On April 19, 2021 a
Exhibit,Appendix
was filed
involving a dispute between
Evelyn Imbriani,
and
Mureen A. Bryan-Carty,
for Torts - Motor Vehicle
in the District Court of Suffolk County.
Preview
FILED: SUFFOLK COUNTY CLERK 03/15/2022 12:36 PM INDEX NO. 606970/2021
NYSCEF DOC. NO. 30 RECEIVED NYSCEF: 03/15/2022
Exhibit D
U
FILED: SUFFOLK COUNTY CLERK 03/15/2022 12:36 PM INDEX NO. 606970/2021
of 2 Pages 1 New York State Department of Motor Vehicles
NYSCEF
ABS-7 (7 DOC. NO. 30 RECEIVED NYSCEF: 03/15/2022
u-ioad" POLICE ACCIDENT REPORT 19
MV-104A (6/04) -
SP1IA29554JW
¡ AMENDED REPORT DMV COPY
AmklentDale Dayof Week MIIteryTime No.of No.Injured No.KIInd NotInventlgated at SceneO LeltScene PolicePholas 20
- Month Day Year Vehicles ..............................
01 23 2019 Wed 17:38 2 1 0 AccidentRemnatrucled Yes No
VEHICLE 1 VEHICLE 2 O BICYCLIST O PEDESTRIAN O OTHER PEDESTRIAN
VEHICLE1 - Driver oILic. VEHICLE2 -Driver LIc.
2 LicenseIDNumber 562473194 LicenseIDNurnber 730333088 21
-
°, nted °n IMBRIANI, EVELYN J °, n °n-g"7BRYAN-CARTY, MUREEN A 9
Address(Inclutie mber& Stee0 Apt.No. Address(AntudsN0mber&Streen Apt.No.
45 FEUSTAL ST 426 FREEMAN AVE
or Town Slate ZÆCode CRyor Town State ZÆCode
ENHURST NY 117570000 BRENTWOOD NY 117170000 19
3 Sex Unilcensed No.of PubHo Sex Unlicensed No.of PubIn
Occupants Property Occupangs Property
1 F 1 Darnaged O F Damaged
Name-exactlyas printedon registration Sex printedon regislration
NameÄmtecUyas Sex 23
IMBRIANI, EVELYN J F BRY AN-CARTY, MUREEN A F 3
Address(Includs@mber& Stee0 Apt.No. Haz. Released Address(includeNumber& Street) Apt.No. Hez. |Released
4 Ma
45 FEUSTAL ST e O 426 FREEMAN AVE O
5 CHyor Town State Zip Code Cityor Town State Zip Code 24
LINDENHURST NY 117570000 BRENTWOOD NY 117170000
3
PlateNurnber Slateof Reg. VehicleYear& Make VehicleType Ins.Code PlateNumber Stateof Reg. VehicleYear& Make VeNcleType Ine.Code
ETA1979 NY 2017 NISS 4DSD 639 HGM2814 NY 2016 HOND 4DSD 639
5
*
1 ber u e IL429556NX 1L429556QN
VIolation Violation
1180A 1129A
Secuon(s) section(s)
25
Check If Involved vehicle ls: Check if involved vehicle is: Circle the diagram below that describes the accident, or draw your own
8 O more than 95 Inches wide; O more than 95 inches wide; diagram in space #9. Number the vehicles.
V O more than 34 feet long; V O more than 34 feet long; Rea Left Turn RightAngle RightTum HeadOn
E O operated with an overweight permit; E O operated with an overweight permit;
H O Operatedwith an overdlmension permit. H O operated with an overdimension permit. 1. 3. 5. 7.
VEHICLE 1 DAMAGE CODES I VEHICLE 2 DAMAGE CODES Sideswipe LeftTurn RightTum SIdesulpe 28
C Box 1 - PoInt of Impact 1 2 C Box 1 - Point of Impact 1 --
1
7
L Box 2 - Most Damage 8 8 L Box 2 - Most Damage 2 2
2.
