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New York State Department of Motor Vehictes [Freoc POLICE ACCIDENT REPORT 7 ——_ ‘MV-1048 (3108) a amuuosassore |] re a ee a3_| 22 | ois _|saturaay | o3:ar_[S" 0 | 0 _rcinitesnincnd CY] 2 _| Cove Bar| tes cee, St E pebeoaK POT EDT pee Tar Sew cate [? [ements 30008050 Ty [ieeeonoee a Li [Ents aint MacteaENskE, oi Sommer + acer ori a eR RT ram oe Se $e rarer % __|ehaversren = Taose RS eros Ts | i: Mae ae [see] x | O o: __fpeme, 0 5 eras © | [fate Be asa a peg po rere re MACIBJERGEE, 9 E «(eel oy DL. 5 Se Teh fase ea so eae — 9a i a at Sess » Ui avcnsren we Taos Pte Rani [SST SEs VaR PN BS RST ST [reese lee Wises” [Poss }_I Reieiret “TLOSaeaNeD TLosaeavM ar ome West Kissin —Z00TK TIBOR foo 2 |Secvoncs) eae 1 Taro aaa sda aga Pl Suc re WIG OOOO 71] Birr han tos we, \v] ine nano ets iw sagem epee Nance evel oe ent renee ate [JHB Serntwinarotegiseme, |p| Soetet asses pana | Goeasnecminnecsent ||| Sgememmonamanemt | ~~ |, is | ye | ic VEHICLE {DAMAGE ic “VEHICLE 2 Ez eT ay fegin tan | Seieaws, = {Ca nae Cope —fc aan |e Eman [T]klbee-censeme [2 [2 |Y Peels e Gd, |stedmeme (2 [3 [a 7 1" eae oe | [ree re TTT See the last page of the MV-204A for the|1. | veneur ona coon: accident diagram BI | sue oan on eon | | Roverromes | She eam apart yo vaio iba mas an OD be | + | Chuntomtnebetedemmine Bee [Ne [Cres er] Srna abr pan =oa2 Dey Vinge Crom of LANCASTER piu fond cnehehsedoetooed 287 LAKE BYE _ Cmomntoang |e iformangstea SSIERBORNE —— 02, Onas — = i “aa egw iis rst rersing Rote orb 0” See NAST —| Ie oar = WEHICEE 42 WAS GOING SOUTEOUND ON LAKE AVE. AND 20ST CONTROL AND suzD mTO THE TeLEPHONE roLE || N THE WAST SID8 OF LAKE AVE. AT ‘Tit INTARGECTION OF SHERSORNG AVE. VEHICLE THEN COMTNUED 3M SEFORE STOPPING AROUND THE CORNER. OPERATOR OF VEHICLE #1 HAS ALONE AND NOT HUET, VERTCLR ES TONED BY TET TO TTT TOWING. OPERATOR OF VELeLE #1 I6SUED UIT'S ON ABOVE CHARGES, OSEERTOR SIVEN A RIDE TO A FREINDS HOUSE BY PATROL. NYSEG NOTIFTED OF POLE DAMAGE AND WAS SENDING IN ovsoue OUt 10 VERIFY 1? THE POLE NEEDS TO SE REPLACED. PATROL Clan WriuouT POETHER | oo Se is Tce BSN or iw Tr wre re A hla 2 4 afae[™ ~[- = = MACIEJRWSKI, J L | ‘ bt 1 4A y 8 e v 5 ]Bacge00 We. "NCIC Ne, | PrecinctPPost | StationlBeat | Reviewing Officer [DaterTime Reviewed ° [TroopiZone | Sector oos2 | onsen | ee 93/29/2035 Soi ciae neo New York State Department of Motor Vehicles [Swan POLICE ACCIDENT REPORT 7 MV-104A (3/04) RTLWOS46302K = — —— ae ie ar a Oe ana 3 | 2e | 2035 |saturday | o3:a1 |? ° 0 [naire Rcoraeced EJ | | Chver Bahn ea Ten — resets! Hirai Clonee [Seer none Se cee bn ay fae ear a Exersece aia a ST es as ran lever ee te a SRT Sch ag ib it ie i SSG. Or oooh = Jv] mere tome ow | [sagemin ze et he vorces E| G renansa tee | Sea eae eo aS _|5| 8 teeentetronortonansume — |H "|e spopes a fl enlace 7 fee lc c| ioe tome * L PBT Powermeeet C en | = E|Bxd- ton Secs et PR |e | Serger OT facoewToadean fs agen Ln oe 7 ieee | veut tte coon [J ‘oventinen Gna eat apa my oe vce wo ren FE Cltinwetnewacerane Tivos CIN ce | atesctemn [Soy ae Tomo } | fowl en io et cared = lerghintaing | iinatig : To eee Pet TESTE testament es liNcioair Fropercy Denage by Unit #01 - TELEPHONE POLE, NYSE omcroce— er> ae nk PaETST wm NCR PrntNane iy GOuDALSRT 01467 otk State Department of Motor Vehicles POLICE ACCIDENT REPORT MV-104A (3/04) Pore Eg, Pa See omen aia ara savurday | 03:22 [SO | 0 | 0 _fiiteimecnaccee ET] _| Dover in las aa ~

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