17
OMB No. 2126-0013 Expiration Date: Form MCS-150 (Rev. 3-24-2005) 03/31/2011 U.S Department of Transportation Federal Motor Carrier Safety Administration MOTOR CARRIER IDENTIFICATION REPORT (Application for U.S. DOT NUMBER) 1. NAME OF MOTOR CARRIER M & M CARTAGE CO INC 2. TRADE OR D.B.A. (DOING BUSINESS AS) NAME 3. PRINCIPAL STREET ADDRESS/ROUTE NUMBER 4106 EASTMOOR RD 4. CITY LOUISVILLE 5. MAILING ADDRESS (P O BOX) PO BOX 32068 6. MAILING CITY LOUISVILLE 7. STATE/PROVINCE KENTUCKY 40218 8. ZIP CODE + 4 9.COLONIA (MEXICO ONLY) 10. STATE/PROVINCE KENTUCKY 11. ZIP CODE+4 40232 (Check Only One) NEW APPLICATION BIENNIAL UPDATE OR CHANGES OUT OF BUSINESS NOTIFICATION REAPPLICATION (AFTER REVOCATION OF NEW ENTRANT) 16. USDOT NO. 325199 17. MC OR MX NO. MC182539 13. PRINCIPAL BUSINESS PHONE NUMBER (502) 456-4586 14. PRINCIPAL CONTACT CELLULAR PHONE NUMBER (502) 558-7344 15. PRINCIPAL BUSINESS FAX NUMBER (502) 456-1430 18. DUN & BRADSTREET NO. 98095680 19. IRS/TAX ID NO. EIN# SSN# 610865101 20. INTERNET E-MAIL ADDRESS [email protected] 21. COMPANY OPERATION A. Interstate Carrier B. Intrastate Hazmat Carrier C. Intrastate Non-Hazmat Carrier Interstate Shipper D. E. Intrastate Shipper F. Vehicle Registrant Only (Circle all that apply) 22. CARRIER MILEAGE (to nearest 10,000 miles for Last Calendar Year) YEAR 10256972 2008 23. OPERATION CLASSIFICATION (Circle All that Apply) A. B. C. Authorized For-Hire Exempt For-Hire Private Property A. B. C. D. E. GENERAL FREIGHT HOUSEHOLD GOODS METAL; SHEETS; COILS; ROLLS MOTOR VEHICLES DRIVE AWAY/TOWAWAY 24. CARGO CLASSIFICATIONS (Circle All that Apply) 25. HAZARDOUS MATERIALS CARRIED OR SHIPPED (Circle All that Apply) C-CARRIED S-SHIPPED B(BULK) - IN CARGO TANKS NB(NON-BULK) - IN PACKAGE C C C C C C C C C C S S S S S S S S S S A. B. C. D. E. F. G. H. I. J. DIV 1.1 DIV 1.2 DIV 1.3 DIV 1.4 DIV 1.5 DIV 1.6 DIV 2.1 DIV 2.1 LPG DIV 2.1 (Methane) DIV 2.2 NB NB NB NB NB NB NB NB NB NB B B B B B B B B B B C C C C C C C C C C S S S S S S S S S S K. L. M. N. O. P. Q. R. S. T. DIV 2.2A (Ammonia) DIV 2.3A DIV 2.3B DIV 2.3C DIV 2.3D Class 3 Class 3A Class 3B COM LIQ DIV 4.1 NB NB NB NB NB NB NB NB NB NB B B B B B B B B B B C C C C C C C C C C S S S S S S S S S S U. V. W. X. Y. Z. AA. BB. CC. DD. DIV 4.2 DIV 4.3 DIV 5.1 DIV 5.2 DIV 6.2 DIV 6.1A DIV 6.1B DIV 6.1 Poison DIV 6.1 SOLID CLASS 7 NB NB NB NB NB NB NB NB NB NB B B B B B B B B B B C C C C C C C C C C C S S S S S S S S S S S EE. FF. GG. HH. II. JJ. KK. LL. MM. NN. OO. HRCQ CLASS 8 CLASS 8A CLASS 8B CLASS 9 ELEVATED TEMP MAT. INFECTIOUS WASTE MARINE POLLUTANTS HAZARDOUS SUB(RQ) HAZARDOUS WASTE ORM NB NB NB NB NB NB NB NB NB NB NB B B B B B B B B B B B D. E. F. Private Passengers (Business) Private Passengers (Non-Business) Migrant G. H. I. U. S. Mail Federal Government State Government J. K. L. Local Government Indian Tribe Other Straight Trucks Truck Tractors Trailers Hazmat Cargo Tank Trailers Number of vehicles carrying number of passengers (including the driver) below Motor Coach School Bus Mini-bus Van Limousine 1-8 9-15 16+ 16+ 1-8 9-15 1-8 9-15 16+ 6 133 458 OWNED TERM LEASED TRIP LEASED 27. DRIVER INFORMATION INTERSTATE INTRASTATE TOTAL DRIVERS TOTAL CDL DRIVERS Within 100-Mile Radius Beyond 100-Mile Radius 65 120 0 0 185 185 28. IS YOUR U.S. DOT NUMBER REGISTRATION CURRENTLY REVOKED BY THE FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION? Yes No X If Yes, enter your U.S. DOT Number. 29. PLEASE ENTER NAME(S) OF SOLE PROPRIETOR(S), OFFICERS OR PARTNERS AND TITLES (e.g. PRESIDENT, TREASURER, GENERAL PARTNER, LIMITED PARTNER) 1. 2. (Please print Name) (Please print Name) JOSEPH D HAYDEN, PRESIDENT WILLIAM B HAYDEN, VICE-PRESIDENT 30. CERTIFICATION STATEMENT (to be completed by an authorized official) I, certify that I am familiar with the Federal Motor Carrier Safety Regulations and/or Federal Hazardous Materials Regulations. Under penalties of perjury, I declare that the information entered on this report is, to the best of my knowledge and belief, true, correct, and complete. JOSEPH D. HAYDEN (Please print Name) Signature JOSEPH D. HAYDEN Date 01/20/2009 Title (Please print) PRESIDENT Hazmat Cargo Tank Trucks X F. G. H. I. LOGS, POLES, BEAMS, LUMBER BUILDING MATERIALS MOBILE HOMES MACHINERY, LARGE OBJECTS J. K. L. M. N. O. FRESH PRODUCE LIQUIDS/GASES INTERMODAL CONT. PASSENGERS OIL FIELD EQUIPMENT LIVESTOCK P. Q. R. S. T. U. GRAIN, FEED, HAY COAL/COKE MEAT GARBAGE, REFUSE, TRASH U.S. MAIL CHEMICALS V. W. X. Y. Z. AA. COMMODITIES DRY BULK REFRIGERATED FOOD BEVERAGES PAPER PRODUCTS UTILITY FARM SUPPLIES BB. CC. DD. CONSTRUCTION WATER WELL OTHER , 12.COLONIA (MEXICO ONLY) REASON FOR FILING 26. NUMBER OF VEHICLES THAT CAN BE OPERATED IN THE U.S.

OMB No. 2126-0013 MOTOR CARRIER IDENTIFICATION …OMB No. 2126-0013 Form MCS-150 (Rev. 3-24-2005) Expiration Date:03/31/2011 U.S Department of Transportation Federal Motor Carrier

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Page 1: OMB No. 2126-0013 MOTOR CARRIER IDENTIFICATION …OMB No. 2126-0013 Form MCS-150 (Rev. 3-24-2005) Expiration Date:03/31/2011 U.S Department of Transportation Federal Motor Carrier

OMB No. 2126-0013

Expiration Date:Form MCS-150 (Rev. 3-24-2005) 03/31/2011

U.S Department of TransportationFederal Motor CarrierSafety Administration

MOTOR CARRIER IDENTIFICATION REPORT(Application for U.S. DOT NUMBER)

1. NAME OF MOTOR CARRIERM & M CARTAGE CO INC

2. TRADE OR D.B.A. (DOING BUSINESS AS) NAME

3. PRINCIPAL STREET ADDRESS/ROUTE NUMBER4106 EASTMOOR RD

4. CITYLOUISVILLE

5. MAILING ADDRESS (P O BOX)PO BOX 32068

6. MAILING CITYLOUISVILLE

7. STATE/PROVINCEKENTUCKY 40218

8. ZIP CODE + 4 9.COLONIA (MEXICO ONLY) 10. STATE/PROVINCEKENTUCKY

11. ZIP CODE+440232

(Check Only One)

NEW APPLICATION BIENNIAL UPDATE OR CHANGES OUT OF BUSINESS NOTIFICATION REAPPLICATION (AFTER REVOCATION OF NEW ENTRANT)

16. USDOT NO.

32519917. MC OR MX NO.

MC182539

13. PRINCIPAL BUSINESS PHONE NUMBER(502) 456-4586

14. PRINCIPAL CONTACT CELLULAR PHONE NUMBER(502) 558-7344

15. PRINCIPAL BUSINESS FAX NUMBER(502) 456-1430

18. DUN & BRADSTREET NO.

9809568019. IRS/TAX ID NO.

EIN# SSN#61086510120. INTERNET E-MAIL ADDRESS

[email protected]

21. COMPANY OPERATION A. Interstate Carrier B. Intrastate Hazmat Carrier C. Intrastate Non-Hazmat Carrier Interstate ShipperD. E. Intrastate Shipper F. Vehicle Registrant Only

(Circle all that apply)

22. CARRIER MILEAGE (to nearest 10,000 miles for Last Calendar Year) YEAR10256972 2008

23. OPERATION CLASSIFICATION (Circle All that Apply)

A.

