fr.r i/.

,r llr
. O.r..tFnr d U.ld vrr*r..
llr|UTIO ltf oiLatD coal'(-^lrt
88073487'1 Ill P.oOL oi li. lt t. or {.i Yo{r va

!!qq!. qrr!!! t*oorYl

6
yyr. vui yr
L I

ldaaqwt@
{{. vtx vlx urr erk co!o.

lNEt[rnT./-t
o K lall

O?at +,4 r,.rh i te ,,r+,Y-l

(Co,*r. o J ua'.)

O ,B.t vlo( roi!..u { o. fr. O Chy OT n Q Mruc. O crt nl^:l () Ol.fl.r

o irui.Y .& 4.6!_ o. a 2.nroi. oi

(l!, e.r
^rE a r r€r.oN 4

880734871
lilillil lliilllil lllil lllil flil lllll llrfl lllililillill
r,.
oal . . couil, c}r\-
cr 'AA ' lrr
JUSNCE COURI1
*:m:xruBmmvro
THE PEOPTE OF THE STAIE OT
./uL I 5 ?02t

COURT

rJlrrritr:l {E{:r {- ,r4r,o.- n o. 0.,.,.0

9.^,C.-., 0.
tldrx,Illr.: O B.rd' T.d
aon .arodr. o(dr.
tr 9ed.aon
B.l/t q.. O o(rT.ar 0.
Erodo. oa
o,q/r
-r
Sio(dr(,l^lcoatolc hd-t- r Mod.l f
O hp.rrd SF.d! -i(
P lnv.hd l,loLr C@*'dc., -8"A.c.
O on*
tr l(od OL.ll O'.ffilnlJE Id(.) OR.U.d
oa H.ld
ph.
O o{zoNyqdr { o rirtL
o tr I{ Lo{oi o{ l- b.

$rAal tr o.b l' ! &..td v"d

tr
tr
E
o
o o
O R.fr.J
O FhC.r b No..
a932(b) o o o
.9{2(dl O Rhd$.r!T.d O tl Alv l {e.-q.)
qr ds&b O Flle.rca,rl q o o tr O Brrtl C..o(r.t.
o.Gt* B 4e..2(b)
tr D
* avir r,rr, thqd)
Ptrrrs OF&ryBWt 4e.3r)
O O0f,vlr vdad{t)
O oordldill old.d:
{*.r7-rrvffingEqrr:lEt=lrllf- E otl..rrtr OL.rd.)
B.ilrtnL.L.!. BYt D.d..t
@ for t"- *,.t . e) O Orrr AJ+rfl-tc.{S&a$7llsc. 4}r!)
D Cdld,(t
f^..Uqtl O Ptlodty o..ir.!. Sdltit! TdRdrid
. O illry (otE t'.n O.{d'dtnt)
O iri idarurrr rnrac neon s! Frkttd..s.
O Ctdi.d T..l R{l,C Cl- 'A: fitddr.rr p{rsrtrt b Sodron 219.45
tr sdloti. Phlsicd k!u.Y B R..rCd a9frdtido0
. / Efdtv tr Ofrd:
EI ct!{$ codd*tr
O Bo..d.r0 c. 6u Evldoct 3 ro6oryt:
EI oot .: O Opdl cq{dnd c, m r'&ott ac Bdslo€
r.'r 0.610o
Irf5E{lt.r#.:t.rElrffi!'rr:.
^r.,pM #I*#*_*r*
g cr{- ranh..... "-
E:0D*6)
OCqtdd.t rl!CbrErrE O \ad.o
Ecr.r-'Ut n{.stU".llt'o,' O odE
trtrdqi.(s..Nt't.8)
$ ruc,c. occvrrone s uoli!:
O clch.ldit t tc Hdn O Stso.tro Oqodooi Sorv.d o.r
'O ocaald-r ;t rE v!6d tr Vdoo
- b'e.t
'& Kq/3hrE
OEjreh Rr,Iiq
D clts:
o otui{ rt,ld h qac!
E Orre. CO(RfCOPY OISTRICI ATTORI IEY
OEFEiDIAI\II POUCE COPY
rc*ei o:r
^dalTo
',1, <t,y^
g fd:n *n, a% ?i.o!r{oncE
eE.cptei. liet.rt". . Al . k:= 4^ r -_:-l
^RRE$
f'tEASE TArG {OT|C€ IiATT}G pEOpLE puRsuaar To S€CTlOa{ 710!, Of ItlE cRi,O{ l PTTOCEDURE L tfa.I{rENDIO USEAIL STAIETTENIS OR
AO'.{SSIOIIS REFIECIE T€REN MAE BY IHE O€FENT)ANT TO A TAW ENFGCEI,IENT OFFIOAL
B- rcot{vER5aTx,a{ -t-- C. I,EITF|CATIOIi OF TE ENOAXT
El'Cdftrdon at r rs rodrc
a /PM o.to O cdtrdn bn byd6pao T.

