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OMB Control No. 2140-0014 |
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Expires 09-30-2023 |
| RAILROAD NAME |
| QUARTERLY REPORT OF |
| FUEL COST, CONSUMPTION, AND SURCHARGE REVENUE |
| FOR THE QUARTER ENDING , 20_ |
| Instructions: The report shall contain d ata only for the reported quarter. Cost and revenue are defined as accrued or earned that quarter. The report shall be filed with the Surface Transportation Board on or before 30 days after the end of that quarter. |
| LINE NO. |
Data (a) |
Amount
(in thousands) (b) |
| 1 |
Total fuel cost 1 |
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| 2 |
Total gallons of fuel consumed 1 |
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| 3 |
Total increase or decrease in cost of fuel2 |
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| 4 |
Total revenue from fuel surcharges3 |
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| 5 |
Revenue from fuel surcharges on regulated traffic |
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| I, the undersigned, , Title: , state that this report was prepared by me or under my supervision and that I have carefully examined it and on the basis of my knowledge, belief, and verification declare it to be full, true and correct. |
| 1 Include fuel for freight, yard and work train locomotives. Include fuel charged to train and yard service (function 67-Locomotive Fuels). Include all other fuel used for railroad operations and maintenance, including mot or vehicles a nd power equipment n o t charged to function 6 7 - L o c o m o t i v e Fuels. |
| 2 Show the total increase or decrease in fuel cost over previous quarter. |
| 3 Show Fuel surcharges billed for all traffic (line 4) and for only regulated tr affic (line 5). |