TO; 1 6036965199 P g 2 f 12

STATE OF SOUTH CAROLINA

:(P!_se _typ¢_or p_n0

Submitted b_::;'.._._

Address:

From: Jemo= Richburg

qt 37GBEFORE :THE

(Cap=lion .of Case) ) PUBLIC SERVICE COMMISSION

Example: A_p!ivati0n for a C l_s (2Char_¢r.C_fi¢_e 'from ) OF SOUTH CAROI._A

_ohn Doe dba Doe's Lixno )

) TRANSPORTATION COVER SHEET

).

) D ]CKE r) 1,70i _)) flf.tMs is.your first time 1_ling an app|!c_ion w_th d_¢ PSC, YOU will tt.c_t

• • , ¢ .....ave flied with. _¢.Comz'ata_ton beto_. _ Docke_ Number was a_Jg_a:ecl

) o._ should he entere_ ai-x_,,,e.

5( )(4::: _.J_,*')_ -- Telephone, __.2:__J'_ Z Z'r% ,_7"_ _9'

NO TEI.Th¢ c_ver sh.eet and infon_tio_. o0atai_ed h_¢irt neither- r_piaces nor _zppl_ment_. the fiRag and Sc_'jce of pleadings or o _e_ pal_as ._qu!red t_y. taw,. .This. ftmn is required .f0r ;_Se _ytiXe Public,Service Commib_i6n :0f Sout_ Car0|ina for the pva'pos¢ 0f doekeOng _mcimust

fii[_ OutCompletcl.w

NATURE OF ACTION (Check all tha t apply)

Application -Ciass A/ARestricted

_.Applica.tion :ClassCC.hartee

[--7 AppLication - Class C Charter Bus

[] Application - Class C Not_-Emergenc_

Application.-. Class .C S.tretcher ,Van

[] Application. C]_L_:._E FTonsei_old Goods

[_ Ap#._.cation _.ClasS E Hazardous. Waste

['7 Appiic;ttion

•. _ Request :for Extension to Comply _4th 0rde¢

.Request tbr Order Granting Authori_-:to Obtain a Ccrtif_cate

of_P_blie: ConvenienCe and Neeessi_" to Be Rescinded

Req_zestfor Cat, cellar!on 0fCertifi.cate

Request for Suzpension

Request for geinsta_meat

....... :--" rT, ..... .... • • _,t..,r,, .... - •

[Z_ R_uest _r Name Change on Certificate

R_,xtuest to.Amend Scope of Authority

Request to Aanend Tariff(rate increase, etc.)

Request

f7

[]

[]['-] Respottse

Return to Petition

!._ ••Other: ___. _

Request to Amend Passenger Limit

Exh/bit ,r_ ,_,• " :_ _e,_

r_._ dAN .? 0 2013Proposed Order

r/b'_ReSer_,ation Letter

If you have, any questions about this form, please contact: the HSBLIC:SERVICE COMMISSION at 803,896-5100.

— 0 - 2»o ( T&

STATE OF SOUTH CAROLINA

(Caption of Case)Fxamplc: Application for a Cine,- C Cbaner Ceruficate from

John Doe dba Doe's Limo

) BEFORE THEPUBLIC SERVICE CGM MISSION

) OF SOUTH CARGLUvTA)) TRATaTSPGRTATION COVER SHEET)

) OGGKKT

(Please tyTtc or print)Subntitted by: Ma

Z6 7 Ft.+W JT u'&.=Address

) It this is ycnr fust time filing an apptieaficn vvnh the pst:, you witt nmhave n Dvvaet reumhee The Connniaqon avi! I csatan nne tn yon. It'ouhaec nteat «nth the c.'onnnianon before, a Docket tcomber «aa eaaignedaa ahonls he enrered above.

