendments thereto,

and R.103-100 through R.) 03-241 of the Commission's Rules and Regulations for Motor Carriers (Volume 26,

S.C. Code Ann. Regs., 1976), and R.38-400 through R.38-503 of the Department ofPublic Safety's Rules and

Regulations for Motor Carriers (Volume 23A, S.C. Code Ann., 1976) and amendments thereto, and hereby

promises comphance therewith.

S.C. Code Ann. Section 58-3-250 states, in part, that every final order of the Cominission must be served by

electronic service, registered or certified mail, upon the parties to the proceeding or their attorneys.

Please check the applicable bose

Thc Applicant ACrREES to reccivc future Commission orders related to thc Apphcaors authority io South Carolina

through thc Commission's escrvicc System. The Applicant authorires ihc Commission to serve its orders by using thc c-

mai'I address as it appears on page one of this Appllcatios.

'hc Applicant DOES NOT AGREE to teceive future Commission orders related to thc Applicattt'I authority in South

v Camlins through the Commission's eScrvice System.

The Applicant for the Certificate of Public Convenience and Necessity ss sct forth in the foregoing, swear or

affirm that all statements contained in the above application are true and correct.

STATE OF SOUTFI CAROLINA )

COUNTrOF ~ +(1)f ~ 1 ~+)

8 of 10

Page 11: Talton Jr

Detach, complete and remit AFTER your safety audit has been performed by State Transport Police.

Tall:on Maybin, Jr.

Applicant's Name

Safety Certification

rIfyour operations are subject to Safety Fitness Procedures of the Federal Motor Carrier Safety ,Regulations (FMCSR)

(49 CFR Parts 100-199), even if you have not yet received a Safely, Fitness Rating, you must certify as follows:

Applicant has access to and if familiar with all applicable U.S.D.O.T regulations relating to the safe operation ofCommercial vehicles. In so certifying, applicant is verifying that, as a minimum, it:

1. Has in place a system and an individual responsible for ensuring overall compliance with the FMCSR and

the HM regulations;2. Can produce a copy of the FMCSR and the HM regulations;

3. Has in place a driver safety/orientation progrmn;4. Is familiar with the FMCSR governing driver qualifications and has in place a system for overseeing driver

qualification requirements in accordance _Sth 49 CFR Part 391.51C;5.Has inplacepoliciesand proceduresconsistentwith FMCSR governing drivingand operationalsafetyof

commercial motor vehicles, including drivers' hours of service and vehicle inspection, repair, and

maintenance (49 CFR Parts 392;395 and 396);

6. Are in compliance with the Controlled Substance and Alcohol Use and Testing as stated in FMCSR (49 CFR

Part 40, 382, if applicable).

Any applicant who certifle.q they are in compliance with FMCSR and/or the HM regulations and upon completion of a

compliance review audit, is found not m be in compliance, may have its certificate revoked.

PLEASE CHECK THE APPROPRIATE RESPONSE BELOW:

O Yes (_' Not Applicable

Exempt Applicants - If you will operate only small vehicles (GVWR of 26,001 pounds or less) and do not

transport hazardous materials in a quantity to require placarding under the HM regulations and are thus exempt from

the FMCSR and HM rcgulation, you must certify as follows:

Applicant is familiar with and will observe FMCSR general operational safety fitncss guidelines.PLEASE CHECK THE APPROPRIATE RESPONSE B,ZLOW:

(_) Yes ¢_ Not Applicable

I, "fall:on 1,1aybJ.n, J_r. , verify under pcnalty of perjury under the laws of the State of South Carolina, that all

information supplied on this form or relating to this application is truc and correct. Further, ! certify that I am qualified

and authorized to file this application. I know that willful misstatements or omissions of material fact constitute

criminal violations punishable by imprisonment and fine., as prescribed by law. (Note: This oath embraces all

schedules and supplemental filings to this application).

