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20190525 kannegiesser-deverneyON MAY 25, 2019, I, DEPUTY AMBER AL-MOGHRABI WAS WORKING PATROL FOR THE SAWYER COUNTY SHERIFF'S DEPARTMENT. AT APPROXIMATELY 15:26 I WAS ADVISED BY DISPATCH TO RESPOND TO HATCHERY ROAD AT THE FISH HATCHERY PARK FOR A REPORT OF A TWO VEHICLE ACCIDENT. DISPATCH ADVISED THAT THERE WERE NO INJURIES, BUT THAT PEOPLE WERE ARGUING. I WENT EN ROUTE AND ARRIVED ON SCENE AT 15:29. UPON ARRIVAL I MET WITH A MALE SUBJECT WHO IDENTIFIED HIMSELF AS . HE STATED THAT HIS VEHICLE WAS ONE THAT WAS INVOLVED ALONG WITH A FEMALE SUBJECT WHO IDENTIFIED HERSELF AS . I RAN THE LICENSE PLATES FOR BOTH VEHICLES WHO CAME BACK TO BOTH OF THOSE SUBJECTS. I ASKED DISPATCH TO RUN THE REGISTERED OWNERS OF THE VEHICLES AND ADVISED THAT THEY WERE MY DRIVERS. I ASKED TO TELL ME WHAT HAPPENED. SHE STATED SHE WAS BACKING OUT OF HER PARKING SPOT AND AS SHE DID S DID THE SAME THING AND THEY DID NOT SEE EACH OTHER AND HIT. SHE STATED SHE WAS WEARING HER SEATBELT AND WAS THE ONLY PERSON IN THE VEHICLE. ALSO PROVIDED ME WITH HER INSURANCE CARD WHICH WAS THROUGH STATE FARM INSURANCE AND ADVISED ME THAT SHE LOOKED OVER HER VEHICLE AND DID NOT NOTICE ANY DAMAGE. SHE STATED SHE HAD A MARK ON HER CAR FROM BEFORE, BUT THAT WAS NOT FROM THIS INCIDENT. I WENT AND SPOKE TO AND ASKED HIM WHAT 19052532 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13W8HLD WISCONSIN MOTOR VEHICLE CRASH REPORT Secondary CrashAmendedCrash Type PRIVATE PROPERTY/PARKING LOTReportable 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 03:26 PM Date Notified 05/25/2019 Time Arrived 03:29 PM Date Arrived 05/25/2019 Crash Time 03:25 PM Crash Date 05/25/2019 Investigating Officer/Deputy DEPUTY AMBER ALMOGHRABI Agency Crash NumberPrimary Crash Document #Document Number Override 6VL13W8HLDAdditional InformationPHOTOS Photos ByDEPUTY AMBER AL-MOGHRABI Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. Crash Time 03:25 PM Crash Date 05/25/2019Wisconsin Motor Vehicle Crash Form DT4000 1 of 7 This report does not include any CJIS data. HAD HAPPENED. HE ADVISED OF THE SAME THING AND STATED THEY DID NOT SEE EACH OTHER. HE STATED HIS WIFE WAS ALSO IN THE VEHICLE WITH HIM AND THAT THEY WERE BOTH WEARING THEIR SEATBELTS. PROVIDED ME WITH HIS INSURANCE CARD WHICH WAS THROUGH GEICO INSURANCE AND ADVISED ME THAT HE HAD A MINOR SCRATCH ON THE DRIVER SIDE OF THE REAR OF HIS VEHICLE. I LOOKED AT THE SCRATCH AND TOOK PICTURES OF IT WHICH WILL BE ATTACHED TO MY REPORT. I ADVISED TO CALL HIS INSURANCE COMPANY TO ADVISE THEM OF WHAT HAPPENED AND THEY WOULD ASSIST HIM WITH GETTING IT FIXED. I PROVIDED BOTH SUBJECTS WITH MY BUSINESS CARD. SEE REPORT FOR MORE. 19052532 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13W8HLD WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type NO STRUCTURE Y Coordinate 5105954.5 X Coordinate 157017.46875 Longitude -91.431295369 Latitude 46.021180709 ON HATCHERY RD 0.67 MI N OF STH77 EB IN THE TOWN OF HAYWARD IN SAWYER COUNTY Location Special StudyAccess Control NO CONTROL Tribal Land Crash Classification - Jurisdiction NO SPECIAL JURISDICTION Crash Classification - Location PUBLIC PROPERTY Relation To Trafficway NON TRAFFICWAY - PARKING LOT 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 04--REAR TO REAR First Harmful Event Location OFF ROADWAY, LOCATION UNKNOWN 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 LEVEL Road Curvature STRAIGHT Surface Type SLAG, GRAVEL, OR STONE 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 FUNCTION Most Harmful Event: Collision With MOTOR VEH IN TRANSPORT Total Lanes 2 Speed Limit N/A Pre 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 1 Operating As EndorsementsVehicle Type (SPORT) UTILITY VEHICLE01 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITModel PACIFICA Year 2006 Make CHRYSLER Vehicle Identification Number 75330101 Country of Issuance UNITED STATES St WI Plate Type DIS - DISABLED License Plate Number Vehicle Crash Time 03:25 PM Crash Date 05/25/2019Wisconsin Motor Vehicle Crash Form DT4000 2 of 7 This report does not include any CJIS data. 19052532 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13W8HLD WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address HAYWARD, WI 54843 , US Owner Name01Driver DistractionsNOT DISTRACTED 