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13-6242
Supreme Couffi ennsylvania Courf- f { Co nmoffa leas For Prothonotary Use Only; C`<�il �Ca�er Sheet E " r Docket No: z m�e County The inf'rnzatlon collected on thus form is used solely for court administration patrpos•es. This fibrzn does not supplement or replace the filing and service ofpleadings or other papers as required by lcninr roles of court. Commencement of Action: Complaint Writ of Summons etition S Q Transfer from Another Jurisdiction * eclaration of Taking E Lead Plaintiff Name: Lead Defendant's Name: brn (V1 pn j�QA,l Q C + T : I- 0 an Dollar Amount Requested: Owithin arbitration limits Are money damages requested? ED Yes No (check one) outside arbitration limits O N Is this a Class Action Suit? 0 Yes No Is this an MDJAppeal? Yes ,k]' No A: Name of Plaintiff /Appellant's Attorney: Check'r e,e 9f �c3 have no attorney ,x,re a Self -Represented ? �Pzc� Sel Liiigztnt) Nature of the Case Place an "X" to the left of the ONE case category that most accurately describes your PRIMARY CASE. If you are making more than one type of claim, check the one that you consider most important. TORT (do not include Mass Tort) CONTRACT (do not include Judgments) CIVIL APPEALS El Intentional Buyer Plaintiff Administrative Agencies F Malicious Prosecution F Debt Collection: Credit Card F Board of Assessment Motor Vehicle F1 Debt Collection: Other Board of Elections 0 Nuisance Dept. of Transportation Premises Liability 0 Statutory Appeal: Other Product Liability (does not include mass tort) M Employment Dispute: 'E'''. Discrimination Slander/Libel/ Defamation El C' El Other: Employment Dispute: Other Zoning Board El Other: T.. Other: � MASS TORT . ` 0 Asbestos N ` F1 Tobacco Toxic Tort - DES Toxic Tort - Implant REAL PROPERTY MISCELLANEOUS Q Toxic Waste 0 Ejectment Common Law /Statutory Arbitration Other: B - Eminent Domain /Condemnation 0 Declaratory Judgment Ground Rent Mandamus Landlord /Tenant Dispute E] Non- Domestic Relations F1 Mortgage Foreclosure: Residential Restraining Order PROFESSIONAL LIABLITY 0 Mortgage Foreclosure: Commercial Quo Warranto M Dental 0 Partition 0 Replevin F Legal 0 Quiet Title 0 Other: Medical M Other: M Other Professional: Updated 1/1/2011 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIk S 1 L. N o. (0���' (Type your name) rnf N Vs. Driver's License /Auto Registration Appel,.., c Commonwealth of Pennsylvania Department of Transportation - £' Bureau of Drivers Licensing APPEAL OF DRIVER'S LICENSE /AUTO REGISTRATION SUSPENSION nnAND NOW, this (enter t date) � Q a) 12> 20 � , comes the Appellant, (Type your name) ` A SSIL L " n o _lryn e S , by his /her attorney, and states as follows: 1. Appellant's PA operator's number or automobile registration number is: 2. PennDOT proposes, by Notice dated (insert "mailing" date here , ca1 �J , 20 _J_3 L _ J to suspend Appellant's riving privileges Fl automobile registration for a period of (Insert length of suspension) Jib me, M0 O KI,S pursuant to Section n ae (A) of the Vehicle Code, which suspension is to be effective (Insert suspension effective date) 1(',T ,30 20 )3 * * * *A copy of the Notice sent by PennDOT is attached to this Appeal * * ** 3. The suspension of Appellant's operating privileges is contrary to law in that: (Check those which apply) The police lacked reasonable grounds to stop Appellant and / or request Appellant to submit to a chemical test. Appellant did not knowingly or intelligently refuse a chemical test; The conviction on which Appellant's suspension is based was overturned by successful appeal, OR is currently under appeal. (Attach a copy of the court docket this Appeal). Other (Specify reason:) \00.S oewelo 8(A oa In o nee. wo-s � e_ dri xA 10. 7SI d , v�o--c- sub P,;n e�►, 3.� r, o, \ so b,e:n aN a r c � s , Ceps r eA e� po �s e5 ion o� g ar �P J -c �a � © ��n� r 1s -e -ho �� °� n \n�c�c.