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: IN THE COURT OF COMMON )>LEAS OF
: CUMBERLAND COUNTY, PEl'jNSYL VANIA
OdalYl L. - 10ev>(\;er
APPELLANT
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: NO. 01- I.f76 C-O.Q ~
COMMONWEALTH OF PENNSYLVANIA
PENNSYLVANIA DEPARTMENT OF
TRANSPORTATION BUREAU OF
DRNER LICENSING
ORDER OF COURT
AND NOW, this ;l~~ OfiJJ."'~IJ(., 2~ based upon Appellant's A~peal, a hearing
shall be held on L!..Aay of IlJA Il r j, , 2otJ,J.n Courtroom5 at 9';~ 0' clock A.m.
at the Cumberland County Courthouse.
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:IN THE COURT OF COMMON PLEAS OF
:CUMBERLAND COUNTY, PENNSYLVANIA
vs,
File No.Of"" (a 37 ()
Commonwealth of Pennsyl'/ania
Department of Transportati::m
Appellee
PETITION FOR APPEAL FROM A SUSPENSlo-N OF OPERATING PRIVILEGE I
DENIAL OF DRIVER'S LICENSE I SUSP8NSION OF MOTOR VEHICLE REGISTRATION
1. Appellant herein is
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1-~ Spr4.C e.
residing at and having a mc.i1ing address of:
CCU-\~lf PA- I tOI)
La Y1 -€-
2. Appellee herein i, the Department of Transportation of the Common\ovealth of
Pennsylvania, having a mai ing address of:
.
v Department of Transportation, Bureau of Driver Licensing, Harrisburg,
Pennsylvania 17123.
Departme.lt of Transportation, Bureau of Motor Vehicles, Harrisburg,
Pennsylvania 17123,
3. By letter or notice dated
i/-d-~-Ol
, a copy of which is attached
hereto as Exhibit A, the DeJartment of Transportation
V ordered Appellant to surrender his I her operating license I motor vehicle
registration for a period of 90 ctcu-{5
denied the issuance I renewal of a driver's license,
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4, Supersedeas:
L Pursuant to 75 Pa.C,S.A. !i 1550(bH1 Hii, Appellant is retaining driver's
licenl.e until final determination of the suspension of operating privilege.
Pursuant to 75 Pa.C,S.A, !i 1 550(b)( 1 )(ii), a hearing attended by the
Appedant must be held before the Court of Common Pleas before an order of
supesedeas can be issued.
Pursuant to 75 Pa.C.S.A. !i 1377(a), Appellant is retaining motor vehicle
regis .ration until final determination of the suspension of registration.
5. The said suspension of Appellant's operating privileges / regis.cration is
impr'per or unlawful for the following reasons:
D.da.rr. .is CA-\tend;h.'j c...,Volle..." lJo+C'ch I h\.., edUCO."HOv)
Ju.<()LL' v <? s. h, \IV' +0 d. n V'e. -+0 LOO r Ie (; ~ct +0 '5ch 00 /, Ue /I1'e edj
J'"\\.s LlCt'11Ce +v cOn-f.inu~ ..Jr)'t<:,. ec{uca-f,Dr\. QU<.f)/ Kafh;e
~f>h(lfr; h.l~ mo-J.t.ef;hctct 0\ Sen.ilrf Of1o-\. 5hC.J1 "'3(.L1res. .Lkta""
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Appellant respectfully requests that this matter be 3et down for a hearing and that
the (:,.der of suspension / order of denial be set aside.
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Appellant
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I verify that the statements made in this Petition are true and correct.
unde"stand that false statements herein are made subject to the penalties of 18
Pa.C S,A. ~ 4904, relating to unsworn falsification to authorities.
Date 1<1/9/0/
Appellant
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013209283955184
PROVIDING PROOF OF INSURANCE
Within the last 30 days of your suspension/revocation, we
will send you a letter asking that you provide proof of in-
surance at that time. This letter will list acceptable
documents and what will be needed if yOU do not own a vehicle
registered in Pennsylvania.
Impo~tant: Please make sure that PennDOT is notified if YOU
move from your current address. You may notify PennDOT of
your address change by calling any of the phone numbers
listed at the end of this letter.
