On October 03, 2018 a
Exhibit,Appendix
was filed
involving a dispute between
Alicia M. Cultraro,
and
Anita M. Campbell,
The City Of New York,
The New York City Department Of Parks And Recreation,
for Torts - Motor Vehicle
in the District Court of Kings County.
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FILED: Page KINGS COUNTY CLERKNew 07/18/2019 09:30 PM INDEX NO. 519850/2018
1 of 2 Pages York State Department of Motor Vehicles
NYSCEF DOC. NO. 11 POLICE ACCIDENT REPORT RECEIVED NYSCEF: 07/18/2019 19
(NYC)
06 8 MV-104AN (7/11) 4
AcddentNo. Complaint
MV- 2017 -06 8-002479 Numbee Ü AMENDED REPORT
DayofWeek MilitaryTime No of No.(njured No KilledNotInvestigated
at Scene LaflScenePolicePhotos 20
Month Year Vehides .....--.....--..................
9 28
Day
2017 THURSDAY 12: 35 02 0 0 neconstrucedC O D= a
VEHICLE 1 VEHICLE2 ¤ BICYCLIST ¤ PEDESTRIAN ¤ OTHER PEDESTRIAN
VEfI)CLE " Driver VEHICLE2- Driver
Statoof Lic. Stateof Lic.
2 uamse IDNunter 336225811 NY ucenseIDNumber 839449580 NY 21
DnverName-exacdy DriverName. exactly ..
asprmtedonBeenseCAMPBELL, ANITA, M as pringedon scense CULTRARO, ALICIA, M
--
Address(factrdeNumber& Street) Apt No. Addreas(IndudeNumber& Street) ApLNo.
7403 AQUATIC DRIVE 9102 COLONIAL ROAD
CAyor Town State ZIpCode CMyor Town State ZIpCode 22
QUEENS NY 11692 BROOKLYN NY 11209
3 Dataaf Sex UnlicensedNo.of Public Dateof Birth Sex Unecensed No.of Pubile
Month Day Year Occupants Property Month Day Year Occupanis Property
5 19 1968 F 1 Damaced 2 27 1946 F 1 Damaged
Name-exactlyas pTintedonregistration SGX DaleOf81th Name-exacityas printedonregistration Sex l DateofBirth
Manlh Day Year Month Day Year
NYC PARKS & RECREATION U CULTRARO, ALICIA, M F 2 27 1946
Address(IndudeNumber& Street) Apt.No. Haz, Re Address(IndudeNumber& Street) Apt. No.Haz. Released 23
5 BORO OFFICE RANDALLS ISLAND C a 9102 COLONIAL ROAD c a
Citycr Toum State Zip Code Cityor Town State ZIpCode
NEW YORK NY BROOKLYN NY 11209
24
|PlateNumber Stateof Reg. VehideYear& Make VehicleType Ins.Code PlateNumber Stateof Reg,VehicleYear& MakeVehicleType Ins.Code
3
AH9214 NY 2012 CHEVROLET SEDAN BPT1972 NY 2015 HONDA SEDAN 639
5
Tidrat/Arrest Ticket/Arrest
Nurreer(s) Number(s)
Violation Violation
Section(s) Section(s)
Check if involved vehicle is: Check if involved vehicts is: Circle the diagram below that describes the accident, or drew your own
1
6 ¤more than 95 inches wide; Omore than 95 inches wide: diagram in space #9. Number the vehicles.
1 V amore than 34 feet long; V ¤more than 34 feet long; RearEnd Left In RightAngle RightTum
E
n
operated with an overweight permit'
with
operated an permit.
overdimension
E
H |
Doperated
Doperated
with an overweight permit;
withan overdfrnension
permit. + +
HeadOn
7.
..g.
3. 5.
VEHICLE 1 DAMAGE CODES VEHICLE 2 DAMAGE CODES Sidesw LeftTum RightTum Sideswipe
C Box 1- Pointof
Impact 1 2 C Box 1 - Point of Impact 1 2 (sanie cdon) pposim 1
1
y
L
E
Box 2 - Most Damage
Enter up to three 3
2
4
2
5
L
E
Box 2 - Most Damage
Enter up to three 3
8
4
8
5
2. + 0.
