HomeMy WebLinkAbout01-06139
1111
12/21/2001 10:41
717-774-5758
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PAGE 06
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C\ommonwealth's
'I EXHIBIT
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D\...-26 (7.94.)
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CHEMICAL TESTING WARNINGS AND REPORT OF
REFUSAL TO SUBMIT TO CHEMICAL TESTING AS
AUTHORIZED BY OF THE VEHICLE CODE
, ,
SECTION 1547
--"\
SEX
OA TE OF BIRTH
YEAR
NAME
FIRST
~hf"\
ADDRESS
MIDDLE
CITY
STATE
~ oJ
CHEM TEST REQUEST DATE
MONTH YEAR
il. Please be advised that you are now under arrest 'or driving under the influence of alcohol or a controlled substance pursuant to section 3731 of
the Vehicle Code. I
2. I am requesting that you submit tO,a ~~mical t'it~t,of_ hY7-.d /A (brsath, ~Iood-~,~ ~ri!,8. Officer chooses the chemical test.)
~-:)lt is my duty, as a police officer. to infonn you' that if you refuse to submit to the chemical test your: ope'rating priVilege will be suspended for a
Vperiod of one year.
~e constitutional rights you have as a criminal defendant, commonly known as the Miranda Rights. including the right to speak with a lawyer and
\.jC/th~ right to remain silent, apply only to criminal prosecutions and do not apply to the chemical testing procedure under Pennsylvania's Implied
;::.." Consent Law, which is a civil. not a criminal proceeding.
~b)J You ~av~ no right to speak to a la~er. o~ anyone els~. before taki~g the chemical test requested by ~e police officer nor do you have, a right to
remain Silent when asked by tha police officer to submit to the chemical test. Unless you agree to submit to. the test requested by the pollee officer
gyour conduct will be deemed to be refusal and your operating priviJege will be suspsnded for one year.
c) Your refusal to submit to chemical testing under the Implied Consent Law may be introduced into evidence in a criminal prosecution for driving
while under the influence of alcohol or a controlled substance. .
I certify that I have read the above warning to the motqrist regarding the suspension of their operating privilege and gave the motorist an opportu-
nity to submit to chemical testing. ~'
Signature of Olficec--t \ Dale: <1 - 7 - co 0 I
I have been advised of the above.
Signature of Motorist: Date:
Motorist refused to sign, after being advised.
Signature of Officer:
Date:
'7- 7- ZCJo/
1. The above motorist was placed under arrest for driving under the influence 0 co alar a controlled substance in violation of Section 3731 of the
Vehicle Code, and th€frs were reasonable grounds to believe that the above motorist had been driving, operating or in actual physical control of
the mOVement of a mlJtor vehicla while under the influence ot alcohol or a controlled substance or both.
or
That the above named motorist was involved in an accident in which the operator or passenger of any vehicle involved or a pedestrian required
treatment al a medical facility or was lcilled.
2. The above motorist was requested to submit to chemical testing as authorized by Section 1547 of the Vehicle Code.
3. The above motorist was informed by a police officer of the chemicaltsst warnings contained in paragraph 3 and 4 above.
4. The above named motorist refused 10 submit to chemical testing.
OFACER NOTE: The ,.dusal to sign this form i. not;it refusal to submit to the chemical tesL You must stin give the motorist an opportu-
alcohol or a controlled SUbstance In thelt~S:ysle.m.iY'OU'iifin""i1mind".-t..pl'--",,,'''e'e-vu-....-....-----......t.,.I_.......~.. v.hir.l_ while havino anv
. J,m au, In., re er~.,o nUi .\1. . . - - - ~___ . _______
. -.
SUBSCRIBED AND SWORN Otticer Signature:
TO BEFORE ME:
Officer Name:
(Type CIf Print)
Forward to:
Department of Transportation
Bureau of Driver Licensing
P.O. Box 60037 f
Harrisburg. PA 17106-0037 \'25' tl?-
THIS FORM MAY BE DUPLICATED
Commonwealth's
EXHIBIT
3
Phone: C:2L.2) 7 7'-{-.- 0 'fa <:>
Mailing Address dEIAJ (] 'IYIB~R-IA",o
II 2-0 ~A/2.kCr Sr.