--
0. 4. 6. s. + 1
E Enter up to three 3 4 5 E Enter up to three 3 4 5 ACCIDENT DIAGRAM
more Damage Codes 7 8 9 more Damage Codes 1 2 3
1 2
Vehicle By SABRE py
Vehicle By SABRE
Towed: Towed:
To SABRE To SABRE There is no accident diagram
VEHICLE DAMAGE CODING: 7
1-13. SEE DIAGRAM ON RIGHT.
14. UNDERCARRIAGE 17. DEMOLISHED a a
15. TRAILER 18. NO DAMAGE 28
16. OVERTURNED 19. OTHER Cost of repairs to any one vehicle will be In an $1000. 1
2 10 Unknown/Unable to Determine Yes ¤ No
Reference Marker Coordinates (if available) Place Where Accident Occurred:
NASS OYSTER BAY, TOWN OF
Latitude/Northing: County O City O Village Town of
2 4
631561 Road on which accident occurred SOUTHERN STATE PARKWAY 29
(RougeNumberor SirectName) _
0 3 0 3 at1)Intersectingstreet
Longitude/Easting: (RouteNumberorStreetName)
ON OS exit 32
1 25 OE li]w of
0 3 1 4507179 or2)
Feet Miles RouteNumberorSheetName)
(MAppostNearestIntersecting
Accident Description/Ofilcer's Notes 30
V-1 and V-2 traveling east on Southern State Parkway. V-2 was following too closely to V-1 at an -
unsafe speed causing a rear end collision.
sur
N
8 9 10 11 12 13 14 15 16 17 BY TO 18 Names of aHInvolved Date of Death Only
A 1 42 12 2909
a 01 1 4 F X 6 9999 IMBRIANI, EVELYN J
L 1 1 55 - - -
B 02 A F BRYAN-CARTY, MUREEN A
O D
V E
E
D F
OfAcer's Rank TPR g- Badge/ID No. NCIC No. Proolnet/Post Station/Beatt Revlowing Date/TIme Reviewed
and Signature Troop/Zone Sector OfAcer
n VINCENT R MEDEROS 4586 15103 L1 31 MESSINA, MICHAE 02/04/2019 13:10
This is to certify that this document is a true and complete copy of a record on %d.
file in the New York State Department of Motor Vehicles, Albany, New York- EXECUTIVE DEPUTY COMMISSIONER OF MOTOR VEHICLES
FILED: SUFFOLK COUNTY CLERK 03/15/2022 12:36 PM INDEX NO. 606970/2021
of 2 Pages 2 New York State Department of Motor Vehicles
NYSCEF
ABS-7 (7 DOC. NO. 30 RECEIVED NYSCEF: 03/15/2022
u-iCad" POLICE ACCIDENT REPORT 19
MV-104A (6/04)
SP1IA29554JW
¡ AMENDED REPORT DMV COPY
1
AmklentDate Dayof Week MIItaryTime No.of No.Injured No.KIInd NotInventlgated at Scene LeltScene PolicePholas 20
Month Day Year Vehicles ..............................
01 23 2019 Wed 17:38 2 1 0 AccidentRemnatrucled Yes
VEHICLE 1 ¤ VEHICLE 2 O BICYCLIST O PEDESTRIAN O OTHER PEDESTRIAN
VEHICLE1 - Driver StateoILic. VEHICLE2 -Driver StateoILIc.
2 LicenseIDNurnber LicenseIDNurnber 21
.. DriverName-exaclly DriverName-exactly
as printedon Acanes as printedon Acense
Address(include@mber& Stee0 Apt.No. Address(butudsNdmber&Stree0 Apt.No.