B.C.

Authorized For-Hire

Exempt For-Hire

Private Property

A.

B.

C.

D.

E.

GENERALFREIGHT

HOUSEHOLDGOODS

METAL; SHEETS;COILS; ROLLS

MOTOR VEHICLES

DRIVEAWAY/TOWAWAY

24. CARGO CLASSIFICATIONS (Circle All that Apply)

25. HAZARDOUS MATERIALS CARRIED OR SHIPPED (Circle All that Apply) C-CARRIED S-SHIPPED B(BULK) - IN CARGO TANKS NB(NON-BULK) - IN PACKAGE

CCCCCCCCCC

SSSSSSSSSS

A.B.C.D.E.F.G.H.I.J.

DIV 1.1DIV 1.2DIV 1.3DIV 1.4DIV 1.5DIV 1.6DIV 2.1DIV 2.1 LPGDIV 2.1 (Methane)DIV 2.2

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCC

SSSSSSSSSS

K.L.M.N.O.P.Q.R.S.T.

DIV 2.2A (Ammonia)DIV 2.3ADIV 2.3BDIV 2.3CDIV 2.3DClass 3Class 3AClass 3BCOM LIQDIV 4.1

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCC

SSSSSSSSSS

U.V.W.X.Y.Z.

AA.BB.CC.DD.

DIV 4.2DIV 4.3DIV 5.1DIV 5.2DIV 6.2DIV 6.1ADIV 6.1BDIV 6.1 PoisonDIV 6.1 SOLIDCLASS 7

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCCC

SSSSSSSSSSS

EE.FF.

GG.HH.

II.JJ.

KK.LL.

MM.NN.OO.

HRCQCLASS 8CLASS 8ACLASS 8BCLASS 9ELEVATED TEMP MAT.INFECTIOUS WASTEMARINE POLLUTANTSHAZARDOUS SUB(RQ)HAZARDOUS WASTEORM

NBNBNBNBNBNBNBNBNBNBNB

BBBBBBBBBBB

D.E.F.

Private Passengers (Business)

Private Passengers (Non-Business)

Migrant

G.H.I.

U. S. Mail

Federal Government

State Government

J.K.L.

Local Government

Indian Tribe

Other

StraightTrucks

TruckTractors

Trailers Hazmat CargoTank Trailers Number of vehicles carrying number of passengers (including the driver) below

Motor Coach

School Bus Mini-bus Van Limousine

1-8 9-15 16+ 16+ 1-8 9-15 1-8 9-15 16+ 6 133 458 OWNED

TERM LEASED TRIP LEASED 27. DRIVER INFORMATION INTERSTATE INTRASTATE TOTAL DRIVERS TOTAL CDL DRIVERS

Within 100-Mile RadiusBeyond 100-Mile Radius

65 120

0 0

185 185

28. IS YOUR U.S. DOT NUMBER REGISTRATION CURRENTLY REVOKED BY THE FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION? Yes No XIf Yes, enter your U.S. DOT Number.

29. PLEASE ENTER NAME(S) OF SOLE PROPRIETOR(S), OFFICERS OR PARTNERS AND TITLES (e.g. PRESIDENT, TREASURER, GENERAL PARTNER, LIMITED PARTNER)

1. 2.(Please print Name) (Please print Name)

JOSEPH D HAYDEN, PRESIDENT WILLIAM B HAYDEN, VICE-PRESIDENT

30. CERTIFICATION STATEMENT (to be completed by an authorized official)

I, certify that I am familiar with the Federal Motor Carrier Safety Regulations and/or Federal Hazardous Materials Regulations.Under penalties of perjury, I declare that the information entered on this report is, to the best of my knowledge and belief, true,correct, and complete.

JOSEPH D. HAYDEN(Please print Name)

Signature JOSEPH D. HAYDEN Date 01/20/2009Title

(Please print)PRESIDENT

HazmatCargo

Tank Trucks

X

F.

G.

H.

I.

LOGS, POLES,BEAMS, LUMBER

BUILDINGMATERIALS

MOBILE HOMES

MACHINERY,LARGE OBJECTS

J.

K.

L.

M.

N.

O.

FRESH PRODUCE

LIQUIDS/GASES

INTERMODAL CONT.

PASSENGERS

OIL FIELD EQUIPMENT

LIVESTOCK

P.

Q.

R.

S.

T.

U.

GRAIN, FEED, HAY

COAL/COKE

MEAT

GARBAGE, REFUSE, TRASH

U.S. MAIL

CHEMICALS

V.

W.

X.

Y.

Z.

AA.

COMMODITIES DRY BULK

REFRIGERATED FOOD

BEVERAGES

PAPER PRODUCTS

UTILITY

FARM SUPPLIES

BB.

CC.

DD.

CONSTRUCTION

WATER WELL

OTHER

,

12.COLONIA (MEXICO ONLY)

REASON FOR FILING

26. NUMBER OF VEHICLES THAT CAN BE OPERATED IN THE U.S.

Page 2: OMB No. 2126-0013 MOTOR CARRIER IDENTIFICATION …OMB No. 2126-0013 Form MCS-150 (Rev. 3-24-2005) Expiration Date:03/31/2011 U.S Department of Transportation Federal Motor Carrier

Form MCS-150 (Rev. 3-24-2005) Expiration Date: 07/31/2012

OMB No. 2126-0013

U.S Department of TransportationFederal Motor CarrierSafety Administration

MOTOR CARRIER IDENTIFICATION REPORT(Application for U.S. DOT NUMBER)

1. NAME OF MOTOR CARRIERM & M CARTAGE CO INC

2. TRADE OR D.B.A. (DOING BUSINESS AS) NAME

3. PRINCIPAL ADDRESS4106 EASTMOOR RD

4. CITYLOUISVILLE

5. STATE/PROVINCEKENTUCKY 40218

6. ZIP CODE + 4 7. COLONIA (MEXICO ONLY)

10. STATE/PROVINCEKENTUCKY

11. ZIP CODE+440232

(Check Only One)NEW APPLICATION BIENNIAL UPDATE OR CHANGES OUT OF BUSINESS NOTIFICATION REAPPLICATION (AFTER REVOCATION OF NEW ENTRANT)

16. USDOT NO.

32519917. MC OR MX NO.

MC182539

13. PRINCIPAL BUSINESS PHONE NUMBER(502) 456-4586

14. PRINCIPAL CONTACT CELL PHONE NUMBER(502) 558-7344

15. PRINCIPAL BUSINESS FAX NUMBER(502) 456-1430

18. DUN & BRADSTREET NO.98095680

19. IRS/TAX ID NO.

EIN# SSN#610865101

22. COMPANY OPERATION A. Interstate Carrier B. Intrastate Hazmat Carrier C. Intrastate Non-Hazmat Carrier Interstate Hazmat ShipperD. E. Intrastate Hazmat Shipper F. Vehicle Registrant Only

(Mark all that apply)

23. OPERATION CLASSIFICATION (Circle All that Apply)

A.

B.C.

Authorized For-Hire

Exempt For-Hire

Private Property

A.

B.

C.

D.

E.

GENERALFREIGHT

HOUSEHOLDGOODS

METAL; SHEETS;COILS; ROLLS

MOTOR VEHICLES

DRIVEAWAY/TOWAWAY

24. CARGO CLASSIFICATIONS (Circle All that Apply)

25. HAZARDOUS MATERIALS CARRIED OR SHIPPED (Circle All that Apply) C-CARRIED S-SHIPPED B(BULK) - IN CARGO TANKS NB(NON-BULK) - IN PACKAGE

CCCCCCCCCC

SSSSSSSSSS

A.B.C.D.E.F.G.H.I.J.

DIV 1.1DIV 1.2DIV 1.3DIV 1.4DIV 1.5DIV 1.6DIV 2.1DIV 2.1 LPGDIV 2.1 (Methane)DIV 2.2

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCC

SSSSSSSSSS

K.L.M.N.O.P.Q.R.S.T.

DIV 2.2A (Ammonia)DIV 2.3ADIV 2.3BDIV 2.3CDIV 2.3DClass 3Class 3AClass 3BCOM LIQDIV 4.1

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCC

SSSSSSSSSS

U.V.W.X.Y.Z.

AA.BB.CC.DD.

DIV 4.2DIV 4.3DIV 5.1DIV 5.2DIV 6.2DIV 6.1ADIV 6.1BDIV 6.1 PoisonDIV 6.1 SOLIDCLASS 7

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCCC

SSSSSSSSSSS

EE.FF.

GG.HH.

II.JJ.

KK.LL.

MM.NN.OO.

HRCQCLASS 8CLASS 8ACLASS 8BCLASS 9ELEVATED TEMP MAT.INFECTIOUS WASTEMARINE POLLUTANTSHAZARDOUS SUB(RQ)HAZARDOUS WASTEORM

NBNBNBNBNBNBNBNBNBNBNB

BBBBBBBBBBB

D.E.F.