5oo ~8 3

o tag)a c V sa e reraav c eaaaNOTF- The cover sheet and information contained herein neither replaces nor vcupploncnt v the filing and service of pleadmgs or other papersas mqnircd by tnvv. Thin form ia required for use by the public Servqce Cemmiseion nf South Camhna for thc purpose of docketing and mustbe niled out cpm ivtcl .

NATURE QF ACTION (Checlt all that apply)

Application - Class A/A Restricted

QA plicntion-Class C Taxi

Application — Class C Charter

Q Application - Class C Charter Ttus

Application - Class C Non-Emergency

Q Application- Class C Stretcher Van

App'licntion Clues F. H»ueehold Cioods

Q Apphcation - Class E Hazardous Waste

Q Applieadon

Requiet for Extension to Comply uqth Order

Request for Order Ciranting Authority to. Obtain a Ccrtii ice to. ofPublic Convenience and Necessity to bc Rescinded

Q Request for Cancellation of Cvnnitinate

Q Request for Suspension

Q Requivt for Rcinstatetnent

Q Request for Name Change ou Certificate

g Rtxlucst to Amend Scope ofAuthouty

g Request to Amend Tariff(rate increase, etc.)

Q Request to Amend Passenger Limit

Request

Q Kxlubit

T.ati-Filed Fx~t

Letter o'AN .al(@IIProposed Order

PSC SCPublisher's AfMKW'S

OFF~ ./CE

Q React«ation Lcner

Response

Return m Petition

Q Other:

Tf you have any questions about this form, please contact the PUBLTC SERVICE COMMISSIQTq at 803-896-5100.

From. dmmem Richbur 9

PUBL1C SERVICE. COMMISSION OFi:SOUTH CAROLINA

I01 Exec.mivv Center.Drive, Suite 100

Cdumb ia, S0uth-Cm'olina 29210

(.Mailing ad dress: Post O Gee Drawer I 1649_. CoIumbia, SC 292 t t )

Phone: (803)189'6-5!00 Fax: (803) 896-51.99

APPLICATION FOR CERTIHCATE OF PUBLIC CONVENi_NCE AND NECESSITYFOR

OPERATION OF MOTOR VEH!CLE CARRIER

CLASS C- CIL_RTER

D_te:

Application is hereby made tb.r. a Certificate 0fPublic Convenience .andNecessity; in accordance with the provisiol_

of S.C. Code:• .Ann., § 58.-23-10, e_:seq _ (1.976), _d amendments flaereto.

1. Name under which busfness i,sto be Conducted (corporafi0n, pa,rtnership, orl sole proprietorship, with or without trade nmne,)

t " d,,,o -- .

........ S._i_t Address _rffApplicmit .......

.

.3;

' MaiEn8 _Tess ofApp!icant":(if di fferer_t fi_hastreet address)

.Phone '7...... - "....... Fax _'

-:.Eniait"Address ........... "

If the Applicant is an LLC..or a corporation, a copy 0_th, e Certificate of Existence from the South Carolina; . '. • -. ..... . .. '

Sccrci, ary of State and flae :Arti¢le_ of lnc._oration nms_. 'be attached... (If incorl_orated outside of SC; attach South

Carolina Secremxy of State."Foreign Corporation"...Certificate!) "

Se!.ectEr_ try Type; (Check.0ne)_di_,iduai Owner/Sole. Pro_6etorship

Partnership :,-.List. names and addresses of.al! perso_ laa_ring an.interest in the business.

[] Co._oration - List names at_d addreszcz oiTtwo, prineipa! officers.

1 of 9

30

PUBLIC SERVICE COMMISSION QF SOUTH CAROLINA101 Executive Cent»«r Drive, Suite 100

Columbia, South Cmolina 29210(Mailin8 address: post Otic» Drawer 11649, Colutnbia, SC 29211)

Phone; (803) 896-5100 Fax: (803) 896-5199

APPLICATION FOR CERTIFICATE OF PLrBLIC CONVENIENCE AND NECESSITY FOROPERATION OF MOTOR VEHICLE CARRIER

CI.ASS C - CILmTZR

Application is hereby made for a Cendftcate of Public Convenicnrc and Necessity, in accordance with the provisionof S.C. Code Ann., h 58-23-10, et seq. (1976), and amendments thereto.

