HomeMy WebLinkAbout95-04171
I
.
\ "
~ 'r ,
,'I j
S6. ~J es 2
o ~n~
.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF TRANSPORTATION
Bureau of Driver Licensing
Harrisburg, PA 17123
AUGUST 01, 1995
DANItL K JACOB
31.U DWAVN[ AV[
n[CHANICSBURG PA
'S2026'~4000037 002
07/2S/~"S
24'H137
0'/2~/~'sa
~70SS
Dear Motorist:
As a result of your violation of Section 1547 of the Ve-
hicle Code, CHEMICAL TEST REFUSAL on 07/14/1995, your driving
privilege is being SUSPENDED for a period of 1 YEARIS).
In order to comply with this sanction, YOU are required to
submit a DL-16LC FormlAcknowledgment of Suspen~ion/ Revoca-
tion/ Disqualification) or a letter a~knowledging the sanc-
tion of your driving privilege.
Credit wiU not begin until the DL-16LC Form or the letter
acknowledging your s~nction is received by this Bureau.
WHEN THE DEPARTMENT RECE IVES YOUR FORM OF ACKNOWLEDGEMENT,
WE WILL SEND YOU A RECEIPT. IF YOU DO NOT RECEIVE THIS RECEIPT
WITHIN 15 DAYS, CONTACT THE DEPARTMENT IMMEDIATELY. OTHER-
WISE, YOU WILL NOT BE GIVEN CREDIT TOWARD SERVING THIS SANC-
TION.
Effective Date of Suspension: 09/05/1995, 12:01 a.m.
....................................................................
IWARNING: If you are convicted for drivinp while your license is I
Isuspended, the penalties will be: 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 in-
for.ation.
EXHI8/T' "A N
l
.;.1
,.
"
h-
e::
.-,
"'l ~.. '"
t -p(.) v.~
fi~ J ....
, ....
C "l 1:1
C C :=.c-
~
~ ~ ~
~
\'J ....
k ~(/V ~(f; ~
~ :t--
;;;--b
~ "'-
~~
&. =
:,r t
:"bo,
. .
'. "
.
COMMONWEAT,TII OF PENNSYLVAN IA
DEPARTMENT OF TRANSPORTATION
BUREAU OF DRIVERS' 1,ICENSING
.
.
.
.
.
.
IN '1'1113 COUR'I' OF COMMON PLEAS Ot'
CUMDERI.AND COUNTY, PENNSYLVANIA
:
95 - 4171
vs.
.
.
.
.
DANIEL K. JACOB
llEFENDAN'r
:
:
CIV.lI, TERM
CERTIFICATE OF SERVICE BY MAIL
I, JAMBS M. BACII, Attorney-at-l.aw, do hereby certify that I
have mailed to the individual(a) listed below, a copy of the
foregoing
ORDER AND APPEAL FROM DIVER'S LICENSE SUSPENSION
by placing a copy of same in
prepaid, on the ~hday of
addressed as follows:
the United States Mail, postage
_!>lIqust , 199 ~ and
MATTHEW X. IIAECKLER, ESQ.
ASSISTANT COUNSEL
DEPARTMENT OF TRANSPORTATION
103 TRANSPORTATION & SAFETY BUILDING
HARRISBURG, PA 17120
Date 8/10/95
BY:~IM~
JA M. BACII
Att rney I.n. No. 18727
352 South Sporting 11111 Road
Mechanlcsburg, PA 17055
717-7J7-20H