FOR COURT USE ONLY Name, Address & Telephone Number of Attorney: Attorney for: SUPERIOR COURT OF SAN LUIS OBISPO COUNTY San Luis Obispo Branch, 1035 Palm Street, Rm 385, San Luis Obispo, CA 93408 Grover Beach Branch, 214 South 16th Street, Grover Beach, CA 93433 Paso Robles Branch, 901 Park Street, Paso Robles, CA 93446 PETITIONER: RESPONDENT: Director of the Department of Motor Vehicles ORDER STAYING SUSPENSION OR REVOCATION ­ NON DUI Unlimited Civil CASE NO: The suspension or revocation of petitioner's license is stayed until the ruling on petition for Writ of Mandate. Dated: _______________________________ __________________________________ Hon. Optional Use SLO FORM # W003 (Rev. 12/1/10) ORDER STAYING SUSPENSION OR REVOCATION ­ NON DUI Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com