Notary Public ,J_l_ -_C

CommissionExpirc, 0_" _ zd/_

/ " e¢6 c.

PPy

10 of 10

Detach, complete and result AETER your safety audit has been performed by State Transport Police.

Talcon Maybiu, Jr.App i cant's arne

Safety CertificationIfyour operations are subject to Safety Fitness procedures of the Federal Motor Carrier Safety Regulations (FMCSR)

(49 CFR. Parts 100-199), even if you have noi yet received a Safety Fitness Rating, you inust certify as followsi

Applicant has access tn and if familiar with all applicable U.S.D.O.T regulations relating to the safe operatinn of

Commercial vehicles, In so certi Fling, applicant is verifying that, as a minimum, it:

1. Has in place a system and an individual responsible fnr ensuring overall compliance with the FMCSR and

thc HM regulations;2. Can produce a copy nf the FMCSR and the HM regulations;

3. Has in place a driver safety/orientation prognun;4. Is familiar with the FMCSR governing driver qualifications and has in place a system for overseeing driver

qualification requirements in accordance vith 49 CFR Part 391.51C:

5. Has in place policies and procedures consistent with FMCSR governing driving and operational safety of

commercial motor vehicles, including drivers'ours of service and vehicle inspection, repair, and

maintenance (49 CFR Parts 392;395 and 396);6. Are in compliance with the Controlled Substance and Alcohol Use and Testing as stated in FMCSR (49 CFR

Part 40, 3S2, if applicable).

Any applicant who certifies they are in compliance with FMCSR and/or the Bat regolations and upon completion of a

compliance review audit, is fouad not to be in conipliancc, may have its certificate revoked.

PLEASE CHECK THE APPROPRIATE RESPONSE BELOW:

Q Ycs (91 Not Applicable

Exempt Applicants - if you will operate only small vehicles (GVWR ol'26 001 pounds or less) and do not

transport hazardous materials in a quantity to require placarding under thc HM regulatinns and are thus exempt from

the FMCSR and HM regulation, you must ceititt/ as follnws:

Applicant is familiar with and will observe FMCSR general opcratinnal safety fitncss guidelines.

PLEASE CI.IECK THE AFPROPRIATF RESPONSE 8 LOW:

0 res 0 Nnt Applicable

mfy unde'penalty of Perjury under the laws ortho State of South C nii th t il

information supplied nn this form cr relating to this application is true and correct. Further, 1 certify that I am qualified

and authorir~d to file this application. I know that willful misstatements or omissions of material fact constitute

criminal violations punishable by imprisonment and fines as prescribed by law. (Note: This oath embraces all

schedules and supplemental filings to this application).

2 dry~i~. ~CI /10 of 10

Print Application

Page 12: Talton Jr

Top Notch Mover,South Carolina Household Goods Tariff

' ._T_ I _ I1'

