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HomeMy WebLinkAbout95-07168 ~~ .~ . J ;;# ~ r J 00 ..j - r . . 1 Dl.326 (9/95) CERTIFICA TION . DATE 2/8/96 I hereby certify that Rebecca l. Bickley, Director of the Bureau of Driver licensing of the Pennsylvania Department of Transportation, is the legal custodian of the Driver license records of the Pennsylvania Department of Transportation. As the Director of the aforesaid Bureau, she has legal custody of the original or microfilm records which are reproduced in the allached certification. IN TESTIMONY WHEREOF, I HAVE HEREUNTO SET MY HAND AND SEAL OF THIS DEPARTMENT THE DAY AND YEAR AFORESAID. 1- I HEREBY CERTIFY THAT THE FOREGOING AND ANNEXED IS A FUll, TRUE AND CORRECT CERTIFIED PHOTOSTATIC COPY OF: Automated Driving Record, seal attached, which appears in the file of the defendant Christopher Williams, operator's no. 22170698, date of birth 12/27/70, in the Bureau of Driver Licensing, Harrisburg, Pennsylvania. Commonwealth's EXHIBIT .;f.:x:zh" I ~y CERTIFIED TO as prescribed by Sections 6103 and 6109 of the Judicial Code, Act of July 9, 1976, P.L. 586, as amended, 42 Pa.C.S. ~~6103 and 6109. IN TESTIMONY WHEREOF, I HAVE HEREUNTO SET MY HAND AND SEAL THE DAY AND YEAR AFORESAID. c&~~C4.1, ~~ SEAL REBECCA L BICKLEY, DIREC R BUREAU OF DRIVER LICENSING PENNSYLVANIA DEPARTMENT OF TRANSPORTATION BUREAU OF DRIVER LICENSING CERTIFICATION STATEMENT FEB 08 1996 PAGE 1 DRIVER: CHRISTOPHER WILLIAMS DRIVER LICENSE NO : 22170698 RDI9 BOX 143B DATE OF BIRTH : DEC 27 1970 CARLISLE, PA 17013 SEX : MALE RECORD TYPE : REG LIC/ID LICENSE CLASS : C CDL LICENSE CLASS : LICENSE EXPIRES : DEC 31 1990 CDL LICENSE EXPIRES : CDL ENDORSEMENTS : NONE MED RESTRICTIONS : NONE CDL RESTRICTIONS : NONE LEARNER PERMITS . CDL LEARNER PERMITS : . LICENSE STATUS : SUSPENDED CDL LICENSE STATUS : SUSPENDED REVOKED REVOKED EXPIRED -------------------------------------------------------------------------------- REPORT OF VIOLATIONS AND DEPARTMENTAL ACTIONS -------------------------------------------------------------------------------- VIOLATION DATE: VIOLATION: DESCRIPTION: ACTION: MAY 04 1986 VEHICLE CODE: 1533 FAILURE TO RESPOND SUSPENSION EFFECTIVE SEP 02 1986 VIOLATION DATE: VIOLATION: DESCRIPTION: ACTION: MAY 04 1986 VEHICLE CODE: 1533 FAILURE TO RESPOND SUSPENSION EFFECTIVE SEP 09 1986 *** CONTINUED *** PAGE 2 CERTIFICATION STATEMENT - FEB 08 1996 - LICENSE NUMBER 22170698 CONTINUED VIOLATION DATEI VIOLATION I DESCRIPTION: ACTION: ACTION: VIOLATION DATEI VIOLATION: DESCRIPTION: CONVICTION DATE: ACTION: VIOLATION DATE: VIOLATION: DESCRIPTION: ACTION: ACTION: VIOLATION DATE: VIOLATION: