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COMMONW[ALTH OF PlNNGVLVANIA
DEPA<<lMtNT OF lRANSPORlAl ION
Durollu of lJr1ver L lCCI15tI1U
Harrisburg, PA 171~3
HAV 13, 199(,
M[LISSA J~AN PARKS
~3 BURGNtRS MILL RD
~4~2464~OOUL02? DOL
05/UI./L'i~4
i!!l3?t.!ii!O
0'1/J.1./]''i?:l
CARLISL~ PA
],70],3
Our Hotor-1lt.
AI a relult uf your violation on 08/04/1993 of violat-
Ing Section AfiS08 (offensos releted to al~ohol), your driving
pr1vi1euo 1& being sur-pendell for a period of 90 DAV(S) as
'nilld,tad by section 1.3111,f, of the ~ri",es elIde.
In ordol' to camply wHh Hd~ ~al1c\illl1 you are reqUired
t u r elll r 11 il n V C \I r r '1 Ii t (I, I v f r ' ~ I Ill'" 'll' I 1 ~ 11 " n ,. r ,~ Jl e " m i t
nlldlOf len"""'llrv dr,v<lr's 1'(:1.11"'- ( an"JI a ....rdl 111 your I'OS-
seaslon no Inlel than lh. uffDctive <late llsled below,
ra11uro lu cO'lIpl'1 wlll1 lhi', nolice ,,1,,)11 rpsnll ill th19 Illl-
rlllU ,ef,,.., 11111 till, mnH,,1' 10 ihH 1'.,,,n5vlvani;1 Stale Police
for prror.f.ulillll UlldE'I' Suction l!i71la)(4l lJf lhe Vehicle Code,
It VOII (Ull1101 cOIllI>ly wHh the rl'llUlI'alllents stated above. YOU
mu~1 conlacl lhll Uurllilu (Sp" inforlll"Uon balOl" fOI' further
t'1r';c',!'_'!'f nn hrHI f.-, rlH'nivu cl~odit inwar'ds your 5anctJnn.
IIh"n lhe Llepilol'lment roceives your license Dr acknoHl-
elll/omenl, II will send you a receipt, 1 f YOU do not receive
thh 1'I1c.l1l1 within 15 daYll conlact Ihe deparlment imme-
dialely. OlherwJLlI. vou may 1101 be given credil towllrd serv-
Inu lhis sallction.
Credit ~/ill not beuln until all driver's llclnl8
producl(s) are received In lhi. Bureall,
rtfective Dale of Suspension. 06/17/1994. 12101 a.m.
Pleee. nee the enclosod applicalion for rostoratlon fee
infolmellon.
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IN 1111 couaT or COMMOH PLUI
\)r
CUKlIIRLAND COUNTY. PElINIYLVAHtA
CIVIL ACTIOH--LAW
~O, .Bot'CIVIL I'H~
1. 1.. the (pl.intiff) (d.f.ndant) 1n the above mattar and bacauaa ot my
finlDgial condition .. unable to pay tha ta.a and coat. at pro..cutin. or dat.ndlo.
the I4tion or proc..din..
Z. I.. unable to obta1n tund. tro~ anyona, 1ncludin. my f..ily .nd a..ociat..,
to pa, the co.te of 11t1..tion.
. J. I r.pr..ent thlt the informat10n balov ralat1n. to .y ab111ty to pay tha
fa.. Ind co.t. 11 true and corractl
(a) N"'U-\I;I\I~''.1\ j I)"':" "
Addu." ,1] VA '.11/11..'( ~', 1\1\ 1 ~I f\,
Socul Slc\ldty Millibar. .( \ (j ': I I I J (~l I..
(b) ~101!1IDt
tf YG't., are pre.endy ..ployad. atata
laploy.rl J\JW.ll~) I{ i',-A..li l t L
Slluy or v.... par IIOnthl-+rr\..XI t,'
Typ. of work! 1\1" 'A V I ( mrr\
If you Ir' prllently un..ploy.d, .t.t.
D. U of la. t.., 1 oym'll t .
S.l.ry or w.... p.r month!
Typ. of Work!
(c) Oth.r inc~ w1~n~ thl Pllt ~'lva month.
BUlin... or prot...101l1
Oth.r ..ll-..pleym.ntl
InUtllt I
Dividend.!
P.Il.10n Ind ~utt1"1
Soctal .lcur1ty ban.ftt..
Support p.ym.nt.!
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