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Supreme Court of Pennsylvania
Court of Common Pleas
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For Prothonotary Use Only:
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446
Docket No:/q
( $t S.-001-'0
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Commencement of Action:
Petition
Declaration of Taking
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Updated 1/1/2011
IN THE COURT OF COMMON PLFA.S
OF CUMBERLAND COUNTY, PENNSYLVANIA
JEFFREY CAMPBELL
V.
COMMONWEALTH of PENNSYLVANIA : APPEAL FROM DRIVER'S
LICENSE SUSPENSION
APPEAL FROM SUSPENSION OF OPERATING PRIVILEGES
AND NOW comes the Appellant, Jeffrey Campbell, by and through his attorney, Gary
C
No. 0d1S- bO\S
CIVIL ACTION -LAW
Lysaght, Esquire, and respectfully represents as follows in support of this Petition:
1. On November 28, 2014 Appellant was stopped for a traffic violation by a
West Shore Regional Police Officer.
2. On or about December 10, 2014 Appellant received a suspension letter regarding a
Chemical Test Refusal. (Copy attached)
3. The effective date of suspension is January 14, 2015.
4. The Appellant did not knowingly or intelligently refuse a chemical test.
WHEREFORE, Appellant, Jeffrey Campbell based on the foregoing representations,
respectfully requests that this Honorable Court grant a hearing to determine the status of his
operator license suspension, and enter a Supersedeas until such time as a hearing can be held.
RESCT. LY SUBMITTED:
ysag re
. No. 39183
1350 Fishing Creek Valley Road
Harrisburg, PA 17112
(717) 599-5320
ATTORNEY FOR APPELLANT
VERIFICATION
The undersigned hereby states that the statements, made in the attached Appeal are true
and correct to the best of my knowledge, information and belief.. The undersigned understands
that the statements in attached Appeal are made subject to the penalties of 18 Pa. C.S. Sec. 4904
relating to unsworn falsification to authorities.
CERTFICATE OF SERVICE
I, Gary Lysaght, Esquire, hereby certify that on the 6th day of January, 2015, I served a
copy of the forgoing document by depositing such into the custody of the United States Postal
Service, certified mail, addressed as follows:
Pennsylvania Department of Transportation
Office of Chief Counsel
Third Floor, Riverfront Office Center
Harrisburg, PA 17104-2516
°
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF TRANSPORTATION
Bureau of Driver Licensing
Mail Date: DECEMBER 10, 2014
JEFFREY S CAMPBELL
620 MALLARD DR
ETTERS PA 17319
Dear MR. CAMPBELL:
WID it 143376032169969 001
PROCESSING DATE 12/02/2014
DRIVER LICENSE it 22345348
DATE OF BIRTH 07/18/1970
This is an Official Notice of the Suspension of your Driving
Privilege as authorized by Section 1547811 of the
Pennsylvania Vehicle Code. As a result of your violation
of Section 1547 of the Vehicle Code, CHEMICAL TEST REFUSAL,
on 11/28/2814:
* Your driving privilege is SUSPENDED for a period of 1
YEAR(S) effective 01/14/20I5 at 12:0I a.m.
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 01/14/2015. You may
surrender these items before, 01/14/3015, 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 $27'50. You must present two (2) forms of proper iden-
tification (e.g., birth certificate, valid U.S. nassport,
marriage certificate, etc.) in order to obtain your photo
identification card'
You will not receive credit toward serving any suspension
until we receive your license(s). Complete the following
steps`to acknowledge this suspension.
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
'143376032169969
Bureau of Driver Licensing
P.O. Box 88693
Harrisburg, PA 17106-8693
2. UPon receipt, review and acceptance of your Pennsylvania
driver's Iicense(sl, learner's permit(s), and/or a sworn
notarized letter, PennDOT will send you a receipt con-
firming the date that credit began. I1` you do not re-
ceive a receipt from us within three (3) weeks, please
comtact'«xur 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(a)(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 the applicable restoration fee, payment can be made at
anytime online @ www'dmv,state'pa.us or mailed to the ad-
dress listed below. Please include your driver number on
Your check, money order or correspondence.
Pennsylvania Department of Transportation
Bureau of Driver Licensing
P.O. Box 68693
Harrisburg, PA 17108-0693
The Restoration Fee is based on the Consumer Price Index and
subject to change. For the current restoration fee amount
due, please visit PennDOT's website at www.dmv.state.pa.us
to obtain a copy of your restoration requirements letter.
If you do not have internet access, please call PennDOT's
Customer Care Center at 1-800-932-4800 to request a copy of
your restoration requirements letter.
Please note: Paying the restoration fee DOES NOT satisfy
the requirement to acknowledge your suspension/revocation.
If you have not acknowledged your suspension/revocation,
please follow the instructions listed under "Complying with
this Suspension/Revocation".
143376032169969
APPEAL
You have the right to appeal this action to the Court of
Common Pleas (Civil Division) within 30 days of the mail
date, DECEMBER 10, 2014, of this letter. If you file an
appeal in the County Court, the Court will give you a time -
stamped certified cop -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
1101 South Front Street
Third Floor, Riverfront Office Center
Harrisburg, PA 17104-2518
Remember, this is an OFFICIAL NOTICE OF SUSPENSION. You
must return all current Pennsylvania driver license products
to PennDOT by 01/14/2015.
Sincerely,
Kara N. Templeton, Director
Bureau of Driver Licensing
INFORMATION 8:00 a.m. to 5:00 p.m.
IN STATE 1-008-932-4600 TDD IN STATE
OUT-OF-STATE 717-412-5300 TDD OUT-OF-STATE
WEB SITE ADDRESS www.dmv.state.pa.us
1-800-228-0676
717-412-5380
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYLVANIA
JEFFREY CAMPBELL
NO. a() IS -'W\ -'L7
V. CIVIL ACTION -LAW
COMMONWEALTH of PENNSYLVANIA : APPEAL FROM DRIVER'S
LICENSE SUSPENSION
ORDER OF COURT
AND NOW, this /dA —1 day of L//g'gW , 2015, in the foregoing
Appeal from License Suspension, a hearing is granted to determine whether appellant is subject
to suspension of his automobile operator's license.
This appeal shall act as supersedeasto the suspension. Thirty (30) days written notice is
to be given to the Secretary of the Department of Transportation, Commonwealth of
Pennsylvania.
A hearing will be held on the 916 day of 4/IV-CA , 201,f at Q ' J C
.m., in Court Room 3 , Cumberland County Courthouse, One Courthouse Square;
rns c. -
4th Floor, Carlisle, Pennsylvania.
BY
J.
Distribution:
Prothonotary
,./17a Dept. of Transportation, Office of Chief Cousel, Third Floor, Riverfront Office Center,
Harrisburg, PA 17104-2516, #787-2830
✓ary Lysaght, Esquire, 1350 Fishing Creek Valley Road, Harrisburg, PA 17112, #599-5320
co:m.es frab.:6k
///3/15
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