Private Passengers (Business)

Private Passengers (Non-Business)

Migrant

G.H.I.

U. S. Mail

Federal Government

State Government

J.K.L.

Local Government

Indian Tribe

Other

StraightTrucks

TruckTractors

Trailers Hazmat CargoTank Trailers Number of vehicles carrying number of passengers (including the driver) below

Motor Coach

School Bus Mini-bus Van Limousine

1-8 9-15 16+ 16+ 1-8 9-15 1-8 9-15 16+ 6 167 502 OWNED

TERM LEASED TRIP LEASED 27. DRIVER INFORMATION INTERSTATE INTRASTATE TOTAL DRIVERS TOTAL CDL DRIVERS

Within 100-Mile RadiusBeyond 100-Mile Radius

70 150

0 0

220 195

28. IS YOUR U.S. DOT NUMBER REGISTRATION CURRENTLY REVOKED BY THE FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION? Yes No XIf Yes, enter your U.S. DOT Number.

29. PLEASE ENTER NAME(S) OF SOLE PROPRIETOR(S), OFFICERS OR PARTNERS AND TITLES (e.g. PRESIDENT, TREASURER, GENERAL PARTNER, LIMITED PARTNER)

1. 2.(Please print Name) (Please print Name)

JOSEPH D HAYDEN, PRESIDENT WILLIAM B HAYDEN, VICE-PRESIDENT

30. CERTIFICATION STATEMENT (to be completed by an authorized official)

I, certify that I am familiar with the Federal Motor Carrier Safety Regulations and/or Federal Hazardous Materials Regulations.Under penalties of perjury, I declare that the information entered on this report is, to the best of my knowledge and belief, true,correct, and complete.

DON HAYDEN(Please print Name)

Signature DON HAYDEN Date 01/22/2013Title

(Please print)PRESIDENT

HazmatCargo

Tank Trucks

X

F.

G.

H.

I.

LOGS, POLES,BEAMS, LUMBER

BUILDINGMATERIALS

MOBILE HOMES

MACHINERY,LARGE OBJECTS

J.

K.

L.

M.

N.

O.

FRESH PRODUCE

LIQUIDS/GASES

INTERMODAL CONT.

PASSENGERS

OIL FIELD EQUIPMENT

LIVESTOCK

P.

Q.

R.

S.

T.

U.

GRAIN, FEED, HAY

COAL/COKE

MEAT

GARBAGE, REFUSE, TRASH

U.S. MAIL

CHEMICALS

V.

W.

X.

Y.

Z.

AA.

COMMODITIES DRY BULK

REFRIGERATED FOOD

BEVERAGES

PAPER PRODUCTS

UTILITY

FARM SUPPLIES

BB.

CC.

DD.

CONSTRUCTION

WATER WELL

OTHER

,

12. COLONIA (MEXICO ONLY)

REASON FOR FILING

26. NUMBER OF VEHICLES THAT CAN BE OPERATED IN THE U.S.

8. MAILING ADDRESSPO BOX 32068

9. CITYLOUISVILLE

20. INTERNET E-MAIL [email protected]

21. CARRIER MILEAGE (to nearest 10,000 miles for Last Calendar Year) YEAR10044000 2012

Page 3: OMB No. 2126-0013 MOTOR CARRIER IDENTIFICATION …OMB No. 2126-0013 Form MCS-150 (Rev. 3-24-2005) Expiration Date:03/31/2011 U.S Department of Transportation Federal Motor Carrier
Page 4: OMB No. 2126-0013 MOTOR CARRIER IDENTIFICATION …OMB No. 2126-0013 Form MCS-150 (Rev. 3-24-2005) Expiration Date:03/31/2011 U.S Department of Transportation Federal Motor Carrier

OMB No. 2126-0013

Expiration Date:Form MCS-150 (Rev. 3-24-2005) 03/31/2011

U.S Department of TransportationFederal Motor CarrierSafety Administration

MOTOR CARRIER IDENTIFICATION REPORT(Application for U.S. DOT NUMBER)

1. NAME OF MOTOR CARRIERM & M CARTAGE CO INC

2. TRADE OR D.B.A. (DOING BUSINESS AS) NAME

3. PRINCIPAL STREET ADDRESS/ROUTE NUMBER4106 EASTMOOR RD

4. CITYLOUISVILLE

5. MAILING ADDRESS (P O BOX)PO BOX 32068

6. MAILING CITYLOUISVILLE

7. STATE/PROVINCEKENTUCKY 40218

8. ZIP CODE + 4 9.COLONIA (MEXICO ONLY) 10. STATE/PROVINCEKENTUCKY

11. ZIP CODE+440232

(Check Only One)

NEW APPLICATION BIENNIAL UPDATE OR CHANGES OUT OF BUSINESS NOTIFICATION REAPPLICATION (AFTER REVOCATION OF NEW ENTRANT)

16. USDOT NO.

32519917. MC OR MX NO.

MC182539

13. PRINCIPAL BUSINESS PHONE NUMBER(502) 456-4586

14. PRINCIPAL CONTACT CELLULAR PHONE NUMBER(502) 558-7344

15. PRINCIPAL BUSINESS FAX NUMBER(502) 456-1430

18. DUN & BRADSTREET NO.

9809568019. IRS/TAX ID NO.

EIN# SSN#61086510120. INTERNET E-MAIL ADDRESS

[email protected]

21. COMPANY OPERATION A. Interstate Carrier B. Intrastate Hazmat Carrier C. Intrastate Non-Hazmat Carrier Interstate ShipperD. E. Intrastate Shipper F. Vehicle Registrant Only

(Circle all that apply)

22. CARRIER MILEAGE (to nearest 10,000 miles for Last Calendar Year) YEAR9122539 2010

23. OPERATION CLASSIFICATION (Circle All that Apply)

A.

B.C.

Authorized For-Hire

Exempt For-Hire

Private Property

A.

B.

C.

D.

E.

GENERALFREIGHT

HOUSEHOLDGOODS

METAL; SHEETS;COILS; ROLLS

MOTOR VEHICLES

DRIVEAWAY/TOWAWAY

24. CARGO CLASSIFICATIONS (Circle All that Apply)

25. HAZARDOUS MATERIALS CARRIED OR SHIPPED (Circle All that Apply) C-CARRIED S-SHIPPED B(BULK) - IN CARGO TANKS NB(NON-BULK) - IN PACKAGE

CCCCCCCCCC

SSSSSSSSSS

A.B.C.D.E.F.G.H.I.J.

DIV 1.1DIV 1.2DIV 1.3DIV 1.4DIV 1.5DIV 1.6DIV 2.1DIV 2.1 LPGDIV 2.1 (Methane)DIV 2.2

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCC

SSSSSSSSSS

K.L.M.N.O.P.Q.R.S.T.

DIV 2.2A (Ammonia)DIV 2.3ADIV 2.3BDIV 2.3CDIV 2.3DClass 3Class 3AClass 3BCOM LIQDIV 4.1

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCC

SSSSSSSSSS

U.V.W.X.Y.Z.

AA.BB.CC.DD.

DIV 4.2DIV 4.3DIV 5.1DIV 5.2DIV 6.2DIV 6.1ADIV 6.1BDIV 6.1 PoisonDIV 6.1 SOLIDCLASS 7

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCCC

SSSSSSSSSSS

EE.FF.

GG.HH.

II.JJ.

KK.LL.

MM.NN.OO.

HRCQCLASS 8CLASS 8ACLASS 8BCLASS 9ELEVATED TEMP MAT.INFECTIOUS WASTEMARINE POLLUTANTSHAZARDOUS SUB(RQ)HAZARDOUS WASTEORM

NBNBNBNBNBNBNBNBNBNBNB

BBBBBBBBBBB

D.E.F.

Private Passengers (Business)

Private Passengers (Non-Business)

Migrant

G.H.I.

U. S. Mail

Federal Government

State Government

J.K.L.

Local Government

Indian Tribe

Other

StraightTrucks

TruckTractors

Trailers Hazmat CargoTank Trailers Number of vehicles carrying number of passengers (including the driver) below

Motor Coach

School Bus Mini-bus Van Limousine

1-8 9-15 16+ 16+ 1-8 9-15 1-8 9-15 16+ 6 155 502 OWNED

TERM LEASED TRIP LEASED 27. DRIVER INFORMATION INTERSTATE INTRASTATE TOTAL DRIVERS TOTAL CDL DRIVERS

Within 100-Mile RadiusBeyond 100-Mile Radius

70 125

0 0

195 195

28. IS YOUR U.S. DOT NUMBER REGISTRATION CURRENTLY REVOKED BY THE FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION? Yes No XIf Yes, enter your U.S. DOT Number.

29. PLEASE ENTER NAME(S) OF SOLE PROPRIETOR(S), OFFICERS OR PARTNERS AND TITLES (e.g. PRESIDENT, TREASURER, GENERAL PARTNER, LIMITED PARTNER)

1. 2.(Please print Name) (Please print Name)

JOSEPH D HAYDEN, PRESIDENT WILLIAM B HAYDEN, VICE-PRESIDENT

30. CERTIFICATION STATEMENT (to be completed by an authorized official)

I, certify that I am familiar with the Federal Motor Carrier Safety Regulations and/or Federal Hazardous Materials Regulations.Under penalties of perjury, I declare that the information entered on this report is, to the best of my knowledge and belief, true,correct, and complete.

