BMV2255 Disposition

Offender was Operating a Vehicle (Other than a Commercial Motor Vehicle)

Test Result Refused Delayed * Not Offered .001 - .079 .080 or greater License Disposition BMV Possible Charges 4511.19 (A)(1) 4511.19 (A)(1-9) 4511.19(B)(1-4) 4511.19 (A)(1) 4511.19 (A)(1) 4511.19(B)(1-4) 4511.19 (A)(1-9) 4511.19(B)(1-4) White BMV BMV2255 Canary Pink LE Agency Court Goldenrod Offender

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Offender Offender BMV

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Offender Offender Offender

Offender was Operating a Commercial Motor Vehicle

Test Result Refused Delayed * Not Offered .001 - .039 .040 - .079 License Disposition BMV Possible Charges 4511.19 (A)(1) 4506.15(A)(1)(6) 4506.17(H) 4511.19 (A)(1-9) 4506.15(A)(1-3) 4511.19 (A)(1) 4506.15(A)(1) 4511.19 (A)(1) 4506.15(A)(1) 4511.19 (A)(1) 4511.19(B)(1-4) 4506.15(A)(1-2) 4511.19 (A)(1-9) 4511.19(B)(1-4) 4506.15(A)(1-2) White BMV BMV2255 Canary Pink LE Agency Court Goldenrod Offender

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Offender Offender BMV

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Offender Offender Offender

.080 or greater

BMV

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Offender

Hold until test results are known. If the offender is not served with the BMV2255 by the officer and was provided a copy of this form at the time of arrest was NOT checked, except for ORC Section 4506.16 violations, there will be no ALS. OSP-902.20 Attachment Page 1 of 1

09/23/2008