On March 27, 2018 a
Motion,Ex Parte
was filed
involving a dispute between
Joy Johnson-Dalton,
and
Charles Mao,
Joseph M. Alexandre,
Lourdy E. Alexandre,
Sinai I. Inc.,
for Torts - Motor Vehicle
in the District Court of Queens County.
Preview
FILED: QUEENS COUNTY CLERK 10/21/2019 08:39 AM INDEX NO. 704635/2018
NYSCEF DOC. NO. 38 RECEIVED NYSCEF: 10/21/2019
EXHIBIT H
FILED: QUEENS COUNTY CLERK 10/21/2019 08:39 AM INDEX NO. 704635/2018
Page 3 of 18)
NYSCEF DOC. NO. 38 RECEIVED NYSCEF: 10/21/2019
NewYorkStateDepartmerdofMolorVehicles 0. 0156 E 3
4 p r, 9. 2018_ 9:41 AMe
wama* -
POUCE ACCIDENT
REP*
T
LS-EV-(414-16
. MV-104A 1
/-gl (6/04)
GZLTA15WDW3C ,,
DBlB Ño.ef NdirmallgaindatScene LeftScenaPareeplioles 20
Me GEr Qqµof Week MH|lgry']lmgr
VehicteB
No.Kied
daInjuitxI
+- - - - - - - - - - = = -
,.. 09: '
7 21 2016 Thursday 42 2 0 0 Anddentneconstructed
[ Yes No X
VEHICLE' t T11ERPEDESTRIAN
VEhICLE 2 CYCLIST PEiDESTRIAN
2 VEHICLE t- DrIvar VEHICLE1-Driver
StateofLic. StateofIA.
LicensejDNurnber 21
941568088
-
NY
.
Uconse10NumWr 804052156 NY
briverName.arandy Odverhamewexatsy
as pñnfedanticanae
MAD, CIfARLBS airprintedeslicemie
ALEXANDRE, LOURDY E
Adtfrsas(Indud6NchtberandStreet) Agi,No Address(includeNamberandSIreat} sput
139-12 .8.4 DRIVE 2J 23424 13d TH RD
ClyarTown State trpcode checTown state 7-ipCode
3 JEMAICA NY 11435 RO$EDALB NY 11422
1· a Palge. caleofI
we Sm Gracensed Waof0ccupañW Em . JaUannasa NodOrmP4Ml9PUDIb
M DG conges 01 onmaged
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onm Day ser akm ear
4 SINA1 I C JOSEPH M
INC, ALEXARDRB, 9 26 1940
1 AmrangadudoNumbersrW6kes AptNa s Rateased
Addehss6nclude
Dunberan88hee$ Apt,go 5 lisleased
BRUN$WICK 8 234·--24134TE ROED
1224 AVE a
C[IrerTeWu State ZipCode C%erTown atala WeCode
3
5 FAR ROCKAWar NY 11691 IAURELTON NY 11422
WNumber $tsofNet VeNekYasr5Mohs Vehié1ype Ins.Code&reNumber S(nt9er
Reg.VehideYearA Mau V $Type 8 COdB .
T657955C NY 2014 FORD SUBN 326 GMK1915 NT 2014 EISS 4DSD 100
WekelfAneat Tick ffAnaB1
Numbe4t) Ntinama)
$ vintarfoo VMalton 1
anailan(s) BecEonM
-
Ch k thnvolvenvcNde di: Checkif involvñdvehicleir Circinhediagrambelowfhatdenediattheaccident,ordrawyourown
IncrethansfiInches wide; mormthan95inchenwide;
diagrainb spaceEILNWnberthuvehletes.
morethan34 fantiong; moreGum34feet long; aggo,
y H operatedwmallevemalghtparmity
H operatedwlhaneverweightpam .. -4..
L 50x1-Pointiiffrnpact 1 2 L Beit1-PeTrterirepset 1
E Box2-MostDaninge 6 6 E sax2-1Y!estDamage 12 12
Erderuptothree 3 4 5 Enlarupioinsee 3 4 s ACCIDENTDIAGæM
'
1 nare danugocodue 7 2 momdarangecodes 11 1
VehicleBy: VehlcleBy:
Toned Tac ' ToguedYet
CDDING'
BEl.5UAIVfAGE d
-
•I-135EE MGHT.