L Name under whirh busin»ss is to be conducted (corporation, tMrtn»rsbip, or sole proprietorship, v8th or without trade name)

«W/«Paw ~ Zino = Sd/«r'o ra»Acji',

Z4k'gri'iurg A ess of App i»ant (»t »r»ut rout street address)

Q9'3'- ZZ tr' 00 3 it g - Wo/ 5

Email A dress

2. If the Applicant is an I.LC or a corporation, a copy o1'he Certilicate of Existence from the South CarolinaSecretary of State and the Arncles of Incorporation must be attached. (If incorporated outside of SC, attach SouthCarolina Secretary of State «Foreign Corporation" Certificate.)

3, Select Fntity Typet {Check one)~ndividua) Owner/Sole Proprietorship

Q Parte»rsbip -. I ist rmnes and addresses ofafi person having an interest in the business.

Q Corporation - List names and addresses of two pdnoipal otic»rs.

1 of9

To: +1-6036985199 Page 4 of I 2

From: Ja rnes I=_lch burg

Applicant is ifinmaciat|y abl.e m furnish the services a.s.specified in this application mid Submits the followingstatement of assets and !labilities.

B_ANCE SHEET

Assets:

,,Cash

Recei:vables.... .... ........ • .

Real Estate

Buildings and Equipment (Net)

Motor Vehicles (Net)

Garage Equipment•i(Ne0

Machinery and Tools: (-Net) •

Supplies on Hand

Balance at Time Application is•Filed:

Month __ ••l Year ._,=•eJ

0

d

• • --.----_---,--r-,--_... ......

"r

0

Prepaids..and Other: _ssets ..... " . ::: ..:b :i I .....................Total•Assets_ !•••i • •• ii•i :•........ .................. _''q,_ _ .

Accounts Payable _.I .... 0.....i " " " ".....Notes Payable 0 .......................

Mortgages Payabl.e ........ I.............................. " r-. " . " " ..... _C _

Equipment Obligations 0

Accrued Salaries.and Wages 0

Other Accrued Obligations

Other Liabilities

T oral Liabili ties

Capital Stock

Retained Earnings ........

Total. Equity ....

:Total Liabilities an d:EquitT*

• ...oral Assem:_ To_l Lmbdmes and Equity

L)

O

t 0 .

2of9:

Applicant is financially able to furnish the services as specified in this application and submits the fouotuinastatement ofassets and liabilities.

Cash

Receivables

Real Estate

set

Balance at Time Application is Filed:M th ~ 'Y 4 ig

Buildings and, Equipment (Net)

Motor Vehicles llqet)Garage Equiptncnt (Net)

Machinery and Tools Piet)Suppbes ott Hand

Prepaids and Other Assets

Total Assets"

L~l*bll ties n Eq,!inAccounts payable

Notes Payable

Mottgages Payable

Equipment Obligations

Accrued Salaries and %'ages

Other Accrued ObligationsOther Liabilities

Total Liabilities

Capital StockRetained Earnings

Total EquityTotal Liabilities and Equity*

e Total Asaets = Total Liabilities and Equityaof9

To. _1-ELO3E)965189 I_ g 5 of 12

From: J m _i_hb_r_a ei

PROPOSED _TES AND.CHARGES. FOR SERVICE

Proposed Ra!ies. =and _ha_rges (List on.ly maximum eh_r_e_ o_r mile ortriv and/or hourly rate1:

_8_eques_ed Scope of ?tUth0ritv: Cheek all eoumies in which you are reouesting p_mission to operat:_Youwiil oniy !bea|towedm operatein :those eountiescheekedbeiow: _:oumavreque_t. stateWid_ "

authority if you intend to.operate inall counties .in :South Carolina.

