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

66. Number & Street 125 - - - 08 108 37. City State Zip 67. City State Zip 126a 01 - - 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 05 DODGE AVE SL 2012 G11LNE NJ CHEVROLETPICKUP RD 2015 HVL1741 NY - 110 44. VIN 45. Expires 74. VIN 75. Expires 126c 01 1 C 3 C D Z A B X C N 2 2 7 4 8 6 07/20 1 G C V K R E C 7 F Z 2 1 7 4 4 4 11/19 - 111

126d 46. Vehicle Removed to: 76. Vehicle Removed to: 01 SELECT TOWING SELECT TOWING - 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

er 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 - 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 01 50. Carrier No. 51. GVWR / GCWR (trucks & buses only) 80. Carrier No. 81. GVWR / GCWR (trucks & buses only)

(trucks & buses only) 80. Carrier No. 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. 04 MC/MX - - - - - - - 26,001 lbs. MC/MX - - - - - - - 26,001 lbs. 26 128 52. Motor Carrier or Government Entity 82. Motor Carrier or Government Entity - -

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

11 132 11 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 - - - - - - 04 83 84 85 86 87 88 89 90 91 92 93 94 95 Names & Addresses of Occupants If Deceased, Date & Time of

If Deceased, Date & Time of Death A 01 01 01 04 23 F 01 08 02 11 04 - HADIYAH M HILL 40 HAMPTON TERRACE ORANGE 5711 NJ 07050 DARIUS N PHILLIPS 150 HIGH STREET Apt#A9 B 01 04 01 05 24 M - - 01 04 04 - - ORANGE NJ 07050 SALIDEEN A CULVER 29 HILTON PLACE C 01 03 01 03 28 M 08 08 02 11 04 - 5711 BELLEVILLE NJ 07109 VALENTINO ADAMES-RENE 127 FOSTER ROAD D 02 01 01 05 24 M - - 01 11 04 - - ROCHESTER NY 14616 NJTR-1 (Rev. 01/17)

New Jersey Police Case Number Crash Investigation Report 19027398 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 Investigation revealed that V2 was traveling west on Mitchell Street and came to a stop at Valley Road. V2 continued west on Mitchell Street but failed to yield the right of way to V1 which was traveling north on Valley Road. This action caused V1 to strike V2. V2's insurance is Geico of New York. 146. Officer's Signature 147. Badge # 148. Reviewer Badge # 149. Case Status Pending Complete SMARSH,SCOTT 161 MATULLO,PATRICK 287 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: 19027398 144 Crash Diagram (NOT TO SCALE) Indicate North SMARSH,SCOTT 161 NJTR-1B (Rev. 01/17) Officer's Signature Badge Number

96 04 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 19034603 10. Crash Occurred On: MITCHELL ST W 2 5 - - - - - - - - . - - 118b - 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: 02 99 - 14 15 16