REGULATIONS AND SCHEDULE OF CHARGES APPLICABLE TO

CERTAIN INTRASTATE HOUSEHOLD GOODS MOVES WITHIN THE

STATE OF SOUTH CAROLINA

Page I

To Notch Mover South Carolina Household Goods Tariff

REGULATIONS AND SCHEDULE OF CHARGES APPLICABLE TO

CERTA.IN INTRASTATE HOUSEHOLD GOODS MOVES WITHIN THE

STATE OF SOUTH CAROLINA

Page 1

Page 13: Talton Jr

Notch Mover South Carolina Household Goods Tariff

TA.B_EOF CONTENTS

Title Page

Table of Contents

Applicability of Tariff

1,0 Transportation Charges

1,1 Hourly Rates and Charges

1.2 Office Hours / Minimum Hourly Charges

_CTION 22,0

2,1

2,2

2.3

2.4

2.5

2.6

2.7

Additional Services

Elevator or Stair Carry

Excessive Distance or Long Carry Charges

Pick Up and Delivery

Packing and Unpacking

Piano Charges

Articles, Special Servicing

Waiting Time

3,0

3.1

3,2

3.3

3.4

3.5

3.6

Rules and Regulations

Claims

Computing ChargesGoverning Publications

Bill. of Lading, Contract Terms, Conditions

Items of Particular Value

Delays

2

4

4

4

4

6

6

6

6

6

7

7

Page 2

To Notch Mover South Carolina Household Goods Tariff

Title Page

Table of Contents

Applicability of Tariff

QK~C~N1.0 Transportation Charges

1.1 Hourly Rates and Charges

1.2 Office Hours / Minimum Hourly Charges

~(~T~g2 0 Additional Services2.1 Elevator or Stair Carry2.2 Excessive Distance or Long Carry Charges2.3 Pick Up and Delivery2.4 Packing and Unpacking2.5 Piano Charges2.6 Articles, Special Servicing2.7 Waiting Time

5

5

5

5

5

5

5

56

&KMIK33.0 Rules and Regulations3.1 Claims3.2 Computing Charges3.3 Governing Publications3.4 8ill of Lading, Contract Terms, Conditions

3.5 Items of Particular Value3.6 Delays

6666

7

7

Page 2

Page 14: Talton Jr

South Carolina. Household Goods Tariff

_ApplicabiliW, of Tariff

This tariff contains the regulations and rates applicable to the provision of intrastate household

goods moved by Top Notch Mover. These services are furnished between points and places in

Kershaw, Lexington and Richland counties.

Page 3

Top Notch Mover South Carolina. Household Goods Tariff

This tariff contains the regulations and rates applicable to the provision of intrastate household

goods moved by Top Notch Mover. These services are furnished between points and places in

Kershaw, Lexington and Richland counties.

Page 3

Page 15: Talton Jr

South Carolina Household Goods Tariff

1.0 Transportation Charges

Transportation Charges include the hourly rates a, listed below.

1.1 Hourly Rates and Charges

Moves will be conducted on a "straight time" basis, with a minimum hourly charge as set out below plus aetuaJ

travel time. The clock starts at the appropriate hourly rate when the movers leave the Top Notch Mover office

location, a.nd the movers estimate return time to the office location.

Number of.Movers

Two Men and a Truck

Tb_ree Men and a Truck

Four Men and a Truck

Each Additional Man

1.2 Office Hours / Minimum Hourly Charges:

Includes week days, weekends and holidays

H0ur_ Rate

$80.0O

$100.00

$120,00

$20.00 per man/per hour

Two-Hour Minimum Charge

After the minimum hourly charge, the hourly rates are calculated in fifteen-minute increments. Any interim

charge is rotmded up to the next fifteen-minute increment.

Page 4

Top Notch Mover South Carolina Household Goods Tariff

~EC~O~N

1.0 Transportation Charges

Transportation Charges include the hourly rates as listed below.

1.1 Hourly Rates and Charges

Moves will be conducted on a "straight time" basis, with a minimum hourly charge as set out below plus actual

travel time. Thc clock starts at the appropriate hourly rate when the movers leave the Top Notch Mover office

location, and the movers estimate return time to thc office location,

umb f overs HttHrt'~te

Two Men and a Truck

Three Men and a Truck

Four Men and a Truck

Each Additional Man

$ 80.00

$ 100.00

$ 120.00

$20. 00 per man/per hour

1,2 Office Hours / Minimum Hourly Charges:

Includes week days, weekends and holidays Two-Hour Minimum Charge

After thc minunum hourly charge, the hourly rates are calculated in fifteen-minute increments. Any interim

charge is routided up to the next fifteen-minute increment

Page 4

Page 16: Talton Jr

T_op Notch Mover. South Carolina Household Goods Tariff'1' I" I

SECTION 2

2.0 ADDITIONAL SERVICES

The following charges shall be assessed in addition to the hourly rates quoted in. Section 1 of this tariff, in conncetio_

with a move involvi.ng additional items:

2,1. Elevator or Stair Carry

Top Notch Mover does not charge an additional fee for elevator or stair carry, except as specified in

Section 2, ] above.