DESCRIPTION: CONVICTION DATE: ACTION: VIOLATION DATE: VIOLATION: DESCRIPTION: CONVICTION DATE: ACTION: MAY 04 1986 VEHICLE CODEI 1533 FAILURE TO RESPOND SUSPENSION EFFECTIVE OCT 22 1986 RESTORATION OF OPERATING PRIVILEGES JUN 10 1987 JUL 25 1987 VEHICLE CODE: 3361 TOO FAST FOR CONDITIONS JUN 14 1988 ASSIGNED POINTS JUL 03 1988 VEHICLE CODE: 1533 FAILURE TO RESPOND SUSPENSION EFFECTIVE DEC 26 1988 RESTORATION OF OPERATING PRIVILEGES MAR 07 1989 JUL 03 1988 VEHICLE CODE: 1543 DRIVING WHILE SUSP/REVOKE MAR 02 1989 NO ACTION JUL 03 1988 VEHICLE CODE: 3745 LEAVING SCENE OF ACCIDENT MAR 02 1989 POINT EXAM *** CONTINUED *** SUSPENDED - FAILED EXAM INDEFINITE SUSPENSION EFFECTIVE AUG 14 1989 OFFICIAL NOTICE MAILED JUL 10 1989 OFFICIAL NOTICE RETURNED TO THE BUREAU AS UNCLAIMED MAIL PAGE 3 CERTIFICATION STATEMENT - FEB 08 1996 - LICENSE NUMBER 22170698 CONTINUED ACTION: ACTION I VIOLATION DATEI VIOLATION I DESCRIPTION: CONVICTION DATEI ACTION: VIOLATION DATE: VIOLATION: DESCRIPTION: ACTION: VIOLATION DATE: VIOLATION: DESCRIPTION: CONVICTION DATE: ACTION: VIOLATION DATE: VIOLATION: DESCRIPTION: CONVICTION DATE: ACTION: FEB 24 1989 VEHICLE CODE: 1543 MAJOR VIOLATION DRIVING WHILE SUSP/REVOKE AUG 09 1989 SUSPENSION FOR 1 YEAR(S) EFFECTIVE NOV 07 1989 OFFICIAL NOTICE MAILED NOV 07 1989 AUG 21 1988 VEHICLE CODE: 1533 FAILURE TO RESPOND SUSPENSION EFFECTIVE APR 26 1990 OFFICIAL NOTICE MAILED APR 26 1990 DEC 30 1990 VEHICLE CODE: 1543 MAJOR VIOLATION DRIVING WHILE SUSP/REVOKE MAR 08 1991 SUSPENSION FOR 1 YEARlS) EFFECTIVE JAN 18 1992 OFFICIAL NOTICE MAILED JUL 17 1991 MAR 05 1991 VEHICLE CODE: 1543 MAJOR VIOLATION DRIVING WHILE SUSP/REVOKE APR 18 1991 HABITUAL OFFENDER REVO FOR 5 YEAR(S) EFFECTIVE JAN 18 1993 OFFICIAL NOTICE MAILED SEP 19 1991 *** CONTINUED *** PAGE 4 CERTIFICATION STATEMENT - FEB 08 1996 - LICENSE NUMBER 22170698 CONTINUED VIOLATION DATE: VIOLATION: DESCRIPTION: ACTION: COURT INFOI VIOLATION DATEI VIOLATION: DESCRIPTION: ACTION: COURT INFO: VIOLATION DATE: VIOLATION: DESCRIPTION: ACTION: COURT INFO: VIOLATION DATE: VIOLATION: DESCRIPTION: CONVICTION DATE: ACTION: MAY 02 1991 VEHICLE CODEI 1533 FAILURE TO RESPOND SUSPENSION EFFECTIVE NOV 04 1991 OFFICIAL NOTICE MAILED NOV 04 1991 09304 CITATION NO: 234775 PHONE NOI (717)761-8230 MAY 02 1991 VEHICLE CODEI 1533 FAILURE TO RESPOND SUSPENSION EFFECTIVE NOV 04 1991 OFFICIAL NOTICE MAILED NOV 04 1991 09304 CITATION NO: 234776 PHONE NOI (717)761-8230 I I I I r MAY 02 1991 VEHICLE CODE: 1533 FAILURE TO RESPOND SUSPENSION EFFECTIVE NOV 04 1991 OFFICIAL NOTICE MAILED NOV 04 1991 09304 CITATION NOI 234774 PHONE NOI (717)761-8230 APR 11 1991 VEHICLE CODE: 1543 MAJOR