01Driver Actions NO CONTRIBUTING ACTION Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing BACKING Vehicle Removed By OWNER Towed Due To Damage NOT TOWED Extent Of Damage NO DAMAGE Vehicle Damage NO DAMAGE Initial Contact Point 6--REAR Bus Use NOT A BUS Body Style UT - SPORT UTILITY VEHICLE Color DBL - BLUE, DARK VEHICLEUNITUNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event 02Event 03Event 04IndividualInsurance Company STATE-FARM-GENERAL-INS-CO Policy Holder UNITHelmet ComplianceHelmet Use Seat Position 1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address HAYWARD, WI 54843 , US Race WHITE Date of Birth 04/07/ Sex FEMALE Citations Issued 0 Driver ITEquipment Individual UNINDIVIDUALCrash Time 03:25 PM Crash Date 05/25/2019Wisconsin Motor Vehicle Crash Form DT4000 3 of 7 This report does not include any CJIS data. 19052532 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13W8HLD 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/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT EJECTED Airbag NON DEPLOYED Injury Severity NO APPARENT INJURY00101 Tint ComplianceEye Protection UNIT Non Motorist INDIVIDUALTruck Bus or HazMat NO Road Grade LEVEL Road Curvature STRAIGHT Surface Type SLAG, GRAVEL, OR STONE 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 FUNCTION Most Harmful Event: Collision With MOTOR VEH IN TRANSPORT Total Lanes 2 Speed Limit N/A Pre 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 2 Operating As EndorsementsVehicle Type PASSENGER CAR02 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITModel RAV4 Year 2017 Make TOYOTA Vehicle Identification Number 2T3RFREV7HW5565370202 Country of Issuance UNITED STATES St MN Plate Type AUT - AUTOMOBILE License Plate Number 945VNV Vehicle Crash Time 03:25 PM Crash Date 05/25/2019Wisconsin Motor Vehicle Crash Form DT4000 4 of 7 This report does not include any CJIS data. 19052532 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13W8HLD WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address DULUTH, MN 55802 , US Owner Name02Driver DistractionsNOT DISTRACTED 02Driver Actions NO CONTRIBUTING ACTION Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing BACKING Vehicle Removed By OWNER Towed Due To Damage NOT TOWED Extent Of Damage MINOR DAMAGE Vehicle Damage 7--LEFT REAR CORNER Initial Contact Point 7--LEFT REAR CORNER Bus Use NOT A BUS Body Style 4H - HATCHBACK 4 DOOR Color SIL - SILVER (ALUMINUM)VEHICLEUNITUNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event 02Event 03Event 04IndividualInsurance Company GEICO-CASUALTY-CO Policy Holder UNITHelmet ComplianceHelmet Use Seat Position 1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: MINNESOTA COUNTRY: UNITED STATES Address DULUTH, MN 55802 , US Race WHITE Date of Birth 04/06/ Sex MALE Citations Issued 0 Driver ITEquipment Individual UNINDIVIDUALCrash Time 03:25 PM Crash Date 05/25/2019Wisconsin Motor Vehicle Crash Form DT4000 5 of 7 This report does not include any CJIS data. 19052532 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13W8HLD WISCONSIN MOTOR VEHICLE CRASH REPORT Injury Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00202Drug 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/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT EJECTED Airbag NON DEPLOYED Injury Severity NO APPARENT INJURY00202 Tint ComplianceEye Protection UNIT Non Motorist INDIVIDUALInjury Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT EJECTED Airbag NON DEPLOYED Injury Severity NO APPARENT INJURY00302 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 3--FRONT SEAT-RIGHT SIDE (TRAIN ENGINEER Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License NumberAddress DULUTH, MN 55802 , US Race WHITE Date of Birth 11/20/ Sex FEMALE Citations Issued 0 Passenger ITEquipment Individual UNINDIVIDUALCrash Time 03:25 PM Crash Date 05/25/2019Wisconsin Motor Vehicle Crash Form DT4000 6 of 7 This report does not include any CJIS data. 19052532 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13W8HLD WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00302Drug 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 UNIT Non Motorist INDIVIDUALCrash Time 03:25 PM Crash Date 05/25/2019Wisconsin Motor Vehicle Crash Form DT4000 7 of 7 This report does not include any CJIS data.