2.2 Excessive Distance or Long Carry Charges

Top Notch Mover does not charge an additional fee for carrying artioles an excessive distance from the

motor vehicle.

2.3 Pick Up and Delivery

Top Notch Mover does not charge an additional fee for making additional pick- ups or deliveries after

the initial stop.

2,4 Packing and Unpacking

2.4.1 Top Notch Mover does not charge an additional fee for packing and unpacking. The

packing rate is the same as the hourly rate listed in Section I; plus the market price of packing

materials, including sales tax on the materials.

2.4.2 Top Notch Mover is not responsible for items packed by the customer. Boxes

containing fragile or breakable items must be properly labeled. Top Notch Mover reserves the

right to decline any moves consisting of extremely large or fragile items.

2.5

2.6

Piano Charges

Top Notch Mover will not move pianos.

Articles, Special Servicing

The rates and charges ira this tariff do not include servicing or connection of appliances such as

freezers, refrigerators, computer equipment, washers, dryers, televisions, and similva-articles.llI" II IIII ... , i l I.I ..... II , I _ l I,_ l

........... Page 5

Top Notch Mover South Carolina Household Goods Tariff

~SE ~N

2.0 ADDITIONAL SERVICES

The following charges shall be assessed in addition to the hourly rates quoted in Section 1 of this tariff, in conncctioi

with a move involving additional items:

2. I Elevator or Stair Carry

Top Notch Mover does not charge an additional fce for elevator or stair carry, except as specified in

Section 2. l above.

2.2 Excessive Distance or Long Carry Charges

Top Notch Mover does not charge an additional fee for carrying articles an excessive distance from tbe

motor vehicle.

2.3 Pick Up and Delivery

Top Notch Mover does not charge an additional fee for making additional pick- ups or deliveries after

the initial stop.

2.4 Packing and Unpacldng

2.4.1 Top Notch Mover does not charge an additional fee for packing and unpacking, The

packing rate is the same as the hourly rate listed in Section I; plus the market price of packing

materials, including sales tax on the materials.

2,4.2 Top Notch Mover is not responsible for items packed by the customer. Boxes

containing fragile or breakable items must be properly labeled. Top Notch Mover reserves the

right to decline any inovcs consisting of extremely large or fragile items.

2.5 Piano Charges

Top Notch Mover will not move pianos.

2,6 Articles, Special Servicing

The rates and charges in this tariff do not include servicing or connection of appliances such as

freezers, refrigerators, computer equipmcnt, washers, dryers, televisions, and siinilar articles.

Page 5

Page 17: Talton Jr

:otch MoverSouth Carolina Household Goods Tariff

2.7 Waiting Time

The customer is charged the rates specified m Section 1 for all waiting time or delays not at the

fault of Top Notch Mover.

3.0 RULES AND REGULATIONS

3.1 Claims

3,1.I. All claims for loss, damage or overcharge must be written and should be attached to the Bill of

Lading.

3.1.2 Claimant must immediately notify carrier of all claims for concealed damage. Top Notch Mover

must be given reasonable opportunity to inspect damaged items in original packing.

3.1.3 AKhough our movers will be careful with your possessions, from time to time damages may

occur. If damages are caused by our service, Top Notch Mover reserves the right to repair the

damage(s) in question, If we determine that damages cannot be repaired, we reserve the right to

either replace or compensate (actual cash value) for the damage. If there is damage, notify Top

Notch Mover immediately. They will complete a Damage Report before they leave your site. If

you discover damage after the move, call the office within 96 hours of your move. No damage

claims will be honored until the charges for moving services are paid in .full, You will be asked

to sign a Release of Liability acknowledging this,

3.2

3.3

3.4

Computing Charges

Top Notch Mover rates are computed by mu]tiplyirtg the applicable hourly rate by the time as provided

in Section I.