VIOLATION DRIVING WHILE SUSP/REVOKE SEP 23 1991 HABITUAL OFFENDER REVO FOR 2 YEAR(S) EFFECTIVE JAN 18 1998 OFFICIAL NOTICE MAILED DEC 26 1991 *** CONTINUED *** . . PAGE 5 CERTIFICATION STATEMENT - FEB 08 1996 - LICENSE NUMBER 22170698 CONTINUED VIOLATION t.ATEI VIOLATION I DESCRIPTION I CONVICTION DATEI ACTION: VIOLATION DATEI VIOLATION: DESCRIPTION I CONVICTION DATE I ACTION: VIOLATION DATE: VIOLATION: DESCRIPTION I ACTION: COURT INFO: VIOLATION DATE: VIOLATION: DESCRIPTION: ACTION: COURT INFO: SEP 21 1991 VEHICLE CODE: 1543 MAJOR VIOLATION DRIVING WHILE SUSP/REVOKE NOV 13 1991 HABITUAL OFFENDER REVO FOR 2 YEAR(S) EFFECTIVE JAN 18 2000 OFFICIAL NOTICE MAILED MAR 06 1992 SEP 18 1991 VEHICLE CODEI 1543 MAJOR VIOLATION DRIVING WHILE SUSP/REVOKE NOV 13 1991 HABITUAL OFFENDER REVO FOR 2 YEAR(S) EFFECTIVE JAN 18 2002 OFFICIAL NOTICE MAILED MAR 06 1992 MAR 23 1991 VEHICLE CODE: 1533 FAILURE TO RESPOND SUSPENSION EFFECTIVE APR 24 1992 OFFICIAL NOTICE MAILED APR 24 1992 12101 CITATION NOI Y049237 PHONE NOI (717)545-4143 MAR 23 1991 VEHICLE CODE: 1533 FAILURE TO RESPOND SUSPENSION EFFECTIVE APR 24 1992 OFFICIAL NOTICE MAILED APR 24 1992 12101 CITATION NO: Y049238 PHONE NO: (717)545-4143 *** CONTINUED *** PAGE 6 CERTIFICATION STATEMENT - FEB 08 1996 - LICENSE NUMBER 22170698 CONTINUED VIOLATION DATEI VIOLATION I DESCRIPTION: CONVICTION DATEI ACTION: VIOLATION DATEI VIOLATION: DESCRIPTION: ACTION: COURT INFO: VIOLATION DATEI VIOLATION: DESCRIPTION: ACTION: COURT INFO: VIOLATION DATE: VIOLATION: DESCRIPTION: ACTION: COURT INFO: OCT 06 1991 CRIMES CODEI 6308 PURCH!CONSUME!POSSESS ALC JUN 30 1992 SUSPENSION FOR 90 DAY(S) EFFECTIVE JAN 18 2004 OFFICIAL NOTICE MAILED JUL 28 1992 MAY 21 1992 VEHICLE CODEI 1533 FAILURE TO RESPOND SUSPENSION EFFECTIVE OCT 24 1992 OFFICIAL NOTICE MAILED OCT 24 1992 09302 CITATION NOI A021625 PHONE NOI (717)776-3187 MAY 21 1992 VEHICLE CODEI 1533 FAILURE TO RESPOND SUSPENSION EFFECTIVE OCT 24 1992 OFFICIAL NOTICE MAILED OCT 24 1992 09302 CITATION NOI A021623 PHONE NOI (717)776-3187 JUN 26 1992 VEHICLE CODE: 1533 FAILURE TO RESPOND SUSPENSION EFFECTIVE OCT 30 1992 OFFICIAL NOTICE MAILED OCT 30 1992 09302 CITATION NO: 021959 PHONE NO: (717)776-3187 *** CONTINUED *** ... PAGE 7 CERTIFICATION STATEMENT - FEB 08 1996 - LICENSE NUMBER 22170698 CONTINUED VIOLATION DATE: VIOLATION I DESCRIPTION: CONVICTION DATEI ACTION: VIOLATION DATE: VIOLATION: DESCRIPTION: CONVICTION DATE: ACTION: VIOLATION DATE: VIOLATION: DESCRIPTION: CONVICTION DATE: ACTION: MAY 21 1992 VEHICLE CODEI 1543 MAJOR VIOLATION DRIVING WHILE SUSP/REVOKE DEC 17 1992 HABITUAL OFFENDER REVO FOR 2 YEAR(S) EFFECTIVE APR 17 2004 OFFICIAL NOTICE