APPEAL
You have the right to appeal this action to the Court of
Common Pleas (Civil Division) within 30 days of the mail
date, NOVEMBER 23, 2001, of this letter. If YOU file an
appeal in t~e County Cou~t, the Cou~t will give you a time-
stamped ce~tified copy.of the appeal. In order for your
appeal to be valid, you must send this time-stamped certi-
fied COpy of the appeal by certified mail to:
Pennsylvania Department of Transportation
Office of Chief Counsel
Third Floor, Riverfront Office Center
Harrisburg, PA 17104-2516
Remember, this is an OFFICIAL NOTICE OF SUSPENSION. You
must return all current Pennsylvania driver license products
to PennDOT by 12/28/2001.
Sincerely,
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Rebecca L. Bickley, Director
Bureau of Driver Licensing
SEND FEE/LICENSE/DL-16LC/TO:
Department of Transportation
Bureau of Driver Licensing
P.O. Box 68693
Harrisburg, PA 17106-8693
INFORMATION (7:00
IN STATE
OUT-OF-STATE
TDD IN STATE
TDD OUT-OF-STATE
AM TO 9:00 PM)
1-800-932-4600
717-391-6190
1-800-228-0676
717-391-6191
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: IN THE COURT OF COMMON PEAS OF
: CUMBERLAND COUNTY, PE SYLVANIA
Q JCl \'h L. b-e VI- d t'r
APPELLANT
V
: NO.
COMMONWEALTH OF PENNSYLVANIA
PENNSYLVANIA DEPARTMENT OF
TRANSPORTATION BUREAU OF
DRIVER LICENSING
AND NOW, this _ day of
ORDER OF COURT
, 20_, based upon Appellant' s Ap~eal, a hearing
, 20_, in Courtroom _ at 1'clOCk _.m.
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shall be held on _ day of
at the Cumberland County Courthouse.
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APPELLANT
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: IN THE COURT OF COMMON BLEAS OF
: CUMBERLAND COUNTY, PEjSYL VANIA
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: NO.
COMMONWEALTH OF PENNSYLVANIA
PENNSYLVANIA DEPARTMENT OF
TRANSPORTATION BUREAU OF
DRNER LICENSING
ORDER OF COURT
AND NOW, this _ day of
, 20_, based upon Appellant's Appeal, a hearing
shall be held on _ day of
, 20_, in Courtroom _at
o'clock .m.
at the Cumberland County Courthouse.
J.
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF TRANSPORTATION
Bureau of Driver Licensing
Mail Date: NOVEMBER 23, 2001
CARLISLE PA 17013
WID i 013209283955184 001
PROCESSING DATE 11/16/2001
DRIVER LICENSE i 26726601
DATE OF BIRTH 03/21/1984
ADAM L BENDER
7-S SPRUCE LANE
Dear MR. BENDER:
This is an Official Notice of the Suspension of your Driving
Privilege as authorized by Section 1538E of the PennsYlvania
Vehicle Code. As a result of your 11/15/2001 conviction of
violating Section 3323B of the Vehicle Code, STOP SIGN VIO-
LATION, on 11/05/2001:
. Your driving privilege is SUSPENDED fo~ a pe~iod of 90
DAV(S) effective 12/28/2001 at 12:01 a.m.
Before PennDOT can restore your driving privilege, yoU must
follow the instructions in this letter for COMPLYING WITH
THIS SUSPENSION, PAYING THE RESTORATION FEE and PROVIDING
PROOF OF INSURANCE. You should follow ALL inst~uctions ve~y
ca~efully. Even if YOU have se~ved all the time on . the
suspension/~evocation, we cannot ~esto~e you~ d~iving p~iv-
ilege until all the ~equi~ements a~e satisfied.
COMPLYING WITH THIS SUSPENSION
You must return all current PennsYlvania driver's licenses,
learner's permits, temporary ~river's licenses (camera
cards) in your possession on or befor'e 12/28/2001. You maY
surrender these items before, 12/28/2001, for earlier
credit; however, yoU may not drive after these items are
surrendered.
YOU MAY NOT RETAIN YOUR DRIVER'S LICENSE FOR IDENTIFICATION
PURPOSES. However, yoU maY apply for and obtain a photo
identification card at any Driver License Center for a cost
of 9.00. You must present two (2) forms of proper iden-
tification (e.g., birth certificate, valid U.S. passport,
marriage certificate, etc.) in order to obtain your photo
identification card.
