Prosecutors read aloud statements that suspect Chanel Lewis gave to police, including asking them to tell his mom that he was sorry.
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He is accused of attacking Vetrano, 30, last August when she was jogging near her home in Howard Beach.
Lewis, a 20-year-old Brooklyn man, told NYPD detectives he "just lost it" when he encountered Vetrano on a jogging path, according to prosecutors.
Vetrano "didn't do anything," Lewis said. "I was just mad at the time. I beat her to let my emotions out. I never really meant to hurt her, it just happened."
The never-before-heard brutal details of Vetrano's death came from statements Lewis reportedly gave to police.
Lewis pleaded not guilty to the charges. He will return to court on July 13.
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According to the account Lewis gave detectives and read in court: Lewis fought with Vetrano for about five minutes. She scratched his face. He hit her five times, breaking her teeth and knocking her out. Lewis said he got "madder and madder and I strangled her" before she fell into a puddle and drowned.
He later told his mom he fell when she asked about the scratches on his face.
Lewis was taken into custody February 4th. The following day when he was booked, police say he said "Tell my mom that I'm sorry", and "Can I speak to someone from the victim's family? I'm sorry for what I did."
Both Vetrano's mother and Lewis's mother were in the courtroom Tuesday. Court officials said Vetrano's mother appeared to be listening intensely while Lewis's mother was crying as the statements were read.
Some of the admissions were made on a videotaped interview, while others were given orally to prosecutors and detectives.
Lewis now faces 13 counts of murder and sexual abuse in Vetrano's death.
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He faces up to life in prison without parole if convicted.
RELATED: What we know about Chanel Lewis
District Attorney Richard Brown said that according to the charges, Vetrano was jogging alone in Spring Creek Park in Howard Beach on Aug. 2 when she was attacked by Lewis.
Vetrano's body was discovered by her father and the police later that day lying in a marshy area, about 15 feet from a trail near 161st Avenue and 78th Street in the park.