MAILED MAR 10 1993 JUN 26 1992 VEHICLE CODE: 1543 MAJOR VIOLATION DRIVING WHILE SUSP/REVOKE DEC 17 1992 HABITUAL OFFENDER REVO FOR 2 YEAR(S) EFFECTIVE APR 17 2006 OFFICIAL NOTICE MAILED MAR 10 1993 OCT 02 1992 VEHICLE CODE: 1543 MAJOR VIOLATION DRIVING WHILE SUSP/REVOKE MAY 13 1993 HABITUAL OFFENDER REVO FOR 2 YEAR(S) EFFECTIVE APR 17 2008 OFFICIAL NOTICE MAILED JUL 16 1993 PROOF OF INSURANCE REQUIRED PRIOR TO RESTORATION AFFIDAVIT RECEIVED JAN 18 1991 -------------------------------------------------------------------------------- REPORT OF MEDICAt.S AND DEPARTMENTAL ACTIONS -------------------------------------------------------------------------------- NO MEDlCALS OR DEPARTMENTAL ACTIONS DURING THIS REPORTING PERIOD *** CONTINUED *** ACCIDENT DATE: LOCATION: VEHICLE TYPEI JUL 25 1987 CUMBERLAND CTY PASSENGER *** END OF RECORD *** ;... PAGE 8 CERTIFICATION STATEMENT - FEB 08 1996 - LICENSE NUMBER 22170698 CONTINUED -------------------------------------------------------------------------------- REPORT OF ACCIDENTS AND DEPARTMENTAL ACTIONS -------------------------------------------------------------------------------- ACCIDENT DATE: LOCATION: VEHICLE TYPE: AUG 13 1987 CUMBERLAND CTY PASSENGER PAGE 9 CERTIFICATION STATEMENT - FEB 08 1996 - LICENSE NUMBER 22170698 CONTINUED IN COMPLIANCE WITH YOUR REQUEST, I HEREBY CERTIFY THAT I HAVE CAUSED A SEARCH TO BE MADE OF THE FILES OF THE DEPART- MENT OF TRANSPORTATION, AND HAVE SET FORTH ABOVE AN ACCURATE SUMMARY OF ALL RECORDS IN THE NAME OF THE PERSON INDICATED. SINCERELY, ~~,~ SEAL DIRECTOR, BUREAU OF DRIVER LICENSING FOR SECRETARY OF TRANSPORTATION COMMONWEALTH OF PENNSYLVANIA SS: DATE:FEB 08 1996 I HEREBY CERTIFY THAT REBECCA L, BICKLEY, DIRECTOR OF THE BUREAU OF DRIVER LICENSING, OF THE PENNSYLVANIA DEPARTMENT OF TRANSPORTATION IS THE LEGAL CUSTODIAN OF THE DRIVER LICENSING RECORDS OF THE DEPARTMENT OF TRANSPORTATION. AS THE DIRECTOR OF THE AFORESAID BUREAU, SHE HAS LEGAL CUSTODY OF THE ORIGINAL OR MICROFILM RECORDS WHICH ARE THE SUBJECT OF THE ABOVE CERTIFICATION. IN TESTIMONY WHEREOF, I HAVE HEREUNTO SET MY HAND AND SEAL OF THIS DEPARTMENT THE DAY AND YEAR AFORESAID. SINCERELY, ~i-~ SECRETARY OF TRANSPORTATION SEAL ........ . . , '. . '-' . ". . '. ~,t. !:I'..:'l.C::,';8~ * .. , , ,,' '. ,,'" . '1~'; ..', &Ir!{s-loflv~:~:~ ;J:".W\I'II-"i~~~5' : .:,j i i'') i.ll . ..:'- C ",J:: ... " '., '. .; 1"/ I "l,':. ;'._~.:\.\ ,\ "XN 11,<.! Co,..H~t "f L61""tV'o'lON Pl-e~ of tl.lMbeit.IANd Cov./'l.J.y) P.A v. Depr/- of Tr<fJN5 ~,R-1-k+- iOK of' P>eNNSy(u"f-N,'A- " rvl,SC. , ~~s ~ cke..+ }J(J. 9 'f- 7; c.