DON HAYDEN(Please print Name)

Signature DON HAYDEN Date 01/25/2011Title

(Please print)PRESIDENT

HazmatCargo

Tank Trucks

X

F.

G.

H.

I.

LOGS, POLES,BEAMS, LUMBER

BUILDINGMATERIALS

MOBILE HOMES

MACHINERY,LARGE OBJECTS

J.

K.

L.

M.

N.

O.

FRESH PRODUCE

LIQUIDS/GASES

INTERMODAL CONT.

PASSENGERS

OIL FIELD EQUIPMENT

LIVESTOCK

P.

Q.

R.

S.

T.

U.

GRAIN, FEED, HAY

COAL/COKE

MEAT

GARBAGE, REFUSE, TRASH

U.S. MAIL

CHEMICALS

V.

W.

X.

Y.

Z.

AA.

COMMODITIES DRY BULK

REFRIGERATED FOOD

BEVERAGES

PAPER PRODUCTS

UTILITY

FARM SUPPLIES

BB.

CC.

DD.

CONSTRUCTION

WATER WELL

OTHER

,

12.COLONIA (MEXICO ONLY)

REASON FOR FILING

26. NUMBER OF VEHICLES THAT CAN BE OPERATED IN THE U.S.

Page 5: OMB No. 2126-0013 MOTOR CARRIER IDENTIFICATION …OMB No. 2126-0013 Form MCS-150 (Rev. 3-24-2005) Expiration Date:03/31/2011 U.S Department of Transportation Federal Motor Carrier
Page 6: OMB No. 2126-0013 MOTOR CARRIER IDENTIFICATION …OMB No. 2126-0013 Form MCS-150 (Rev. 3-24-2005) Expiration Date:03/31/2011 U.S Department of Transportation Federal Motor Carrier
Page 7: OMB No. 2126-0013 MOTOR CARRIER IDENTIFICATION …OMB No. 2126-0013 Form MCS-150 (Rev. 3-24-2005) Expiration Date:03/31/2011 U.S Department of Transportation Federal Motor Carrier
Page 8: OMB No. 2126-0013 MOTOR CARRIER IDENTIFICATION …OMB No. 2126-0013 Form MCS-150 (Rev. 3-24-2005) Expiration Date:03/31/2011 U.S Department of Transportation Federal Motor Carrier

OMB No. 2126-0013

Expiration Date:Form MCS-150 (Rev. 3-24-2005) 07/31/2007

U.S Department of TransportationFederal Motor CarrierSafety Administration

MOTOR CARRIER IDENTIFICATION REPORT(Application for U.S. DOT NUMBER)

1. NAME OF MOTOR CARRIERM & M CARTAGE CO INC

2. TRADE OR D.B.A. (DOING BUSINESS AS) NAME

3. PRINCIPAL STREET ADDRESS/ROUTE NUMBER4106 EASTMOOR RD

4. CITYLOUISVILLE

5. MAILING ADDRESS (P O BOX)P O BOX 32068

6. MAILING CITYLOUISVILLE

7. STATE/PROVINCEKENTUCKY 40218

8. ZIP CODE + 4 9.COLONIA (MEXICO ONLY) 10. STATE/PROVINCEKENTUCKY

11. ZIP CODE+440232-2068

(Check Only One)

NEW APPLICATION BIENNIAL UPDATE OR CHANGES OUT OF BUSINESS NOTIFICATION REAPPLICATION (AFTER REVOCATION OF NEW ENTRANT)

16. USDOT NO.

32519917. MC OR MX NO.

MC182539

13. PRINCIPAL BUSINESS PHONE NUMBER(502) 456-4586

14. PRINCIPAL CONTACT CELLULAR PHONE NUMBER(502) 558-7344

15. PRINCIPAL BUSINESS FAX NUMBER(502) 456-1430

18. DUN & BRADSTREET NO.

9809568019. IRS/TAX ID NO.

EIN# SSN#61086510120. INTERNET E-MAIL ADDRESS

[email protected]

21. COMPANY OPERATION A. Interstate Carrier B. Intrastate Hazmat Carrier C. Intrastate Non-Hazmat Carrier Interstate ShipperD. E. Intrastate Shipper F. Vehicle Registrant Only

(Circle all that apply)

22. CARRIER MILEAGE (to nearest 10,000 miles for Last Calendar Year) YEAR12968370 2006

23. OPERATION CLASSIFICATION (Circle All that Apply)

A.

B.C.

Authorized For-Hire

Exempt For-Hire

Private Property

A.

B.

C.

D.

E.

GENERALFREIGHT

HOUSEHOLDGOODS

METAL; SHEETS;COILS; ROLLS

MOTOR VEHICLES

DRIVEAWAY/TOWAWAY

24. CARGO CLASSIFICATIONS (Circle All that Apply)

25. HAZARDOUS MATERIALS CARRIED OR SHIPPED (Circle All that Apply) C-CARRIED S-SHIPPED B(BULK) - IN CARGO TANKS NB(NON-BULK) - IN PACKAGE

CCCCCCCCCC

SSSSSSSSSS

A.B.C.D.E.F.G.H.I.J.

DIV 1.1DIV 1.2DIV 1.3DIV 1.4DIV 1.5DIV 1.6DIV 2.1DIV 2.1 LPGDIV 2.1 (Methane)DIV 2.2

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCC

SSSSSSSSSS

K.L.M.N.O.P.Q.R.S.T.

DIV 2.2A (Ammonia)DIV 2.3ADIV 2.3BDIV 2.3CDIV 2.3DClass 3Class 3AClass 3BCOM LIQDIV 4.1

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCC

SSSSSSSSSS

U.V.W.X.Y.Z.

AA.BB.CC.DD.

DIV 4.2DIV 4.3DIV 5.1DIV 5.2DIV 6.2DIV 6.1ADIV 6.1BDIV 6.1 PoisonDIV 6.1 SOLIDCLASS 7

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCCC

SSSSSSSSSSS

EE.FF.

GG.HH.

II.JJ.

KK.LL.

MM.NN.OO.

HRCQCLASS 8CLASS 8ACLASS 8BCLASS 9ELEVATED TEMP MAT.INFECTIOUS WASTEMARINE POLLUTANTSHAZARDOUS SUB(RQ)HAZARDOUS WASTEORM

NBNBNBNBNBNBNBNBNBNBNB

BBBBBBBBBBB

D.E.F.

Private Passengers (Business)

Private Passengers (Non-Business)

Migrant

G.H.I.

U. S. Mail

Federal Government

State Government

J.K.L.

Local Government

Indian Tribe

Other

StraightTrucks

TruckTractors

Trailers Hazmat CargoTank Trailers Number of vehicles carrying number of passengers (including the driver) below

Motor Coach

School Bus Mini-bus Van Limousine

1-8 9-15 16+ 16+ 1-8 9-15 1-8 9-15 16+ 6 142 470 OWNED

TERM LEASED TRIP LEASED 27. DRIVER INFORMATION INTERSTATE INTRASTATE TOTAL DRIVERS TOTAL CDL DRIVERS

Within 100-Mile RadiusBeyond 100-Mile Radius

70 132

0 0

202 202

28. IS YOUR U.S. DOT NUMBER REGISTRATION CURRENTLY REVOKED BY THE FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION? Yes No XIf Yes, enter your U.S. DOT Number.

29. PLEASE ENTER NAME(S) OF SOLE PROPRIETOR(S), OFFICERS OR PARTNERS AND TITLES (e.g. PRESIDENT, TREASURER, GENERAL PARTNER, LIMITED PARTNER)

1. 2.(Please print Name) (Please print Name)

JOSEPH D HAYDEN, VICE-PRESIDENT WILLIAM B HAYDEN, PRESIDENT

30. CERTIFICATION STATEMENT (to be completed by an authorized official)

I, certify that I am familiar with the Federal Motor Carrier Safety Regulations and/or Federal Hazardous Materials Regulations.Under penalties of perjury, I declare that the information entered on this report is, to the best of my knowledge and belief, true,correct, and complete.

DON HAYDEN(Please print Name)

Signature DON HAYDEN Date 06/12/2007Title

(Please print)PRESIDENT

HazmatCargo

Tank Trucks

X

F.

G.

H.

I.

LOGS, POLES,BEAMS, LUMBER

BUILDINGMATERIALS

MOBILE HOMES

MACHINERY,LARGE OBJECTS

J.

K.

L.

M.

N.

O.

FRESH PRODUCE

LIQUIDS/GASES

INTERMODAL CONT.

PASSENGERS

OIL FIELD EQUIPMENT

LIVESTOCK

P.

Q.

R.

S.

T.

U.

GRAIN, FEED, HAY

COAL/COKE

MEAT

GARBAGE, REFUSE, TRASH

U.S. MAIL

CHEMICALS

V.

W.

X.

Y.

Z.

AA.

COMMODITIES DRY BULK

REFRIGERATED FOOD

BEVERAGES

PAPER PRODUCTS

UTILITY

FARM SUPPLIES

BB.

CC.

DD.

