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            "text": "The undersigned hereby certifies that on _____, 20___, I caused to be mailed by United States certified mail, return receipt requested, a copy of the Appeal From Suspension/Revocation of Operating Privileges filed in the above matter, to the Pennsylvania Department of Transportation, Office of Chief Counsel, Third Floor, Riverfront Office Center, Harrisburg, Pennsylvania 17104-2516. The return receipt signed by a representative of the Pennsylvania Department of Transportation is attached hereto."
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