~ _ ~i0Urt/._ ::eN RE.: MC+,'oN foR. R~iI\lS..J-"t+Mt'.N+ of P(2~UiN~ _Pgtu; (e0~ P>R(j N(J()O QRDE.R of' c.C~1Z. + A" tL.::J ~C""'<-J-; NP N(Jl.J) TI'),.~ J(:. [j'lY o-F ~ l 1<'/'1& ~ U.pC.N CCA,<;;'J~I'VT-.h'CN 0+ fll-e fl-ffPrC..ll(UJ l"'Uli-l'c.N F,-led. by +}V~. AppellltNT} PRO S-E){t..~ Co....~+ I-Iertehy ClR(JGrCS +he S!.,e(:.; f(s c.f(;'c.e +c tI'2.ANSf<JI'?.+ Cflr-Jsfop""I'Z. IT (Jj'f/. 'A-<-VlS (;~C.I"'1 fhe.. S+#G Co~ne0-1-(oMlI nCe /'I-y al- I?eta.e>crl- f6f7.. A- lkaf2i^'J ON 'Ji'h,',"YIt() ::;:.;.. ~-l.':). J ;1ge IH 8': '/~ q. Q] I iN C4U1'CfROOt.<.-f No. -S- ~ TJl~ jtlk , 'Vlle..+ ) at,( STATE OF PENNSYLVANIA, } IS Cumberland County, The Commonwealth of Pennsylvania to State Correctional Facility at Retreat GREETING By an Act of Assembly of 1785, we command you to have the body or bodies of __.. ~..iJl~9Phe_r_ _.:t._ _~Ul,,~Lf1~ ~........ ~--------------------------------------------------- ---------------_._---------------------------------~ before the Hon. _ J. Wesley.. 01er......Jr.. __ h __ _ _ __.. __.. ___ ofthe Court of _ _ _ _ Camon.. Pleas_.. _.. _ __ __.. _ _.._ _......_ _ of said County, on Thursday__ the 22nd_ day of .Feb..._, 19.9..6, at .. .8..:_45_ o'clock, ..~. M, at the _CJ:!!lr..th0lJ_~~~~:c;xrn t~e Borough of Carlisle, together with the cause of his detention in your custody. Then and there to do and receive all and singular those things which our said Judge shall consider and adjudge in that behalf. Witness the Honorable _.. __ _ __ _.. __ h J. _Wesley ..01er, _Jr, __.. __.... __ __ __ _........ Judge of our said Court, at Carlisle, the .. __16th. __ . day of .. _ J::ebr\liUY _ _ .. _ _ _ _ _ _ _.. A.D. 19.. \I!i_ _____JLawrence..e._~lker______......____.._.. Prothonotary and Clerk of Court (Seal) m--~d'-.g..-1:~m..-- .-- Deputy I I I I I , , I 2: I I , I I I 81 I I , I I I I I , I I I I ~ , I ~ I ~ , , I , I I , I I I ~ I , I I I I I , , I I I I I I ~ , , .~i I I . I I I , I !1 I . if I , , I I bl I , I I e- I I I , I , I I , ~ I t3 I . I I I I I .~ I I , I , :;l I , ~ , I .. , I 3:i , , I j , I I .~ I I , I I , ::l I I ~ I , I I I U I I , , .. I ..... I I i I I I J: I :J: I co I , , , , I \D I I , I - , . I ..... , I , ....' I 0 , ,., I 'I , , I 0: I , I , , , .' , ;t; , I I In I ~ , , I I I '" I , , ~ , ~ , I I I , I I I cl I , I 2l: , , I I , , I , Z I , , , , , I , , if: , I 8 , , , I , I , , , I , I , I , I , I I , I , I I .."..,.- .."".. ...'..~,.~.,.. ,~.