CONSTRUCTION

WATER WELL

OTHER

,

12.COLONIA (MEXICO ONLY)

REASON FOR FILING

26. NUMBER OF VEHICLES THAT CAN BE OPERATED IN THE U.S.

Page 9: OMB No. 2126-0013 MOTOR CARRIER IDENTIFICATION …OMB No. 2126-0013 Form MCS-150 (Rev. 3-24-2005) Expiration Date:03/31/2011 U.S Department of Transportation Federal Motor Carrier

Form MCS-150 (Rev. 3-24-2005) Expiration Date: 07/31/2012

OMB No. 2126-0013

U.S Department of TransportationFederal Motor CarrierSafety Administration

MOTOR CARRIER IDENTIFICATION REPORT(Application for U.S. DOT NUMBER)

1. NAME OF MOTOR CARRIERM & M CARTAGE CO INC

2. TRADE OR D.B.A. (DOING BUSINESS AS) NAME

3. PRINCIPAL ADDRESS4106 EASTMOOR RD

4. CITYLOUISVILLE

5. STATE/PROVINCEKENTUCKY 40218

6. ZIP CODE + 4 7. COLONIA (MEXICO ONLY)

10. STATE/PROVINCEKENTUCKY

11. ZIP CODE+440232

(Check Only One)NEW APPLICATION BIENNIAL UPDATE OR CHANGES OUT OF BUSINESS NOTIFICATION REAPPLICATION (AFTER REVOCATION OF NEW ENTRANT)

16. USDOT NO.

32519917. MC OR MX NO.

MC182539

13. PRINCIPAL BUSINESS PHONE NUMBER(502) 456-4586

14. PRINCIPAL CONTACT CELL PHONE NUMBER(502) 558-7344

15. PRINCIPAL BUSINESS FAX NUMBER(502) 456-1430

18. DUN & BRADSTREET NO.98095680

19. IRS/TAX ID NO.

EIN# SSN#610865101

22. COMPANY OPERATION A. Interstate Carrier B. Intrastate Hazmat Carrier C. Intrastate Non-Hazmat Carrier Interstate Hazmat ShipperD. E. Intrastate Hazmat Shipper F. Vehicle Registrant Only

(Mark all that apply)

23. OPERATION CLASSIFICATION (Circle All that Apply)

A.

B.C.

Authorized For-Hire

Exempt For-Hire

Private Property

A.

B.

C.

D.

E.

GENERALFREIGHT

HOUSEHOLDGOODS

METAL; SHEETS;COILS; ROLLS

MOTOR VEHICLES

DRIVEAWAY/TOWAWAY

24. CARGO CLASSIFICATIONS (Circle All that Apply)

25. HAZARDOUS MATERIALS CARRIED OR SHIPPED (Circle All that Apply) C-CARRIED S-SHIPPED B(BULK) - IN CARGO TANKS NB(NON-BULK) - IN PACKAGE

CCCCCCCCCC

SSSSSSSSSS

A.B.C.D.E.F.G.H.I.J.

DIV 1.1DIV 1.2DIV 1.3DIV 1.4DIV 1.5DIV 1.6DIV 2.1DIV 2.1 LPGDIV 2.1 (Methane)DIV 2.2

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCC

SSSSSSSSSS

K.L.M.N.O.P.Q.R.S.T.

DIV 2.2A (Ammonia)DIV 2.3ADIV 2.3BDIV 2.3CDIV 2.3DClass 3Class 3AClass 3BCOM LIQDIV 4.1

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCC

SSSSSSSSSS

U.V.W.X.Y.Z.

AA.BB.CC.DD.

DIV 4.2DIV 4.3DIV 5.1DIV 5.2DIV 6.2DIV 6.1ADIV 6.1BDIV 6.1 PoisonDIV 6.1 SOLIDCLASS 7

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCCC

SSSSSSSSSSS

EE.FF.

GG.HH.

II.JJ.

KK.LL.

MM.NN.OO.

HRCQCLASS 8CLASS 8ACLASS 8BCLASS 9ELEVATED TEMP MAT.INFECTIOUS WASTEMARINE POLLUTANTSHAZARDOUS SUB(RQ)HAZARDOUS WASTEORM

NBNBNBNBNBNBNBNBNBNBNB

BBBBBBBBBBB

D.E.F.

Private Passengers (Business)

Private Passengers (Non-Business)

Migrant

G.H.I.

U. S. Mail

Federal Government

State Government

J.K.L.

Local Government

Indian Tribe

Other

StraightTrucks

TruckTractors

Trailers Hazmat CargoTank Trailers Number of vehicles carrying number of passengers (including the driver) below

Motor Coach

School Bus Mini-bus Van Limousine

1-8 9-15 16+ 16+ 1-8 9-15 1-8 9-15 16+ 6 155 502 OWNED

TERM LEASED TRIP LEASED 27. DRIVER INFORMATION INTERSTATE INTRASTATE TOTAL DRIVERS TOTAL CDL DRIVERS

Within 100-Mile RadiusBeyond 100-Mile Radius

70 125

0 0

195 195

28. IS YOUR U.S. DOT NUMBER REGISTRATION CURRENTLY REVOKED BY THE FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION? Yes No XIf Yes, enter your U.S. DOT Number.

29. PLEASE ENTER NAME(S) OF SOLE PROPRIETOR(S), OFFICERS OR PARTNERS AND TITLES (e.g. PRESIDENT, TREASURER, GENERAL PARTNER, LIMITED PARTNER)

1. 2.(Please print Name) (Please print Name)

JOSEPH D HAYDEN, PRESIDENT WILLIAM B HAYDEN, VICE-PRESIDENT

30. CERTIFICATION STATEMENT (to be completed by an authorized official)

I, certify that I am familiar with the Federal Motor Carrier Safety Regulations and/or Federal Hazardous Materials Regulations.Under penalties of perjury, I declare that the information entered on this report is, to the best of my knowledge and belief, true,correct, and complete.

DON HAYDEN(Please print Name)

Signature DON HAYDEN Date 07/12/2012Title

(Please print)PRESIDENT

HazmatCargo

Tank Trucks

X

F.

G.

H.

I.

LOGS, POLES,BEAMS, LUMBER

BUILDINGMATERIALS

MOBILE HOMES

MACHINERY,LARGE OBJECTS

J.

K.

L.

M.

N.

O.

FRESH PRODUCE

LIQUIDS/GASES

INTERMODAL CONT.

PASSENGERS

OIL FIELD EQUIPMENT

LIVESTOCK

P.

Q.

R.

S.

T.

U.

GRAIN, FEED, HAY

COAL/COKE

MEAT

GARBAGE, REFUSE, TRASH

U.S. MAIL

CHEMICALS

V.

W.

X.

Y.

Z.

AA.

COMMODITIES DRY BULK

REFRIGERATED FOOD

BEVERAGES

PAPER PRODUCTS

UTILITY

FARM SUPPLIES

BB.

CC.

DD.

CONSTRUCTION

WATER WELL

OTHER

,

12. COLONIA (MEXICO ONLY)

REASON FOR FILING

26. NUMBER OF VEHICLES THAT CAN BE OPERATED IN THE U.S.

8. MAILING ADDRESSPO BOX 32068

9. CITYLOUISVILLE

20. INTERNET E-MAIL [email protected]

21. CARRIER MILEAGE (to nearest 10,000 miles for Last Calendar Year) YEAR9122539 2010

Page 10: OMB No. 2126-0013 MOTOR CARRIER IDENTIFICATION …OMB No. 2126-0013 Form MCS-150 (Rev. 3-24-2005) Expiration Date:03/31/2011 U.S Department of Transportation Federal Motor Carrier
Page 11: OMB No. 2126-0013 MOTOR CARRIER IDENTIFICATION …OMB No. 2126-0013 Form MCS-150 (Rev. 3-24-2005) Expiration Date:03/31/2011 U.S Department of Transportation Federal Motor Carrier

OMB No. 2126-0013

Expiration Date:Form MCS-150 (Rev. 3-24-2005) 03/31/2011

U.S Department of TransportationFederal Motor CarrierSafety Administration

MOTOR CARRIER IDENTIFICATION REPORT(Application for U.S. DOT NUMBER)

1. NAME OF MOTOR CARRIERM & M CARTAGE CO INC

2. TRADE OR D.B.A. (DOING BUSINESS AS) NAME

3. PRINCIPAL STREET ADDRESS/ROUTE NUMBER4106 EASTMOOR RD

4. CITYLOUISVILLE

5. MAILING ADDRESS (P O BOX)PO BOX 32068

6. MAILING CITYLOUISVILLE

7. STATE/PROVINCEKENTUCKY 40218

8. ZIP CODE + 4 9.COLONIA (MEXICO ONLY) 10. STATE/PROVINCEKENTUCKY

11. ZIP CODE+440232

(Check Only One)

NEW APPLICATION BIENNIAL UPDATE OR CHANGES OUT OF BUSINESS NOTIFICATION REAPPLICATION (AFTER REVOCATION OF NEW ENTRANT)

16. USDOT NO.

32519917. MC OR MX NO.

MC182539

13. PRINCIPAL BUSINESS PHONE NUMBER(502) 456-4586

14. PRINCIPAL CONTACT CELLULAR PHONE NUMBER(502) 558-7344

15. PRINCIPAL BUSINESS FAX NUMBER(502) 456-1430

18. DUN & BRADSTREET NO.

9809568019. IRS/TAX ID NO.

EIN# SSN#61086510120. INTERNET E-MAIL ADDRESS

[email protected]

21. COMPANY OPERATION A. Interstate Carrier B. Intrastate Hazmat Carrier C. Intrastate Non-Hazmat Carrier Interstate ShipperD. E. Intrastate Shipper F. Vehicle Registrant Only

(Circle all that apply)

22. CARRIER MILEAGE (to nearest 10,000 miles for Last Calendar Year) YEAR9571400 2008

23. OPERATION CLASSIFICATION (Circle All that Apply)

A.

