CERTIFICATE OF LEASE
This is to certify that this unit is being operated by _________________________________________
(Name of Authorized Carrier)
_________________________________________
(Address)
Under a written lease from: _________________________________________
(Name of Owner)
Address: ___________________________________________________________
Date of Lease: ____________________________________________________
Equipment: Make: ______ Year: _____ Model: _____ Serial Number: __________
Period of Lease: _____________________________________________________
Commodities Authorized:______________________________________________
I hereby certify that the original lease is on file at___________________________
____________________________________
(Name of Authorized Operating Carrier)
BY:_________________________________
(Duly Authorized Officer)
Exception: The provisions of this rule shall not apply to the interchange of trailers.
04 N.C. Admin. Code 11 R02-06