Abbeville _'] Cherokee _ Florence

Aiken _ Chester _ Georgetown...-.

AHendale [_ Chesterfield _ Greenville

Anderson _ Clarendon _ Greenw0oct

B_nwe]l _ D_trtington _ .Hor'.D.'

D .Dm0n r s.per

;_ Berkeley _: Dore,hes_e_ _ Ker_laaw

['] =Cathoun _ Edge_elct _ t.,=acaster

charleston _ Fairtleld _j L.u,rcn:s

Lee _ Saluda

[] Lexin_on [_ Spar_nbur_

-: _.Maricm [] S_nter

_. Marlboro [] Union

MuCormick [---]Williamsburg

[_ Newberry _ York

["7 o¢.once

_. P:ickens

Richland - ....

'i ¸.-/ ......::-.::::.. ::. :: "::i ..;:::k

PROPOSED RATES AXB CHARGKS FOR SKRVT1"K

Pro Qsed Rates an h r e ist onl tn int r -r or

jD h,C P g 4»~, rttiw F ~ ~Jt C t»rMzA t aW4 J)std'3's f~~. &tri»Y P,',rz~

R t t c - th ri .h kYou wH1 only be a'llowved to operate inauthority if you intend to operate in ail

tin e i i nto erathose counties checked belwv. You may request "Statewide"counties in South Carolina

Abbeville

+ Alkali

Q Ail 1 endale

i+ Anderson

Q 8amberg

g 8 angell

Q Bcaltfott

+ Berkeley

+ Calhoun

Q Charleston

Q Cherokee

Chester

Q Chesterfield

+Clarendon

Q Cog«ton

Q Darlington

Q Digon

Dorchester.

+ Edgefietd

Patrti«td

Q Plorence

Q Ceorgetowtt

Gr«envi tie

Q tire«owned

Q Hartlpinfl

Q iiony

Q Jasper

Q K.ersbaw

Lancaster

Q l.avrena

Q l exn gton

Q Marion

g Matlbortt

LI McCormick

+ tttewberry

Q tJconee

tlrangebnrg

+ Plckctts

tttcbtand

Q Batttda

Spartanbttrg

+ Stnnt«r

Q Union

Q Wi Illarnsbttrg

York

To; + 1-803896S199 P_g_ 6 of 12 2013-01-2:8 19; 24; 30 (GMT)

DESCRIPTION OF ,EQUIPMENT

You are not requi_'ed.to own a vehicle to :flit an applica.tion: However, .prior .to being issued a oertificate by ORS,yoga will be required to have obtained a vehicle.

Maximurn Number Of_fi_get3 Vehicle is ...... _ ' _ , "Eaut_ gd tO _ r " :1 he txumber of asscn .cxs a vehicle is......................... . ..,t t....................._( ..... P ....... g . .. equipped_o carry is based on thenumber of s.ealbelts inthe vehicle, ihcluding the driveffs seatbe[t,)

S.7: Passengers,. including driver

[_ - 8.15 Pa._sengers, •:including driver

MA_ YEAR & MODEL V_q#_ EMPTY WEIGHT

v,_ . 't ....

..........-................:7 '?......

4of9

DESCRIPTION QF EQUIPMENTYou are, not required to oven a vehicle to fil an application, However, prior to being issued a ccrtificatc by ORS,you tvili be required to have obtained a vehicle.

t6ftcv h I'. QIIJt C~CI* b* fP ' '*l I **/ PP'dto carry is based on the number of~ in the vehicle, including the driver's seatbr it,)

i-7 Passengers, including driver

tt-15 Passengers, including driver

hfAKE YEAR k MODEL EMPTY %ElGHT

To. 1 80_8985199 P _;I 1_ f 12

• _ - . . • • • . a _ o • From..Jam_ e_i_hburg

To: THrtmlo P_me • _2 - - _!-_-Q!-_li _:4¢_G ((_IIT_ Ft_e_: d_'r_a I_i_

, :.::..:,,_a_P_,_ nVgi:::. :".:;:,:;_).:-!?t:,.-.:_-i-_(,--'.:_:.:.:.:;: r_..,.-::;i,"';::._iT'i:.;.f.-_.._?:;;t:'. "%_i:i:!_]:.!-;';%.-:.:':-.;.::,i_.i:::.:,/.,,T._;:. :.,: :".:-: -..