ACCIDENT DIAGRAM
4. 6. ff 8
-É-
more Damage Codes more Damage Codes
27
vehicle By Vehlde ey 1
Toned; Towed:
To To
DIAGRAM ATTACHED ON SUBSEQUENT PAGE
VEHICLE DAMAGE CODING:
1-13. SEE DIAGRAM ON RIGHT. 1 REAR END
14. UNDERCARRIAGE 17.DEMOLISHED
15. TRAILER 18. NO DAMAGE 9- 28
16. OVERTURNED 19. OTHER Cost of repairS to any one
Vehiclewill be morethan $1000. 1
a Unknown/Unable to Deterrnine Yes No
Reference MarkerCoordinates (lfavai/aNe)
Place Where Accident Occurred: BRONX¤KINGS O NEW YORK O QUEENS RICHMOND
LaUtude/Nomng: E/B BELT PARKWAY
9 O 7 C Road on which accident occurred 907C
40. 604618 (RoutsNumberor StreetName) 29
X 2 M 1 at 1) intersectingstreet . . .
Longitude/Eas6ng: (RouteNumberor StreetName)
N
10 MILE EAST OF VZ BRIDGE PARK AREA
3 0 3 7 -74 .02771 or2).
Feel MHes B B of 1/
NearestInter$ecling
(Milepont. RouteNumt;eror StreetName)
Accident Description/Officer's Notes
AT TPO VEHICLE ONE WAS TRAVELING IN THE MIDDLE LANE BEHIND VEHICLE TWO 30
WHEN VEHICLE ONE DID STRIKE VEHICLE TWO IN THE REAR. NO INJURIES. NO TOW.
P
8 9 10 11 12 13 14 15 16 17 BY TO 18 Names of all involved Date of Death Only
A A 1 1 4 1 49 F - - - - - CAMPBELL , ANITA, M
L B 2 1 4 1 71 F - - - - - CULTRARO, ALICIA, M
N
C
t-
D
Officer's Rank Tax ID No. NCIC No. Precinct Post/SectorReviewing Date/Time Reviewed
----
and Officer
"'° 09/29/2017 08 : 44
948565 03030 412 SGT STEVEN G
Print Name
in Fun ZACHARY J WILLIS SLADE
FILED: KINGS COUNTY CLERK 07/18/2019 09:30 PM INDEX NO. 519850/2018
PERSONS
NYSCEF DOC.KILLED
NO. OR
11 INJURED IN ACCIDENT (Letterdesignationof persons or injured
killed must correspond
RECEIVED with letter
designation
NYSCEF: on front).
07/18/2019
Last Name First M.I. Last Name First M.I.
Address Address
0a19 of Sirth Telephorse(Area Code) Date of Birth Telephone (Area Code)
Month Day Year Month Day Year
Last Name First M.I. Last Name First M.I.
Address Address
Dale of Birth Telephone (Area Code) pate of Birth Telephone (Area Code)
Month Day Year Month Day Year
Last Name First M1
Highway Dist. at Scene? Yes No
Name:
Address POM ZACHARY WILLIS
_D.ateof Birth Telephone (Area Code) Shield No.
Month Day Year
ENTER INSURANCE POLICY NUMBER FROM INSURANCE IDENTIFICATION CARD, EXPIRATION DATE (INALL CASES), AND VIN.
Vehicle No. 1 SELF INSURED Vehicle No.2 2020366460
Expiration Date Expiration Date 03 /09/2018
VIN 1G1RA6E48CU110027 VIN 2HGFB2F71FH510870
WITNESS (Attach separate sheet, ifnecessary)
Name Address Phone
DUPLICATE COPY REQUIRED FOR:
Dept. of Motor Vehicles Motor Transport Division ¤ NYC Taxi & Limousine Comm. Other CityAgency
(ifanyone iskilled/injured) (P.D.vehicle involved) (ifa Licensed taxior lirnousine (Specify)
involved)
Officeof Comptroller Personnel Safety Unit Highway Unit
(if a
City vehicle involved) (if a
P.D. vehicle involved)
NOTIFICATIONS: (Entername, address,and of friend
relationship or relative If aided
notified. person is unidentified.
list Missing
Person Squad member who
was notified.
In either
case,givedate and timeof notification.)
PROPERTY DAMAGED (other than vehicles) OWNER OF PROPERTY (includecityagency, where applicable)
IF NYPD VEHICLE IS INVOLVED:
Poles Vehicle First Name
-operator's Last Name Rank Shield No. Tax ID. No. Commend
Make of Vehicle Year Type of Vehicle Plate No. Dept. Vehicle No. Assigned To What Command
Equipment in Use At Time of Accident
Siren Hom Turret Light Flasher High-LevelWarning Lights Traffic
Cones Headlights
4-Way
ACTIONS OF POLICE VEHICLE
to Code Signal O Complying withStationHouse Directive
Responding
Pursuing Violator RoutinePatrol
Other (Describe)
MV-104AN(7/11) Page 2 of 2 Pages
FILED: KINGS COUNTY CLERK 07/18/2019 09:30 PM INDEX NO. 519850/2018
NYSCEF DOC. NO. 11 RECEIVED NYSCEF: 07/18/2019
Rear End : MV-2017-068-002479
Reporting Officer : POM ZACHARY J WILLIS
Reviewing Officer : SGT STEVEN G SLADE Reviewed Date : 09/29/2017 08
I I
I I
|Î|
I I
Document Filed Date
July 18, 2019
Case Filing Date
October 03, 2018
Category
Torts - Motor Vehicle
For full print and download access, please subscribe at https://www.trellis.law/.