~.,.' CHRISTOPHER J, WILLIAMS, SR., I IN THE COURT OF COMMON PLEAS OF Petitioner/Appellant : CUMBERLAND COUNTY, PENNSYLVANIA : v, : CIVIL ACTION - LAW : LICENSE SUSPENSION APPEAL PA. DEPT, OF TRANSPORTATION, : Respondent/Appellee 95-7168 CIVIL TERM ORDER OF COURT AND NOW, this 22nd day ot February, 1996, upon consideration ot the Petitioner's appeal trom license suspension, and to11owing a hearing, the appeal is DENIED. By the Court, CHRISTOPHER J. WILLIAMS, SR., PRO CJ-2742 R.D. 3, Box 500 Hun10ck Creek, PA 18621-9580 Petitioner/Appellant MATTHEW X. HAECKLER, ESQUIRE Assistant Counsel Trattic satety Section Department of Transportation 103 Transportation and Safety Building Harrisburg, PA 17120 For the Respondent ~..-~d./;J.'-lq", ~,f' . wcy () C .,.,i'c (lJ\.~ : I;.f V? ,~': ~ ;::;-:; -.;: ~ .' ~r::_ ~l -', ,., -j, ..J 'i:r1 .-'\;3 '.'.0 ;~....; \ :--l~~ ::: ,~.~r .. ~'.~ N :'1) -J -. ,0 u\ -., r1 '-', N rv .- ;:.:- - .. \., of GIUtnb4! ~'C' '... :ZOlb. ~~ ,Co. """'4 1A. .. }$. 1"1~ , q:"\ '1 ~ ~~i@.~~]~~. ~~-'a'. ~.. ~ ,- ....,.~ ",,",', . ~ ,\11 .... ~ J-,#.~ "''\j; . ,,~.jJj?d~~ R. THOMAS KLINE Sheri" HORACE A. JOHNSON Solicitor OFFICE OF THE SHERIFF Court House Carlisle, Pennsylvania 17013 FEbruary 29, 1996 Lawrence E. Welker, Prothonotary Cumberland County Court House Carlisle, Pa. SUBJECT, Civil Transportation 1. 95-7168 Civil Christopher J. Williams Sr. On Feb. 21, 1996 transfer deft from SCI Retreat to Cumbo Co. Prison On Feb. 26, 1996 transfer deft from Cumbo Co. Prison to SCI Retreat Car1si1e to Retreat 394 Miles @ 28C per mile Meals Total ;/ RONNY R, ANDERSON Chi., D.puly AUDREY O. ADAMS Rill Eatal. D.puty 110.32 19.11 129.43 $129.43 So answers, , " ./ i1~"";1/ ~< " R. Thomas Kline, Sheriff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW CHRISTOPHBR J. WILLIAMS, SR., I Petitioner/Appellant I I I I I I I v. PA. DEPT. OF TRANSPORTATION, Respondent/Appellee NO. 95- 7/(.,8' CIVIL TERM LICENSE SUSPENSION APPEAL AND NOW, this 'K ORDER OF COURT I.) day of December, 1995, upon consideration of Petitioner's application for leave to proceed in forma pauperis, the application is GRANTED to the extent that Petitioner is granted leave to file the present appeal from license suspension without payment of the usual filing fee. A hearing on the appeal, including the issues of timeliness and proper jurisdiction/venue, is SCHEDULED for Thursday, February 22, 1995, at 8:45 a.m., in Courtroom No.5, Cumberland County Courthouse, Carlisle, Pennsylvania. BY THE COURT, J. Matthew X. Haeck1er, Esq. Assistant Counsel Traffic Safety Section Department of Transportation 103 Transportation and Safety Bldg. Harrisburg, PA 17120 Christopher Williams, Sr., CJ-2742 R.D. '3, Box 500 Hun10ck, Creek, PA 18621-9580 Sheriff's Office of Cumberland County_ ~<-n( t:I<~. ~.,., ,,,,.,r-15" .IlG- :rc , . "'U Agplic~tion for leave to proceed in SEP 1 S 19956t fOi.