____
(Name of public utility)
Date ______ , 19 ____
KNOW ALL MEN BY THESE PRESENTS:
That the (corporate name of the public utility) has made, constituted, and appointed, and by these presents does make, constitute, and appoint (name of principal agent appointed) its true and lawful attorney and agent for the said company, and in its name, place, and stead, (1) for it alone, and (2) for it jointly with other public utilities to receive concurrences in, and to file, rate schedules and supplements thereto, as required of public utilities by the Public Utility Law and by regulations established by the Pennsylvania Public Utility Commission thereunder, for the period of time, the traffic, and the territory specified below, and to accept service of any notice, order or process for it and on its behalf which may be issued in proceedings before the Commission involving the lawfulness of rates, charges, classifications or practices contained or proposed in tariffs or schedules so filed:
________________________________________________________
________________________________________________________
And the said (name of company) does hereby give and grant unto its said attorney and agent full power and authority to do and perform all and every act and thing above specified as fully, to all intents and purposes, as if the same were done and performed by the said company, hereby ratifying and confirming all that its said attorney and agent may lawfully do by virtue hereof, and assuming full responsibility for the acts and neglects of its said attorney and agent hereunder.
And further, That the (name of company) has made, constituted and appointed, and by these presents does make, constitute and appoint as alternate (name of alternate agent appointed) its true and lawful attorney and agent, for said Company and in its name, place and stead, (1) for it alone, and (2) for it jointly with other public utilities, in case and only in case of the death or disability of the said (here insert name of principal agent) to do and perform the same acts and exercise the same authority as hereinabove granted to (here insert name of principal agent.)
In witness whereof the said company has caused these presents to be signed in its name by its president and to be fully attested under its corporate seal by its secretary, at ____ , in the State of, ____ , on this ____ day of ____ , in the year of our Lord nineteen hundred and ____.
_______________________________________________________________________________________________
(Name of public utility)
By _______________________________________________________________________________________________
Its____ President
ATTEST:
____ Secretary
(Corporate seal)
52 Pa. Code § 53.96