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Ol.It".'n (;} CHEMICAL TESTING WARNINGS AND REPORT OF ~5e6EIEt4 :3401;31 e80,"00 REFUSAl, TO 8UBMIT TO CIIEMICAL TESTING AS , AUTHOnrZED BY OF 1I1E VEHICLI, CODE HAIlB _IU DAii"C;"""'M ifr,' FIRST MIDDLE LASI HAYS 8, ,JOIINSON IWJl 04 II H ADDAn. eny 'Arl aocooc . " Y,' ..<. V " ',\" . f:' ',i', ;:,'.": ~~,It" 1"" ) i:: ' ,'I, " 'JH!'! . 1'''' " ' ... '" t.. .!.', , _~ I I, . I t.~ t. Plee.. be IICMMd '* you If. now ""..., .f.,t'Of cij~nQ undM". r.ftUlnce of IkohoI Of . con.oled llAIlWM:lI ....wn D Mdon J131 II,. ";~-;."_c_' .]', 2.1"", """"ng "'" ,OU .lAwnIll.. chomlcol ,.., o'_JlIlf.AtlL__.I"''''', blood 01 umo 0fII00t _..... _lOll 1 " CI," Ie my cllly," lpoIco._,lolnlcw.. 'OU Ih.1dI"" ..Iu.... .lbm... "'" """""'" ....,....drMnilpoMIwgo......UlI**d....,.-.... 'F' '~i.L"':p..,. _," I. my eMIr.......... ....'h.I.,. """.ltullon.hlghll cllo I""'" _...._. OIl "'''In''' __.........." ',' / IOchomIcoI "."'undo< "'mpllodoonllnlll. !lpndllcolr, .... do not ""... .righl'."'".14lwt"...,.,Of_....pIor..-.g .....-..., , - nor do ...."""" notl1ghl"_ ,rOllI.h"". "'~,. olll(1lI"~' IOU 10 .ullm" 10 . clulmiclll ".. y.."...."""',_I..."..... ....,.....,.. j'! ' olll 011.. .....~II.."'I. glvln, Of YO" ,'Ie"" ..100", ..kid I. .uhmo.... d..mlcollo.l.... bo DOIl.lcforod... ,olu.1I 0'.....- "" ~ you I.' ". .. ... ...ptntlnn 01 """ drtWlg ......108. .~ " " 'I., 't. ,..,." t, ;!-:'. ,-, f~j\. ' 'j~'" . )', :(~.: FOIWOIcIIO: OIpe.'nenl of Tt."poftadon 0..- 01 0.'_ Llconolng P,O, Bo, aa~ Hontoburv, PA .7105 '1010 MI""'......"_not_ldby..._vlI._bo_...._... ,hlMl M1d"w:hIId,.., 'N' "--' "-'uIdincbtl fIG n..... oIllddiw.n.l -''W,.. r.noo'I.-y to PfIJYe "- "'tmet'l111O w.Nch)lOU hi.... I,,"Md. , THII POAM MAY BI! DUPLICATED "DOt TIOHAL SUPPLIES Of' Tltlll rCflU MAY. SECUIlED BY COMPLElIHO 1'0I1l0l OS .11A I S 130/~ PRs COMMONWEALTH OF PENNSYLVANIA PENNSYLVANIA DEPARTMENT OF TRANSPORTATION BUREAU OF DRIVER LICENSING, APPELLEE IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 93'- /'7'18' &;,..:/~~ VS. BAYS JOHNSON, APPELLANT i I ORDBR OF COURT I AND NOW, this ~ day of (..J.~ I ' i IAppellant's Appeal, a Hearing shall be held on I II '--"~-, 1995, in Courtroom #-li-. at .10, ~O lat the Cumberland County Courthouse. , 1995, based .30(,J.. day of upon o'clock ~. m. i This Appeal shall act as a supersedeas I :revocation of Appellant's license pend!nj ~i of any suspension or hearing. I d jIDate:~.Q !I " " " " :i 11 " q 'i i, i , ; ! \~. lCiCf'S J. 'i :i , i; ,I , il i COMMONWEALTH OF PENNSYLVANIA : PENNSYLVANIA DEPARTMENT rOF TRANSPORTATION , BUREAU OF DRIVER LICENSING, APPELLEE IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. vs. i HAYS JOHNSON, APPELLANT NOTICE OF APPEAL '1. Appellant, Hays Johnson, is an adult individual whom currently resides at 134 North Regency Woods Park, Carlisle, Pennsylvania, 17013. 2. Appellee, Commonwealth of Pennsylvania, Pennsylvania Department , of Transportation, Bureau of Driver Licensing, Harrisburg, Dauphin ,!County, Pennsylvania, 17123, is a state agency. 3. Your Appellant was arrested for allegedly operating his motor vehicle while driving under the influence on March 4, 1995, at 2320 hours by Corporal Steven D. Kingsborough of the Middlesex Township Police Department. 4. Your Appellant was notified on or about March 17, 1995, that :his license was being suspended for a period of one year which ,would go into effect April 28, 1995 at 12:01 a.m. A true and correct copy of the Notice is attached at Exhibit "A". 5. Your Appellant denies that he refused to submit to breath, blood or urine testing and that said suspension is improper and unwarranted. 6. Your Appellant submits the Commonwealth lacked a reasonable basis to request him to take a blood, breath or urine test. CBRTIFlCATE OF SERVICB I I hereby certify that I am this day serving a copy of the foregoing Appeal upon the person and in the manner indicated ,below, which service satisfies the requirements of the , Ipennsylvania Rules of Criminal Procedure, by depositing a copy of I ithe same in the United states Camp Hill, Pennsylvania, through , , I first class certified mail, prepaid and addressed as follows: I i IPennsylvania Department of Transportation iRoom 103 I'Transportation & Safety Building Harrisburg, PA 17120 I , I I I , I Ire. ' \ Date:--.Y'" .) r( :; I I P trick F. Lauer, Jr., 2108 Market