DIAGItAMON
¾UN9EflUARRIAREW.DEMQLtBHED 4 13 - I
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OfICpallW
tii.OVERTURNED 19.DTHER 1
1 a thdnowntunweann
datetnam Yes No
RefamnesMarker Canodinates(iFevallable) PlaceWheroAouldentUCentWall
Ladiuda/Nodhlag County NASSAU Cly Vilage Taum of LARE 5U007s5ú
RoadadwhichaccidentacmgredSOUTH SERVICE ED
adel¾ntmror aiet
use)
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AccidentDenmipdon/0slechinofea 48
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1 WAS CHANÖING LANES WHEN COLLI8ION üüCUmuüD. 5V2 WAS TRAVEMNG STRAIGET AT THE TIME OF ...
COLLISION. NO AIDED REEORT AT SCENL
N
9 10 11 12 13 14 ill 16 1TBY T0 18 Nunenofalllevoted DateofDeathOnli
A 1 1 4 1 60 N - MAO, CHARLES
[_
L a 1 3 4 1 $1 F JOY J ,d
DALTON,
c 1 7 a 1 40 M -- - - ADRIAN
] MCCAG0,
N o 1 7 4 1 81 r - WON
KIM,
V -- - -
Q E 1 7 4 1 2D F - v0, MYKrM
F 1 7 4 1 9Ï. F - - - - JUNS PARK
JA,
Othmer Rank Badg[@/ID
Ido. NCICNo. , Precinf/Post StaticiUBeal
ReviewingOfficerDafarnmaReviewed
PO
P n NORDT, F. 7 /23/2016
FuN . N TARO 11;01
gg7 ng9g3
FILED: QUEENS COUNTY CLERK 10/21/2019 08:39 AM INDEX NO. 704635/2018
Page 4 of 18)
NYSCEF DOC. NO. 38 RECEIVED NYSCEF: 10/21/2019
r, 9, 20 8 al9:41% New York State Departrrient of Motor Vehicles No. 01% P. 4
Ap
POLICE ACCIDENT REPORT
LS-EV-44-L4-3.6
MV-'104A (6/04)
GZLTA15WDWEC ¤ AMENDEDREPORT
1
e .. Dayof Wes MlfilaryTime No.XElea Nottoyselfgalect
0.Initred atScene LeflSr.sne PolicePhdEoa
7 21 2016 Thursday 09:42 0 0 AccidentRoomtstmated Wu No
V$HicLE VENICLE IGYGUST FET:E5TRIAN OTHEftPEDF.SYRIAN
22
5
5
kctethe ditgrbmbelowfhatdeacdbestiteaccidedordrewpar ton
ingramtñ npaea#9,Nrimberthevehicles.
angrEnd Lat tum IWmtTun Un
L
ACCIDENTDIAGRAM . 27
VEECUiDAMAGECODING:
DEfMGHL
his BEEDIAGRAM
14.UNDERCARRIAGE
M 17,DF.iMOUSNED
OD MAGE
r - n
Costof mpg[rg[026Y000VahiCID
wil ba momIhan$1000.
Unknown/Lhiabts
10determine Yes No
RefmonspMarker Coordindise(if available)
PlaceWhereiuadd=ñGwun'ad
L,atllv6olNorlhitic Cocatty NASSAU City VIhage Town of
RoadonwNchaccidemoccweed
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war
5 9 . 10 11 14 17 SY TO $5 NamesofallbwolveçI flate of DeathOni
1 4 1 27 - LOURDY E
ALEXANDRS
L
i e
N
V
dhicerW REqN |EatigellDNo.
NCICNo. PrecM/Post Stallan)BestReviewingoffloarDaterrimeReviewed
p
D •8 TmeRone Sector
F, 7/23/2D16 .