CHyor Town Slate ZÆCode CRyor Town State ZÆCode
3 Sex Unilcensed No.of PubHo Sex Unlicensed No.of PubIn
Month Day Year Occupants Property Month Day Year Occupangs Property
1 Darnaged Damaged
Name-exactlyas printedon registration Sex B as printedon regislration
Name-exsogy Sex 23
Month Day Year Month Day Year
Address(include%mber & Stee0 Apt.No. Haz. Released Address(/ncludeNumber& Street) Apt.No. Hez. Released
4 Mat Mat.
Code O Qç
5 CHyor Town State Zip Code Cityor Town State Zip Code 24
PlateNurnber Slateof Reg. VehicleYear& Make VehicleType Ins.Code PlateNumber Stateof Reg. VehicleYear& Make VeNcleType Ina.Code
5
Ticket/Arrent Ticket/Arrest
1 Numberts) Number(s)
Violation Violation
Section(a) Section(s)
Check If Involved vehicle ls: Check if involved vehicle is: Circle the diagram below that describes the accident, or draw your own
8 O more than 95 Inches wide; O more than 95 inches wide; diagram in space #9. Number the vehicles.
V O more than 34 feet long; V O more than 34 feet long; Rea Left Turn RightAngle RightTum HeadOn
E O operated with an overweight permit; E O operated with an overweight permit;
H O operated with an overdlmension permit. H O operated with an overdimension permit. 1. 3. 5. 7.
VEHICLE 1 DAMAGE CODES I VEHICLE 2 DAMAGE CODES Sideswipe LeftTurn RightTum SIdesulpe 28
C Box 1 - PoInt of Impact 1 2 C Box 1 - Point of Impact 1 2 (samehedon) (a Mn)
7
L Box 2 - Most Damage L Box 2 - Most Damage 2. + 0. 4. 6. 8. +
1 E Enter up to three 3 4 5 E Enter up to three 3 4 5 ACCIDENT DIAGRAM
more Damage Codes more Damage Codes
1 2
Vehicle By py
Vehicle By
Towed: Towed:
To To There is no accident diagram
VEHICLE DAMAGE CODING: 7
1-13. SEE DIAGRAM ON RIGHT.
14. UNDERCARRIAGE 17. DEMOLISHED a a
15. TRAILER 18. NO DAMAGE
16. OVERTURNED 19. OTHER Cost of repairs to any one vehicle will be m an $1000. 1
2 10 Unknown/Unable to Determine Yes ¤ No
Reference Marker Coordinates (if available) Place Where Accident Occurred:
NASS OYSTER BAY, TOWN OF
Latitude/Northing: County O City O Village Town of
2 4
631561 Road on which accident occurred SOUTHERN STATE PARKWAY 29
(RougeNumberor SirectName)
0 3 0 3 at1)Intersectingstreet
Longitude/Easting: (RouteNumberorStreetName)
ON OS exit 32
1 or 2) 25 OE li]w of
0 3 1 4507179
Feet Miles RouteNumberorSheetName)
NearestIntersecting
(MAppost,
Accident Description/Ofilcer's Notes 30
8 9 10 11 12 13 14 15 16 17 BY TO 18 Names of aHInvolved Date of Death )nly
A
L
O D
V E
E
D F
OfAcer's Rank TPR g- Badge/ID No. NCIC No. Proolnet/Post Station/Beatt Revlowing DaterTIme Reviewed
and Signature Troop/Zone Sector OfAcer
nr VINCENT R MEDEROS 4586 15103 L1 31 MESSINA, MICHAB 02/04/2019 13:10
This is to certify that this document is a true and complete copy of a record on %d.
