EXHIBIT A
FORMULA TO DETERMINE FUEL SUCHARGE
AND FUEL COMPONENT OF RATES
FOR FERRY OPERATORS
FUEL SURCHARGE:
FUEL COMPONENT OF RATES:
EXHIBIT B
[Name of Ferry Operator]
Quarterly Fuel Surcharge Tracking Report
For the Reporting Quarter Ended _________________ Balance at the beginning of the quarter - Under (Over) Collection $_______ Fuel costs paid to vendors:
CERTIFICATION
I hereby certify that the information contained in this report is true to the best of my knowledge and belief.
_______________________________ ________________
Authorized Signature and Title Date
_______________________________ (_____)___________
Contact Person (Print Clearly) Telephone Number
NOTE: Providing false information to the Commission is punishable by fine and/or imprisonment pursuant to G.S. 62-310 and 62-326.
04 N.C. Admin. Code 11 R04-13