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FILED: Page KINGS COUNTY CLERKNew 07/18/2019 09:30 PM INDEX NO. 519850/2018 1 of 2 Pages York State Department of Motor Vehicles NYSCEF DOC. NO. 11 POLICE ACCIDENT REPORT RECEIVED NYSCEF: 07/18/2019 19 (NYC) 06 8 MV-104AN (7/11) 4 AcddentNo. Complaint MV- 2017 -06 8-002479 Numbee Ü AMENDED REPORT DayofWeek MilitaryTime No of No.(njured No KilledNotInvestigated at Scene LaflScenePolicePhotos 20 Month Year Vehides .....--.....--.................. 9 28 Day 2017 THURSDAY 12: 35 02 0 0 neconstrucedC O D= a VEHICLE 1 VEHICLE2 ¤ BICYCLIST ¤ PEDESTRIAN ¤ OTHER PEDESTRIAN VEfI)CLE " Driver VEHICLE2- Driver Statoof Lic. Stateof Lic. 2 uamse IDNunter 336225811 NY ucenseIDNumber 839449580 NY 21 DnverName-exacdy DriverName. exactly .. asprmtedonBeenseCAMPBELL, ANITA, M as pringedon scense CULTRARO, ALICIA, M -- Address(factrdeNumber& Street) Apt No. Addreas(IndudeNumber& Street) ApLNo. 7403 AQUATIC DRIVE 9102 COLONIAL ROAD CAyor Town State ZIpCode CMyor Town State ZIpCode 22 QUEENS NY 11692 BROOKLYN NY 11209 3 Dataaf Sex UnlicensedNo.of Public Dateof Birth Sex Unecensed No.of Pubile Month Day Year Occupants Property Month Day Year Occupanis Property 5 19 1968 F 1 Damaced 2 27 1946 F 1 Damaged Name-exactlyas pTintedonregistration SGX DaleOf81th Name-exacityas printedonregistration Sex l DateofBirth Manlh Day Year Month Day Year NYC PARKS & RECREATION U CULTRARO, ALICIA, M F 2 27 1946 Address(IndudeNumber& Street) Apt.No. Haz, Re Address(IndudeNumber& Street) Apt. No.Haz. Released 23 5 BORO OFFICE RANDALLS ISLAND C a 9102 COLONIAL ROAD c a Citycr Toum State Zip Code Cityor Town State ZIpCode NEW YORK NY BROOKLYN NY 11209 24 |PlateNumber Stateof Reg. VehideYear& Make VehicleType Ins.Code PlateNumber Stateof Reg,VehicleYear& MakeVehicleType Ins.Code 3 AH9214 NY 2012 CHEVROLET SEDAN BPT1972 NY 2015 HONDA SEDAN 639 5 Tidrat/Arrest Ticket/Arrest Nurreer(s) Number(s) Violation Violation Section(s) Section(s) Check if involved vehicle is: Check if involved vehicts is: Circle the diagram below that describes the accident, or drew your own 1 6 ¤more than 95 inches wide; Omore than 95 inches wide: diagram in space #9. Number the vehicles. 1 V amore than 34 feet long; V ¤more than 34 feet long; RearEnd Left In RightAngle RightTum E n operated with an overweight permit' with operated an permit. overdimension E H | Doperated Doperated with an overweight permit; withan overdfrnension permit. + + HeadOn 7. ..g. 3. 5. VEHICLE 1 DAMAGE CODES VEHICLE 2 DAMAGE CODES Sidesw LeftTum RightTum Sideswipe C Box 1- Pointof Impact 1 2 C Box 1 - Point of Impact 1 2 (sanie cdon) pposim 1 1 y L E Box 2 - Most Damage Enter up to three 3 2 4 2 5 L E Box 2 - Most Damage Enter up to three 3 8 4 8 5 2. + 0. ACCIDENT DIAGRAM 4. 6. ff 8 -É- more Damage Codes more Damage Codes 27 vehicle By Vehlde ey 1 Toned; Towed: To To DIAGRAM ATTACHED ON SUBSEQUENT PAGE VEHICLE DAMAGE CODING: 1-13. SEE DIAGRAM ON RIGHT. 1 REAR END 14. UNDERCARRIAGE 17.DEMOLISHED 15. TRAILER 18. NO DAMAGE 9- 28 16. OVERTURNED 19. OTHER Cost of repairS to any one Vehiclewill be morethan $1000. 1 a Unknown/Unable to Deterrnine Yes No Reference MarkerCoordinates (lfavai/aNe) Place Where Accident Occurred: BRONX¤KINGS O NEW YORK O QUEENS RICHMOND LaUtude/Nomng: E/B BELT PARKWAY 9 O 7 C Road on which accident occurred 907C 40. 