On June 17, 2020 a
Exhibit,Appendix
was filed
involving a dispute between
State Farm Fire And Casualty Company
A S O Jean Rosemy,
and
Dadnique Abel,
Ean Holdings Llc,
for Torts - Motor Vehicle
in the District Court of Nassau County.
Preview
FILED: NASSAU COUNTY CLERK 08/13/2020 04:53 PM INDEX NO. 605986/2020
NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 08/13/2020
EXHIBIT A
FILED: NASSAU COUNTY CLERK 08/13/2020 04:53 PM INDEX NO. 605986/2020
NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 08/13/2020
Page 1 of 1 Pagos New York State of Motor Vehicles
Departrnent
LocmCod-
POLlCEACCIDENTREPORT
01-964 -18
MV4M 0
G8 J100000123 RDED RhUGHT
Acclaontueta Day of Week Milltery UrneNo of No. KHIed Not Investigatedat Scene O
No. Iniured left ScenePolica Photos
Momb sy Year Vehicles ........------
...........
.
3 24 2018 Saturday 23 : 20 2 1 O Accident Reconstructed
O O Ves E No
VEMICLE 1 VEHICLE 2 BICYCLIST PEDESTRI O PEDES
sta orue CLE2 Dwe Stei of be
a o 6 80543426 4 852 43 8 46
- briverName•exactly DriverName- ,,,n,,Y
exactl
as prntedonlicenseROSEMY ,
JEAN P ,,,,g,,,
en ABEL, DADNIQUE T __
Addrese(includeNumberandStree0 Apt.No.AddressmeludeNumberandStroon Apt No
17 ELLISON AVE 3125 PARK AVE # 21E
ofTown
Criy 6tate ZIpCodo C ty orbn State 2© Cods 22
FREEPORT NY 115200000 BRONX NY 10451 .
3 Daioof Ruth Sex Unficensed No.of
Cocopants Pi,muc Daleof Uirth sex Unbeensed No of Cecupants Pubhc
Monih ay st Property Menth Day ear ,' Property
3 11 3 19 83 d 2 1984 03
Darii 8 Dernsse
- a ,y a pr ir en g,, r - a y ann o ex ae e
HOSEMY , JEAN P M
1 3 1983 W HOœGS L 5
ess ne om or on ree) No .' Released so(Iridudo umberandstreet; ci o at : a se
-
1236 207TH ST O 1400 2 E 21ST O
4 Cityor lown ŠInto 2p Code &ty or lown State 7• Code
QUEENS V TLT.AGE NY 11429 TULSA OK 741341424
PlateNumber Stateof Reg
veNcleWar& Make WhicleType ins Code PlateNumber vehideWar 4 Make
Statoof Reg i/etucieTypeIns Code
HHK428 5 NY 2012 TOYT 4DSD 327 FAD9626 NC 2016 FORD 4DS D 989
J1 0800 7GGB J100007HG8
Violation violation
Saefionfa) section(s) 53 11A 5 091 23
Check if involvedvehicle is Check l' involved vehicle is 2
Circle the diagram below that describes the accident.or drawyour own
V O morethan 95 nches wide: V O morethen 95 inches wkle; diagrain in space #9. Numberthe vehicles.
1 E O more than 34 fect iong; E O more than 34 feet long, h gle Reg h HeadOn
H H O operatedwith an overweightpermit
O operatedwith an overweight perrnit.
O o ratedwith en overdimension
errnit.
| O operatedwith on overdimensionpermit y,
VEHl A GE C gidese Ptenth Gides pe 26
C C LanTum
Box 1 - Pointof impact 1 Box 1 -olnt of Impact (eame resoung (oponeneesment
7 Box 2 - Most Damage
E Enter up to three .
2 2
5
L Box 2 - Most Damage
Enter up to threa 3
4
g. 4. ..d n.