You will not ~eceive c~edit toward serving any suspenSion
until we receive your license(s). Complete the following
steps to acknowledge this suspension.
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013209283955184
1. Return all current PennsYlvania driver's licenses,
learner's permits and/or camera cards to PennDOT. If
you do not have any of these items, send a sworn nota-
rized letter stating you are aware of the suspension of
your driving privilege. You must specify in your letter
why you are unable to return your driver's license.
Remember: You may not retain your driver's license for
identification purposes. Please send these items to:
Pennsylvania Department of Transportation
Bureau of Driver Licensing
P.O. Box 68693
Harrisburg, PA 17106-8693
2. Upon receipt, review and acceptance of your Pennsylvania
driver's licensees), learner's permit(s), and/or a sworn
notarized letter, PennDOT will send you a receipt con-
firming the date that credit began. If you do not re-
ceive a receipt from us within 3 weeks, please contact
our office. Otherwise, you will not be given credit
toward serving this suspension. PennDOT phone numbers
are listed at the end of this letter.
3. If you do not return all current driver license pro-
ducts, we must refer this matter to the Pennsylvania
State Police for prosecution under SECTION 1571 (iI) (4)
of the Pennsylvania Vehicle Code.
PAYING THE RESTORATION FEE
You must pay a restoration fee to PennDOT to be restored
from a suspension/revocation of your driving privilege. To
pay your restoration fee, complete the following steps~
1. Return the enclosed Application for Restoration. The
amount due is listed on the application.
2. Write your driver's license number (listed on the first
page) on the check or money order to ensure proper
credit.
3. Follow the payment and mailing instructions on the back
of the application.
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DL-326 (9/95)
CERTIFICATION
DATE: February 7, 2002
I hereby certify that Rebecca L. Bickley, Director of the Bureau of Driver Licensing of the
Pennsylvania Department ofTransportation, is the legal custodian of the Driver License records of the
Pennsylvania Department of Transportation. As the Director of the aforesaid Bureau, she has legal
custody of the original or microfilm records which are reproduced in the attached certification.
IN TESTIMONY WHEREOF, I HAVE HEREUNTO SET MY HAND AND SEAL OF
THIS DEPARTMI:.NT THE DAY AND YEAR AFORESAID.
BRADLEY L. MALLORY, SECRETARY OF TRANSPORTATION
I HEREBY CERTIFY THAT THE FOREGOING AND ANNEXED IS A FULL, TRUE AND
CORRECT CERTIFIED PHOTOSTATIC COPY OF:
1) Official Notice of suspension dated & mailed 11/23/01, effective 12/28/01; 2) Letter dated
11/23/01 to the defendant requiring special exam to be taken; 3)Record of Conviction Details
received by the Departmen electronically from District Court No. 09304, for Citation No.
A7241 0936, date of violation 11/05/01, date of conviction 11/15/01; 4) Letter dated 11/23/01 to
the defendant regarding point assessment for violation on 11/02/01; 5) Record of Conviction
Details received by the Department electronically from District Court No. 09304, for Citation No.
A7241 0925, date of violation 11/02/01, date of conviction 11/15/01, and 6) Driving Record, which
appears in the file of the defendant ADAM L. BENDER, operator's no. 26726601, date of birth
03/21/84, in the Bureau of Driver Licensing, Harrisburg, Pennsylvania.
CERTIFIED TOa5 prescribed by Sections 6103 and 6109 of the Judicial Code, Act of July 9,
1976, PL 586,8S amended, 42 Pa.C.S. ~~6103 and 6109.
IN TESTIMONY WHEREOF, I HAVE HEREUNTO SET MY HAND AND SEAL THE DAY AND YEAR
AFORESAID. <&~ ~.