OEFENOAT{T
b€f NoArrs D TtiAr tGrsrE: g ft.vdo.r d q*do. (6 t+6 taEoc.a&r)
u vDEo //,
tld ndry-Tlpe O Y.6 tlfto
O opdaGd tt6 \466d
D on Not Odi< Shoe op-dfdr
d \,rrrsd C€.6d
O llb tlocoo8E nur
I Hd PridAlcohd CdiiddiB E Was P,oc€.<iE tsff
O ticlrt!. y BIU SEp,R.voc O Hrd Pdo.Alohd CqlkLrE
D qrsnya!$ Susp/R6\r
-
tr lirodd tld I{(! . Sd..riig Ie{ 13
lrro(lE ttd lalc . scld*E T.6t
E 7lo.3o Notie .d.d on o.l6d.lrt
E lA(Irrd tlot T&. otr*l Td E
O \ibiH ilot ftL. A Chai(.l Te3I
tr/AS rr aTTACmE TIGRETO
o As !l arracrstErr tiERETo
fl OoE
lr*,t, ii.' I'.duf n' aorRIcoFY o6Rtcr^[cRr€Y
 M !l.v (6/17)

.$el[ffirni?:,;: REPORT OF REFUSAL TO SUBMIT TO CHEMICAL TEST - VESSEL/SNOWMOBILE

(ll a compulsory chomlcel loEl wos admlnlslorad putsuonl lo Socllon lg-a(8) ol lho Nevlgdllon l.dw, ot
Socllon 25.21 (f) ol lho Prtks, Recrcallon end Hlslorlc PtceoNallon Ltw do nol c,otrflola lltt kyn.)

RECEIVED
this ltqort ofRcfusal to Submit to a Chcmical Tcst is bcing issucd in accordancc with:
Eficction 49-a of tlc Navigation l-aw (for vcsscls) - OR - .iut I 5 202t
E Scction 25.24 of tlrc Parks, Recreation and llistoric Prcscrvation Law (for snowmobilcs)

Keep gtoon copy; tum In goldenrod, whlte & plnk coplo8 to tho courl rt the analgnment; brlng the yallow copy lo th! Motor Vchlcllt hrlrlng.
Affer lhe srtalgnment, keop tho pink copy foI court recor&. Wthln 48 hours of the analgnmont, lond tho whlt6 copy, aloog wllh I copy
ofthe'Notlc€ of Temporary Suspension and Notlco of H6srine-Vossol/Snowmoblle' (AA.137V) lo th6 Dop!(m6nl ol Motor Vohlclor,
Safety Hearing Bureau, 6 Empke State Plaza, Albeny, NY 12228. Sond the Oold€nrod copy to th6 Ofilco of Prrt!, Rccroetlon & l.ll.tortc
Presorvation, Bureau of Marine & Recroatlonal Vehlcles, Agency Bulldlng Ono, Emplre Stsle Plaza, Albany NY 12238'0001,

Operator's Name Date of Birrh I Sex: Eh4 tr F

Address Zlp Code l?alo --
Registrallon or Dc1lm6nt No. ofvossousnownobllo (or Hull lD No.trr'chiclo lD No., It not lvrllrblc)6nd Opc.6tor'! Llccn!. { ll$uhgAr.hcy
redttry. qq 6 6-7
jurisdiction or
9 Xf, a {0 5
Did an accident occur? EI
New York Stato County of Town/City of l'l* H-.,-
Police Oflicor deposos and says that: On this

yearof 2'tLL( at

he/she arrest€d the above operator on a charge of violating:

Check ONE Box: Check Appllcabls Box:

S Section 49-a of the Navigation Law d
openerrHo wulLE rN AN rNroxrcATED coNDrroN
E Seciion 25.24 of the Parks, Recreation and
D Opf Rlftlle WHILE ABtLtW IMPA|RED By THE USE OF A DRUG
Historic Preservation Law O openattruo wHtLE ABrLrry tMpAtRED By rHE coNSUt\rploN oF ALCoHoL
and he/she had reasonable grounds to make the arresl based on information regarding operation (such as accident involvement,
Law' etc'-sive detairs)' 0{ '' '
!T";:"'.*:;::1:Law,an.ssecrear'.7)?].W";servation 5
impairment or odor, etc. ve details
'va ,rll
The operator was as follows:
Refusal to submit to a chemical test, or any portion thereof, will result in the immediate suspension of your privilege to operate advessel
E snowmobile whether or not you are found guilty of the charge for which you are arested. Your refusal to submit to a chemical test, or
any portion thereof, can be introduced into evidence against you at any trial, proceeding or hearing resulting from this arrest.
After receiving this waming, the operator)ras asked to submit io a chemical test to determine the alcoholic and/or drug content of his/her blood.
The operator refused to submit lo a ffslooo l-1. utllte E snlvn E BREATH test and indicated his/her refusat by:

in the presence of o 5in ra'r at

No compulsory chemical test was administered,

Recreation and Historic Preservation Law.

