Form BE IT KNOWN, that      with an MC or DOT number of      has made and appointed, and by these presents does make and appoint MainStreet Transportation LLC, true and lawful attorney for , place and stead, for the limited and specific purpose of contracting loads of freight to be hauled by , giving and granting said MainStreet Transportation LLC,, full power and authority to do and perform all and every act and thing whatsoever necessary to be done in and about the specific and limited terms (set out herein) as fully, to all intents and purposes, as might or could be done if personally present, with full power of substitution and revocation, hereby ratifying and confirming all that said attorney shall lawfully do or cause to be done by virtue thereof. This power of attorney is to remain in full force and effect until revoked by me in writing.

Such revocation is to be emailed to: mainstreettransportation@gmail.com

COMPANY NAME:      
Printed Name:   First Name   Last Name   
Signature:   Signature   
Title:      
Date:   Date   

WITNESS,

Printed Name:   First Name   Last Name   
Signature:   Signature   
Date:   Date   

Printed Name:   First Name   Last Name   
Signature:   Signature   
Date:   Date