AVERAGE DISTANCE, ROUTE DESCRIPTION, AVERAGE TRANSPORT TIME AND OTHER REPRESENTATIONS AND AGREEMENTS
(1) Average distance between the point of loading and the point of unloading:
(2) Description of routes to be used:
(3) Average transport time between the point of loading and the point of unloading and the return to the point of loading including loading and unloading time, based on normal weather conditions: for the period between for the period between
and and
_______________________ _______________________
(4) Other representations on the part of:
(1) the SHIPPER:
(a) the SHIPPER declares that his registration number for goods and services tax purposes required under the Excise Tax Act (R.S.C. 1985, c. E-15) is the following:
(b) the SHIPPER declares that his registration number for sales tax purposes required under the Act respecting the Québec sales tax (chapter T-0.1) is the following:
(2) the CARRIER:
(a) the CARRIER declares that his registration number for goods and services tax purposes required under the Excise Tax Act is the following:
(b) the CARRIER declares that his registration number for sales tax purposes required under the Act respecting the Québec sales tax is the following:
(5) Special conditions (specify):
SHIPPER
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CARRIER
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