2623 LISMORE DRIVE
GOSHEN, IN 46526
+1 (574) 326-8055
| Operating Status | Authorized For Passenger |
| USDOT | 2060743 |
| MC NUMBER | MC-747745 |
| Last Safer Update | 11-28-2021 |
| Last FMCSA Update | 09-05-2023 |
| Out of Service Date | None |
| Entity Type | Carrier |
| Legal Name | ANGELIA BUTLER |
| DBA Name | JRS JUNIOR NON MEDICAL TRANSPORTATION |
| DUNS Number | 96-289-6648 |
| Total Drivers | 1 |
| Carrier Operation | Interstate |
| Hazardous Material | No |
| MCS-150 Mileage Year | 2020 |
| MCS-150 DATE | 12-OCT-21 |
| MCS-150 MILEAGE | 1 |
| Phone | +1 (574) 326-8055 |
| Cargo Hauled | Passengers |
| Operation Classification | Auth. For Hire |
| Type |
Orig Action
Orig Action
Orig Act Date |
Orig Act Date |
Deposition
Deposition
Depos Date |
Depos Date |
|---|---|---|---|---|
| PASSENGER REG ROUTE - COMMON |
GRANTED
GRANTED
09/17/2012 |
09/17/2012 |
REVOKED
REVOKED
09/16/2013 |
09/16/2013 |
| Authority Type | Authority Status |
|---|---|
| Common | Inactive |
| Contract | None |
| Broker | None |
| Property | Passenger | Household Goods |
|---|---|---|
| No | No | No |
| Property | No |
|---|---|
| Passenger | No |
| Household Goods | No |
| Type | First Served Date | Effective Date | Reason |
|---|---|---|---|
| COMMON | 08/12/2013 | 09/16/2013 | INVOLUNTARY REVOCATION |
| Inspection Type | Vehicle | Driver |
|---|---|---|
| Inspections | ||
| Out of Service | ||
| Out of Service % | 0 % | 0 % |
| National Avg % | % | % |
| Crash Total | Fatal Crash | Inj Crash | Towaway Crash |
|---|---|---|---|
0 |
0 |
0 |
0 |
| Crash Total |
0 |
|---|---|
| Fatal Crash |
0 |
| Inj Crash |
0 |
| Towaway Crash |
0 |
| Physical Address | Mailing Address |
|---|---|
|
2623 LISMORE DRIVE GOSHEN, IN 46526 |
2623 LISMORE DRIVE GOSHEN, IN 46526 |
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| Insurance Type | Insurance on File | Insurance Required |
|---|---|---|
| BIPD | $0,000 | $1,500,000 |
| Cargo | No | |
| Bond | No |
| Form Type |
Insurance Carrier | Policy | Coverage From - To |
Effective From - To |
Effective Status | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 91X BIPD/Primary |
AMERICAN COUNTRY INSURANCE CO.
|
IN300000000600 |
$0 $1,500,000 |
12/29/2011 09/08/2013 |
Cancelled |
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