fect ia on sow Yor Sle Depart oer Ves pare POLICE ACCIDENT REPORT eT ons ReCIDEN 6FO99SEKO71P - ) i Soviet tate [SST ETS RS Sy eS == Ez Ree 2 PORTE [att fseecesl aia [eae [S| S eeeomas eye ae Cees sereet osearaat Lor sen sass a ae TREEn) mans = [See = > [Dwar Name= exact iver Name exaclly ——— ~ cme Eines! cnc, wants Sacinine’ SRO aR eS por fietiettumcmnc = eet rere crater ee + (aa aa En 2 eer emf pas —— TS ee =, = s s |is72] oa 02 Daraged o i 20 | 2000 4 |cRACIA, ROBERTO u 5 5 | 1972 |. os = ee LAP anos s [nn fe i [= ee {ite Eton i aad » ee ear reer ete re perm a rr EE a ee ea Pie tr Neanae oasaaWone ase ee fo ri T [ieee s002 a DEER TTS Ven a 7 [Circle the diagram below fiat describes the accent, or Grew your own een Ragen REG SH Sense SH mireaies cin Ei aaa T]ileocencwnerowigtcome |i ]omactunencvnmaioemt [mae [Ve >= | 1 [F] cperated with an oversiemension permit. | | [} operated with an overdimension permit. - — ~ 7 * |e cissaeteusercives 1 saaesosearrs See] Se | lL ca | [Box 2 - Most Damage 3] 1 JE }eox2- most Damage Le = Perea at ae" ca onan 7 sPeeeetin [a . oo ? sas dan fie iat nae, of Pini NT fort ona indie sah ee waren ewes | — aa RATT 1 Urerownunane te cetermine yee Om carr aay Lresenoring County MONTGOMERY ead on icy aesuer occured at intersecting seat =) 5 TO" Us 9 Sourn caning sx PNT enaTEM (Clow [y mace town NORTHERN BLVD of ausrenonte i ma ae Ge Tae a ese ne OR TE ATT Vehicle one was traveling east on Northern Blvd when the driver struck a pedestrian that was - walking on the shoulder of the roadway. Driver of vehicle one then left the scene. oriver of |= vehicle one was located and issued UIT for leaving the scene of a personal injury accident. ee ame Bee ee TOV va on to ‘cr Tt ETS GRRE, ROBERTO tay 3 4 T ToT tT GRACIA, MATTHEW com Se ee ee a a ‘ ‘ of Li v Soo Essen [RetrRe | ecntt est [Setevon Revewt eo Pe ere Secon CEPUTY eae Respucs peas ° frnitone cacaas WG — pv7/20x8 Ft 7 oR js —__|uawow ies [ous __rcuntu (ea taaNew York State Department of Motor Vehicles POLICE ACCIDENT REPORT MV-104A (6/04) Eee) me or os BY |MreOw Northern Blvd