:: :-,.. i'_':':i ''_...... ..:_-.,:j:;:_.i,.".:"(:'."_)/'7..,.:-(-...:_'_; -, ._., '-_ :x,.:,'7-.. '" ..... i;: "°--' :. , :/ :' :':' ..........., -

:!!.; ;:-iit :-:... ..;.::%? :5.-:-::-..-..•-" ' "_:..:,.'.' :._: _,./ .7_.._;5_.-':':-..--.-:,:.':'_ - •- • ,.... ':_ :., . ."" '.' ..' t-:., ..- :r 4:"""::7.. '-:":-"-'_ ........ " . 't'_..__:_._ ........................ :% _ ..,

'°''_" ". ":'_.- --.,_ '-.'.i; ,:." [.-:t _-,..-., ..-.-\ ..... -. ' .' " " " _ ,. :. _ , ;.; :. 'h". = :- " ": "':_-_ ".. " . --_"-

:. 1:': :::"",:,_ _::?,.i_.;,-:_, _'.,_. ;.;: ";,.7:-,,., :..,.1..':_'F;7,1_:'i::!,:':.i_-;:.':__':-.:'°-.--. _: :..)_-:i:;,:?.:&-- -.

:. ::...._,!, . :'-_, C:.,.,?.:._ 1,..:..'7,"::., "..;:_',"?:.'::_.:::t_:(:;:;::_.'./...']: .;::./.';"-::..3.:_:;i: .-:(_":)t ::., :t;. , :-',..5 '."-•:"_ : ; • " -:" ._ - " ' . '],.-"_",-_--..; -',',_ ..-_.'.. "r _. :. • _-'"_.. "._.' -,'_ :_ ...... "".'_.. ;." *"':

' " - , -:." i; : : .." "'.":. -.'7 t_,. _.-.. X:.:;_" :,,. ,,_:.._,": -,'_ t_ ...".,÷.:_:_.._.L._-, _:'s.7_,_; .....:._..!-._y_,._.. "7-_-.._'7_.'; __"_ ;'-'-__, ._-_-"'it._-,% ,''', _-_, ". • -'..:_.

.'' "'- 'i. %. ;'_...-,- .., .:..' '::'.'_. °.._. -.. ' - :_",.-." "°, ' ': _". ; "-_ ' "" ' ...... _-?.... : " ;_', "'?:>-:- • "'- .: -",- " "'-'.

''" _" *]. ' " " '.: •" '_'_ : : ..... :.," " • " i, _." _' % "::"-'_ : "_ :% '_.. " ""-7-. "_ .'- ¢_ ",,. _ _::':'_;- k '.. " " '* _. "'_ '_ _'. % . ....

• :.::_.2.::_t¢_`_.!__._:_:_::_¢_.::___;o_;::_}`._:._.:_`_.:_:$.:.._y`:_.!_;_;:_..`:.. ..

• • . . " . .,, , i i ::, : : :, i _ • :..... " "

Fram: Raaaaaaerra F 44 rural 53s.urusTa. Tamale Peaa 2af2

T'4: + I CPD3539O I 5 Farl +ISI$3535PI 5

uuaa.o1-26 14i44AS (8141)

riage 2 ar i ll tr'SI31.54

Fram: aemae rrrarerae

: Ttratmmeece ooeretuuat tre'reuaetrue„ thtjusoueeutduauiraeaa atetuiouta. rti lba'diaararteitoftirecoirunuttoru er48prh fr4uretupapecotojttdceatay he terjujeed, Donut tuevjdes ropy uf insinjuICS yojjctrs tutlssarertuested. Ypu3ejjjapthe reauired Io

'jttcfotjouar3118 t32auturtse&uotc is ijtr;

3iteart'a'r,"".. ':82&4=i:a'rua.oMtltthcaut

'' WP.-'./8«fr~i','~'fW'R. Adrdrtea ItfApptjoajt

'-::::,::, I',; 'h*;hhOye punted ttre13ttut13 15'frtrch tcuXu'PX.~

j3trjtijhttttrt 8 ihttti3-"itttuihsteh3t3nty; -:, ".