190RDT,
Full 867 02963 . 11:01
Document Filed Date
October 21, 2019
Case Filing Date
March 27, 2018
Category
Torts - Motor Vehicle
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Preview
FILED: QUEENS COUNTY CLERK 10/21/2019 08:39 AM INDEX NO. 704635/2018 NYSCEF DOC. NO. 38 RECEIVED NYSCEF: 10/21/2019 EXHIBIT H FILED: QUEENS COUNTY CLERK 10/21/2019 08:39 AM INDEX NO. 704635/2018 Page 3 of 18) NYSCEF DOC. NO. 38 RECEIVED NYSCEF: 10/21/2019 NewYorkStateDepartmerdofMolorVehicles 0. 0156 E 3 4 p r, 9. 2018_ 9:41 AMe wama* - POUCE ACCIDENT REP* T LS-EV-(414-16 . MV-104A 1 /-gl (6/04) GZLTA15WDW3C ,, DBlB Ño.ef NdirmallgaindatScene LeftScenaPareeplioles 20 Me GEr Qqµof Week MH|lgry']lmgr VehicteB No.Kied daInjuitxI +- - - - - - - - - - = = - ,.. 09: ' 7 21 2016 Thursday 42 2 0 0 Anddentneconstructed [ Yes No X VEHICLE' t T11ERPEDESTRIAN VEhICLE 2 CYCLIST PEiDESTRIAN 2 VEHICLE t- DrIvar VEHICLE1-Driver StateofLic. StateofIA. LicensejDNurnber 21 941568088 - NY . Uconse10NumWr 804052156 NY briverName.arandy Odverhamewexatsy as pñnfedanticanae MAD, CIfARLBS airprintedeslicemie ALEXANDRE, LOURDY E Adtfrsas(Indud6NchtberandStreet) Agi,No Address(includeNamberandSIreat} sput 139-12 .8.4 DRIVE 2J 23424 13d TH RD ClyarTown State trpcode checTown state 7-ipCode 3 JEMAICA NY 11435 RO$EDALB NY 11422 1· a Palge. caleofI we Sm Gracensed Waof0ccupañW Em . JaUannasa NodOrmP4Ml9PUDIb M DG conges 01 onmaged Nafne-axactlyas|xwasonmgin9aven sh or • me-endyapnntedenragiadlan sex o of onm Day ser akm ear 4 SINA1 I C JOSEPH M INC, ALEXARDRB, 9 26 1940 1 AmrangadudoNumbersrW6kes AptNa s Rateased Addehss6nclude Dunberan88hee$ Apt,go 5 lisleased BRUN$WICK 8 234·--24134TE ROED 1224 AVE a C[IrerTeWu State ZipCode C%erTown atala WeCode 3 5 FAR ROCKAWar NY 11691 IAURELTON NY 11422 WNumber $tsofNet VeNekYasr5Mohs Vehié1ype Ins.Code&reNumber S(nt9er Reg.VehideYearA Mau V $Type 8 COdB . T657955C NY 2014 FORD SUBN 326 GMK1915 NT 2014 EISS 4DSD 100 WekelfAneat Tick ffAnaB1 Numbe4t) Ntinama) $ vintarfoo VMalton 1 anailan(s) BecEonM - Ch k thnvolvenvcNde di: Checkif involvñdvehicleir Circinhediagrambelowfhatdenediattheaccident,ordrawyourown IncrethansfiInches wide; mormthan95inchenwide; diagrainb spaceEILNWnberthuvehletes. morethan34 fantiong; moreGum34feet long; aggo, y H operatedwmallevemalghtparmity H operatedwlhaneverweightpam .. -4.. L 50x1-Pointiiffrnpact 1 2 L Beit1-PeTrterirepset 1 E Box2-MostDaninge 6 6 E sax2-1Y!estDamage 12 12 Erderuptothree 3 4 5 Enlarupioinsee 3 4 s ACCIDENTDIAGæM ' 1 nare danugocodue 7 2 momdarangecodes 11 1 VehicleBy: VehlcleBy: Toned Tac ' ToguedYet