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