Governing Publications

Top Notch Mover rates and charges are governed by the terms and cor_ditions of this tariff, and the

Rules and Regulations of the South Carolina Public Service Commission.

Items ofParticular Value

Top Notch Mover does not assume any liability whatsoever for documents, currency, credit cards,

jewelry, watches, precious stones or articles of extraordinary value including accoum_, bills, deeds,Page 6

To Notch Mover South Carolina Household Goods Tariff

2.7 Waiting Time

Thc customer is charged the rates specified in Section I for all waiting time or delays not at thc

fault of Top Notch Mover.

+K~CO~

3.0 RLILES AND RKGVLATIONS

3.1 Claims

3.1.1 All claims for loss, damage or overcharge must bc written and should bc attached to the Bill of

Lading.

3..1,.2 Claimant must inunediately notify carrier of all claims for concealed damage. Top Notch Mover

must be given reasonable opportunity to inspect damaged items in original packing.

3.1.3 Although our movers will be careful with your possessions, from time to time damages may

occur. If damages are caused by our service, Top Notch Mover reserves thc right to repair the

damage(s) in question. If we determine that damages cannot be repaired, we reserve the right to

either replace or compensate (actual cash value) for the damage. If there is darnsgc, notify Top

Notch Mover immediately. 'I'hey will complete a Damage Report before they leave your site. If

you discover damage after the move, call the office within 96 hours oi'your move. No damage

claims will be honored until the charges for moving services are paid in full, You will be asked

to sign a Release of Liability acknowledging this.

3.2 Computing Charges

Top Notch Mover rates are computed by multiplying the applicable hourly rate by the time as provided

in Section 1.

3.3 Governing Publications

Top Notch Mover rates and charges arc governed by the terms and conditions of this tarifF, and the

Rules and Regulations of the South Carolina Public Service Commission,

3.4 Items of Particular Value

Top Notch Mover docs not assume any liability whatsoever for documents, currency, credit cards,

jewelry, watches, precious stones or articles of extraordinary value including accounts, bills, deeds.

Page 6

Page 18: Talton Jr

Top Notch Movert '1 '.r 'r"T

South Carolina Household Goods Tariff_ _ r 'F[TITTI '

evidences of debt, securities, notes, postage stamps, stamp collections, trading stamps, revenue stamps.

letters or packets of letters, alcoholic beverages, firearms, coin collections, articles of peculiarly inherent

or intrinsic value, precious metals or articles manufactured there from. Top Notch Mover will not

accept responsibility for safe delivery of such articles if they come into Top Notch Mover's possession

with or without Top Notch Mover's knowledge.

3.5 Bill of Lading, Contract Terms, and Conditions

Each customer will be provided with a copy of Top Notch Mover's Bill of Lading. The terms a_d

conditions of the Bill of Lading, attached hereto, are hereby incorporated by reference.

3.6 Delays

Top Notch Mover shall not be liable for any damages, delays in transporting household goods resulting

from an act of God or fault or neglect of any unforeseen entities.

III I I [ III]11 ._1 gl ,a,, AUlII I I I IIILI I

Page 7

Top Notch Mover South Carolina Household Goods Tariff

evidences of debt. securities, notes, postage stamps, stamp collections, trading stamps, revenue stamps,letters or packets of letters, alcoholic beverages, firearms, coin collections, articles of peculiarly inherentor intrinsic value, precious metals or articles manufactured there from. Top Notch Mover will notaccept responsibility for safe delivery of such articles if they come into Top Notch Mover's possessionwith or without Top Notch Mover's knowledge,

3.5 Sill of Lading, Contract Terms, and Conditions

Each customer will be provided with a copy of Top Notch Mover's Bil! of Lading. The terms andconditions of the Bill of Lading, attached hcrcto, are hereby incorporated by reference.