77 ACCIDENT DIAGRAM
more damagecodes 1 3 mo'e damagecodes
/ehicle n 2 y,,,,,(,
o,
lowee. Tõ. 'Itmed: To:
VEHICLEDAMAGECODINot 7
1-13$EEDIAGRAMONRIGHT.
14.UNDENCARRIAGE 17.DEMOL$8HED
15.TRA3LER is. NODAMAGE g
16.OVERTURNED 19.OTHER
Costof repairs to ariy one vehicle will be rnore inan $1000
n Unknown/Unableto determine Yes No
ReferenceMarker Place Where Accident Occurred:
Coordinates(lf available)
HEMPSTEAD
1.attitude/Northing: County NASSAU Q City O VillagaB Town of
accident
occurredFRONT STREBT
Road on wtilch
(RouteNumberor StreetName)
Longitude/Easting: at 1) intersecting street FENIMORE
AVE, UNIONDALE
O N O s (ItouteNumberor atreetName)
or 2) ,,
miles O E OW pi,topost.Nearesiintersecting or StreetName)
RoutoNornber
Accident Descripnon/OflIcer'snotes 50
MV1 AND MV2 WERE INVOLVED IN A COLLISION. MV2 INJURED PASSENGER NAS TREATED AND RELEASED AT
SCENE . BOTH MV1 AND MV2 WBRE REMOVED FROM SCENE BY LICENSED OPERATORS .
. .
8 9 10 11 12 13 14 is is 17 BY TO 18 Names of aN Involved Date of Death Only
A A 1 1 4 1 34 N ROSEMY , JEAN P
L
L 3 2 1 4 1 33 F - - ABEL , DADNIQUE T
2 6 4 1 39 F ·• - PAUL, MICHELLE
N 3 2 3 4 1 37 M 11 12 6 ABEL , DANIEL
V .
E meer's Rank ¡ . andge2D No. 0. Precinct/Postto on/Beat Reviewing OfficerDate/ me Reviewed
O 90
and St nature . ... Troop/Eone Sector
GUBBA, L 3 / 31 /2018
Print ame g 9630 O2900 0101 01 21· 42
wagggs
In Full
Document Filed Date
August 13, 2020
Case Filing Date
June 17, 2020
Category
Torts - Motor Vehicle
For full print and download access, please subscribe at https://www.trellis.law/.
Preview
FILED: NASSAU COUNTY CLERK 08/13/2020 04:53 PM INDEX NO. 605986/2020 NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 08/13/2020 EXHIBIT A FILED: NASSAU COUNTY CLERK 08/13/2020 04:53 PM INDEX NO. 605986/2020 NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 08/13/2020 Page 1 of 1 Pagos New York State of Motor Vehicles Departrnent LocmCod- POLlCEACCIDENTREPORT 01-964 -18 MV4M 0 G8 J100000123 RDED RhUGHT Acclaontueta Day of Week Milltery UrneNo of No. KHIed Not Investigatedat Scene O No. Iniured left ScenePolica Photos Momb sy Year Vehicles ........------ ........... . 3 24 2018 Saturday 23 : 20 2 1 O Accident Reconstructed O O Ves E No VEMICLE 1 VEHICLE 2 BICYCLIST PEDESTRI O PEDES sta orue CLE2 Dwe Stei of be a o 6 80543426 4 852 43 8 46 - briverName•exactly DriverName- ,,,n,,Y exactl as prntedonlicenseROSEMY , JEAN P ,,,,g,,, en ABEL, DADNIQUE T __ Addrese(includeNumberandStree0 Apt.No.AddressmeludeNumberandStroon Apt No 17 ELLISON AVE 3125 PARK AVE # 21E ofTown Criy 6tate ZIpCodo C ty orbn State 2© Cods 22 FREEPORT NY 115200000 BRONX NY 10451 . 