CDDING' BEl.5UAIVfAGE d - •I-135EE MGHT. DIAGItAMON ¾UN9EflUARRIAREW.DEMQLtBHED 4 13 - I 18•TRAII2R 9.110DAMAGE ' COBE ip BUy48UNUhideWWhe stofB1had41000. OfICpallW tii.OVERTURNED 19.DTHER 1 1 a thdnowntunweann datetnam Yes No RefamnesMarker Canodinates(iFevallable) PlaceWheroAouldentUCentWall Ladiuda/Nodhlag County NASSAU Cly Vilage Taum of LARE 5U007s5ú RoadadwhichaccidentacmgredSOUTH SERVICE ED adel¾ntmror aiet use) Langl4rde/Easting st 1) Interremingstfeet or2) 300 N 8 ,g LAKEVILLB RD Isal-- mreg E V W Route Num½rorSimstName) Mrspea(Neamtintersecting AccidentDenmipdon/0slechinofea 48 MV' 1 WAS CHANÖING LANES WHEN COLLI8ION üüCUmuüD. 5V2 WAS TRAVEMNG STRAIGET AT THE TIME OF ... COLLISION. NO AIDED REEORT AT SCENL N 9 10 11 12 13 14 ill 16 1TBY T0 18 Nunenofalllevoted DateofDeathOnli A 1 1 4 1 60 N - MAO, CHARLES [_ L a 1 3 4 1 $1 F JOY J ,d DALTON, c 1 7 a 1 40 M -- - - ADRIAN ] MCCAG0, N o 1 7 4 1 81 r - WON KIM, V -- - - Q E 1 7 4 1 2D F - v0, MYKrM F 1 7 4 1 9Ï. F - - - - JUNS PARK JA, Othmer Rank Badg[@/ID Ido. NCICNo. , Precinf/Post StaticiUBeal ReviewingOfficerDafarnmaReviewed PO P n NORDT, F. 7 /23/2016 FuN . N TARO 11;01 gg7 ng9g3 FILED: QUEENS COUNTY CLERK 10/21/2019 08:39 AM INDEX NO. 704635/2018 Page 4 of 18) NYSCEF DOC. NO. 38 RECEIVED NYSCEF: 10/21/2019 r, 9, 20 8 al9:41% New York State Departrrient of Motor Vehicles No. 01% P. 4 Ap POLICE ACCIDENT REPORT LS-EV-44-L4-3.6 MV-'104A (6/04) GZLTA15WDWEC ¤ AMENDEDREPORT 1 e .. Dayof Wes MlfilaryTime No.XElea Nottoyselfgalect 0.Initred atScene LeflSr.sne PolicePhdEoa 7 21 2016 Thursday 09:42 0 0 AccidentRoomtstmated Wu No V$HicLE VENICLE IGYGUST FET:E5TRIAN OTHEftPEDF.SYRIAN 22 5 5 kctethe ditgrbmbelowfhatdeacdbestiteaccidedordrewpar ton ingramtñ npaea#9,Nrimberthevehicles. angrEnd Lat tum IWmtTun Un L ACCIDENTDIAGRAM . 27 VEECUiDAMAGECODING: DEfMGHL his BEEDIAGRAM 14.UNDERCARRIAGE M 17,DF.iMOUSNED OD MAGE r - n Costof mpg[rg[026Y000VahiCID wil ba momIhan$1000. Unknown/Lhiabts 10determine Yes No RefmonspMarker Coordindise(if available) PlaceWhereiuadd=ñGwun'ad L,atllv6olNorlhitic Cocatty NASSAU City VIhage Town of RoadonwNchaccidemoccweed (Route NdebatOthitteethem‡) _c^±";:;|;;!Emaling ali)l®rsecling simst or2) N S rest age E W Roota NamiberbeSLfesf ---'(MitepnstÑpnutintemecifng Náme) AcqWantbeaudptianfOfficer's gigs . 30 war 5 9 . 10 11 14 17 SY TO $5 NamesofallbwolveçI flate of DeathOni 1 4 1 27 - LOURDY E ALEXANDRS L i e N V dhicerW REqN |EatigellDNo. NCICNo. PrecM/Post Stallan)BestReviewingoffloarDaterrimeReviewed p D •8 TmeRone Sector F, 7/23/2D16 . 190RDT, Full 867 02963 . 11:01