SEAL
REBECCA L. BICKL DIRECTOR
BUREAU OF DRIVER LICENSING
COMMONWEALTH'S
EXHIBIT
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF TRANSPORTATION
Bureau of Driver Licensing
Mail Date: NOVEMBER 23. 2001
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ADAM L BENDER
7-S SPRUCE LANE
CARLISLE PA 17013
WIll' 01320'"1263%5164 001
PROCESSING DATE 11/16/2001
DRIVER LICENSE' 2b726601
DATE OF BIRTH 03/21/1'"184
Dear MR. BENDER:
This is an 01'1'icial No~ice 01' ~l\e Suspension of your Driving
Privilege as authorized by Section 1538E of the Pennsylvania
Vehicle Code. As a result of your 11/15/2001 conviction of
~iolating Section 3323B of the Vehicle Code. STOP SIGN VIO-
LATION. on 11/05/2001:
. Your driVing privilege is SUSPENDED 1'or a period a1' 90
DAYIS) e1'1'ec~ive 12/28/2001 a~ 12:01 a.m.
Before PennDOT can restore your driving privilege. you must
follow the instructions in this letter for COMPLYING WITH
THIS SUSPENSION. PAYING THE RESTORATION FEE and PROVIDING
PROOF OF INSURANCE. YOU should 'follow ALL instructions very
care1'ul1y. Even if' yOU have served all tl'le time 01'1 the
suspension/revoca~ion, we canno~ res~ore your driving priv-
ilege until all the requirements are sat1s'fied.
COMPLYING WITH THIS SUSPENSION
You must return all current Pennsylvania driver's licenses.
learner's permits, temporary driver.s licenses (camera
cards) in your possession on or before 12/28/2001. You may
surrender these items before. 12/28/2001, for earlier
credit; however, yOU may not drive after these items are
surrendered.
YOU MAY NOT RETAIN YOUR DRIVER'S LICENSE FOR IDENTIFICATION
PURPOSES. However. you may apPly for and obtain a photo
identification card at any Driver License Center for a cost
of $9.00. You must present two (2) forms of proper iden-
tification (e.g.. birth certificate. valid U.S. passport.
marriage certificate. etc.) in order to obtain your photo
identification card.
You will not receive credit toward serving any suspension
until we receive your licensets). ComPletE! the following
steps to acknowledge this suspension.
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013209283955184
I. Return all current Pennsylvania driver's licenses.
learner's perm1ts and/or camera cards to PennODT.' If
you do not have any of these items. send a sworn nota-
rized letter stating yoU are aware of the suspension of
Your driving privilege. You must specify in your letter
why yoU are unable to return your dr iver' s license.
Remember: You maY not retain your drive.'s license. for
identification purposes. Please send these items to:
Pennsylvania Department of Transportation
Bureau of Driver Licensing
P.O. Box 68693
Harrisburg. PA 17106-8693
2. Upon receipt. review and acceptance of YOUr PennsYlvania
driver's 1icensels), learner's permitls). and/or a sworn
notarized letter. PennODT will send you a receiot con-
firming the date that credit began. If YOU do not re-
ceive a receipt from us within 3 weeks. please contact
our office. Otherwise, YOU will not be given credit
toward serving this suspension. PennODT phone numbers
are listed at the end of this letter.
3. If YOU do not return all current driver license pro..
ducts. we must refer this matter to tte Pennsylvania
State Police for prosecution under SECTION 1571(a) (4)
of the Pennsylvania Vehicle Code.
PAVING THE RESTORATION FEE
You must pay a restoration fee to PennDOT to be restored
from a suspension/revocation of your driving privilege. To
pay your restoration fee, complete the following steps:
I . Return the enclosed Application for Restoration. The
amount due is listed on the application. i
2. Write your driver's Ii cens'e number llisted the i.
on f;Hst
page) on the check or money order to ensure pr:oPer
credit.
3. Follow the payment and mailing instructillns on the jback
of the application. i
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013209283955184
PROVIDING PROOF OF INSURANCE
Within the last 30 days of your suspension/revocation, we
will send you a letter aSking that you provide proof of in-
surance at that time. This letter will list acceptable
documents and what will be needed if yOU do not own a vehicle
registered in Pennsylvania.
Important: Please make sure that PennDOT is notified if you
move from your current address. You may notifY PennDOT of
your address change by calling anY of the phone numbers
listed at the end of this letter.
