Pot_ic.6 -r eitCEY!NG

Pot_ic.6 -r eitCEY!NG Men-reg PE-reiz io• Neil DRIVER DIRECTION NOTICE Section 47EAB of the Road Traffic Act 1961 Section 40 K of the Road Traffic Act 1961 Notice ilyriter PD2911 '''71017;i* _ ‘ c--C-.2) r - ..--c FAMILY NAME: .._ . .... . . t .. . LICENCE NUMBER: cle-Atir-c- CC71, r e, e -clIc r et GIVEN NA Class P LQ BIKE Other State of Issue:. . , . N ADDRESS: ..-_ LIC. CHECK CONDUCTED.! N• LIC. PRODUCEDP/ SUBURB! TOWN: . • PHONE: t __....:.._._4.-_._..._. . DATE OF BIRTH: SEX: M 0. ALLEGATION -TICK ores oat sox 4 t FS5 1 --1 1. \. -:,,- -e k <10 3 (" r 5 \.-.. 7 -c-t tale- tl-?•qr ‘ .1 t - 1 ... At about . .. _ . . arneon at (location) It is alleged that you whilst driving or attempting to put a Vehicle In motion: Erixceedeci the prescribed concentration of alcohol O prevideaa positive oral fluid sample to a prascrIbed drug O refusecllfalled to comply with request for oral fluid I blood sample! alcotest / Breath Analysis O were u