3.6 Delays

Top Notch Mover shall not be liable for any damages, delays in transporting household goods resulting

from an act of God or fault or neglect of any unforeseen entities,

Page 7

Page 19: Talton Jr

UNIFORM HOUSEHOLD GOODS BILL OF LADING AND FREIGHT BiLL _r_ __

Top Notch Mover, inc.

4000 College Street

Newberry, SC 29108

Phone- {803) 261.0386

-- - ...... ! -- =-_,J,,l'_,_ "....10ii,L,_,_fp]_ll_jllfljle_H=_lHf]llJlll=fzll=[_dml_lf (djilt_L[__j_$,_,,lfzl;g=_l_lFjlijiq,_l.._.'_',l[,J;mj_l= =.lq_'- '_[lllli;;al[altl=Jl.,'4].ll=¢16[o! -- ''

..............................

..... NO_IRCA31dN OF WEIGNT & _-IARGESSHIPP&_ RE'OL_ST$ NOTIFICATION OF ACTUAL J'_WEI_H__ OH_=S tO_R_' SHOV_aa.ow_ L_

RECEIVEDSUBJECT TO ROUTING

GENERALCONDItiONS;

INVOICING;

Gov"r, aft. No.

BtLL. GHARG_=S TO

11-tlSSHII=MF__T WtU. MOVE SUBJECT ,TO

THE RU_,_ ANn COND_Ok_ OF 7H6 _.MIER & "fAR.F, ALL TF.RMS PRINTED OR.m'AMPED HI_RI_ON ORIO._._'_E REVEFI_SIOJ HEREOF. SHIPPEMHEP_=YRSI.P-_R_STH_ ENT'IRE .SHIPMeNt' ,'tO_. VALUE NOTEX'CEEDINS= • _ ,,CARRIER S U-AB_TWFOR_DAMAGE WS_SE,__

_V_JN'I" I$SPECF;EP gv 1'_ii$NIP_eR,• ,, . .... .

SI_INED

*TIME FTECORD

START ....

RN_SH

AM AM Cus_ome_Inl_al=

PM PM CU_lOtlle_S tni_J_l.s

JOB HOUFI$

TRAVEL TIME

TOTAL HOURS

TRANSPORTATION SERVICESHOURLY CHARGE

STRAIGHT TIME

VAN(_;) MEH_ MO_JRSAT$ !_'ER HR,

OVERTiME SEAWCE_ ,.,_

V_t($} W M e N _ . N_R¢ AT s " J _ R H RJ

TRAVELTIME HOURSat $

OTHER CHARGE_

OTHER CHARG;_$

PACKING

tSUF{ANCE -- -

TOTAL

DATE DE'LJVEREO '

DRIVER

C,ONSIGI_EO TO ....

ABDm.e$_

FLOOR, ,ELEV, TEL .....

CrTY .STATE

C_R_,I_OCHECKm_ron_CX_RiEX_Z.r_R_O_REUN_U,SH_SPOSSESSION t_NLE_S IND CATEI_ B;f CAFtRTER, PERSOIYALOHEC.K

WlL I. NOT BE ACCEPTED; "" , " '- ' • ' • ';, _-''ii . *' ii ii • . " i IIIIIII _ --

P,ATE];, RULES AND REGULATIONS IN

TARTFF SEC,

WBGHT AND .._ERVJC_S_] SPACE RES, OU, FT.

EXPEDITED SERVICE ORDERED BY SHIPPER BEUVERED ON OR BEFORE

[] EXCL USE OF VF._, __,CU. FT.

sRc_s TAP_ N_T RAT= C_GeS

TRANSPORTATION __ MILES .... ....

_DO_'LUAS. 0_, (P_ZmSHmMEEr_HAR_E) -- --

M::)D'I'L. TFIANS. (SUROHARG_)___["J ORI_, E_ D_ST ...... --- -

"XTRA PtC_<UPS OR DELIVERIES" NO. BY .......