APPEAL
You have the right to appeal this action to the Court Df
Common Pleas (Civil IHvision) within 30 days of the mail
date, NOVEHilER 23, 2001, of this letter. :1:1' you 1':l.le en
appeal in the County Court, the COurt will give YOU a t1me-
stamped ceri:1.,1ed COpy 0" the appeal. In order for your
appeal to be valid, YOU must send this time-stamped certi-
fied COpy of the appeal by certified mail tOI
Pennsylvania Department of Transportation
Office of Chief Counsel
Third Floor, Riverfront Office Center
Harrisburg, PA 17104-2516
Remember, this is an OFFICIAL NOTICE OF SUSPENSION. You
must return all current Pennsylvania driver license prODucts
to PennDOT by 12/28/2001.
;;:'-s. ~I
Rebecca L. Bickley, Director
Bureau of Driver Licensing
SEND FEE/lICENSE/Dl-16LC/TO:
Department of Transportation
Bureau of Driver licensing
P.O. Box 68693
Harrisburg, PA 17106-8693
INFORMATION (7:00
IN STA TIE
OUT-OF-STATE
TOO IN STATE
TOO OUT-OF-STATE
AM TO 9:00 PM)
1-800-932-4600
717-391-6190
1-800-228-0676
717-391-6191
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF TRANSPORTATION
Bureau of Driver Licensing
Harrisburg, PA 17123
NOVEMBER 23, 2001
CARLISLE PA
170],3
013cO'l83'SS184 001
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03/i!111'84
AllAM L 9ENllER
7-S SPRUCE LANE
Dear Motorist:
Because of your violation of Section 33238 of the
PennsYlvania Vehicle Code on 11/05/2001, and conviction on
11/15/2001, 3 points have been assigned to your driving re-
cord. This conviction brings the total number of points
currently on your record to six or more. Vou are required
to take and pass a special written ex.mination within thirty
(30) days of the mail date of this letter or your license
will be suspended. No extensions will be 'granted. After
passing the examination two (2) points will be removed from
your record, if YOU pass within the 30 days. If YOU do not
pass the examination on Your first try, You lDay take it
again, but not on the same day. A more complete explanation
of the examination requirement plus a stUdY guide is in-
cluded in the Handbook which accompanies this letter.
This examination may be taken bY appointment only. To
schedule your appointment, call the number below and iden-
tify yourself by name and driver's license number to the
PennDOT operator who answers. PennDDT will schedule your
examination time and location to be as convenient for YOU
as possible. To be admitted to take the examination, YOU
must show this letter and your valid driver' s license or
other acceptable identification as described in the Hand-
book. If yOU show up at your examination location without
these items, or at a different time than your appointment.
you will not be admitted to take the examination.
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013209283955184
It is a violation of the Vehicle Code for YOU to appear
at your special six-point examination and to show another
person's license or someone else to appear showing your li-
cense. In either case. both yOU and the ot~er person will
be prosecuted by the Pennsylvania State Police. If your
license is currentlY suspended. this letter does not au-
thorize you to drive to or from your examination location.
A Spanish language version of this letter and the
Handbook may be obtained by calling the number below. (Para
obtener esta carta y e1 manual. en Espanol telefonee al
numero indicado asia bajo de esta carta.)
INFORMATION (7:00
IN STATE
OUT-OF-STATE
TDD IN STATE
TDD OUT-OF-STATE
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Sincerely.
