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

- 26 129 Number & Street Number & Street - - 01 130 City State Zip City State Zip - - - - - - 12 131 135. Damage to Other Property Yes (If Yes, describe) No -

02 132 02 Oper. 136. Charge 137. Summons No. Oper. 138. Charge 139. Summons No. 133 - - - - - - 04 Oper. 140. Charge 141. Summons No. Oper. 142. Charge 143. Summons No. 134 - - - - - - 02 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

If Deceased, Date & Time of Death A 01 01 01 - 22 M - - - 11 04 - - GERALD M DEMBY 27 GARDEN HILLS DRIVE SOMERSET NJ 08873 HERNANDO Y ARANDIA 7532 MOCCASIN PATH B 02 01 01 - 77 M - - - 11 04 - - LIVERPOOL NY 13090 ELSA A ARANDIA 7532 MOCCASIN PATH LIVERPOOL C 02 03 01 - 74 F - - - 11 04 - - NY 13090 D NJTR-1 (Rev. 01/17)

New Jersey Police Case Number Crash Investigation Report 19016175 2 3 83 84 85 86 87 88 89 90 91 92 93 94 95 Names & Addresses of Occupants If Deceased, Date & Time of Death E F G H I J 144. Crash Diagram Show NORTH by Arrow (Not to Scale) SEE NJTR-1B 145. Crash Description/Narrative D1 stated that he was traveling North on Valley Road when he was struck by V2. D2 stated that he was stopped at the stop sign and proceeded to move forward through the intersection because he did not see any vehicle traveling on Valley Road. D2 stated that while traveling through the intersection V1 struck his vehicle. V1 was occupied with one passenger. It was determined that V1 had the right of way while traveling on Valley Road. There no injuries and V1 was towed by Twin Towing due to the disabling damage. 146. Officer's Signature 147. Badge # 148. Reviewer Badge # 149. Case Status Pending Complete RODRIGUEZ, GIOVANNI 347 SMARSH,SCOTT 161 NJTR-1 (Rev. 01/17)

Page 3 of 3 New Jersey Police Crash Investigation Report Police Dept: WEST ORANGE Code: 01 Motor Vehicle Crash Diagram Station: - Case No: 19016175 144 Crash Diagram (NOT TO SCALE) Indicate North RODRIGUEZ, GIOVANNI 347 NJTR-1B (Rev. 01/17) Officer's Signature Badge Number

96 05 Page 1 of 3 Fatal New Jersey Police Crash Investigation Report Reportable Non-Reportable Change Report 118a 1. Case Number 11. Speed Limit 25 97 19027398 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: 04 99 - 14 15 16

- 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 02 20 Route Name/Route No. 100a mm - O - - (use 2400 hrs.) dd yy Code KilledSu M Tu W Injured 21. Latitude 22. Longitude 120a 01 0 8 0 5 1 9 -Th -F -Sa 1 6 5 5 0 7 2 2 - - 03 - - . - - - - - - - - . - - - - - - 01 100b 23. Veh. # 24. Policy No. 25. NJ Ins. Code 53. Veh. # 54. Policy No. 55. NJ Ins. Code 120b 04 01 4596 581860 100 02 4379957691 * - 101 Parked Ped Pedalcylist Resp. to Emergency Hit & Run Parked

* - 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 01 102 HADIYAH M HILL F VALENTINO - ADAMES-RENE M 121b 01 27. Number & Street 57. Number & Street - 103 40 HAMPTON TERRACE 127 FOSTER ROAD 01 28. City State Zip 58. City State Zip 104 ORANGE NJ 07050 ROCHESTER NY 14616 122 02 30. Eyes

122 02 30. Eyes DL Class Restrictions Endorsements 31. State 60. Eyes DL Class Restrictions Endorsements 61. State 0 2 D- - - - - - - 0 2 D- - - - - - - 01 NJ NY 123 105 32. Driver's License Number 33. DOB mm dd yy 34. Expires mm yy 62. Driver's License Number 63. DOB mm dd yy

64. Expires mm yy 01 03 H4350 31174 579 0 7 0 6 9 6 0 7 2 2 96422 5169 0 2 1 4 9 5 0224 35. Owner's First Name Initial Last Name 65. Owner's First Name Initial Last Name 106 124 Same as Same as - Driver Driver 11 107 36. Number & Street 66. Number & Street