.. 3-Ypsreeei8erua '"..,",.4&89)@atttjef3848jt8,':., ";-Pa~h~.;Mutrdtcfrtfeeathe3IS'iath' ehu8-58 Pessepaetea; ",8 884tj08rrktj61tjOtiad,tjter

arne o urtuauce e3Njiaey x

e. ee'o.toot fairujrse3aith thecrtuuattesjoas&uterratdRsgututaouere1atioa sprhtetuuueerequjreuteugs aud tjte ahcrao rtuptetnae35 tirettuttit3tttrn jndatiutrejietite jtraaurjheIL::Ther ittt3u,nea Centttatiylttakintt At»jietata autjtetiaejd by@a'ttuthgarOHgjt Dettartntentrtlf@sjtrauqetrt dp hrtsijteilaiu 8'uttijt'Gim!ina.'

Authorjaed T co't.oIIIparlyitettleseotettrre&5/8jaatttre'flyu33

aujah in lsatf'3ttstin„. ytittr hletua yehjp!Ca ful 451&it ityr artist Pretlertyrdetttahe„'m ruuei imutt313f Wittf8,'C,. CPItrA'IIII,',zeciipttu.'5u-':8-:.80.attjt '5@39.;Bc.tjriv tubtc'iafottttattt3u, contapt vjvhie fAiher„'uriih Ihe Qejattttu'SIIIt ofhriutor'.'-: .VohleJga a! (803) 89FI-'84$7.

'

if youl ejsh ul etrrpjg. Rs e;rejf.insured-fre:uiortielaa eoatttea5atjon.'cotretudrain 8ouIh;cigo813a cela.tney:dorto. arjtj3ttae South at58roj3na:gurgle'aat uti83ejttancnCOtnutts'ates',(%~ tattIIildeitthat yuu Wjtj'he ab}cate;.1) 'Pest a surety.'" . 'hotttj.or jettetMetudit+tth'.thu ~c.A'5 8'utjrjttt33uI3uf@891INj;:7) sjttqqsu jIey 8:jreadgji if'~@'pej@x,'884 -- .0),

httreeitt.italian

atuluaiatesesstneut toit.,8oulh f.',arotjrtu.Becuud:xojttlytrurrd. -prautitre infortuauro; rooter t the.WCC8etf IrtauBRlee DiYleiou sr (8')'78T 57 tQ 'uar ba the'Trait at altuAV tvre etetelee uefaatfr~'2 srotrr

Exhibit Fi_ _Vii!_an_Able (FWA_

: • . _"

• _. :_._..'_ . 2__..._ " .....,_ : .

Name 0f Applicant

I. _:_e.there currently any outstanding judgments against the Applicant?

0 Yes ( !No

If:Yes, indicate nature ofjudgement(s ) against applicant

. I s Applicant _mi tiar With.alf statutes, and regulation.a, includipg safety regulation s and governing fo r-hire motor

carrier operations .in South South.Caroiina, anddoes Al_plicant agree to operate in corapliance with thes_

statu_es, and re_la_:ions.?_Yes 0 No

.. Is AppEeaat a_vare of the Commissi.on'sin.suranc_ requirements and _hc insurance premium casts assc_iatedtherewith?

0 No

6 of 9

Name of Applicant

I. Are there currently any outstanding judgments agamst thc Apphcant".

Q Yes Q No

lf Yet, indicate nature Ofjudgement(S) againSt applicant.