_T ...... III'l 1

_OEESIVE O_RRY ELEVATOR 8TAIR_ ..

_I.AJ_OHANDUNGh OUT JN HOIST

,DD"rL LABOR _M=,_t', ' FOR .__..MAN HOUR_ ___ __....tAF_EHOUSE HANDLIN_

PJ_N,.q'R"STORAGE: FROM TO . .

.LT. v,a,LUA_ON OHARGE ....

_PLIANCE SERVICES

,,=

I

"i

r

BALANOE DUE: COLLECTED BY " "

OCtjV=Ry A_NI_,wL_D_IEM_'!_Tt SHJ_k_NT WAS R_CEIVED _ _3_O co_omox sXO_m'As _'_o o_ _W_,TOR'_. _NO_,¢=_0ROS_DwexE,_¢_OnM_,

REO'D FOR STORAGE CONSiGNI=_wAm=7#OU_E

BY ,, PER

~ ~

IJNIFORM )HOUSE)50LO GOODS 8!LL OF LAD)kG AND FR8)GHT BILL.

Top Notch Mover, lnc.4000 College StreetNewberry, SC 29108

Phone- (803j 26K-0386~ ~ ~ ~ ~ ~

SHIPPER CONSIGNED TC

ADDRESS ADDRESS

FLOOR ELEV, TEI FLOOR ELEV,

Ci i Y l I. STATE CITY

HOTIRC411 OF WEIGHT a CHARGESSHIPDERWEIGHI'

NOTIFY

ADDRESS

TEL

TATE

RECEIVEDSIJSJECT TO

GENERALCOND I r I QNS:

ROUTINGBATHS, RULES AHO HSGULATIOHS IH

TARIFF SEC.

INVOICING

GDv r, EULNC.

BILL CHARGES TO

WEIGHT AHD SERVICESQ SPACE RES. CIJ. FT

EXPEDITED SERVICE ORDERED BY SHIPPER DELIVERED ON QR BEFORE

Cl EXCL VSE OF VEH, CU FT

GROSS TARE

TRANSPORTATION MILES

ADD'TL LIAB. CHG, IPER SHIPMENT CHARGE)

ADD'll TRANS.ISVRCHARGE) Q ORIG.

EXiRA PICKUPSQR DELIVEFOES: NO, BY

AT

/JET

Q DEST.

RATS CHARGES

SIGNEDiiiPPM Pte

EXCESSIVE CARRY ELEVATOR STAIRS

PIANO HANDLING.'VT IN HOIST

ADDTL LABOR MEPNFOR ~AN HOURS

WAREPIOUSE HANDUNG

TFIANSrr STOBAGSB FFIOM TO

S.I.T. VALIJATION CHARGE

START

TIME RECORD

FINISH

AM AM Customers Initials

PM FM Custsiliws ill)Gals

APPIJAHCE SERVICES ORIGIN DUE

DEBT. DUE

OTHER CHARGES

CARTAGED TO WHSE Cl, FROM WI4SE I), ORIG 0, DEST t) Ml

BARRELS

QUANTITY

JOB HOUAS

TRAVEL TIME

TOTAL HOURS

CARTONS

CARTONSCARTONS

CARTONS

CARTONS

LESS THAN 1 t Ja

4 I/2

TRANSPORTATION SERVICESHOURLY CHARGE

STRA IB H 7 11IIIE

vAH(sl MEH~HDUHEATS Pvl HH,

OVERTI)SS SERVICES

VAHISI MSH . HuuRS ATE NH HR.

TRAVEL TIME HOURS at 5

OTHER CHAFIGESOTHER CHARGESPACI.ING

ISIJAANCETOTAL

DATE DELIVERED

DRIVEFI

» ~ ~ we preim HH A Rl E

CR(B MAITFIESS

WARDROBES FUSE OF)

MA i i RESS CAFITOH NOT DXCEEDINiG 59 4 75

MATTRESS CARTON NOT EXCEEDING 54 x 75

MATTRESS CARTON EXCEEDING 54 x 75

C RATiES MIRROR CARTONS

TOTAL PACXING

TOTAL CHARGES

BY PERU Si DA is

POHM pepx ieei HMH pe Ipp ~ peif pmp Iveve HVH Mps tH1lie Hti Hpppx

TOTAL CHARGES O CHGS Cl PFDQ C.O.C. CG.B.L.