604618 (RoutsNumberor StreetName) 29 X 2 M 1 at 1) intersectingstreet . . . Longitude/Eas6ng: (RouteNumberor StreetName) N 10 MILE EAST OF VZ BRIDGE PARK AREA 3 0 3 7 -74 .02771 or2). Feel MHes B B of 1/ NearestInter$ecling (Milepont. RouteNumt;eror StreetName) Accident Description/Officer's Notes AT TPO VEHICLE ONE WAS TRAVELING IN THE MIDDLE LANE BEHIND VEHICLE TWO 30 WHEN VEHICLE ONE DID STRIKE VEHICLE TWO IN THE REAR. NO INJURIES. NO TOW. P 8 9 10 11 12 13 14 15 16 17 BY TO 18 Names of all involved Date of Death Only A A 1 1 4 1 49 F - - - - - CAMPBELL , ANITA, M L B 2 1 4 1 71 F - - - - - CULTRARO, ALICIA, M N C t- D Officer's Rank Tax ID No. NCIC No. Precinct Post/SectorReviewing Date/Time Reviewed ---- and Officer "'° 09/29/2017 08 : 44 948565 03030 412 SGT STEVEN G Print Name in Fun ZACHARY J WILLIS SLADE FILED: KINGS COUNTY CLERK 07/18/2019 09:30 PM INDEX NO. 519850/2018 PERSONS NYSCEF DOC.KILLED NO. OR 11 INJURED IN ACCIDENT (Letterdesignationof persons or injured killed must correspond RECEIVED with letter designation NYSCEF: on front). 07/18/2019 Last Name First M.I. Last Name First M.I. Address Address 0a19 of Sirth Telephorse(Area Code) Date of Birth Telephone (Area Code) Month Day Year Month Day Year Last Name First M.I. Last Name First M.I. Address Address Dale of Birth Telephone (Area Code) pate of Birth Telephone (Area Code) Month Day Year Month Day Year Last Name First M1 Highway Dist. at Scene? Yes No Name: Address POM ZACHARY WILLIS _D.ateof Birth Telephone (Area Code) Shield No. Month Day Year ENTER INSURANCE POLICY NUMBER FROM INSURANCE IDENTIFICATION CARD, EXPIRATION DATE (INALL CASES), AND VIN. Vehicle No. 1 SELF INSURED Vehicle No.2 2020366460 Expiration Date Expiration Date 03 /09/2018 VIN 1G1RA6E48CU110027 VIN 2HGFB2F71FH510870 WITNESS (Attach separate sheet, ifnecessary) Name Address Phone DUPLICATE COPY REQUIRED FOR: Dept. of Motor Vehicles Motor Transport Division ¤ NYC Taxi & Limousine Comm. Other CityAgency (ifanyone iskilled/injured) (P.D.vehicle involved) (ifa Licensed taxior lirnousine (Specify) involved) Officeof Comptroller Personnel Safety Unit Highway Unit (if a City vehicle involved) (if a P.D. vehicle involved) NOTIFICATIONS: (Entername, address,and of friend relationship or relative If aided notified. person is unidentified. list Missing Person Squad member who was notified. In either case,givedate and timeof notification.) PROPERTY DAMAGED (other than vehicles) OWNER OF PROPERTY (includecityagency, where applicable) IF NYPD VEHICLE IS INVOLVED: Poles Vehicle First Name -operator's Last Name Rank Shield No. Tax ID. No. Commend Make of Vehicle Year Type of Vehicle Plate No. Dept. Vehicle No. Assigned To What Command Equipment in Use At Time of Accident Siren Hom Turret Light Flasher High-LevelWarning Lights Traffic Cones Headlights 4-Way ACTIONS OF POLICE VEHICLE to Code Signal O Complying withStationHouse Directive Responding Pursuing Violator RoutinePatrol Other (Describe) MV-104AN(7/11) Page 2 of 2 Pages FILED: KINGS COUNTY CLERK 07/18/2019 09:30 PM INDEX NO. 519850/2018 NYSCEF DOC. NO. 11 RECEIVED NYSCEF: 07/18/2019 Rear End : MV-2017-068-002479 Reporting Officer : POM ZACHARY J WILLIS Reviewing Officer : SGT STEVEN G SLADE Reviewed Date : 09/29/2017 08 I I I I |Î| I I