2834-24 Mitchell-Valley-All-Way-Stop-Report.pdf

66. Number & Street 125 02 - 1650 BROADWAY Apt#1400 11 108 37. City State Zip 67. City State Zip 126a 01 - NEW YORK NY 10019 26 109 38. Make 39. Model 40. Color 41. Year 42. Plate No. 43. State 68. Make 69. Model 70. Color 71. Year 72. Plate No. 73. State 126b 04 BMW 325 GY 2006 A15FVG NJ CADILLAC XT5 WT 2017 HUR5785 NY - 110 44. VIN 45. Expires 74. VIN 75. Expires 126c 01 WB A V T 1 3 5 1 6 K W2 2 3 6 7 08/18 1 G Y K N D R S 9 H Z 2 8 4 4 6 2 11/19 - 111

126d 46. Vehicle Removed to: 76. Vehicle Removed to: 01 SELECT SELECT - 112 126e Driven Towed Disabled Towed Disabled & Impounded Driven Towed Disabled Towed Disabled & Impounded - Left at Scene Towed Impounded Left at Scene Towed Impounded 26 113 127a 47. Authority 77. Authority - Owner Driver Police Owner Driver Police

Owner Driver Police 26 114 127b 48. Alcohol Drug Test 49. Hazardous Material 78. Alcohol Drug Test 79. Hazardous Material - Given: No Yes Refused None On Board Spill Given: No Yes Refused None On Board Spill 28 115 Type: Breath Blood Urine Type: Breath Blood Urine 127c - - - - - - - - - - - - 116 Results: 0. - - % Pending Hazard Class Placard No. Results: 0. - - % Pending Hazard Class Placard No. 127d 02 50. Carrier No. 51. GVWR / GCWR (trucks & buses only) 80. Carrier No. 81. GVWR / GCWR (trucks & buses only) 10,000 lbs.

81. GVWR / GCWR (trucks & buses only) 10,000 lbs. 10,000 lbs. - 117 USDOT - - - - - - - None USDOT - - - - - - - None 127e 10,001 - 26,000 lbs. 10,001 - 26,000 lbs. 03 MC/MX - - - - - - - 26,001 lbs. MC/MX - - - - - - - 26,001 lbs. 26 128 52. Motor Carrier or Government Entity 82. Motor Carrier or Government Entity - - 26

- 26 129 Number & Street Number & Street - - 12 130 City State Zip City State Zip - - - - - - 12 131 135. Damage to Other Property Yes (If Yes, describe) No - 02

02 132 03 Oper. 136. Charge 137. Summons No. Oper. 138. Charge 139. Summons No. 133 01 39:3-4 E18-9219 - - - 02 Oper. 140. Charge 141. Summons No. Oper. 142. Charge 143. Summons No. 134 01 39:4-144 E18-9220 - - - 04 83 84 85 86 87 88 89 90 91 92 93 94 95 Names & Addresses of Occupants If Deceased, Date & Time of Death A 01 01 01 - 60

If Deceased, Date & Time of Death A 01 01 01 - 60 M - - 02 11 04 - - MARK ROSENTHAL 27 OAKRIDGE ROAD WEST ORANGE NJ 07052 WYKIL L SHERROD JR 8516 F STREET CHESAPEAKE B 02 01 01 - 20 M - - - 11 04 - - BEACH MD 20732 AMARA MARTIN 34 TULIP AVE WEST ORANGE NJ C 02 03 01 - 28 F - - - 11 04 - - 07052 CHARLIE BURR-REYNAUD 34 TULIP WEST ORANGE D 02 06 01 - 04 F - - 01 05 05 - - NJ 07052 NJTR-1 (Rev. 01/17)

96 05 Page 2 of 4 Fatal New Jersey Police Crash Investigation Report Reportable Non-Reportable Change Report 118a 1. Case Number 11. Speed Limit 25 97 18037240 10. Crash Occurred On: MITCHELL ST - 2 5 - - - - - - - - . - - 118b 01 2. Police Dept. of Code Road Name Dir 12. Route No. 13. Milepost - 98 At Intersection with 18. Speed Limit 119a 01 WEST ORANGE 01 Feet N E VALLEY RD 2 5 3. Station/Precinct - Miles S W of: - 99 - 14 15 16

- 99 - 14 15 16 19. To: 17. Cross Road Name/Route No. NB EB 119b 07 4. Date of Crash 5. Day of Week 6. Time 7. Municipality 8. Total 9. Total Ramp From: - SB WB - 20 Route Name/Route No. 100a mm - - - - (use 2400 hrs.) dd yy Code KilledSu M Tu W Injured 21. Latitude 22. Longitude 120a 01 1 0 1 8 1 8 OTh -F -Sa 08 2 4 0 7 22 - - - - - - . - - - - - - - - . - - - - - - - 100b 23. Veh. # 24. Policy No. 25. NJ Ins. Code 53. Veh. # 54. Policy No. 55. NJ Ins. Code 120b 04 03 00 00 - - - - 101 Parked Ped Pedalcylist Resp. to Emergency

- - 101 Parked Ped Pedalcylist Resp. to Emergency Hit & Run Parked Ped Pedalcylist Resp. to Emergency Hit & Run 121a 02 26. Driver's First Name Initial Last Name 29. Sex 56. Driver's First Name Initial Last Name 59. Sex - 102 - - - - 121b 01 27. Number & Street 57. Number & Street - 103 - 01 28. City State Zip 58. City State Zip 104 - - -