B.C.

Authorized For-Hire

Exempt For-Hire

Private Property

A.

B.

C.

D.

E.

GENERALFREIGHT

HOUSEHOLDGOODS

METAL; SHEETS;COILS; ROLLS

MOTOR VEHICLES

DRIVEAWAY/TOWAWAY

24. CARGO CLASSIFICATIONS (Circle All that Apply)

25. HAZARDOUS MATERIALS CARRIED OR SHIPPED (Circle All that Apply) C-CARRIED S-SHIPPED B(BULK) - IN CARGO TANKS NB(NON-BULK) - IN PACKAGE

CCCCCCCCCC

SSSSSSSSSS

A.B.C.D.E.F.G.H.I.J.

DIV 1.1DIV 1.2DIV 1.3DIV 1.4DIV 1.5DIV 1.6DIV 2.1DIV 2.1 LPGDIV 2.1 (Methane)DIV 2.2

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCC

SSSSSSSSSS

K.L.M.N.O.P.Q.R.S.T.

DIV 2.2A (Ammonia)DIV 2.3ADIV 2.3BDIV 2.3CDIV 2.3DClass 3Class 3AClass 3BCOM LIQDIV 4.1

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCC

SSSSSSSSSS

U.V.W.X.Y.Z.

AA.BB.CC.DD.

DIV 4.2DIV 4.3DIV 5.1DIV 5.2DIV 6.2DIV 6.1ADIV 6.1BDIV 6.1 PoisonDIV 6.1 SOLIDCLASS 7

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCCC

SSSSSSSSSSS

EE.FF.

GG.HH.

II.JJ.

KK.LL.

MM.NN.OO.

HRCQCLASS 8CLASS 8ACLASS 8BCLASS 9ELEVATED TEMP MAT.INFECTIOUS WASTEMARINE POLLUTANTSHAZARDOUS SUB(RQ)HAZARDOUS WASTEORM

NBNBNBNBNBNBNBNBNBNBNB

BBBBBBBBBBB

D.E.F.

Private Passengers (Business)

Private Passengers (Non-Business)

Migrant

G.H.I.

U. S. Mail

Federal Government

State Government

J.K.L.

Local Government

Indian Tribe

Other

StraightTrucks

TruckTractors

Trailers Hazmat CargoTank Trailers Number of vehicles carrying number of passengers (including the driver) below

Motor Coach

School Bus Mini-bus Van Limousine

1-8 9-15 16+ 16+ 1-8 9-15 1-8 9-15 16+ 6 145 458 OWNED

TERM LEASED TRIP LEASED 27. DRIVER INFORMATION INTERSTATE INTRASTATE TOTAL DRIVERS TOTAL CDL DRIVERS

Within 100-Mile RadiusBeyond 100-Mile Radius

65 105

0 0

170 170

28. IS YOUR U.S. DOT NUMBER REGISTRATION CURRENTLY REVOKED BY THE FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION? Yes No XIf Yes, enter your U.S. DOT Number.

29. PLEASE ENTER NAME(S) OF SOLE PROPRIETOR(S), OFFICERS OR PARTNERS AND TITLES (e.g. PRESIDENT, TREASURER, GENERAL PARTNER, LIMITED PARTNER)

1. 2.(Please print Name) (Please print Name)

JOSEPH D HAYDEN, PRESIDENT WILLIAM B HAYDEN, VICE-PRESIDENT

30. CERTIFICATION STATEMENT (to be completed by an authorized official)

I, certify that I am familiar with the Federal Motor Carrier Safety Regulations and/or Federal Hazardous Materials Regulations.Under penalties of perjury, I declare that the information entered on this report is, to the best of my knowledge and belief, true,correct, and complete.

DON HAYDEN(Please print Name)

Signature DON HAYDEN Date 09/30/2009Title

(Please print)PRESIDENT

HazmatCargo

Tank Trucks

X

F.

G.

H.

I.

LOGS, POLES,BEAMS, LUMBER

BUILDINGMATERIALS

MOBILE HOMES

MACHINERY,LARGE OBJECTS

J.

K.

L.

M.

N.

O.

FRESH PRODUCE

LIQUIDS/GASES

INTERMODAL CONT.

PASSENGERS

OIL FIELD EQUIPMENT

LIVESTOCK

P.

Q.

R.

S.

T.

U.

GRAIN, FEED, HAY

COAL/COKE

MEAT

GARBAGE, REFUSE, TRASH

U.S. MAIL

CHEMICALS

V.

W.

X.

Y.

Z.

AA.

COMMODITIES DRY BULK

REFRIGERATED FOOD

BEVERAGES

PAPER PRODUCTS

UTILITY

FARM SUPPLIES

BB.

CC.

DD.

CONSTRUCTION

WATER WELL

OTHER

,

12.COLONIA (MEXICO ONLY)

REASON FOR FILING

26. NUMBER OF VEHICLES THAT CAN BE OPERATED IN THE U.S.

Page 12: OMB No. 2126-0013 MOTOR CARRIER IDENTIFICATION …OMB No. 2126-0013 Form MCS-150 (Rev. 3-24-2005) Expiration Date:03/31/2011 U.S Department of Transportation Federal Motor Carrier
Page 13: OMB No. 2126-0013 MOTOR CARRIER IDENTIFICATION …OMB No. 2126-0013 Form MCS-150 (Rev. 3-24-2005) Expiration Date:03/31/2011 U.S Department of Transportation Federal Motor Carrier
Page 14: OMB No. 2126-0013 MOTOR CARRIER IDENTIFICATION …OMB No. 2126-0013 Form MCS-150 (Rev. 3-24-2005) Expiration Date:03/31/2011 U.S Department of Transportation Federal Motor Carrier

Form MCS-150 (Rev. 3-24-2005) Expiration Date: 07/31/2012

OMB No. 2126-0013

U.S Department of TransportationFederal Motor CarrierSafety Administration

MOTOR CARRIER IDENTIFICATION REPORT(Application for U.S. DOT NUMBER)

1. NAME OF MOTOR CARRIERM & M CARTAGE CO INC

2. TRADE OR D.B.A. (DOING BUSINESS AS) NAME

3. PRINCIPAL ADDRESS4106 EASTMOOR RD

4. CITYLOUISVILLE

5. STATE/PROVINCEKENTUCKY 40218

6. ZIP CODE + 4 7. COLONIA (MEXICO ONLY)

10. STATE/PROVINCEKENTUCKY

11. ZIP CODE+440232

(Check Only One)NEW APPLICATION BIENNIAL UPDATE OR CHANGES OUT OF BUSINESS NOTIFICATION REAPPLICATION (AFTER REVOCATION OF NEW ENTRANT)

16. USDOT NO.

32519917. MC OR MX NO.

MC182539

13. PRINCIPAL BUSINESS PHONE NUMBER(502) 456-4586

14. PRINCIPAL CONTACT CELL PHONE NUMBER(502) 558-7344

15. PRINCIPAL BUSINESS FAX NUMBER(502) 456-1430

18. DUN & BRADSTREET NO.98095680

19. IRS/TAX ID NO.

EIN# SSN#610865101

22. COMPANY OPERATION A. Interstate Carrier B. Intrastate Hazmat Carrier C. Intrastate Non-Hazmat Carrier Interstate Hazmat ShipperD. E. Intrastate Hazmat Shipper F. Vehicle Registrant Only

(Mark all that apply)

23. OPERATION CLASSIFICATION (Circle All that Apply)

A.

B.C.

Authorized For-Hire

Exempt For-Hire

Private Property

A.

B.

C.

D.

E.

GENERALFREIGHT

HOUSEHOLDGOODS

METAL; SHEETS; COILS; ROLLS

MOTOR VEHICLES

DRIVEAWAY/TOWAWAY

24. CARGO CLASSIFICATIONS (Circle All that Apply)

25. HAZARDOUS MATERIALS CARRIED OR SHIPPED (Circle All that Apply) C-CARRIED S-SHIPPED B(BULK) - IN CARGO TANKS NB(NON-BULK) - IN PACKAGE

CCCCCCCCCC

SSSSSSSSSS

A.B.C.D.E.F.G.H.I.

J.

DIV 1.1DIV 1.2DIV 1.3DIV 1.4DIV 1.5DIV 1.6DIV 2.1DIV 2.1 LPGDIV 2.1 (Methane)DIV 2.2

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCC

SSSSSSSSSS

K.L.M.N.O.P.Q.R.S.T.

DIV 2.2A (Ammonia)DIV 2.3ADIV 2.3BDIV 2.3CDIV 2.3DClass 3Class 3AClass 3BCOM LIQDIV 4.1

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCC

SSSSSSSSSS

U.V.W.X.Y.Z.

AA.BB.CC.DD.