- � o�� no -OR- The suspension of Appellant's automobile registration is contrary to law in that: My failure to have insurance was for a period of less than 31 days AND I did not drive nor permit anyone else to drive my vehicle during the time it was without insurance. (Attach proof of insurance to this Appeal and either a notarized statement of PennDOT form MV -221 to document non - operation of the vehicle). ❑ Other (specify reason:) WHEREFORE, Appellant respectfully requests this Honorable Court to sustain the appeal from the suspension of operating privileges or automobile registration. Respectfully submitted, o il ZVV. Z 41AM (Sign name here) (Type name hero) VERIFICATION The undersigned hereby states that the statements made in the attached Appeal of Suspension or Registration are true and correct to the best of my knowledge, information and belief. The undersigned understands that the statements in the attached Appeal are made subject to the penalties of 18 Pa. C.S. Sec. 4904 relating to unsworn falsification to authorities. Signature: Type Name: ie Address: ` o Cb.' . City / State / Zip Code: 6 yl ;�.�e��.� ; �1 Telephone Number: '7 1 7' Dy — 0 tS I LP Email address: er @ 1 2 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA L -r, ,<N2, l la -, No. (Type your name) , Vs. Driver's License /Auto Registration Appeal Commonwealth of Pennsylvania , Department of Transportation , Bureau of Driver Licensing , CERTIFICATE OF SERVICE Mao CD i The undersigned hereby certifies that on , 20 , 1 cau o bzb CD_ mailed by regular mail, postage prepaid, a copy of the Appeal, Order Scheduling rinC- and2 all attachments, to: y � Office of Chief Counsel Vehicle and Traffic Law Division Riverfront Office Center, 3' Floor 1101 South Front Street Harrisburg, PA 17104 -2516 Date: , 20 a Signature: ��'�� D1 Type your Name: �.�`��Q, l ,�, An 1Y�P_S Address: � \ �Cx� City / State / Zip Code: � \IQQQ,� JI Q Telephone: - n -Q�61u ** This form must be completely filled out and filed in the Prothonotary's office promptly after mailing the documents to PennDOT ** M Er r- N H ISMURq TA ?1 t a �� Postage $ $1) 041 M Certified Fee $3,111 I � � -- a r�Oj ru �tmar W Q Return Receipt Fee E ] ere Q (Endorsement Required) so. Q Restricted Delivery Fee J riJ r (Endorsement Required) Q @ ru Total Postage & Fees $ $3.56 11 ru ent'ro r ru r l treat, t. N .; ` 4l Q or PO Box No. [� - - -- - - --- �!l1-GQ- t- W-0C. r EX City, State, ZIP +4 ' L\ - ��\ IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA eZISSPe, L n 1W7PS • No. /3 - lob% 6.11A-1(Print your name Vs. • Driver's License/Auto Registration Appeal Commonwealth of Pennsylvania • Department of Transportation • Bureau of Driver Licensing • ORDER SCHEDULING HEARING ON APPEAL AND NOW, this GIA5149 day ofAQA) , 20/3 , a hearing is scheduled on the appeal of Petitioner for the l7 4f day of 91/Aa , 20/y at in Courtroom # of the Cumberland County Courthouse, One Courthouse Square, 4th Floor, Carlisle, PA 17013, at which time testimony will be taken and argument heard. A copy of this Order has been served on Appellant. It shall be Appellant's responsibility to serve a copy of this Appeal, all attachments, and this Order on the attorney for the Commonwealth, at the following address: Office of Chief Counsel Vehicle and Traffic Law Division Riverfront Office Center,3`d Floor 1101 South Front Street Harrisburg, PA 17104-2516 It shall further be Appellant's responsibility to file a Certificate of Service with the Prothonotary stating that service was made on the Commonwealth of Pennsylvania. By the Court, Al Judge CzYpies e�SsiE. >Es VIN'IA1ASNNIl J +!�n r 4 t. w 0 OASA3 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Ccxs�e L No. ✓' �p�'7 c. ter'.' - , LA Jmec ��`� (Type your name) cr); r ,` --G (..) —, • Vs. Driver's License/Auto Registration Appel .c- — c Commonwealth of Pennsylvania ^ Department of Transportation Bureau of Drivers Licensing .