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Rebecca L. 8ickley, Director
8ureau of Driver Licensing
AM to 8:00 PH)
1-800-942-3926
717-391-6192
1-800-228-11676
717-391-6191
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C7203800 3DL03802 conviction Detail
Screen 1 of 2 !A0730303 12/22/01
WID No
Name
Check Digits
1st Line Address:
2nd Line Address:
City/State/Zip
Date of Birth
Operator Number
Social Security
District Number
Citation Number
Docket Number
Fine
Amount Owed
Section Violated:
Susp Auth Code
Speed Limit
Speed Traveled
Section Descript:
IS-RETURN
20-NEXT
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01320 9283 955184 001
BENDER ADAM
L
00007 S. SPRUCE ST
CARLISLE PA 17013
03/21/84 1 Oper Lic State PA
26726601 Sex/Race M
Violation Date 11/05/01 2
09304 Filing Date 11/06/01 2
A72410936 Issue Date 11/05/01 2
TROO0264301 Defendant Plea GP
25.00 Conviction Date 11/15/01 2
94.00 Response Date 0
3323B Disposition GP
Charge Seq No 001
Transmittal Date 11/16/01 2
TRANSMITTAL TIME 065721
DUTIES AT STOP SIGN
23-NXT-ONREC
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C7203800 3DL03803 Conviction Detail
Screen 2 of 2 'A0730303 12/22/01
Customer Number 26726601
Customer Name BENDER ADAM L
Comm Vehicle Ind N Offense Place LOCUST PT RD
HAZMAT Ind N Offense Time 0000
CDL Holder N Arrest Agency PA0211700
Vehicle FORD Officer ID 242
Registration No YBN5869 County 21
REGISTRATION YEAR 2001 Boro/Twp 212
Registration State: PA Route
Vehicle Type TRUK Title 75
Same as Defendant Update Indicator:
Defendant Signed Y Susp/Rest Ind
AOPC Send Date 11/16/01 2
15-RETURN
20-NEXT
22-1ST-INREC
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF TRANSPORTATION
Bureau of Driver Licensing
Harrisburg. PA 17123
NOVEMBER 23. 2001
CARLISLE PA
17013
013209283955160 001
11/16/2001
26726601
03/2111'1114
AllAM L BENllER
7-S SPRUCE LANE
Dear ADAM L BENDER:
Your conviction on
3310 of the Vehicle
11/02/2001 mandates a
record.
11/15/2001 for violating Section
Code, FOLLOWING TOO CLOSELY. on
3 point assessment to your driving
Your traffic violation should concern you because:
. As a young driver, yOU are more likely to be in an
accident-you are risking serious injury to yourself and
others by driving unsafelY.
. Young drivers receive a license suspension for any ac-
cumulation of six or more points.
. You will lose your driving privilege if yOU continue to
drive unsafely.
We sincerely hope that from now on yOU will choose to
driv~ carefully and observe all traffic laws, not only for
yourl own safety but also for the safety of everyone else
sharing the road with you.
Sincerely,
~~,~
Rebecca L. BiCkley. Director
Bureau of Driver Licensing
INFO
IN S
OUT-'
TOO
TOO
MATION (7:00
ATE
F-STATE
N STATE
UT-OF-STATE
AM to 9:00 PM)
1-800-932-4600
717-391-6190
1-800-228-0676
717-391-6191
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C7203800 3DL03802 conviction Detail
Screen 1 of 2 iA0730303 12/22/01
WID No
Name
Check Digits
1st Line Address:
2nd Line Address:
City/State/Zip
Date of Birth
Operator Number
Social Security
District Number
Citation Number
Docket Number
Fine
Amount Owed
Section Violated:
Susp Auth Code
Speed Limit
Speed Traveled
Section Descript:
15-RETURN
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:-:';<-~ll!JlJ~)~n~ILt.~, _. ",_~_-" . " ~,~ VJI
01320 9283 955160 001
BENDER ADAM
L
00007 S. SPRUCE LANE
CARLISLE PA 17013
03/21/84 1 Oper Lic State PA
26726601 Sex/Race M
Violation Date 11/02/01 2
09304 Filing Date 11/05/01 2
A72410925 Issue Date 11/05/01 2
TROO0263201 Defendant Plea GP
25.00 Conviction Date 11/15/01 2
98.00 Response Date 0
3310 Disposition GP
Charge Seq No 001
Transmittal Date 11/16/01 2
TRANSMITTAL TIME 065721
FOLLOW TOO CLOSELY
23-NXT-ONREC
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C7203800 3DL03803 Conviotion Detail
Soreen 2 of 2 !A0730303 12/22/01
Cus'tomer Number 26726601
Customer Name BENDER ADAM L
Comm Vehicle Ind N Offense Place
HAZMAT Ind N Offense Time 0000
CDL Holder N Arrest Agency PA0211700
Vehicle FORD Officer ID 242
Registration No YBN5869 County 21
REGISTRATION YEAR Boro/Twp 212
Registration State: PA Route llN
Vehicle Type TRUK Title 75
Same as Defendant Update Indicator:
Defendant Signed N Susp/Rest Ind
AOPC Send Date 11/16/01 2
15-RETURN
20-NEXT
22-1ST-INREC
''!1~:,Ji.!l~,_-__ ~",f"",~,~
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Date: February 7, 2002
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF lRANSPORTATION
BUREAU OF DRIVER LICENSING
HARRISBURG. PENNSYLVANIA 17123
CERTIFICATION
STATEMENT
(!)