Ai6kJ mr~EiflL*",/) P4 /707D
Note: Any pertinent facts not covered by the affid'avit should be submitted on a
sep~~ate sh.eet and attached hereto. That sheet should include the names of
LJL.:I- additional witnesses necessary to prove the elements to which you have attested-.
ADDITIONAL SUPPLIES OF THIS FORM MAY BE SECURED BY COMPLETING FORM 05-511A
Badge Number:
Jurisdiction: d,;/AJ(;,.,t3 {i< !,.,.,r
Ql.lCe
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COMMONWEALTH
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
V.
JOHN IV AN SMITH
: NO. 2001-6139 CIVIL TERM
ORDER OF COURT
AND NOW, this 21ST day of DECEMBER, 2001, at the request of the defendant
the hearing scheduled for January 4, 2002, has been continued in order for defendant to
obtain counsel. The new hearing date and time ~ ~ ~5' ~~ e:t 1():6'A.~ .
George Kabusk, Esquire . a.:.w
For the Dept. of Transportation l ~ --fY) 0
JohnLSmith 1~-Q'6-CJ I' LB1\:
17 Umberto Avenue
New Cumberland, Pa. 17070
:sld
Edward E. Guido, J
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OF- "Y _:,;:,: ~,-_:~I<)r!~,~C;li\:OINi1
0\ DEe 26 fIr; \0: 34
C\JMBE.F(\NiD COUN1\'
PHlNSYLVAi\lIA
"""TY1'1Y''fi''T-- or, , - "." , .~ r-
. "
21 Dec 2001
Dear Your Honor
,.-r t:i'2
I am scheduled to appear in court on '-I...JI:l..t' to appeal a Chemical Refusal for a DUI.
Due to some unforeseen financial obligations that have suddenly arrised I am unable to
pay my Lawyer his retainer fee at this time. If your honor could possibly give me at least
a 30 day continuance I should have the money needed to defend myself at that time.
Thanks for your time
/1~~R-
? .lhn~I Smith
), 00/ - {; /?J 9 c/vit'L
:FoAl] -L ViiI\! SIn,11l
: i1() -J/-!-&Y
/7 l).;ri6V!.f{) Av~/
/} l / J /70 7{)
JVcw~~OfilJAh ~
7tJ{r-'n~Lif
'~~';;'::,,,
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OCT 3 0 2001 ~}
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
DIV"""l-L\-C,V" C C' (S'I'V""-l-oJ'-i,J (".> Q.
O"'iV-t.~S L,e.."'''''''''-.9 .
C,,"^....,,"-..,.,~tl+k <:0 of PA .
V .s ~ \ "'-''''- ~;"":
John Ivan Smith
D-e: +~6'" ~
No. 01- Ca/31 (!;,1/1 /
RULE/ORDER
AND NOW, this .p./<//day of A10V~fI{. 2001, upon consideration of the
foregoing Petition, it is hereby ORDERED, DIRECTED AND DECREED, that the
within appeal be filed and that a copy of this Order be served upon the Commonwealth of
Pennsylvania, Department of Transportation, Office of Chief Counsel at least thirty (30)
days prior to the date hereafter fixed for hearing in connection therewith;
It is further ORDERED, DIRECTED, AND DECREED that a .t.aring on the
appeal and petition shall be on the if--t:A day of lJ9lAllLAA , 20~ in
Courtroom L at J() : ()/J,..m;p.t which time testimony shall be taken and examination
made into the facts to determine whether the Petitioner is subject to the suspension of his
operating privileges;
It is further ORDERED, DIRECTED, AND DECREED that this Order shall
supersede the decree ofthe Director of the Bureau of Licensing in this matter and that the
hearing hereinafter to be held shall be de novo.
BY~
CelWAU E. C'-/id t/-.