-ma pauperiB I,Christopher williams, state under the penalties provided by 18 pa.c.B 04904(unsworn fa1sesificat~on to authorities) that: (1)1 am the petitioner in the above action and because of my financial condition am unable to pay the following fees and cost: any filing feeB, COBt of reproducing records or briefs, or filing of supersedeas security if irrep- arable harm would result if not waived. (2) my responses to the questions below re1atin~ to my abi1i,y to pay the fees and costs of prosecuting an appeal are true and correct. (a) are you presently employed? no . (b) Have you recieved within the pnst 'twelve months any income from a bus- iness,profession or other form of self employment, or in the form of rent payments, or other source? No (c) do you own any cash or savings account? No (d~ do you own any real estate,stocks,bonds,notes,automobi1eB,or other val- uable property(exc1uding ordinary household furnishings and clothing)? No (e) list the persons, if any, who are dependent upon you for support and state your relationship to those persons. n/a (0 list all your debts and obligations. -Prwe sANd c.oS+S. C/l...-d-Jl,...ttE' (3) I understand that a false statement or answer to any question in this verified statement will subject me to the penalties provided by law (misdemeanor of the second degree). ~ cnnt - iT- uJ, I /.'~ . '. pleAse Re.f-....vz.l-I a {j;,or ~f~~fJec! 4s -C: (eci II ~)tc.(.-/re .f/.~ C"fJee s:1-A-lN..J P7e) 1'-1 w~~.r' -4 LA-s-f /'-7-#4"'4: dcc,oJeNf. ~ - ~ CHRtS-l-o~".~ J (,Jill,'-+~'-'l<; sR . . Re : ReINS+ft+rvte.N+ of DR.l'Ue'RS LiC.e.N5e., . . " . \/ . , . . , to p. ADept <J't IRANSp6~~-h'OI\l' . Dod.e+ ND: -!lS-?'t.'" ~....Jl .T............ I' ',: ;. "'.(,-. ..; ;N~~.. Mo+ioN Hr?. Re:,'NS+A-+ (V1eN.-I- ~I~() Noue. ~OMES NDL.J) c.. hR.I'.stcpl'el~ (J Wd I ,')H'V/S ( He.rt.e,'N M+err.. Refe.'"te,1 +c .tIS fl7~, LJ ,'11. ~''VIS)) ~; Hrdut- ANd LAck,' N'j LouI'/set} PRO SE.) iN r-e~clI~ f-o +he aboue e.Nf,'l-led Il-Nd &lpf"6Ne'/ P7A-il--c,~) !iN/) {Ylt;cJeS fIlls I-IoNG!ZCI):>Jr=. L(,r..N...1- +0 aR/tNt- A-Ncl H-e(.\~ h'~ fl'lo-+,'ON F;i/1.f..hLJi'1-h Ae/y if"lj upc,nl--J,e. B> Ilo W ,'N:; I='I1C fs"t'Nd f<~ I ~s +c w; t: .s.f~bl'l1e-Nf- cjf f=' A<:.. + ~ I. ON O~ abo-.t+ /-he. 7+-1. MlJNfI, of.' /9&''1 -fhe fftprr of IRJtNS (Jorz.+A-+,'oN A/le'Je.clly 5'eNf a ~f,c~ a-P poS'S''' hie: SuspeNs/aN '-fo ply ')./5Ic<1 ackll2. fl.'!;S . This S4td Nof.t'Ce c.,J.4S; +0 ~.l..J"~e. (l1e r had AC- - CUM (\1<1 {A-l-,,"C{ ~I\N+S.J-o fh~ eKfeN"1 fh..,.-I- /"'11<.. w"II,'~,'1r/S WITS .J-o t-A-KG ItH eK.4/'1.1 Or:. hiS fJ~I'lJ- ;N~ p~I'lJ,leje would be? relll~ufS',C!A -PoR (I) ONe. 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