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101.117 Form 17: Request on another carrier for annual or term passes. (See §§ 101.9 (a), (b), 101.20 (a), 101.28 (b).)

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-pass- - - _for_ _ _ .

(Period or year)

DEAR SIR: Will you kindly favor me, on account of this company, with over your line for the following (Annual or term) person--, who------not prohibited by law from receiving free transportation: 1

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This request shall be valid only when countersigned by myself or by.............
My name is on file with the Interstate Commerce Commission.

Countersigned by:

(4).

(Facsimile signature of officer)

(Title)

1 On requests drawn on other carriers for accommodations, but not including passage, reference must be made in this space to the character of accommodations requested; as, "to occupy space as indicated below." On requests for passes to include both passage and accommodations in this space reference must be made to the character of the accommodations requested and a statement that passage also is desired; as, "to occupy space as indicated below in addition to passage." 2 See §§ 101. 9 (f), 101.20 (a).

In column headed "Remarks, etc.," shall be shown the character of any accommodations requested other than passage.

*+

4 See § 101.10 (b).

NOTE RELATING TO FORM 17: The provision for countersignature on Form 17 is not required when such forms are to bear autograph signature.

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*For statutory citation, see note to § 101.0.

101.118 Form 18: Conductor's report of passes honored (steam roads and electric railways). (See § 101.24.)

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101.119 Form 19: Conductor's report of passes honored (sleeping and parlor car accommodations). (See § 101.26.)

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1 The drawing-room, section, berth, etc., furnished on pass shall be indicated by number or letter.

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101.120 Form 20: Purser's report of passes honored (carriers by water). (See § 101.25.)

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1 Date and name of vessel may be shown on back if dating stamp is used showing such information.

'Termini of run may be printed or stamped and the form prepared so as to read, "Between and --------," providing direction of trip is shown, as

northbound, eastbound, etc.

'Any accommodations included on pass, other than passage, must here be shown. The berths, staterooms, etc., furnished shall be indicated by number or letter.

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*For statutory citation, see note to § 101.0.

101.121 Form 21: Purser's report of passes honored (carriers by water). (See § 101.25.)

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1 The stateroom or berth number may be printed on the form and the required information entered opposite such number.

Any accommodations included on pass, other than passage, must here be shown. The staterooms, berths, etc., furnished shall be indicated by number or letter. *+

*For statutory citation, see note to § 101.0.

Page 1351

101.122 Form 22: Acknowledgment of passes issued without written request. (See § 101.9 (d).)

Receipt is hereby acknowledged of

(Name of carrier)

Date.....

(Annual or term)

_not

Pass No..

in favor of the following person.-, who....

prohibited by law from receiving free transportation:

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NOTES RELATing to Form 22: This form may be extended so as to cover two or more passes.

Forms 22 and 23 may be prepared so that the two forms and the necessary carbons may be made at one writing.

Page 1352

*For statutory citation, see note to § 101.0.

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