On November 18, 2020 a
Exhibit,Appendix
was filed
involving a dispute between
Sarah M. Lanza,
and
Guma Construction,
Santo Mercedes Baez,
for Torts - Motor Vehicle
in the District Court of Kings County.
Preview
FILED: KINGS COUNTY CLERK 01/12/2021 01:01 PM INDEX NO. 523020/2020
NYSCEF DOC. NO. 9 RECEIVED NYSCEF: 01/12/2021
FILED: KINGS COUNTY CLERK 01/12/2021 01:01 PM INDEX NO. 523020/2020
NYSCEF DOC. NO. 9 RECEIVED NYSCEF: 01/12/2021
Page1 of 1 Pages New York State Depariment of Motor VehiGles
ABS-7
(1/1Âcinct POLICE ACCIDENT REPORT (NYC) 19
094 MV-104AN (7/11) 9
AccidentNo Complaint
MV-2020-094- 0003 44 Number
DayotWeelc MtitaryTime No,of No,Injured No,KIIedNotInvestigated
atScene LeftScene 20
PolicePhotos
Month Day Year Vehicles -
Reconstructed Yes No
3 11 2020 WEDNESDAY 12:45 2 O 0
VEHICLE 1 VEHICLE2 BICYCLIST O PEDESTRIAN OTHER PEDESTRIAN
VEHICLE1-Driver VEHICLE2-Driver
Stateof LIc StateofLb.
2 LicenseIDNumber943653318 NY LicenseIDNumber
583905 975 NY --T
DriverNamsexactly DriverNams- exactly _
asprinledonBeanseBAEZ, SANTO,
Address(includeNumber& Street)
MERCEDES
Apt No.
asprintedanlicenseLANZA, SARAH
Address(includeNumber& Street) Apt No -
7427 64TH PLACE 1 5623 ROOSEVELT AVENUE 2
CRyorTown State ZlpCode CItyorTown State Zip Code 22
QUEENS -
NY 11385 QUEENS NY 11377
3 DateofBMh Sex UnllcensedNo.of Publb DateofBirth Sex Unicansed No of Public
Month Day Year Occupants Properly Month Day Year Occupants Property
2 1970 Damaged 1971
10 3 M 1 2 13 F 1 Damaged
asprintedonregistration
Name-exactly Sex DntsofBHM .. Name-exactly
asprintedonregistrallon Sex DateofBirth
Month Day Year Month Day Year
GUMA CONSTRUCTION U LANZA, SARAH F 2 13 1971
Address(includeNumber& Steet) Apt.No Haz Released Address(1nclude
Number& Street) Apt No Har. Released 2
4 Mat Mat 7
240 WATER STREET Code 5623 ROO5EilliiLT AVENUE 2 Code
1
orTown
City State 21pCode or
City TcWñ State ZipCode
BROOKLYN NY QUEENS NY 11377
21
PlateNumber Stateof Reg. VeNcleYear&MakeVehbleType !ns.Code.PlatoNumber StateofReg.VehicleYear& MakeVehideType Ins.Code
78844MK NY 2010 MACK DUMP 233 EUH2609 NY 2017 LEXUS SEDAN 100
5
Ticket/Arrest Tickot/Aricot
Number(s) . Number(s)
Vblation Violatbn
section(s) SecIlongs)
Checkif involved vehicle is: Check irinvolved vehide is- Circle the ciegram below that describesthe accident, or draw your own
1
6 Omorethan 95inches wide; morethan 95 ir,ches wide: diagram irrspaca#9. Number the vehicles.
V
1
E
Omore I.han34 feet long;
operated with an overweight permit-
E
moro thañ 34 foot long;
¤operatedwith an overweight permit
.RearEncI tok Jm RightAngle
+
RightTom HendOn
->- +
H
VEHICLE 1 DAMAGE CODES
poporuled
operated with an overdimensloripermit
H w@ anoverdimemion
yEHICLE 2DAMAGE CODES
pem$.
re u4 LeaTi4m
5.
RightTum
7.
-
Skleswips 26
C Box 1 - Point of Impact 1 2 C B6× 1 -Poini of Impact 2 (ssm dhection) (opposite 7
7 2- .+
L Box Most Damage 2 2 L Box2-MostDemage . 8 8 4g.. g. pf 3 -
2
E Enter up fo three 3 4 5 E Enter uptothree 3 4 . 5 ACCIDENT DIAGRAM
more Damage Codes 18 18 18 more Damage Godes 18 18 18 27
VaNde By VeMcle By 1
Towed· Towed
To To
- DIAG·RAM ATTACHED ON SUBSEQUENT PAGE
VEHICLE DAMAGECODING:
-
1-13. SEE DIAGRAM ON RIGHT. 1 .REAR ÈND
14. UNDERCARRIAGE 17. DEMOLISHED a . is t
15. TRAILER 18. NODAMAGE 9.
16. OVERTURNED 19 OTHE Cost of repairs
to-anyonevehiclewill be more than $1000.1
n is UnknowniUviableto Determine Yes [~]No
ReferenceMarkerCoordinates (if available)
PlaceWhere Accident Occurred: BRONX¤KINGS NEW YORK QUEENS ¤RICHMOND
Latitude/Northing: NORTH 10 STREET
Roadon whichaccidentoccumsd
• • 40. 718693 (RouteNumberor StreetName) 29
1
at 1) intersectingstreet
Longitude/Easting:
-73.9546 6
20
or 2)
B
OE
03
5 W of
DRIGGS
(RouteNumberor StreetName)
AVENUE
Fent idies (MIecost.Nearestintersecilma
RaiJteNumber
orStreetNamal
Accident Description/Officer'sNotes AT
T/P/O OPERATOR OF VEHICLE ONE STATES VEHICLE TWO HIT THE BRAKES AND 30
HE DIDN'T HAVE ENOUGH TIME TO STOP PRIOR TO COLLISION. OPERATOR OF VEHICLE TWO STATES SHE 1
WAS STOPPED AT A STOPLIGHT WHEN VEHICLE 2 REAR ENDED HER. NO INJURIES, NO TOW REQUIRED.
P
8 9 10 11 12 53 14 15 16 17 BY TO 18 Names of all involved Date of Deatb 0nly
A A 1 1 4 1 41 M - - - - - BAEZ, SANTO, MERCEDES
LP 2 1 4 1 49 F - - - - - LANZA, SARAH
N
V
O
V
D
Officer's Rank Tax ID No. NCIC No Precinct Post/SectorReviewing Date/TimeReviewed
and / Officer
Sjgnature4 POM
962513 03030 094 SGT AREF H 03 / 11 /202014:09
Print Name
ThnWto ce T thTs diMEMt is a true
and comolete copy of a ecord or 7 TF dLtd
in the
file New York State Department ofMotor Vehicles,Albany, New York. COMMISSIONER OF MOTOR VEHICLES
FILED: KINGS COUNTY CLERK 01/12/2021 01:01 PM INDEX NO. 523020/2020
NYSCEF DOC. NO. 9 RECEIVED NYSCEF: 01/12/2021
Rear End : MV-2020-094-000344
ABS- 1
Reviewing Officer : SGT AREF H REDA Reviswêd Date : 03/11/2020 14:08
This is to certify
thatthis documentis a true
and complete copy of a recordon ad JE
file
in theNew York State Department of MotorVehicles,Albany,New York. COMMISSIONER OF MOTOR VEHICLES