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20190103 STOLTZ.pdf19010305 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55KZ WISCONSIN MOTOR VEHICLE CRASH REPORT Secondary CrashAmendedCrash Type DT4000 (STANDARD CRASH)Reportable TagsSchool Bus Related NOActive School ZoneGovernment Property Reporting ThresholdTrailer or TowedWork ZoneLane ClosureHit and RunOn Emergency Total Killed 00 Total Injured 00 Total Units 02 Time Notified 04:07 PM Date Notified 01/03/2019 Time Arrived 04:40 PM Date Arrived 01/03/2019 Crash Time 12:00 PM Crash Date 01/03/2019 Investigating Officer/Deputy DEPUTY AMANDA REED Agency Crash NumberPrimary Crash Document #Document Number Override 6V L 1 3 J 5 5 K Z Additional InformationPHOTOS Photos ByDEPUTY AMANDA REED #356 Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. ON JANUARY 3RD, 2019, I, DEPUTY REED TOOK A REPORT OF A HIT AND RUN ACCIDENT. COMPLAINANT STATED SOMEONE HIT HER PARKED VEHICLE AT HER PLACE OF EMPLOYMENT LOCATED IN WINTER WI. STATED SHE DID NOT KNOW WHO, DID NOT SEE INCIDENT AND THERE ARE NO SURVEILLANCE CAMERAS THERE. I LATER MET AT HER HOME AND PHOTOGRAPHED THE DAMAGE TO HER VEHICLE. NO FURTHER INFORMATION AT THIS TIME. Crash Time 12:00 PM Crash Date 01/03/2019Wisconsin Motor Vehicle Crash Form DT4000 1 of 5 This report does not include any CJIS data. 19010305 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55KZ WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type HOUSE/BUILDING Y Coordinate 5082240 X Coordinate 188362.671875 Longitude -91.011977508 Latitude 45.823239054 PARKING LOT STROUF AVE LOT 6617W (HOUSE/BUILDING 6617W) IN THE TOWN OF WINTERIN SAWYER COUNTY Location Special StudyAccess Control NO CONTROL Tribal Land Crash Classification - Jurisdiction PRIVATE PROPERTY Crash Classification - Location PRIVATE PROPERTY Relation To Trafficway NON TRAFFICWAY - OTHER Animal Type Weather Condition(s) CLEAR Environment Factor(s) NONE Roadway Factor(s) NONE Road Surface Condition(s) DRY Light Condition DAYLIGHT Manner of Collision 05--SIDESWIPE/SAME DIRECTION First Harmful Event Location IN PARKING LANE OR ZONE First Harmful Event MOTOR VEH IN TRANSPORT Crash Scene Intersection Type NOT AN INTERSECTION Junction Location NON-JUNCTION Within Interchange Area NO Truck Bus or HazMat NO Road Grade UNKNOWN Road Curvature UNKNOWN Surface Type BLACKTOP (BITUMINOUS) Traffic Control Inoperative/Missing NO Traffic Control NO CONTROL Traffic Way PARKING LOT OR PRIVATE PROPERTY Emergency Motor Vehicle Use NOT APPLICABLE Special Function NO SPECIAL FUNCTIONMost Harmful Event: Collision With MOTOR VEH IN TRANSPORT Total Lanes 0 Speed LimitPre CrashTire Mark Direction Of Travel NOT ON ROADWAY Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 0 Operating As EndorsementsVehicle Type PASSENGER CAR01 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status LEGALLY PARKED Unit Summary UN IT Extent Of Damage MINOR DAMAGE Vehicle Damage 7--LEFT REAR CORNER, 8--LEFT SIDE REAR Initial Contact Point 7--LEFT REAR CORNER Bus UseNOT A BUSBody Style 2D - 2DR Color GRY - GRAY Model ALTIMA Year 2008 Make NISSAN Vehicle Identification Number 63550101 Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number VE H I C L E UN I T Vehicle Crash Time 12:00 PM Crash Date 01/03/2019Wisconsin Motor Vehicle Crash Form DT4000 2 of 5 This report does not include any CJIS data. 19010305 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55KZ WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address RADISSON, WI 54867 , US Owner Name 01 Driver Distractions 01 Driver Actions Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing LEGALLY PARKED Vehicle Removed By OWNER Towed Due To Damage NOT TOWED UN I T VE H I C L E Sequence Of Events EventMOTOR VEH IN TRANSPORT01 EventPARKED MOTOR VEHICLE02 Event 03 Event 04 IndividualInsurance Company INTEGRITY-MUTUAL-INS-CO Policy Holder UN I T Truck Bus or HazMat NO Road Grade UNKNOWN Road Curvature UNKNOWN Surface Type BLACKTOP (BITUMINOUS) Traffic Control Inoperative/Missing NO Traffic Control NO CONTROL Traffic Way PARKING LOT OR PRIVATE PROPERTY Emergency Motor Vehicle Use UNKNOWN Special Function UNKNOWNMost Harmful Event: Collision With PARKED MOTOR VEHICLE Total Lanes 0 Speed LimitPre CrashTire Mark Direction Of Travel UNKNOWN Insurance? UNKNOWN Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 1 Operating As EndorsementsVehicle Type PASSENGER CAR02 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status HIT AND RUN Unit Summary UN IT Country of IssuanceStPlate TypeLicense Plate Number Vehicle Crash Time 12:00 PM Crash Date 01/03/2019Wisconsin Motor Vehicle Crash Form DT4000 3 of 5 This report does not include any CJIS data. 19010305 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55KZ WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address , , Owner Name 02 Driver DistractionsUNKNOWN IF DISTRACTED 02 Driver Actions UNKNOWN Driver Prior Action Other Vehicle Factors UNKNOWN What Driver Was Doing UNKNOWN Vehicle Removed By OPERATOR Towed Due To Damage NOT TOWED Extent Of Damage UNKNOWN Vehicle Damage UNKNOWN Initial Contact Point UNKNOWN Bus UseNOT A BUSBody StyleColor ModelYearMakeVehicle Identification Number 0202 VE H I C L E UN I T UN I T VE H I C L E Sequence Of Events EventMOTOR VEH IN TRANSPORT01 EventPARKED MOTOR VEHICLE02 Event 03 Event 04 Helmet ComplianceHelmet Use Seat Position 1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY Safety Equipment NONE USED - VEHICLE OCCUPANT On Duty Crash Driver License NumberAddress , , RaceDate of Birth SexCitations Issued 0 Driver IT Equipment Individual UN IN D I V ID U A L Crash Time 12:00 PM Crash Date 01/03/2019Wisconsin Motor Vehicle Crash Form DT4000 4 of 5 This report does not include any CJIS data. 19010305 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55KZ WISCONSIN MOTOR VEHICLE CRASH REPORT Injury Drug & Alcohol Individual Condition NOT OBSERVED Drug Type 00 1 02 Drug Test ResultsDrug Test TypeDrug Test Given TEST NOT GIVEN Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given TEST NOT GIVEN Suspected Drug UseSuspected Alcohol Use Action Other Action To/From SchoolLocationPrior ActionStriking Unit # Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED Trapped/Extricated NOT APPLICABLE Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT APPLICABLE Airbag NOT APPLICABLE Injury Severity NO APPARENT INJURY00 1 02 Tint ComplianceEye Protection UN I T Non Motorist IN D I V I D U A L Crash Time 12:00 PM Crash Date 01/03/2019Wisconsin Motor Vehicle Crash Form DT4000 5 of 5 This report does not include any CJIS data.