file in the New York State Department of Motor Vehicles, Albany, New York- EXECUTIVE DEPUTY COMMISSIONER OF MOTOR VEHICLES
FILED: SUFFOLK COUNTY CLERK 03/15/2022 12:36 PM INDEX NO. 606970/2021
NYSCEF DOC. NO. 30 RECEIVED NYSCEF: 03/15/2022
ABS-7 (7/15)
This is to certify that this document is a true and complete copy of a record on
file in the New York State Department of Motor Vehicles, Albany, New York. EXECUTIVE DEPUTY COMMISSIONER OF MOTOR VEHICLES
Document Filed Date
March 15, 2022
Case Filing Date
April 19, 2021
Category
Torts - Motor Vehicle
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Preview
FILED: SUFFOLK COUNTY CLERK 03/15/2022 12:36 PM INDEX NO. 606970/2021 NYSCEF DOC. NO. 30 RECEIVED NYSCEF: 03/15/2022 Exhibit D U FILED: SUFFOLK COUNTY CLERK 03/15/2022 12:36 PM INDEX NO. 606970/2021 of 2 Pages 1 New York State Department of Motor Vehicles NYSCEF ABS-7 (7 DOC. NO. 30 RECEIVED NYSCEF: 03/15/2022 u-ioad" POLICE ACCIDENT REPORT 19 MV-104A (6/04) - SP1IA29554JW ¡ AMENDED REPORT DMV COPY AmklentDale Dayof Week MIIteryTime No.of No.Injured No.KIInd NotInventlgated at SceneO LeltScene PolicePholas 20 - Month Day Year Vehicles .............................. 01 23 2019 Wed 17:38 2 1 0 AccidentRemnatrucled Yes No VEHICLE 1 VEHICLE 2 O BICYCLIST O PEDESTRIAN O OTHER PEDESTRIAN VEHICLE1 - Driver oILic. VEHICLE2 -Driver LIc. 2 LicenseIDNumber 562473194 LicenseIDNurnber 730333088 21 - °, nted °n IMBRIANI, EVELYN J °, n °n-g"7BRYAN-CARTY, MUREEN A 9 Address(Inclutie mber& Stee0 Apt.No. Address(AntudsN0mber&Streen Apt.No. 45 FEUSTAL ST 426 FREEMAN AVE or Town Slate ZÆCode CRyor Town State ZÆCode ENHURST NY 117570000 BRENTWOOD NY 117170000 19 3 Sex Unilcensed No.of PubHo Sex Unlicensed No.of PubIn Occupants Property Occupangs Property 1 F 1 Darnaged O F Damaged Name-exactlyas printedon registration Sex printedon regislration NameÄmtecUyas Sex 23 IMBRIANI, EVELYN J F BRY AN-CARTY, MUREEN A F 3 Address(Includs@mber& Stee0 Apt.No. Haz. Released Address(includeNumber& Street) Apt.No. Hez. |Released 4 Ma 45 FEUSTAL ST e O 426 FREEMAN AVE O 5 CHyor Town State Zip Code Cityor Town State Zip Code 24 LINDENHURST NY 117570000 BRENTWOOD NY 117170000 3 PlateNurnber Slateof Reg. VehicleYear& Make VehicleType Ins.Code PlateNumber Stateof Reg. VehicleYear& Make VeNcleType Ine.Code ETA1979 NY 2017 NISS 4DSD 639 HGM2814 NY 2016 HOND 4DSD 639 5 * 1 ber u e IL429556NX 1L429556QN VIolation Violation 1180A 1129A Secuon(s) section(s) 25 Check If Involved vehicle ls: Check if involved vehicle is: Circle the diagram below that describes the accident, or draw your own 8 O more than 95 Inches wide; O more than 95 inches wide; diagram in space #9. Number the vehicles. V O more than 34 feet long; V O more than 34 feet long; Rea Left Turn RightAngle RightTum HeadOn E O operated with an overweight permit; E O operated with an overweight permit; H O Operatedwith an overdlmension permit. H O operated with an overdimension permit. 1. 3. 5. 