DIV 4.2DIV 4.3DIV 5.1DIV 5.2DIV 6.2DIV 6.1ADIV 6.1BDIV 6.1 PoisonDIV 6.1 SOLIDCLASS 7

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCCC

SSSSSSSSSSS

EE.FF.

GG.HH.

II.JJ.

KK.LL.

MM.NN.OO.

HRCQCLASS 8CLASS 8ACLASS 8BCLASS 9ELEVATED TEMP MAT.INFECTIOUS WASTEMARINE POLLUTANTSHAZARDOUS SUB(RQ)HAZARDOUS WASTEORM

NBNBNBNBNBNBNBNBNBNBNB

BBBBBBBBBBB

D.E.F.

Private Passengers (Business)

Private Passengers (Non-Business)

Migrant

G.H.I.

U. S. Mail

Federal Government

State Government

J.K.L.

Local Government

Indian Tribe

Other

StraightTrucks

TruckTractors

Trailers Hazmat CargoTank Trailers Number of vehicles carrying number of passengers (including the driver) below

Motor Coach

School Bus Mini-bus Van Limousine

1-8 9-15 16+ 16+ 1-8 9-15 1-8 9-15 16+ 6 200

35 750 OWNED

TERM LEASED TRIP LEASED 27. DRIVER INFORMATION INTERSTATE INTRASTATE TOTAL DRIVERS TOTAL CDL DRIVERS

Within 100-Mile RadiusBeyond 100-Mile Radius

65 232

0 0

297

28. IS YOUR U.S. DOT NUMBER REGISTRATION CURRENTLY REVOKED BY THE FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION? Yes No XIf Yes, enter your U.S. DOT Number.

29. PLEASE ENTER NAME(S) OF SOLE PROPRIETOR(S), OFFICERS OR PARTNERS AND TITLES (e.g. PRESIDENT, TREASURER, GENERAL PARTNER, LIMITED PARTNER)

1. 2.(Please print Name) (Please print Name)

JOSEPH D HAYDEN, PRESIDENT DENISE B HAYDEN, VICE-PRESIDENT

30. CERTIFICATION STATEMENT (to be completed by an authorized official)

I, certify that I am familiar with the Federal Motor Carrier Safety Regulations and/or Federal Hazardous Materials Regulations.Under penalties of perjury, I declare that the information entered on this report is, to the best of my knowledge and belief, true,correct, and complete.

DON HAYDEN(Please print Name)

Signature DON HAYDEN Date 11/13/2014Title

(Please print)RESIDENT

HazmatCargo

Tank Trucks

X

F.

G.

H.

I.

LOGS, POLES, BEAMS, LUMBER

BUILDINGMATERIALS

MOBILE HOMES

MACHINERY,LARGE OBJECTS

J.

K.

L.

M.

N.

O.

FRESH PRODUCE

LIQUIDS/GASES

INTERMODAL CONT.

PASSENGERS

OIL FIELD EQUIPMENT

LIVESTOCK

P.

Q.

R.

S.

T.

U.

GRAIN, FEED, HAY

COAL/COKE

MEAT

GARBAGE, REFUSE, TRASH

U.S. MAIL

CHEMICALS

V.

W.

X.

Y.

Z.

AA.

COMMODITIES DRY BULK

REFRIGERATED FOOD

BEVERAGES

PAPER PRODUCTS

UTILITY

FARM SUPPLIES

BB.

CC.

DD.

CONSTRUCTION

WATER WELL

OTHER

,

12. COLONIA (MEXICO ONLY)

REASON FOR FILING

26. NUMBER OF VEHICLES THAT CAN BE OPERATED IN THE U.S.

8. MAILING ADDRESSPO BOX 32068

9. CITYLOUISVILLE

20. INTERNET E-MAIL [email protected]

21. CARRIER MILEAGE (to nearest 10,000 miles for Last Calendar Year) YEAR1450000 2013

Page 15: OMB No. 2126-0013 MOTOR CARRIER IDENTIFICATION …OMB No. 2126-0013 Form MCS-150 (Rev. 3-24-2005) Expiration Date:03/31/2011 U.S Department of Transportation Federal Motor Carrier

Form MCS-150 (Rev. 3-24-2005) Expiration Date: 07/31/2012

OMB No. 2126-0013

U.S Department of TransportationFederal Motor CarrierSafety Administration

MOTOR CARRIER IDENTIFICATION REPORT(Application for U.S. DOT NUMBER)

1. NAME OF MOTOR CARRIERM & M CARTAGE CO INC

2. TRADE OR D.B.A. (DOING BUSINESS AS) NAME

3. PRINCIPAL ADDRESS4106 EASTMOOR RD

4. CITYLOUISVILLE

5. STATE/PROVINCEKENTUCKY 40218

6. ZIP CODE + 4 7. COLONIA (MEXICO ONLY)

10. STATE/PROVINCEKENTUCKY

11. ZIP CODE+440232

(Check Only One)NEW APPLICATION BIENNIAL UPDATE OR CHANGES OUT OF BUSINESS NOTIFICATION REAPPLICATION (AFTER REVOCATION OF NEW ENTRANT)

16. USDOT NO.

32519917. MC OR MX NO.

MC182539

13. PRINCIPAL BUSINESS PHONE NUMBER(502) 456-4586

14. PRINCIPAL CONTACT CELL PHONE NUMBER(502) 558-7344

15. PRINCIPAL BUSINESS FAX NUMBER(502) 456-1430

18. DUN & BRADSTREET NO.98095680

19. IRS/TAX ID NO.

EIN# SSN#610865101

22. COMPANY OPERATION A. Interstate Carrier B. Intrastate Hazmat Carrier C. Intrastate Non-Hazmat Carrier Interstate Hazmat ShipperD. E. Intrastate Hazmat Shipper F. Vehicle Registrant Only

(Mark all that apply)

23. OPERATION CLASSIFICATION (Circle All that Apply)

A.

B.C.

Authorized For-Hire

Exempt For-Hire

Private Property

A.

B.

C.

D.

E.

GENERALFREIGHT

HOUSEHOLDGOODS

METAL; SHEETS;COILS; ROLLS

MOTOR VEHICLES

DRIVEAWAY/TOWAWAY

24. CARGO CLASSIFICATIONS (Circle All that Apply)

25. HAZARDOUS MATERIALS CARRIED OR SHIPPED (Circle All that Apply) C-CARRIED S-SHIPPED B(BULK) - IN CARGO TANKS NB(NON-BULK) - IN PACKAGE

CCCCCCCCCC

SSSSSSSSSS

A.B.C.D.E.F.G.H.I.J.

DIV 1.1DIV 1.2DIV 1.3DIV 1.4DIV 1.5DIV 1.6DIV 2.1DIV 2.1 LPGDIV 2.1 (Methane)DIV 2.2

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCC

SSSSSSSSSS

K.L.M.N.O.P.Q.R.S.T.

DIV 2.2A (Ammonia)DIV 2.3ADIV 2.3BDIV 2.3CDIV 2.3DClass 3Class 3AClass 3BCOM LIQDIV 4.1

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCC

SSSSSSSSSS

U.V.W.X.Y.Z.

AA.BB.CC.DD.

DIV 4.2DIV 4.3DIV 5.1DIV 5.2DIV 6.2DIV 6.1ADIV 6.1BDIV 6.1 PoisonDIV 6.1 SOLIDCLASS 7

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCCC

SSSSSSSSSSS

EE.FF.

GG.HH.

II.JJ.

KK.LL.

MM.NN.OO.

HRCQCLASS 8CLASS 8ACLASS 8BCLASS 9ELEVATED TEMP MAT.INFECTIOUS WASTEMARINE POLLUTANTSHAZARDOUS SUB(RQ)HAZARDOUS WASTEORM

NBNBNBNBNBNBNBNBNBNBNB

BBBBBBBBBBB

D.E.F.

Private Passengers (Business)

Private Passengers (Non-Business)

Migrant

G.H.I.

U. S. Mail

Federal Government

State Government

J.K.L.

Local Government

Indian Tribe

Other

StraightTrucks

TruckTractors

Trailers Hazmat CargoTank Trailers Number of vehicles carrying number of passengers (including the driver) below

Motor Coach

School Bus Mini-bus Van Limousine

1-8 9-15 16+ 16+ 1-8 9-15 1-8 9-15 16+ 6 169

4 505 OWNED

TERM LEASED TRIP LEASED 27. DRIVER INFORMATION INTERSTATE INTRASTATE TOTAL DRIVERS TOTAL CDL DRIVERS

Within 100-Mile RadiusBeyond 100-Mile Radius

65 148

0 0

213

28. IS YOUR U.S. DOT NUMBER REGISTRATION CURRENTLY REVOKED BY THE FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION? Yes No XIf Yes, enter your U.S. DOT Number.

29. PLEASE ENTER NAME(S) OF SOLE PROPRIETOR(S), OFFICERS OR PARTNERS AND TITLES (e.g. PRESIDENT, TREASURER, GENERAL PARTNER, LIMITED PARTNER)

1. 2.(Please print Name) (Please print Name)

JOSEPH D HAYDEN, PRESIDENT WILLIAM B HAYDEN, VICE-PRESIDENT

30. CERTIFICATION STATEMENT (to be completed by an authorized official)

I, certify that I am familiar with the Federal Motor Carrier Safety Regulations and/or Federal Hazardous Materials Regulations.Under penalties of perjury, I declare that the information entered on this report is, to the best of my knowledge and belief, true,correct, and complete.