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40403U.1
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
D;....e."-~.- ""+ ~"""e" v ",.,ii
. DV"'''~$ L'C'-.!:U.f~ fA :
<:""",,,,..,~.f+L- .0. P\O'I.....~'.Q~:
John Ivan Smith +
D.... P~",d",,,
NO.J!lt:. Co 1.39.- Cili i l
PETITION FOR APPEAL FROM Olp)ER OF SUSPENSION ENTERED BY THE
DIRECTOR OF BUREAU OF Llq:NSING OF THE COMMONWEALTH OF
PENNSYLVANIA
NOW COMES the Petitioner, John I. Smith, and files this Petition for Appeal from Order
of Suspension as Entered by the Director of Bureau of Driver Licensing of the Commonwealth
of Pennsylvania, the following of which is a more specific statement:
1. Petitioner is John I. Smith, who currently resides at 17 Umberto Avenue, New
Cumberland, Cumberland County, Pennsylvania 17070.
2, Petitioner is holder of Driver's License No. 21016170, as issued by the
Commonwealth of Pennsylvania, Department of Transportation (the "Department").
3, Petitioner has received notice from the Department that his operating privileges
will be suspended effective at 12:01 a.m. on November 9, 2001, due to an alleged violation of
Section 1547 of the Motor Vehicle Code. A copy of said notice is attached hereto as Exhibit
"A."
4.
Petitioner maintains that said suspension is improper in that Petitioner did not
violate Section 1547 of the Pennsylvania Vehicle Code as alleged by the Director of the Bureau
of Licensing.
5. Petitioner hereby appeals from the Order of Suspension as issued by the Director
ofthe Bureau of Licensing.
;'>^t.: r'''''Ji
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III 4, ...
WHEREAS, Petitioner respectfully requests that, under and pursuant to the provisions of
the Pennsylvania Motor Vehicle Code, an appeal be allowed in this matter and that the same be
set down for hearing upon thirty (30) days notice to the Pennsylvania Department of
Transportation, at which time this Honorable Court shall receive testimony and examine into the
facts of this case to determine whether or not Petitioner is subject to the suspension of his
operator's privileges as heretofore decreed by the Director of the Bureau of Driver Licensing,
and that said appeal should operate and act to supersede the decree of the Director of the Bureau
of Licensing in this matter
I. Smth, Pro Se
~:''iKr ,-1- '~ ^' IT 11
JOHN IVAN SMITH
Appellant
V.
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA:
DEPARTMENT OF TRANSPORTATION:
BUREAU OF DRIVER LICENSING,
Appellee 01-6139 CIVIL TERM
IN RE: AMENDMENT
ORDER OF COURT
AND NOW, this 25th day of January, 2002, the caption
in this matter should be amended to provide John Ivan Smith,
Appellant, versus Bureau of Driver Licensing, Commonwealth of
Pennsylvania Department of Transportation, Appellee.
~eorge Kabusk, Esquire
yI For the Commonwealth
~ohn I. Smith, Pro se
tI 17 Umberto Avenue
New Cumberland, PA 17070
1t
By the Court,
Edward E. Guido, J.
L~{f)o;W
> DI-30-M. . L R'Ic
f)
f)-6I
I
JOHN IVAN SMITH
Appellant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
V.
COMMONWEALTH OF PENNSYLVANIA:
DEPARTMENT OF TRANSPORTATION:
BUREAU OF DRIVER LICENSING, :
Appellee 01-6139 CIVIL TERM
ORDER OF COURT
AND NOW, this 25th day of January, 2002, after
hearing, the action of the Department in suspending the
Appellant's operating privileges for failing to give two
consecutive breath samples after having been placed under arrest
for a violation of Section 3731 of the Vehicle Code is sustained,
and the appeal is dismissed.
By the Court,
Edward E. Guido, J.
~rge Kabusk, Esquire
For the Commonwealth
~ Ivan Smith, Pro se ~
17 Umberto Avenue
New Cumberland, PA 17070
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