Preview
FILED: KINGS COUNTY CLERK 12/24/2020 04:16 PM INDEX NO. 525903/2020
NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 12/24/2020
EXHIBIT B
FILED: KINGS COUNTY CLERK 12/24/2020 04:16 PM INDEX NO. 525903/2020
NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 12/24/2020
RF-PFHW 11/6/2020 5:39:28 PM PAGE 4/008 F x Server
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FILED: KINGS COUNTY CLERK 12/24/2020 04:16 PM INDEX NO. 525903/2020
NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 12/24/2020
RF-PFHW 11/6/2020 5:39:26 PM PAGE 5/008 Fax Server
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FILED: KINGS COUNTY CLERK 12/24/2020 04:16 PM INDEX NO. 525903/2020
NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 12/24/2020
RF-PFHW 11/6/2020 5 : 39: 26 PM PAGE 6/008 Fax Server
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FILED: KINGS COUNTY CLERK 12/24/2020 04:16 PM INDEX NO. 525903/2020
NYSCEF DOC.
RF-PFHW
NO. 4 RECEIVED NYSCEF: 12/24/2020
11/6/2020 5:39: 26 PM PAGE 7/008 Fax Server
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FILED: KINGS COUNTY CLERK 12/24/2020 04:16 PM INDEX NO. 525903/2020
NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 12/24/2020
RF-PFHW 11/6/2020 5 :39: 26 PM PAGE 8/008 FaK Server
Side Swipe (same dir): MV.2019-073-002123
Reporting Officer : POF RUTH N DONALD
Reviewity Officer: SGT DAVID J MCCANN Reviewed Date : 10/21/2019 16:48
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Preview
FILED: KINGS COUNTY CLERK 12/24/2020 04:16 PM INDEX NO. 525903/2020 NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 12/24/2020 EXHIBIT B FILED: KINGS COUNTY CLERK 12/24/2020 04:16 PM INDEX NO. 525903/2020 NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 12/24/2020 RF-PFHW 11/6/2020 5:39:28 PM PAGE 4/008 F x Server Pept d 4 meat NewYW48ate0epulmentøtatarvehinks POUCEACCIDENT REPORT(NYC) 19 MV.te4AN(7M) oŸo-overoonas *ay-s 0E@pf#M5F#A1l! as* ' 2P 21s smomanax $1:43 2 o vagutgi Ldvepotes CeroycggrC 20STRIANC301HERPESE57214N 1924 WERTilROP STABli 3 egy,Tea ses cods overe a agee anoon vs as 11212 mmsgameAwarama,n mu4 n Aew(eefemerasw AAA was, za 10823 16478 PLAeg 1024 NZalmos 952589 p n arnes.vesseves,anans jwnsame taces n se aeg wovenswn 3 C9227 M 3G%7 unW 192¤|%8 327 47s1900 Br $993 D SEDAB 678 seemte at ) thiftwal Not W|rnstesotrons scosbrit,arasawyotirown 2 V than34feet!ong V inste teetter aspeas ush a a mewm usse mieve plum g LE1 Edo 8 Gg'"" GELS TOW230s 8.8EEDIAmRAAtoNmeny. . 2 9595 SWtPS (SANB D1 ) 14.UNDhaCAARf AG$ Tr, DEMot.tSMEQ 103TRAltER 18,NODAMAGE 14 OVEATURHGD 19,CTHER [" Ongtof ggpaigg to ánygagychWe rgbemom thgt $1000, UsomurmletoDetemane Yes ¤No ofanceme castinsias#4=bW placewhereAceteentoesurred:anotet|2310NGS NEVWORK Qt ENS ORICHMOND 40,68576 gisteactoreronmem) . atittrdonedime,ggashLSET STRET tongitudamatte tRust4gearetaveof Nem . .73 5M QE W a 10as WOSMtaNotat AT TP0 DR2V2R OF VM2at,E 1 STATgs 25 WAS TRAVELING SAS'Â 90129D ON BROADWAT INTERSECT202 Of BhLSBY STRBBT TUtBN YartcGB 2 DED STREE BIs VEEI¢LS CAUSING nashes To WIS FRONE DR2VER S2D8. 