~".~
In compliance with your request, I hereby certify that I have caused a search to be made of the files of the Department of Transportation, and herewith is a true record in
the name of:
ADAM L. BENDER, 7-S SPRUCE LANE, CARLISLE, PA 17013
OPERATOR NO.: 26726601
DATE OF BIRTH: 03121/64
CLASS OF LICENSE:
TITLE NO.:
PURPOSE OF REQUEST:
Legal
(R=INSURANCE, C=CREDIT, E=EMPLOYMENT, L=LEGAL, M=OTHER)
DAlE SECTION VIOLATION ACTION TAKEN BY DEPARTMENT
VIOLATION
11/02/01 3310 FOLLOWING TOO CLOSELY PROCESSED & POINTS ASSIGNED 11/16/01 +(3)
POINT LETTER DATED & MAILED 11/23/01
11/05/01 3323B STOP SIGN VIOLATION PROCESSED & POINTS AS!,IGNED 11/16/01 +(3)
OFFICIAL NOTICE TO PASS EXAM DATED & MAILED
11/23/01. OFFICIAL NOTICE OF SUSPENSION
DATED & MAILED 11/23/01, EFFECTIVE 12/28/01 FOR
90 DAYS. APPEAL PENDING
In compliance with your request, I hereby certify that I have caused a search to be made ofthe files of the Department ofTransportation, and herewith is a true record in the name of
the subject listed above.
<:&.&~~ ~. ~
DIRECTOR, BUREAU OF DRIVER LICENSING
Information requested by:
dw
DATE: February 7, 2002
COMMONWEALTH OF PENNSYLVANIA ss:
. I hereby certify that Rebecca:~. Bickley, Director of the Bureau of Driver Licensing of the'Pennsylvania Department of Transportation, is the legal custodian of the Driver
License records of the Pennsylvania Department of Transportation. As the Director of the aforesaid Bureau, she has legal custody of the original or microfilm records which are
reprodllced in the attached certification.
IN TESTIMONY WHEREOF. I HAVE HEREUNTO SET MY HAND AND SEAL OF THIS DEPARTMENT THE DAY AND YEAR AFORESAID
SEAL
/S.e~~~~
SECRETARY OF TRANSP RTATION
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PAGE 1
PENNSYLVANIA DEPARTMENT OF TRANSPORTATION
BUREAU OF DRIVER LICENSING
CERTIFIED DRIVING HISTORY
DEC 26 200i
DRIVER: ADAM L BENDER
7-S SPRUCE LANE
CARLISLE, PA 17013
DRIVER LICENSE NO
DATE OF BIRTH
SEX
RECORD TYPE
26726601
MAR 21 1984
MALE
: JR LICENSE
DRIVER LICENSE (DL)
COMMERCIAL DRIVER LICENSE (CDL)
-------------------------------
----------------~----------------
LICENSE CLASS
LICENSE ISSUE DATE:
LICENSE EXPIRES
ORIG ISSUE DATE
MED RESTRICTIONS
LEARNER PERMITS
LICENSE STATUS
C
OCT 03 2000
MAR 22 2004
OCT 03 2000
NONE
VALID
CDL LICENSE CLASS
CDL LICENSE ISSUED :
CDL LICENSE EXPIRES:
CDL ENDORSEMENTS NONE
CDI:tRESTRICTIONS NONE
"",""1,1' ::
CPL.LEAR1>lER PERMITS:
CPL LICENSE STATUS
SB ENDORSEMENT
PROBATIONARY LICENSE (PL)
---------------------------------
PL LICENSE CLASS
PL LICENSE ORIG ISS:
PL LI~~1>lSE ISSUED :
PL LIClil~SEEXPIRES :
PL LICENSE STATUS
OCCUPATIONAL LIMITED LICENSE (OLL)
--------....-----_..~-----------------
OLL LIC~1>lSE CLASS :
OLL LI~E1>lSE ISSUED :
OLL LICENSE EXPIRES:
OLL LICENSE STATUS :
*** CONTINUED ***
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PAGE 2
CERTIFIED DRIVING HISTORY - DEC 26 2001 - LICENSE NUMBER 26726601 CONTINUED