2. Is Applicant fatnilisr with all statutes and regulations, including safety regulations and governing for-hire motorcarrier operations in South South Carolina, and does Applicant agree to operate in compliance with thesesties and regul ationsg

I3t Yes Q No

3. Is Applicant aware of the Cotnmission's Insurance requirements and thc insurance premium costs associatedtberewM12Q'es Q No

From: d_mo= RIchburg

_E_h ibj_t on.Driver _

], App.!icant und¢!_stands, that.all drivers must b_ a minimum of 18 .years of age.

_Y_s © No

.2=,

Applicant understands that a certitied .copy ofthe :.4riverrs three (3)year dmdng record issued by the S C DMVand such record from ale D_ ofthe state in which fide driver is or has been domiciled for such period mustbe maintained in the Apptic mat's busines s .office.

_Yes O No

3...

Applicant tmderstands that .a criminal hi,_oD': Imckground cheek from rise=state where the =driver carrentty lives

mu:st/_¢ maintained-in the Applicant's business office."

4. App.li_ant understands that all drivers 9peradng a .vehicle under a Class C Certificate must have in

their possession when operating a charter Vehicle; a valid driver's license issued by the SC DMV orthe currentstateofresidenceofthe.driver:/.. • . " • "

5. Applicant understands that all Cla_s C Certificate holders are prohibited from employing or leasing• . ........ • .. ........ .. .... . .. ......

vehicles to driver_ who are.registered., Or required t _" i-. ".. " " " "..o b,e tcgls_e!ed, as seX offenders w_th the South CarohnaState La.w Euforccmc,n_ Division or any national registry of Se× offenders.

7of9.

E*llisli D ' hi cations

l, Applicant understands that all drivers must be a mi nimum of l 8 year~ ofage.

Q No

2. Applicant underatands that a certified copy of'the dtiver's three ('3) year driidng record issued by the SC DMVand such record loni dic BMV of the state in which the driver is or has been domiciled for such period mustbe maintained in the Applicant's business oAice.

Q

3. Applicant und&natands theta criminal history beckgrounii check from the state where the driver currently livesmust bc maintained in the AppHcant's business office.

Yes 0 No

4. Applicant understands that all drivers operating a vehicle under a Class C Certificate must have intheir possession when operadng a charter vehicle, a valid driver's license issuol by the SC DMV or thi: currentstate of residence of the driver.

5 Applicant understands that all Class C Certificate holders are prohibited from cmpioying or leasingvehicles to driver who are registered, or required to bc registered, as sex offenders with the South CarolinaState Law Fnfarccmcnt Division or any. national registry ot sex offenders.

Yl s Q Mo

7 of 9

To, + 1-6036965199 Pego 11 of 1:2

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From. Jm rne_ RIchburg

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•_ _. - _._ r_ ..:;.,_

OFFICIA L 10 ..YEAR D VE R RE C ORD

Name :. R_CHBURG, JAMES-JO,SEPH JRAddress : 367 5TH AVECity :: MT PLEASANTCounty : :CHARLESTONDOB..'. .10/! 6/1968

_'at.u;_ 0L : NO.SUSP:ENSION

Dr_ve.r License Nc

State: SC Zip:.. 294642701

•Sex:. M

.Drfver Training; N

License Information

Type Class Functten!seued ExpiresCurrent "

DL .D - Du.l_ticate02112/201 _ 1Ot16/2014

Prio rDLDLDLDLDLDLDLDL

First Issued Rest. Endor.