7. VEHICLE 1 DAMAGE CODES I VEHICLE 2 DAMAGE CODES Sideswipe LeftTurn RightTum SIdesulpe 28 C Box 1 - PoInt of Impact 1 2 C Box 1 - Point of Impact 1 -- 1 7 L Box 2 - Most Damage 8 8 L Box 2 - Most Damage 2 2 2. -- 0. 4. 6. s. + 1 E Enter up to three 3 4 5 E Enter up to three 3 4 5 ACCIDENT DIAGRAM more Damage Codes 7 8 9 more Damage Codes 1 2 3 1 2 Vehicle By SABRE py Vehicle By SABRE Towed: Towed: To SABRE To SABRE There is no accident diagram VEHICLE DAMAGE CODING: 7 1-13. SEE DIAGRAM ON RIGHT. 14. UNDERCARRIAGE 17. DEMOLISHED a a 15. TRAILER 18. NO DAMAGE 28 16. OVERTURNED 19. OTHER Cost of repairs to any one vehicle will be In an $1000. 1 2 10 Unknown/Unable to Determine Yes ¤ No Reference Marker Coordinates (if available) Place Where Accident Occurred: NASS OYSTER BAY, TOWN OF Latitude/Northing: County O City O Village Town of 2 4 631561 Road on which accident occurred SOUTHERN STATE PARKWAY 29 (RougeNumberor SirectName) _ 0 3 0 3 at1)Intersectingstreet Longitude/Easting: (RouteNumberorStreetName) ON OS exit 32 1 25 OE li]w of 0 3 1 4507179 or2) Feet Miles RouteNumberorSheetName) (MAppostNearestIntersecting Accident Description/Ofilcer's Notes 30 V-1 and V-2 traveling east on Southern State Parkway. V-2 was following too closely to V-1 at an - unsafe speed causing a rear end collision. sur N 8 9 10 11 12 13 14 15 16 17 BY TO 18 Names of aHInvolved Date of Death Only A 1 42 12 2909 a 01 1 4 F X 6 9999 IMBRIANI, EVELYN J L 1 1 55 - - - B 02 A F BRYAN-CARTY, MUREEN A O D V E E D F OfAcer's Rank TPR g- Badge/ID No. NCIC No. Proolnet/Post Station/Beatt Revlowing Date/TIme Reviewed and Signature Troop/Zone Sector OfAcer n VINCENT R MEDEROS 4586 15103 L1 31 MESSINA, MICHAE 02/04/2019 13:10 This is to certify that this document is a true and complete copy of a record on %d. file in the New York State Department of Motor Vehicles, Albany, New York- EXECUTIVE DEPUTY COMMISSIONER OF MOTOR VEHICLES FILED: SUFFOLK COUNTY CLERK 03/15/2022 12:36 PM INDEX NO. 606970/2021 of 2 Pages 2 New York State Department of Motor Vehicles NYSCEF ABS-7 (7 DOC. NO. 30 RECEIVED NYSCEF: 03/15/2022 u-iCad" POLICE ACCIDENT REPORT 19 MV-104A (6/04) SP1IA29554JW ¡ AMENDED REPORT DMV COPY 1 AmklentDate Dayof Week MIItaryTime No.of No.Injured No.KIInd NotInventlgated at Scene LeltScene PolicePholas 20 Month Day Year Vehicles .............................. 01 23 2019 Wed 17:38 2 1 0 AccidentRemnatrucled Yes VEHICLE 1 ¤ VEHICLE 2 O BICYCLIST O PEDESTRIAN O OTHER PEDESTRIAN VEHICLE1 - Driver StateoILic. VEHICLE2 -Driver StateoILIc. 