CERTIFICATE OF SERVICE I hereby certify that I served the foregoing Petition for Judicial Review on: Hearings Case Management Manager Oregon Department of Transportation/Driver and Motor Vehicle Services Division 1905 Lana Avenue NE Salem, Oregon 97314 and, Department of Justice � General Counsel � Implied Consent 1162 Court Street Salem, Oregon 97301 by mailing by registered or certified mail to those persons a true and correct copy thereof, certified by me as such, placed in a sealed envelope addressed to them at the addresses set forth, and deposited in the United States Post Office at , Oregon, on (date) with the postage prepaid. Petitioner Attorney for Petitioner (Please check one of the above) Form 10.010.b � CERTIFICATE OF SERVICE FOR PETITION OF JUDICIAL REVIEW OF ORDER OF DMV � UTCR 10.010 (Rev. 8-1-14) TCG-5-F2 American LegalNet, Inc. www.FormsWorkFlow.com