STATE OF TENNESSEE DEPARTMFNT OF TRANSPORTATION BUREAU OF AERONAUTICS Date: __________________________ NOTICE OF APPLICATION FOR AIR CARRIER CERTIFICATE OF CONVENIENCE & NECESSITY Be advised that ____________________________________________ with its principal place of business located at ___________________________________________________ , filed on an application for a Certificate of Public Convenience and Necessity pursuant to the rules and regulations of the Tennessee Bureau of Aeronautics of the State of Tennessee, authorizing operation of an intrastate air carrier for the transportation of persons and property on a certain designated route within the State of Tennessee. The route over which the applicant seeks to offer air service is designated in said application, being principally between the cities of _______________________________________________________________________. Applicant proposes to operate _____________________ multi-engine, as required. The aircraft designated as ____________________ of ____________________ seat capacity and ___________________ single-engine aircraft of ___________________ seat capacity are to be operated on a regular scheduled basis between the aforementioned terminal points. The application has been filed with the Tennessee Bureau of Aeronautics and is available, upon request, for public inspection. by ________________________________________

Authority: T.C.A. §42-220. Administrative History: Original rule certified June 10, 1974.