3 Daioof Ruth Sex Unficensed No.of Cocopants Pi,muc Daleof Uirth sex Unbeensed No of Cecupants Pubhc Monih ay st Property Menth Day ear ,' Property 3 11 3 19 83 d 2 1984 03 Darii 8 Dernsse - a ,y a pr ir en g,, r - a y ann o ex ae e HOSEMY , JEAN P M 1 3 1983 W HOœGS L 5 ess ne om or on ree) No .' Released so(Iridudo umberandstreet; ci o at : a se - 1236 207TH ST O 1400 2 E 21ST O 4 Cityor lown ŠInto 2p Code &ty or lown State 7• Code QUEENS V TLT.AGE NY 11429 TULSA OK 741341424 PlateNumber Stateof Reg veNcleWar& Make WhicleType ins Code PlateNumber vehideWar 4 Make Statoof Reg i/etucieTypeIns Code HHK428 5 NY 2012 TOYT 4DSD 327 FAD9626 NC 2016 FORD 4DS D 989 J1 0800 7GGB J100007HG8 Violation violation Saefionfa) section(s) 53 11A 5 091 23 Check if involvedvehicle is Check l' involved vehicle is 2 Circle the diagram below that describes the accident.or drawyour own V O morethan 95 nches wide: V O morethen 95 inches wkle; diagrain in space #9. Numberthe vehicles. 1 E O more than 34 fect iong; E O more than 34 feet long, h gle Reg h HeadOn H H O operatedwith an overweightpermit O operatedwith an overweight perrnit. O o ratedwith en overdimension errnit. | O operatedwith on overdimensionpermit y, VEHl A GE C gidese Ptenth Gides pe 26 C C LanTum Box 1 - Pointof impact 1 Box 1 -olnt of Impact (eame resoung (oponeneesment 7 Box 2 - Most Damage E Enter up to three . 2 2 5 L Box 2 - Most Damage Enter up to threa 3 4 g. 4. ..d n. 77 ACCIDENT DIAGRAM more damagecodes 1 3 mo'e damagecodes /ehicle n 2 y,,,,,(, o, lowee. Tõ. 'Itmed: To: VEHICLEDAMAGECODINot 7 1-13$EEDIAGRAMONRIGHT. 14.UNDENCARRIAGE 17.DEMOL$8HED 15.TRA3LER is. NODAMAGE g 16.OVERTURNED 19.OTHER Costof repairs to ariy one vehicle will be rnore inan $1000 n Unknown/Unableto determine Yes No ReferenceMarker Place Where Accident Occurred: Coordinates(lf available) HEMPSTEAD 1.attitude/Northing: County NASSAU Q City O VillagaB Town of accident occurredFRONT STREBT Road on wtilch (RouteNumberor StreetName) Longitude/Easting: at 1) intersecting street FENIMORE AVE, UNIONDALE O N O s (ItouteNumberor atreetName) or 2) ,, miles O E OW pi,topost.Nearesiintersecting or StreetName) RoutoNornber Accident Descripnon/OflIcer'snotes 50 MV1 AND MV2 WERE INVOLVED IN A COLLISION. MV2 INJURED PASSENGER NAS TREATED AND RELEASED AT SCENE . BOTH MV1 AND MV2 WBRE REMOVED FROM SCENE BY LICENSED OPERATORS . . . 8 9 10 11 12 13 14 is is 17 BY TO 18 Names of aN Involved Date of Death Only A A 1 1 4 1 34 N ROSEMY , JEAN P L L 3 2 1 4 1 33 F - - ABEL , DADNIQUE T 2 6 4 1 39 F ·• - PAUL, MICHELLE N 3 2 3 4 1 37 M 11 12 6 ABEL , DANIEL V . E meer's Rank ¡ . andge2D No. 0. Precinct/Postto on/Beat Reviewing OfficerDate/ me Reviewed O 90 and St nature . ... Troop/Eone Sector GUBBA, L 3 / 31 /2018 Print ame g 9630 O2900 0101 01 21· 42 wagggs In Full