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NO. 4 RECEIVED NYSCEF: 12/24/2020 RF-PFHW 11/6/2020 5:39:26 PM PAGE 5/008 Fax Server PERSONSldLLEDORINJUREDiMACC!DENT0.enerdst gna‰d gmonsi ed erft$sedmtatoonaspondwWe ardesiggrationenfrong. nesmomo rest at ummemo ra t vu, WT&TAUS 1024 . tcNTUROP . $TREET LAWRElfCR ART 3 SROGRE At st 21212 m ) 6 26389 Fia f$L (ArasC ) plm(Arence) tantNana FIW in marea.atsa=* Ove@No F,NTER(NSURAKogEFOLICYNtNtBER FRotatNSURAN4liElDENT CATIONCARD,iiMPiRATION DATE(fMALLGASEShANDVin. VehicleNo.a 99999 .. Vehicto No,s 46110244 Expiration Dats 65 /29(2919 Explralian Dete VIN WRA4F905558439785 . ViN . 4835963523?211703 W1TMESS(Aitach separate stioet, iPnecessesy) mmo AMesa Phone DUPitcArECOPYfulQUIRED FOR: Dept,ofivieturVoiddes MoterTnmaposiDivision ¤ NYG Taxia Limousine Comm.O Other CW Agency Sfenyoneistdlicatured) (PD.veWc1sinvolved) (ffaLicensedtaut ot limatesine (Spactiy) Irwolved) 01ticear comptroller O PercannelSafetyUnh Highway Unit graC%vaitlolainvolvad) UfaP,0.veWetainvolved) NOTIFICATIONS: Entersem&.eddress, and telstlensh)potidendotteletivanotined.Ifaided pergartis unidensiedja tessiria Pe1sonScied memberwho wasset!fled,in eitheresso.gNedate and timeotnotigeg1on.) PROPERTYDAfsAGF.D (otherdianvehicles) oWNBRyF PROPERTV(includecityagentiy)whomapplicante F NYPD VEHiCLG185tWOLVED: Peeves -opeswe swNams unName 88 $MNo, Tahtle, command t!alpmentiousøAtWmoorAnddent o O st=a O**a O wom C+waysiashm O icahmiwan$ns laOmmema O nadress AC7tONS CPPC!JCÈEVat(CLE z Responding to Code Signal O CompyingWlhotation Housac|te a O evauinaviator O wim Paue Cotnersacribe) 5? #S58558 of 4 Pqas PaBe3 3:17:08PM [CentralStandardTIMS) Received11/©/2020 03111259TWP6FPFHP 97 FILED: KINGS COUNTY CLERK 12/24/2020 04:16 PM INDEX NO. 525903/2020 NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 12/24/2020 RF-PFHW 11/6/2020 5 : 39: 26 PM PAGE 6/008 Fax Server Page3 ei.4 PAP* Ngy;Yorti$tate0apanmef40tM010t V@|clas a POLICIE ACCIDENT REPORT (NYC) 07Ÿ MV-104Att(T/M) . 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Pres 44 PO9VS0cter - Rey|swtng Reylawed Oste/Tdite ard of#cor $62368 03030 073 SGT DAVID 4°/21/2ot9 1624a tom acts w nonaan NCCANN 1116t29203:17:0BPlyl[CentratStanderdTimel 97cR2031112598WPBFPFMPReceive(1 FILED: KINGS COUNTY CLERK 12/24/2020 04:16 PM INDEX NO. 525903/2020 NYSCEF DOC. RF-PFHW NO. 4 RECEIVED NYSCEF: 12/24/2020 11/6/2020 5:39: 26 PM PAGE 7/008 Fax Server PERSONS10LLiiiDORINJUREDINACCIDEt4Y(Legardesignationatparsonsftsed eris]umd must contspond with fetterdesigne"‡::",,=,5m1). tastwenm pus . e.L tentleme FGet M1 Deteefaidh. . ... . . feleptionoSag Code) Tefop1tatte (AuaCed) ) ) t.osNams me M,t. t,estssme Rat M,L Addtoss Adpass M40 it one macce) Talophoneerencedo) inst Near Fiat W. N\ wetalshotscena? VeeGNo ENTERINSURANGR FOt,tCY"2222n FROMINSURANGElDETFICATIONCARD,EMPERATIORDATESNALLCASES)iANDWIN. Vehicle No. . . VehideNo. fibiphationDate .. 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