INSTRUCTIONS 1. The original certificate shall be signed by an executive officer of the carrier having knowledge of the matters therein set forth and shall be made under oath. 2. The original certificate and two copies thereof shall be filed with the secretary of the Interstate Commerce Commission, Washington, D.C., within 10 days after the issuance of the securities with respect to which the certificate is filed. Each copy of the certificate shall bear the dates and signatures that appear in the original and shall be complete in itself; the signatures in the copies may be stamped or typed and the notarial seal may be omitted. 3. The certificate shall be on paper approximately 81⁄2 inches by 11 inches. A margin of 11⁄2 inches shall be left on the left side for binding. FORM C CERTIFICATE OF NOTIFICATION TO THE INTERSTATE COMMERCE COMMISSION OF THE ISSUE OF NOTES MATURING NOT MORE THAN 2 YEARS AFTER THE DATE THEREOF, REQUIRED BY PARAGRAPH (9) OF SECTION 20A OF THE INTERSTATE COMMERCE ACT Date -" 192... The undersigned hereby certifies that within the 10 days next preceding the above date the (Name of carrier) has issued notes set forth and described below: (a) Principal amount of each note; date; date of delivery; date of maturity; rate of interest; and name of payee. (b) Description and amount of securities pledged as collateral for each note. (If carrier pledged its own stocks, bonds, or other securities as such collateral, reference shall be made to the order of the commission authorizing such pledge.) (c) The price at which, and the terms under which, each note was sold or otherwise disposed of. (d) How and by whom, or through whom, issued. (e) The purposes in detail of each note and proposed disposition of proceeds. The total amount of the carrier's securities actually outstanding on the date of the note or notes covered by the certificate was as follows: 1. Capital stock (par value) 2. Long-term debt (par value). 3. Securities not included above, including value of securities issued without par value, but excluding notes of maturity of 2 years or less_ Total of securities outstanding.. 4. Notes of maturity of 2 years or less, including notes covered by this certificate (face amount) INSTRUCTIONS 1. The original certificate shall be signed by an executive officer of the carrier having knowledge of the matters therein set forth and shall be made under oath. 2. The original certificate and two copies thereof shall be filed with the secretary of the Interstate Commerce Commission, Washington, D.C., within 10 days after the issuance of the securities with respect to which the certificate is filed. Each copy of the certificate shall bear the dates and signatures that appear in the original and shall be complete in itself; the signatures in the copies may be stamped or typed and the notarial seal may be omitted. 3. The certificate shall be on paper approximately 81⁄2 inches by 11 inches. A margin of 11⁄2 inches shall be left on the left side for binding. FORM D-1 Report to the Interstate Commerce Commission of the disposition made of securities authorized under section 20a of the interstate commerce act, or of notes maturing not more than two years after the date thereof, issued under paragraph (9) or said section, and of the application of the proceeds of such securities or notes, required by paragraph (10) of said section. (This space for use of commission) Date report filed. Name of reporting carrier.. Report for period ended.. 192__. 192_. Description (or name) of security covered by this report.. Date of Commission's order authorizing the issue of securities covered by this report. 192... Finance Docket No. -" Summary [Not including notes maturing not more than 2 years after the date thereof, for which authorization is not required] Notes maturing not more than 2 years after the date thereof for which authority is not required Covered by report on Form C, dated__ 19. $. SCHEDULE 1.-Securities issued and/or securities as to which obligation is SCHEDULE 1.-Securities issued and/or securities as to which obligation is assumed Continued 1 If premium exceeds total of columns (i), (j), and (k), show in red. Show premium in red. SCHEDULE 2.—Application of net proceeds and/or face value of securities issued or assumed 1. Unexpended balance from schedule 2, previous report of... 2. Net proceeds of issues during period covered by this report (column (m), schedule 1). 3. Total net proceeds of securities. 4. Purpose to which applied 3_ 5. Unexpended net proceeds (carried to line 1, schedule 2, next report) 6. Expenditures for above purpose made from funds other than those obtained from this issue of securities. 1. Original report covering each 6 months' period ended June 30 and December 31, and 2 copies thereof, shall be filed with the secretary of the Interstate Commerce Commission within 30 days after the end of each period. These reports shall be continued until (a) In case of securities authorized under section 20a of the Interstate Commerce Act, the disposition of all the securities and the application of all the proceeds thereof have been reported; and (b) In case of notes issued under the provisions of paragraph (9) of section 20a of the act, the application of all the proceeds of such notes has been reported; 3 See par. 3 of "Instructions." but if there were no transactions to report during any 6 months' period a statement to that effect may be made under oath and filed in lieu of a formal report. 2. Separate report shall be made for each order of authorization, and if the issue of more than one kind of security is authorized by the same order, separate report shall be made for each kind of security. Separate report shall be made for each note (or series of notes) maturing not more than two years after the date thereof, for which authorization is not required. 3. Schedule 2 of this report shall show under the following general headings the purposes to which proceeds were applied: (a) The acquisition of property other than equipment. (b) The acquisition of equipment. (c) The construction, completion, extension, or improvement of facilities. (d) The discharge or refunding of existing obligations. (e) The reimbursement of moneys expended from income or from other moneys in the treasury of the applicant. (f) Other purposes (specifically stated). 4. The original report shall be signed by an executive officer of the issuing carrier having knowledge of the matters therein set forth and shall be made under oath. 5. Each copy of the report shall bear the dates and signatures that appear in the original and shall be complete in itself; the signatures in the copies may be stamped or typed, and notarial seal be omitted. 6. The report shall be on paper approximately 8%1⁄2 by 11 inches. A margin of 11⁄2 inches shall be left on the left side for binding. SECURITIES ACT 1. If the order authorized issuance of securities to capitalize proposed expenditures the A.F.E. numbers to be entered in column (c) of this report should correspond with those shown in the application and included by the terms of the order. 2. The totals of columns (e), (f), (g), and (h), shall be shown for each page of this report and shall be carried forward to a grand total at the end of the report. 3. The original report shall be signed on behalf of the applicant by its president, vice president, auditor, comptroller, or other execu- 4. The original report and two copies thereof shall be made and filed with the secretary of the Interstate Commerce Commission, |