2 LicenseIDNurnber LicenseIDNurnber 21 .. DriverName-exaclly DriverName-exactly as printedon Acanes as printedon Acense Address(include@mber& Stee0 Apt.No. Address(butudsNdmber&Stree0 Apt.No. CHyor Town Slate ZÆCode CRyor Town State ZÆCode 3 Sex Unilcensed No.of PubHo Sex Unlicensed No.of PubIn Month Day Year Occupants Property Month Day Year Occupangs Property 1 Darnaged Damaged Name-exactlyas printedon registration Sex B as printedon regislration Name-exsogy Sex 23 Month Day Year Month Day Year Address(include%mber & Stee0 Apt.No. Haz. Released Address(/ncludeNumber& Street) Apt.No. Hez. Released 4 Mat Mat. Code O Qç 5 CHyor Town State Zip Code Cityor Town State Zip Code 24 PlateNurnber Slateof Reg. VehicleYear& Make VehicleType Ins.Code PlateNumber Stateof Reg. VehicleYear& Make VeNcleType Ina.Code 5 Ticket/Arrent Ticket/Arrest 1 Numberts) Number(s) Violation Violation Section(a) Section(s) Check If Involved vehicle ls: Check if involved vehicle is: Circle the diagram below that describes the accident, or draw your own 8 O more than 95 Inches wide; O more than 95 inches wide; diagram in space #9. Number the vehicles. V O more than 34 feet long; V O more than 34 feet long; Rea Left Turn RightAngle RightTum HeadOn E O operated with an overweight permit; E O operated with an overweight permit; H O operated with an overdlmension permit. H O operated with an overdimension permit. 1. 3. 5. 7. VEHICLE 1 DAMAGE CODES I VEHICLE 2 DAMAGE CODES Sideswipe LeftTurn RightTum SIdesulpe 28 C Box 1 - PoInt of Impact 1 2 C Box 1 - Point of Impact 1 2 (samehedon) (a Mn) 7 L Box 2 - Most Damage L Box 2 - Most Damage 2. + 0. 4. 6. 8. + 1 E Enter up to three 3 4 5 E Enter up to three 3 4 5 ACCIDENT DIAGRAM more Damage Codes more Damage Codes 1 2 Vehicle By py Vehicle By Towed: Towed: To To There is no accident diagram VEHICLE DAMAGE CODING: 7 1-13. SEE DIAGRAM ON RIGHT. 14. UNDERCARRIAGE 17. DEMOLISHED a a 15. TRAILER 18. NO DAMAGE 16. OVERTURNED 19. OTHER Cost of repairs to any one vehicle will be m an $1000. 1 2 10 Unknown/Unable to Determine Yes ¤ No Reference Marker Coordinates (if available) Place Where Accident Occurred: NASS OYSTER BAY, TOWN OF Latitude/Northing: County O City O Village Town of 2 4 631561 Road on which accident occurred SOUTHERN STATE PARKWAY 29 (RougeNumberor SirectName) 0 3 0 3 at1)Intersectingstreet Longitude/Easting: (RouteNumberorStreetName) ON OS exit 32 1 or 2) 25 OE li]w of 0 3 1 4507179 Feet Miles RouteNumberorSheetName) NearestIntersecting (MAppost, Accident Description/Ofilcer's Notes 30 8 9 10 11 12 13 14 15 16 17 BY TO 18 Names of aHInvolved Date of Death )nly A L O D V E E D F OfAcer's Rank TPR g- Badge/ID No. NCIC No. Proolnet/Post Station/Beatt Revlowing DaterTIme Reviewed and Signature Troop/Zone Sector OfAcer nr VINCENT R MEDEROS 4586 15103 L1 31 MESSINA, MICHAB 02/04/2019 13:10 This is to certify that this document is a true and complete copy of a record on %d. file in the New York State Department of Motor Vehicles, Albany, New York- EXECUTIVE DEPUTY COMMISSIONER OF MOTOR VEHICLES FILED: SUFFOLK COUNTY CLERK 03/15/2022 12:36 PM INDEX NO. 606970/2021 NYSCEF DOC. NO. 30 RECEIVED NYSCEF: 03/15/2022 ABS-7 (7/15) This is to certify that this document is a true and complete copy of a record on file in the New York State Department of Motor Vehicles, Albany, New York. EXECUTIVE DEPUTY COMMISSIONER OF MOTOR VEHICLES