0.7Zl.6/_990 • y N

D Re!ssue 03/26/2004 _0/_6/2014 07/16/1990 y N13 Re[ss._e 03/2.6/_004 . t 0/16/2014 0711611990 Y N13 Dup!icate.:07!!lSl2005 10/I_/20t4 07t16/1990 .y ND DupJitate 04,(06_f2007:::t0.t_6/2014 07L16/t990 .: Y NO Dup] cate.O6_'2._/2007 101.1L_/20._4 07/16/1990 Y NO Re-ex_.mO:3L26.(2004_ _OIt:£d20tt4 07/16/1990 Y ... ND Renewa.I10/.t_H994 10_1gu8'" ' _ 0Z/t611990 N ND Ret_rne_ .10t!14[:t994 10,"._5/1998 07/16/.tt 990 N N

Current

Rest,rl.ctte.ns: A: COrft_O.[iv_ L_,i_$

Address.:Change -Address: . :151_J S_]NT ANDREWS RDAPT _06

.... . .:. . .. ....

City: COLUMBIA

Point.Summary: .....Total Cu_ent.P_ints: 0

Driver Credit: "A#jus{ed Current Points: 0

SUSP; (}62=No ln,_u.rance at _im¢ Of RegistrationSpecial Driving Privilege: NONESus_e#sion Beg :ili:08/24/201.tCausal: 06/24Z20I t

Re,fnstatement Requirements Met: 02104/20 t 2AC:[3i D36-Withdraw._.! LOc Ref:

Date Changed: 10/28/2003

8tare: SC Zip_ 292105938

Suspension End: 0.2,(04/20t2P_t; .0 7/28/2011

Reinstatem eat Fee Paid: YWithdrawaiReason Ref:

ACC: REPORTABLE

ACCident: I_2720f2006 Posted: 01_t7:'2007

Accident Cas.e Number: 6156 34.5 FR.I 6 Audit Number: V: 113.320Ac¢[(tent Jer_sdiction: $C ACcident Loc Ref:. SCHDPT: " " H_story:

L0./9/2 r,". "__-_-............

N

i. ... . :. .

Customer o.: 5139Nome: RICHBI/RG, JAMES JOSEPH JRAddress: 367 5TH AvEcny: II47 PLEASANTCounty : CHARLESTONDDB: 'IQ/18/1968

State: SC

Sex: M

Driver rcense c

Zfp; 294642701

Driver Training; NStatue - DL: NO SUSPENSICIN Cot.: NO DISOUALIFICATION

License InformationType Class Funotfon fssuecl Expires First Issued Rest. Endor.CurrentDL D Duplicate 02/12/2011 10/16/2014 07/16/'l990 Y N

PriorDL DDL DDL DDL DDL DDl. DDL DDL D

Reissue 03/26/2004Reissue 03/26/2Q04Duplrcate 07/1 8/2005Duplicate 04/06/2007Duplicate 0'6/21/2007Ro-exam 03/26/2004Renev/al 10/14/1 994Returned 10/14/1994

'IG/16/2014 07/16/199010I16/2014 07/16/19901 0'I 6/201 4 07/16/1 99010/16/2014 07/16/1990

"I 0/16/2014 07/16/1 99010/16/2014 07NB/199010/'I6/1998 07/1 6/199010/16/1996 07/16/1990

Y N

Y NY NY NY . NN NN N

CurrentRos'I/lotions: A; Correcbve Lens

Address Chanae-Address: 1510 SKINT ANDREWS RD APT 706City: CC LUMBIA

Paint StffyimaryTotal Current Points: 0Driver Credit:Adjusted Current Paints: 0

State: SC

Date Changed. 10/28.2003

Zipr 292105936C

SLISPi 062-No Insurance at ume or RegistrationSpecial Driylng Privilege; NONESuspension Beg: 08/24/2011Causalr 06/24/2011Refnataternent Requirements Met: 02/04t2012ACD: O36 Wfthdravvaf Lcd Reit

Suspension End: 02/04/2012Pest: 07/26/2011Reinstatement Fee paid: YWfthdrawaf Reason Ref;

AQC REPORTABLEAccident' 2/20/2006 Pasted; 01/17/2Q07Accfdent Case Numbert 6: 56345 FR 10 Audit Nujnberr V-113320Accfdent Jurisdiction: SC Accitfent Loc Ref: SCHDPT History: N

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