street Camp Hill, PA 17011 (717) 763-1800 Supreme ct. IDI 46430 , 'I il II I I I I , I ,i verifies and states that: 'i 'II. He is the attorney for Appellant, Hays Johnson. !j 'I ;; 2. il 13. '! ATTORNEY VERIFICATION hereby The undersigned, Patrick F. Esquire, Lauer, Jr. , He is authorized to make this verification on his behalf; The facts set forth in the foregoing Appeal are \knoWn to him and not necessarily to his client; : i 4 . The facts set forth in the foregoing Appeal are true and ii iicorrect to the best of his knowledge, information and belief; and 115. He is aware that false statements herein are made subject to the penalties of 18 Pa. C.S. 4904, relating to unsworn falsification to authorities. Date:~ Patrick F. Lauer, Jr., Esquire 2108 Market street Camp Hill, PA 17011 (717) 763-1800 I' ,......'\ .r--. . ullillit A COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF TRANSPORTATION Bureau of Driver Licensing Harrisburg, PA 17123 MARCH 24, 1995 HAYS .JOHNSON LOTI134 REGENCY WOODS WEST CARLISLE PA 17013 '50b66434D01660 001 03/1711"5 12751126 04/11/1'35 Dear Motorist I As a result of your violation of Section 1547 of the Ve- hicle Code, CHEMICAL TEST REFUSAL on 03/04/1995, your driving privilege is being SUSPENDED for a period of 1 YEAR(Sl. In order to comply with this sanction you are required to return any current dri ver' s license, learner's permi t and/or temporary driver's license (camera card) in your pos- session no later than the effective date listed. If you cannot comply with the requirements stated above, you are required to submit a Dl16LC Form or a letter acknowledging the sanction of your driving privilege. Failure to comply with this notice shall result in this Bureau referring this matter to the Pennsylvania State Police for prosecution under SECTION l571(a)(4) of the Vehicle Code. Credit will not begin until all current driver's license product(s), the DL16LC Form, or a letter acknowledging your sanction is received in this Bureau. When the department receives your license or acknowl- edgement, it will send you a receipt. If you do not receive this receipt wi thin 15 days contact the department imme- diately. Otherwise, you may not be given credit toward serv- ing this sanction. Effective Date of Suspension I 04/28/1995, 12101 a.m. ....x.............***..***********.****.**********.*****.....*....*. IWARNINGI If you are convicted for driving while your license is I Isu5pended, the penalties will bel not less than 90 days imprison-I Iment and a .1,000 fine and an additional 1 year suspension. I *..**.*****.*********.************.****..*****..*****..****..*.****. Please see the enclosed application for restoration fee information. ~ ~ \., J '~ ~~ ~~ ~~ ." '\ ~ V'> ~ ~ '" )- 0"'1 ~r \\ ~ ~f. , .? ::c: ..' ~ ~ '~ <>- 0l'$:. ,~ .. ,~ 'N -.'. ") ~ {,~ ~... '() ~ ~~ ~.(~ ~~ 0'" '\\ .... .. ..::"'X . a: ... ci ~ t: tol .. CJ ..,0 ::J ..l ~ c ,.. :; -< .. Vi ~ >C <( - ..J .. t: , '; 0.. M . >.~ al ... ~ " :: ,.. C ::E CJ - ~ ... CJ :c ,.. U 0 >C S C1.- .. :::> <( S !::. - .. a: -< .... .. E- (,J -< :l.. . ~ - - " if: " :.~ ~ ,''l "J - '"'"' >- -, ::!= COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF TRANSPORTATION, BUREAU OF DRIVER LICENSING, APPELLEE/RESPONDENT V. HAYS JOHNSON, APPELLANT/PETITIONER IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION. LAW . . : 95-1748 CIVIL TERM IN RE: APPEAL FROM SUSPENSION OF DRIVING PRIVILEGE MEMORANDUM OPINION AND ORDER OF COURT BAYLEY, J., May 31,1995:- Petitioner, Hays Johnson, appeals from the suspension of his driving privilege for one year for refusing to take a chemical test on March 4, 1995. We held a hearing on May 30, 1995, and find the foilowing facts: (1) Petitioner, Hays Johnson, was observed by Officer Steven D. Kingsborough of the Middlesex TownShip Police Department, operating a motor vehicle at about 10:50 p.m. on March 4, 1995. (2) Based upon petitioner's visibly Intoxicated condition, Officer Kingsborough had reasonable grounds to believe he had been driving under the Influence of an Intoxicating beverage. (3) Officer Klngsborough arrested defendant for driving under the Influence. (4) Petitioner was asked to submit to a chemical test to be performed by a qualified officer. (5) Petitioner was advised of the implied consent law that If he refused to submit to the chemical test his driving privilege would be suspended for a period of