l;liili,?::i" \ n{rrh,,Jpz Q_,\;*r,.. Name a.nd P.ank of @cer civrng Warnrno I W,tnessinq netusat r,iirnoiirres ilTJ
Number
Ta( Registry J
Anilr
Tax Registry
L^ \trh. Dcn'/nl
Number I- ----=t--_lf-
(NYC only) (MYC only)

ffff* Sarn+no-'/. (.r^.fv li:*'*' liXf,\(.(hq- l'ou^k ll'"i"*'

ID,l"
T""':4T.
| //'v
l0rrllra\ T"*'"r ) J^{w
0
'ff1 rtt D. I
.L# -
STATEMENTS MADE IN THIS REPORT ARE PUNISHABLE AS A CLASS
-- '4" ursormentoryfuNDER sEcloN 210.4s oF THE eENAL LAw
 (tI17)
^^"$iv
REPORT OF REFUSAL TO SUBMIT TO CHEMICAL TEST . VESSEL/SNOWMOBILE
(ll a cotnpulsory chomlaal lorl wat edmlnlelorad pursuant (o Soct/on 49-a(8) of lha Navlgallon Law, or
'+tr-lfffrni?:,:: Socllott 25.24 (7) of lho Parkr, Rocuallon and Hlalorlc Pasoryallpl Lqwrdo-nat oonflato lhla lorn.)

Pleasc clred gll appropriatc boxcs ort tlrir prgc, Proes hard; you ere maklng I ooplot,
RECEIVED
Thic Repn of Rcfusal to Subn'iit to n (lhcnrir:nl 'l'cnt ir, bcing issued in accordrncc witlr:
El'iection 49-a of thc Navigttion taw (lirr vcsscls) - OR - ,JUl_ I 5 20?t
EI Scction 25.24 of thc Purks, ltccraotion and t listoric l'rcscryntion Law (lbr rnowrnobllcs)

Keep groon copy; tum ln goldonrod, whltc & plnk coploa to tho courl .l tho lrralonment; bdng tho ycllow copy to th6 Moior Vehlclcr hoadng.
Afler the arralgnmcnt, kocp tho plnk copy for court rocords, Wlthln 48 houra of tho rrralgnmont, osnd ths whlto copy, tlong wllh r oopy
of the "Notlce of Tomporery Surpenalon and Notlce of Hearing-Voacol/Snowmobllo" (AA-137V) to the D6partmeni of Molor Vehlclca,
Safety Hoaring Bureau, 6 Emplre Stato Plaza, Albany, NY 12228. Send the goldonrod copy to tho Ofilce of Parka, Rocrcrtlon a Hlrtorlc
Preservation, Bureau of Marlno & Recreatlonal Vehlclos, Agency Bulldlng Ono, Emplro Stato Plaza, Albany NY 12238.0001 ,

\,
i ,1 'j
Operator's Nane DateofBlrth Sox:EM trr
Address : State r' ZlpCode

Registratlon or D0cument No. of VesseUSnowmoblle (or Hull lD No.Nohlcle lD No., lf not avalhblc) .nd lssulng Agoncy

' ' ' l'l t: i,", l'/

Jurlsdlc{on of regbtry.
'j
I tY

Did an accidenl occur? EYes E ruo

New York State County of Town/Clty of

Police Officor doposes and says that: On thls.

- day of ln the

year ol at
' (SpcdflCLocetlon)
he/she arrested the above operator on a charge of violating:

Check ONE Box: Check Applicable Box:

fl Section 49-a of the Navigation Law EI oprRnrrNc wHrLE rN AN rNToxtcATED coNDtloN
E Section 25.24 of the Parks, Recreation and E opeRRrrNG wHrLE ABrLrry tMpAtRED By rHE usE oF A DRUG
Historic Preservation Law D
oprRRrrNG wHtLE ABtLtry IMpAIRED By rHE coNSUMploN oF ALCoHoL
and he/she had reasonable grounds to make the arrest based on information regarding operation (such as accident involvement,
observedviolationoftheNavigationLadParks,RecreationandHistoricPreservationLaw,etc.-givedetails),
t
i.

and impairment or intoxication (such as poor coordination, alcoholic beverage odol etc.-give details).