• APPEAL OF DRIVER'S LICENSE/AUTO REGISTRATION SUSPENSION AND NOW,this (enter today's date)P1( 23 , 20 13 , comes the Appellant, (Type your name) Ca SSIe [-M n n -In')es , by his/her attorney, and states as follows: 1. Appellant's PA operator's number or automobile registration number is: ,53x1350 2. PennDOT proposes, by Notice dated (insert"mailing" date here)5eo 1-. cp J , 20 13 ,to suspend Appellant's riving privileges n automobile registration for a period of(Insert length of suspension) -ill at u 'MO c\-W15 pursuant to Section l 1 gLJ (nl) of the Vehicle Code,which suspension is to be effective (Insert suspension effective date)IUt.i} 30 , 20 13 . ****A copy of the Notice sent by PennDOT is attached to this Appeal**** 3. The suspension of Appellant's operating privileges is contrary to law in that: (Check those which apply) The police lacked reasonable grounds to stop Appellant and/or request Appellant to submit to a chemical test. Appellant did not knowingly or intelligently refuse a chemical test; nThe conviction on which Appellant's suspension is based was overturned by successful appeal, OR is currently under appeal. (Attach a copy of the court docket this Appeal). Other(Specify reason:) `T \)e.,\J�‘v\e ra was dr\aen \o my i i o did no#- �e �` S r Ce, be 0,5-e- f' 0 J,2, U3a_S o e. an oin 4 /v3. 7S,d, �� . -\ \pcLs 0v 'c t NCLC-e., - ngP1� by i a ��h s 91114"j� c_e_�ns e p s sui�P a�d. i �nara s �' �� ieph re -0,,,n po&se on oc 0.r .2 `fP�Or�`��� -� no 3\ner� i° S-e. o u1.� no s 1� ■ `- � \'�G` �e'C)- �;∎5 � �, 1�n s��ra�-,c� (,tea s o.\\ow \� 1 Q - . .1.e do lit ? 13. -OR- The suspension of Appellant's automobile registration is contrary to law in that: My failure to have insurance was for a period of less than 31 days AND I did not drive nor permit anyone else to drive my vehicle during the time it was without insurance. (Attach proof of insurance to this Appeal and either a notarized statement of PennDOT form MV-221 to document non-operation of the vehicle). nOther(specify reason:) WHEREFORE, Appellant respectfully requests this Honorable Court to sustain the appeal from the suspension of operating privileges or automobile registration. Respectfully submitted, . 1.1. . Vi / I / -./h. (Sign name here) I (Type name herd) VERIFICATION The undersigned hereby states that the statements made in the attached Appeal of Suspension or Registration are true and correct to the best of my knowledge, information and belief. The undersigned understands that the statements in the attached Appeal are made subject to the penalties of 18 Pa. C.S. Sec. 4904 relating to unsworn falsification to authorities. Signature: , AAA Type Name: n in lines- Address: CC,`' O Fbt 4 * . City/State/Zip Code:C�v1,OpP,l)S IOU ry I7 Telephone Number: "]II 7 fjO11 o5 L? Email address: buih1 bier @ 2 CABBIE L. IMES, • IN THE COURT OF COMMON Petitioner : PLEAS OF CUMBERLAND • CUMBERLAND COUNTY v. • • COMMONWEALTH OF PENNSYLVANIA, : NO. 13-6242 CIVIL TERM DEPARTMENT OF TRANSPORTATION, BUREAU OF DRIVER LICENSING, • DRIVER LICENSE Respondent • SUSPENSION APPEAL ORDER AND NOW, this 17TH day of January, 2014, the appeal filed in the above- captioned matter is: REMANDED to the Department of Transportation for correction of its records. biN DISMISSED and the suspension which is the basis of this appeal shall be REINSTATED. SUSTAINED and the suspension which is the basis of this appeal shall be RESCINDED. WITHDRAWN and the suspension which is the basis of this appeal shall be REINSTATED. CONTINUED and RESCHEDULED for the day of , 2014, at .m., in Courtroom Room No. of the Cumberland County Courthouse, Carlisle, Pennsylvania. o <r }4M N J� '.;E= BY THE COURT: • me J. Attest: ✓Cassie L. Imes, 330 Fort Street, Shippensburg, 'A 17257 Philip M. Bricknell, Esq., PennDOT, Riverfront Office Center, Office of Chief Counsel, 3rd Floor, 1101 South Front Street, Harrisburg, PA 17104-2516 i C117:/1 •ES tLccL Jr 7