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20190403 parr19040302 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8WL WISCONSIN MOTOR VEHICLE CRASH REPORT Secondary CrashAmendedCrash Type NON-DOMESTICATED ANIMAL W/ NO INJURYReportable TagsSchool Bus Related NOActive School ZoneGovernment Property Reporting ThresholdTrailer or TowedWork ZoneLane ClosureHit and RunOn Emergency Total Killed 00 Total Injured 00 Total Units 01 Time Notified 12:59 PM Date Notified 04/03/2019 Time ArrivedDate ArrivedCrash Time 12:47 PM Crash Date 04/03/2019 Investigating Officer/Deputy DEPUTY MICHAEL SIMPSON Agency Crash NumberPrimary Crash Document #Document Number Override 6VL13MV8WLI, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. Structure Type Y Coordinate 5069736 X Coordinate 171303.140625 Longitude -91.22252031 Latitude 45.703087847 ON STH40 NB 1.11 MI S OF BALCZEWSKI RD IN THE TOWN OF WEIRGOR IN SAWYER COUNTY Location Special StudyAccess ControlTribal Land Crash Classification - Jurisdiction NO SPECIAL JURISDICTION Crash Classification - Location PUBLIC PROPERTY Relation To Trafficway TRAFFICWAY - ON ROAD Animal Type DEER Weather Condition(s) Environment Factor(s) Roadway Factor(s)Road Surface Condition(s) Light ConditionManner of Collision NO COLLISION W/VEHICLE IN TRANSPORT First Harmful Event Location ON ROADWAY First Harmful Event NON DOMESTICATED ANIMAL (ALIVE) Crash Scene Road GradeRoad CurvatureSurface Type Traffic Control Inoperative/MissingTraffic ControlTraffic Way Emergency Motor Vehicle Use NOT APPLICABLE Special Function NO SPECIAL FUNCTION Most Harmful Event: Collision With NON DOMESTICATED ANIMAL (ALIVE) Total LanesSpeed LimitPre CrashTire Mark Direction Of TravelInsurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 1 Operating As EndorsementsVehicle Type (SPORT) UTILITY VEHICLE01 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITCrash Time 12:47 PM Crash Date 04/03/2019Wisconsin Motor Vehicle Crash Form DT4000 1 of 3 This report does not include any CJIS data. 19040302 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8WL WISCONSIN MOTOR VEHICLE CRASH REPORT Truck Bus or HazMat NO Owner AddressOwner Name01Driver Distractions NOT DISTRACTED 01Driver Actions NO CONTRIBUTING ACTION Driver Prior Action Other Vehicle FactorsWhat Driver Was Doing Vehicle Removed By OPERATOR Towed Due To Damage NOT TOWED Extent Of Damage FUNCTIONAL DAMAGE Vehicle Damage 11--LEFT FRONT CORNER, 12--FRONT Initial Contact Point 12--FRONT Bus Use NOT A BUS Body Style 4H - HATCHBACK 4 DOOR Color BRO - BROWN Model EXPLORER Year 2014 Make FORD Vehicle Identification Number 25740101 Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number VEHICLEUNIT Vehicle UNITVEHICLEGovernment STATE OF WISCONSIN Insurance Company SELF-INSURED Policy Holder UNITTint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position Safety Equipment SHOULDER & LAP BELT On Duty Crash POLICE Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address SPOONER, WI 54801 , US Race WHITE Date of Birth 09/15/ Sex MALE Citations Issued 0 Driver ITEquipment Individual UNINDIVIDUALCrash Time 12:47 PM Crash Date 04/03/2019Wisconsin Motor Vehicle Crash Form DT4000 2 of 3 This report does not include any CJIS data. 19040302 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8WL WISCONSIN MOTOR VEHICLE CRASH REPORT Injury Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00101Drug Test ResultsDrug Test TypeDrug Test Given TEST NOT GIVEN Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given TEST NOT GIVEN Suspected Drug Use NO Suspected Alcohol Use NO Action Other Action To/From SchoolLocationPrior ActionStriking Unit # Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED Trapped/ExtricatedEjection PathEjected AirbagInjury Severity NO APPARENT INJURY00101 UNIT Non Motorist INDIVIDUALCrash Time 12:47 PM Crash Date 04/03/2019Wisconsin Motor Vehicle Crash Form DT4000 3 of 3 This report does not include any CJIS data.