PREPAYMEIUT: COLLECTED BY

BALANCE DUE'OL'LECTED BY

DHUVSHV ACHHOlVLSDDSMSVTP SuiPMEH WAS RECEIVED WOODDCDHDmOH EXCSPVAS HDT D OH SVVB& CHV, AUD ESHVIDES

OS DERED WERE PERPOilMED,REC'D FOFI STORAGE CONSIGIUEF.

CSE

Page 20: Talton Jr

1507 Bush River Road- Columbia, SO 29210

803. 750.5929 (Office)803. 750.SgSB (Fax)Emall: pyattlaw_pyattlawfirm.net

Pyatt Law Firm, LLC

Rl_oda Stephens

To: Public Service Commission of SC From:Legal Secretary to: William L. Pyatt

AtlI_ Waglm= 21(Including Covemheet)

Phene= (803)896-5100 Date." February 4, 2014Talton Maybin, Jr. d/b/a Top Nu[d, for a

Fax: (803)896-5199 Re=, Class E (l_ousehold Goods)

Docket No.: 2013-376-T

COMMENTS:

Dear Sir or Madam:

Please find attached the Transportation Cover Sheet, Application for Certificate of PublicConvenience and Necessity for Operation of Motor Vehicle Carrier, Regulations endSchedule of Charges Applicable to Certain Intrastate Household Goods Moves within theState of South Carolina, end Uniform Household Goods Bill of Lading arid Freight Bill

regardingLthe above referenced matter.

URGENT! Please reply

Please replyNo reply necessary

CONIClDIEI_rl"IAi, ITY NO_T__; The Information contained in this fecsimUe message is legally

privileged and oonflclentlal and Is intended only for the usa of the Individual or entity namdabove, If the rmider of this nlesseqle is not the intended rm:ipient, you are hereby notified

that any dlsseminatlon_ distribution or oopy of this teleoopy is prohibited, If you

received _is tele_opy in error, please notify us by telephone _md return the original

message to us it the saltines- above vie the US mail. Thank you.

1507 Bush River Road - Columbia, SC 29210803. 750.6929 (Office)803. 750. 5968 (Fax)Emag: pyattlaw@pyattlawftrm,nst

Tor Public Service Commission of SC proneRhode Stephens

Legal Secretary io: William L, Pyali

Phasm (803)895-5100

Psx: (603)896-5199

Feasor 21(lndudihg Coveraheei)

Date: February 4, 201 4

Talion Maybin, Jr. rybfs Top Notch for aClass E (household Goods)Docket No.; 2013-376-T

COMMENTS:

Dear Sir or Madam:

Please find attached the Transportation Cover Sheol, Application for Certificate of PublicConvenience and Necessity for Operation of Motor Vehicle Carrier, Regulations andSchedule of Charges Applicable to Certain Intrastate Household Goods Moves within theState of South Carogna, end Uniform Household Goods Bill of Lading and Freight Bill

regarding lhe above referenced matter.

URQENTI Please replyPlease replyNo reply necessary

N - The Information contained in this facsimile messsao is legally

privgeged snd oonitdendsl snd is Intonderl only for the noo of the individual or entity named

shove. If ihe roader of this message is not the intended recipient, you sre hereby notgled

that any dlssorninstlon, rhstrtlnstlon or copy ol this inleoopy is prohlhhod. k yon hove

resolved this tolooopy in enor, please notiiy us hy telephone and retunr tho ortghrot

message to us nt the address shove vin ihs US mall. Thsnh yon.