The operator was warned as follows:

Refusal to submit to a chemical test, or any portion thereof, will result in the immediate suspension of your privilege to operate a E vessel
f] snowmobile whether or not you are found guilty of the charge for which you are arrested. Your refusal to submit to a chemical test, or
any portion thereof, can be introduced into evidence against you at any trial, proceeding or hearing resulting from this arrest.
After receiving this warning, the operator gas asked to submit to a chemical test to determine the alcoholic and/or drug content of his/her blood.
The operator refused to submit to a E6IOOO E Untue fl SnltVn E aRfRfH test and indicated his/her refusal by:

(Conduct or words used by operaloal

in the presence of at 'i : ! :, ,r:

(Ufitcer gNtng wamtng and wilnessang retusal, if not arresting officer)

No compulsory chemical test was administered, pursuant to E Section a9-a(8) of the Navigation Law D Section 25.24(7) of the parks,
Recreation and Historic Preservation Law.

Name and Rank of Name and Rank of Oflicer Giving Warning & Witnessing Refusal (lf not arresting officer)
Arresting Officer
Tax Regist'y Number Tax Registry Number
(NYC Only) (NYC Only)
Police Precinct Police Precinct
Agency No. Agency No.
Signature )ate Signature )ate
) t,t ) I I
FALSE STATEMENTS MADE IN THIS REPORT ARE PUNISHABLE AS A CLASS "A'' MISDEMEANOR UNDER SECTION 210.45 OF THE PENAL LAW
 S1'A'I'Ii OF NIiW YOITK (:oLJNl'\' Ol; SAltAl'(X;A
1'O\\/N OI; MAt-l_A .IIISTICIi COL'ITT

]'HIi PI|OPLE Otr TIIti s.rATIi ol. NIi\\/ },oRK,

-flgrinst- Notlcc of Mollon hy l'rosccutor ln

Sunnort of Motlon (o Adlourn
Procccdlnes ln Locfil Crlmlnal Courr
r.rn Mlsrlcntcnnor Chnrge to Prcscp I
Chnrqc to r Gmnd Jun'

I]LAKI! A, IIEFLIN
Dcfcndnnl,

PI-ltAsE TAKE NorlcE, thal upon rhe anncxed alfirmalion and all thc prior papcrs and
proceedings herein, thc undcrsigned rvill movc rhc Malts .l-own court, on the ii ,day of Luty, zoz
t
or as soon thereafter as counsel can bc hcard, lor an order pursuant to scction 170.20(2) ol'ihc
Criminal Procedure I-aw removing thc proceedings conccrning rhe nrisdemeanor charges against
the abovc'named dclendant so that said chargcs nra1, bc presentecl to a grand jur1,, and lbr
such
other rcliel'as the Court deems pr-oper.

Dated: July 6, 2021

Llallston Spa, New york

KAIT-EN A. HEGCEN

IJA\\}i M. I,F]SC
25 \\/csr I{igh Sr rccr
ISallston Spa, NY I
(s l8) 885-2263

TO: Malta Town Court

Saratoga Springs Cit1, Court
Matthevv Chauvin, Esq, attomey lbr the dcI'cndant
 st-Al'ti ol.' Ntiw Yol(K CoIJN'I'Y OF SN RA'I'OCA
.IUSI'ICIl COURl' x)wN ol; MAt.'t'A

]'IJI ptiot,t.l: or THli sl'A't[ oF Nl:U/ yottK,

-ogoinsl- Afflrmnllon ln Sunnort of
Cl)1. 170.20 (2) Motlon

BLAKE A. IJEFI-IN.
Delbndant.

SI{AWN M, LESCAULT, art attonrcy duly adnrittcd lo practicc in thc Courts olthis Srorc,

hereby alfirms under pcnalty ofperjury that thc following stalernents arc lruc, and as to thosc nradc

upon inlbnnatior: and bclicfbelieve them to bc lruel

l. I am an Assistant Districl Attorney in thc office of the Dislricl Alromey lbr Sararoga

County.

2. On ol about .lu11, 6.2021. a Sinrplified Inlbrnration u,as issucdand l'iled in thisClourr

on July 6, 2021, charging thc above-named Defendant with tJoating Whilc Intoxicated in violarion

of NAV l-aw ga9-a(2)(d),

i. No plca ol'guiltl' has been entered \\'ith respccl to the alorementioued chargc or anv

other chargcs. nor has a trial been commenced thereon.

4. The f)istrict Attorney intends to present lhc misdemeanor charge (and/or additional

felony charges) against the Defendant to a Crand Jury with a view toward prosecuting by indictnrenr

in superior court.

5. No prior application for the relielsought herein has been made.

WHERIFORE, the District Attomey requests that this Coufi issue an order adjouming the

proceedings ofthe aforesaid charges so that said charges may be presented to a grand jury with a
vic\\'lo procccding by indictnrcnl in supclior court, rnd lirr such othcI and Ihrthcr rclicl'as lhc cr:u11

secnrs jusl and propcr.,

t)atcd: .lLrly 6. 2021

I)aliston S pa. Ncrr, \'ork

SharVn M, Lcscaul