VIOLATION DATE:
VIOLATION:
DESCRIPTION:
CONVICTION DATE:
ACTION:
VIOLATION DATE:
VIOLATION:
DESCRIPTION:
CONVICTION DATE:
ACTION:
ACTION:
ACTION:
REPORT OF VIOLATIONS AND DEPARTMENTAL ACTIONS
NOV 02 2001
VEHICLE CODE: 3310
FOLLOWING TOO CLOSELY
NOV 15 2001
ASSIGNED POINTS
NOV 05.20.01
VEHIiI?LECODE:. 3323B
STOP.S1GN V10L~TION
NOV . ~5Jl90l
EXM.!iOUNGQRlVE:R SUSP FOR 90 DAY(S} EFFECTIVE DEC 28 2001
OFFIC:tALNOTICE MAILED NOV 23 2001
PASSED EXAM DEC 14 2001
PR1VILEGE RESTORED PENDING APPEAL DEC 04 2001
-------------------------------------------------------------------------------
REPORT OF MEDICALS AND DEPARTMENTAL ACTIONS
------------------------------------------------------------..------------------
NO MED1CALS OR DEPARTMENTAL ACTIONS DURING THIS REPORTING PERIOD
I';'~;)l. .....
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*** CONTINUED ***
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PAGE 3
CERTIFIED DRIVING HISTORY - DEC 26 2001 - LICENSE NUMBER 26726601 CONTINUED
-------------------------------------------------------------------------------
REPORT OF ACCIDENTS AND DEPARTMENTAL ACTIONS
-------------------------------------------------------------------------------
MOTOR VEHICLE ACCIDENT RECORDS LISTED ON THIS OPERATING REPORT DO NOT
INDICATE FAULT FOR THE ACCIDENT. THE RECORD ONLY INDICATES rHAT THIS
INDIVIDUAL OR THE INDIVIDUAL'S VEHICLE WAS INVOLVED IN AN ACCIDENT ON
THE DATE LISTED.
ACCIDENT DATE:
LOCATION:
VEHICLE TYPE:
NOV 02 2001
CU
TR
*** END OF RECORD ***
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PAGE 4
CERTIFIED DRIVING HISTORY - DEC 26 2001 - LICENSE NUMBER 26726601 CONTINUED
IN COMPLIANCE WITH YOUR REQUEST, I HEREBY CERTIFY THAT I
HAVE CAUSED A SEARCH TO BE MADE OF THE FILES OF THE DEPART-
MENT OF TRANSPORTATION, AND HAVE SET FORTH ABOVE AN ACCURATE
SUMMARY OF ALL RECORDS IN THE NAME OF THE PERSON INDICATED.
SINCERELY,
f':
OF DRIVER LICENSING
SEAL
DATE:DEC 26 2001
>
'Cj
r"
. BICKLEY, DIRECTOR OF THE
HEPENNSYLV~IA DEPARTMENT
CUSTOD E DRIVER
MENT TATION. AS
BURE GAL CUSTODY
ECO E SUBJECT
IN TESTIM
OF THIS D
SEAL
$INCI!l1'il1lLM,
~
SECRETARY OF TRANSPORTATION
SEAL
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ADAM L. BENDER,
Appellant
IN THE COURT OF COMMON ,PLEAS OF
CUMBERLAND COUNTY, PE~SYLVANIA
V.
COMMONWEALTH OF PENNSYLVANIA:
PENNSYLVANIA DEPARTMENT OF
TRANSPORTATION BUREAU OF
DRIVER LICENSING,
Appellee 01-6870 CIVIL TERM
ORDER OF COURT
AND NOW, this 1st day of March, 2002, after hearing,
it appearing to the Court that the Commonwealth has correctly
suspended the Appellant's operating privileges, the action of the
Commonwealth Department of Transportation Bureau of Driver
Licensing is sustained, and the appeal is dismissed.
By the Court,
Edward E. Guido, J.
~eorge Kabusk, Esquire
For the Commonwealth
/L~
03-Cl&-O~
vidam L. Bender, Pro Se
7-8 Spruce Lane
Carlisle, PA 17013
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