Modify MCS-150

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Modify MCS-150

DO NOT use your web browser buttons (Back, Forward, Refresh) while you are entering data for FMCSA. Individuals providing false information on the MCS-150 may be prosecuted to the full extent of the law. Motor Carrier Identification Report MCS-150 USDOT Number: Company Type: Legal and DBA Names Status: Legal Name: * DBA Name (Doing Business As): Physical Address Street: * City: * State / Country: * Colonia (Mexico Only): Phone#: * Mailing Address Street (PO Box): City: State / Country: Colonia (Mexico Only): Other MC/MX Number:
MC CARE OF 1918 NORTH 7TH STREET BOISE CITY IDAHO 2087034491 CARE OF 1918 NORTH SEVENTH STREET BOISE CITY IDAHO

MCS-150 Instructions

1881678 CARRIER

ACTIVE
MICHAEL JAMES ANTHONY MICHAEL JAMES ANTHONY TM

ZIP/Postal Code: *

83702

Cell Phone#:

Fax#:

ZIP/Postal Code:

83702

Dun & Bradstreet No.:

Enter either an EIN or an SSN. It is not necessary to enter both. EIN: *
000000000

SSN: *

0000000000

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Modify MCS-150

Internet E-Mail Address: MX Type: New Entrant Status: New Entrant Entry Date:

MICHAELJAMESANTHONY@MSN.COM

RFC Number: CURRENTLY IN NEW ENTRANT PROGRAM 04/27/2009 New Entrant Exit Date: YES NO

Is your U.S. DOT Number Registration currently revoked by the Federal Motor Carrier Safety Administration? If Yes, enter USDOT Number:

Enter two names and titles of sole proprietor(s), officers or partners (e.g. President, Treasurer, General Partner, Limited Partner). At least one is required. 1. Officer Name: * 1. Officer Title: * 2. Officer Name: 2. Officer Title: Carrier/Shipper Carrier Operation: A. INTERSTATE B. INTRASTATE HAZMAT C. INTRASTATE NON-HAZMAT
MICHAEL JAMES ANTHONY [LIVING MAN] CONTRACTING AGENT MICHAEL JAMES ANTHONY ™ [PRIVATE TRADE NAME] PARTNER

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April 28, 2009

| Registration Options | Safer | Public Feedback | Privacy Policy / Disclaimer | Accessibility United States Department of Transportation - Federal Motor Carrier Safety Administration

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