TRACY STEPHENS(Please print Name)

Signature TRACY STEPHENS Date 12/06/2013Title

(Please print)HR/SAFETY MANAGER

HazmatCargo

Tank Trucks

X

F.

G.

H.

I.

LOGS, POLES,BEAMS, LUMBER

BUILDINGMATERIALS

MOBILE HOMES

MACHINERY,LARGE OBJECTS

J.

K.

L.

M.

N.

O.

FRESH PRODUCE

LIQUIDS/GASES

INTERMODAL CONT.

PASSENGERS

OIL FIELD EQUIPMENT

LIVESTOCK

P.

Q.

R.

S.

T.

U.

GRAIN, FEED, HAY

COAL/COKE

MEAT

GARBAGE, REFUSE, TRASH

U.S. MAIL

CHEMICALS

V.

W.

X.

Y.

Z.

AA.

COMMODITIES DRY BULK

REFRIGERATED FOOD

BEVERAGES

PAPER PRODUCTS

UTILITY

FARM SUPPLIES

BB.

CC.

DD.

CONSTRUCTION

WATER WELL

OTHER

,

12. COLONIA (MEXICO ONLY)

REASON FOR FILING

26. NUMBER OF VEHICLES THAT CAN BE OPERATED IN THE U.S.

8. MAILING ADDRESSPO BOX 32068

9. CITYLOUISVILLE

20. INTERNET E-MAIL [email protected]

21. CARRIER MILEAGE (to nearest 10,000 miles for Last Calendar Year) YEAR10044000 2012

Page 16: OMB No. 2126-0013 MOTOR CARRIER IDENTIFICATION …OMB No. 2126-0013 Form MCS-150 (Rev. 3-24-2005) Expiration Date:03/31/2011 U.S Department of Transportation Federal Motor Carrier
Page 17: OMB No. 2126-0013 MOTOR CARRIER IDENTIFICATION …OMB No. 2126-0013 Form MCS-150 (Rev. 3-24-2005) Expiration Date:03/31/2011 U.S Department of Transportation Federal Motor Carrier

OMB No. 2126-0013

Expiration Date:Form MCS-150 (Rev. 12-12-2003) 07/31/2007

U.S Department of TransportationFederal Motor CarrierSafety Administration

MOTOR CARRIER IDENTIFICATION REPORT(Application for U.S. DOT NUMBER)

1. NAME OF MOTOR CARRIERM & M CARTAGE CO INC

2. TRADE OR D.B.A. (DOING BUSINESS AS) NAME

3. PRINCIPAL STREET ADDRESS/ROUTE NUMBER4106 EASTMOOR RD

4. CITYLOUISVILLE

5. MAILING ADDRESS (P O BOX)P O BOX 32068

6. MAILING CITYLOUISVILLE

7. STATE/PROVINCEKENTUCKY 40218

8. ZIP CODE + 4 9.COLONIA (MEXICO ONLY) 10. STATE/PROVINCEKENTUCKY

11. ZIP CODE+440232-2068

(Check Only One)

NEW APPLICATION BIENNIAL UPDATE OR CHANGES OUT OF BUSINESS NOTIFICATION REAPPLICATION (AFTER REVOCATION OF NEW ENTRANT)

16. USDOT NO.

32519917. MC OR MX NO.

MC182539

13. PRINCIPAL BUSINESS PHONE NUMBER(502) 456-4586

14. PRINCIPAL CONTACT CELLULAR PHONE NUMBER(502) 558-7344

15. PRINCIPAL BUSINESS FAX NUMBER(502) 456-1430

18. DUN & BRADSTREET NO.

9809568019. IRS/TAX ID NO.

EIN# SSN#61086510120. INTERNET E-MAIL ADDRESS

[email protected]

21. COMPANY OPERATION A. Interstate Carrier B. Intrastate Hazmat Carrier C. Intrastate Non-Hazmat Carrier Interstate ShipperD. E. Intrastate Shipper F. Vehicle Registrant Only

(Circle all that apply)

22. CARRIER MILEAGE (to nearest 10,000 miles for Last Calendar Year) YEAR11672000 2004

23. OPERATION CLASSIFICATION (Circle All that Apply)

A.

B.C.

Authorized For-Hire

Exempt For-Hire

Private Property

A.

B.

C.

D.

E.

GENERAL FREIGHT

HOUSEHOLDGOODS

METAL; SHEETS;COILS; ROLLS

MOTOR VEHICLES

DRIVEAWAY/TOWAWAY

24. CARGO CLASSIFICATIONS (Circle All that Apply)

25. HAZARDOUS MATERIALS CARRIED OR SHIPPED(Circle All that Apply) C-CARRIED S-SHIPPED B(BULK) - IN CARGO TANKS NB(NON-BULK) - IN PACKAGES

CCCCCCCCCC

SSSSSSSSSS

A.B.C.D.E.F.G.H.I.J.

DIV 1.1DIV 1.2DIV 1.3DIV 1.4DIV 1.5DIV 1.6DIV 2.1DIV 2.1 LPGDIV 2.1 (Methane)DIV 2.2

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCC

SSSSSSSSSS

K.L.M.N.O.P.Q.R.S.T.

DIV 2.2A (Ammonia)DIV 2.3ADIV 2.3BDIV 2.3CDIV 2.3DClass 3Class 3AClass 3BCOM LIQDIV 4.1

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCC

SSSSSSSSSS

U.V.W.X.Y.Z.

AA.BB.CC.DD.

DIV 4.2DIV 4.3DIV 5.1DIV 5.2DIV 6.2DIV 6.1ADIV 6.1BDIV 6.1 PoisonDIV 6.1 SOLIDCLASS 7

NBNBNBNBNBNBNBNBNBNB

BBBBBBBBBB

CCCCCCCCCCC

SSSSSSSSSSS

EE.FF.GG.HH.

II.JJ.KK.LL.MM.NN.OO.

HRCQCLASS 8CLASS 8ACLASS 8BCLASS 9ELEVATED TEMP MAT.INFECTIOUS WASTEMARINE POLLUTANTSHAZARDOUS SUB(RQ)HAZARDOUS WASTEORM

NBNBNBNBNBNBNBNBNBNBNB

BBBBBBBBBBB

D.E.F.

Private Passengers (Business)

Private Passengers (Non-Business)

Migrant

G.H.I.

U. S. Mail

Federal Government

State Government

J.K.L.

Local Government

Indian Tribe

Other

StraightTrucks

TruckTractors

Trailers Hazmat CargoTank Trailers Number of vehicles carrying number of passengers (including the driver) below

Motor Coach

School Bus Mini-bus Van Limousine

1-8 9-15 16+ 16+ 1-8 9-15 1-8 9-15 16+ 5 118 400 OWNED

TERM LEASED TRIP LEASED 27. DRIVER INFORMATION INTERSTATE INTRASTATE TOTAL DRIVERS TOTAL CDL DRIVERS

Within 100-Mile RadiusBeyond 100-Mile Radius

70 100

0 0

170 170

28. IS YOUR U.S. DOT NUMBER REGISTRATION CURRENTLY REVOKED BY THE FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION? Yes No XIf Yes, enter your U.S. DOT Number.

29. PLEASE ENTER NAME(S) OF SOLE PROPRIETOR(S), OFFICERS OR PARTNERS AND TITLES (e.g. PRESIDENT, TREASURER, GENERAL PARTNER, LIMITED PARTNER)

1. 2.(Please print Name) (Please print Name)

JOSEPH D HAYDEN, VICE-PRESIDENT WILLIAM B HAYDEN, PRESIDENT

30. CERTIFICATION STATEMENT (to be completed by an authorized official)

I, certify that I am familiar with the Federal Motor Carrier Safety Regulations and/or Federal Hazardous Materials Regulations.Under penalties of perjury, I declare that the information entered on this report is, to the best of my knowledge and belief, true,correct, and complete.

JOSEPH D HAYDEN(Please print Name)

Signature JOSEPH D HAYDEN Date 12/27/2006Title

(Please print)VICE-PRESIDENT

HazmatCargo

Tank Trucks

X

F.

G.

H.

I.

LOGS, POLES,BEAMS, LUMBER

BUILDINGMATERIALS

MOBILE HOMES

MACHINERY,LARGE OBJECTS

J.

K.

L.

M.

N.

O.

FRESH PRODUCE

LIQUIDS/GASES

INTERMODAL CONT.

PASSENGERS

OIL FIELD EQUIPMENT

LIVESTOCK

P.

Q.

R.

S.

T.

U.

GRAIN, FEED, HAY

COAL/COKE

MEAT

GARBAGE, REFUSE, TRASH

U.S. MAIL

CHEMICALS

V.

W.

X.

Y.

Z.

AA.

COMMODITIES DRY BULK

REFRIGERATED FOOD

BEVERAGES

PAPER PRODUCTS

UTILITY

FARM SUPPLIES

BB.

CC.

DD.

CONSTRUCTION

WATER WELL

OTHER

,

12.COLONIA (MEXICO ONLY)

REASON FOR FILING

26. NUMBER OF VEHICLES THAT CAN BE OPERATED IN THE U.S.