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200317 brunclik20032608 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3L 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 08:08 AM Date Notified 03/17/2020 Time ArrivedDate ArrivedCrash Time 08:08 AM Crash Date 03/17/2020 Investigating Officer/Deputy DEPUTY LUCAS SHEPARD Agency Crash NumberPrimary Crash Document #Document Number Override 6VL0F03P3LI, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. Structure Type Y Coordinate 5068320 X Coordinate 151436.578125 Longitude -91.475951713 Latitude 45.680676852 ON STH48 WB 0.26 MI E OF E SHORE DR 20 IN THE TOWN OF EDGEWATER 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 NO Road GradeRoad CurvatureSurface Type Traffic Control Inoperative/MissingTraffic ControlTraffic Way Emergency Motor Vehicle Use NON-EMERGENCY, NON-TRANSPORT Special Function POLICE Most Harmful Event: Collision With NON DOMESTICATED ANIMAL (ALIVE) Total LanesSpeed LimitPre CrashTire Mark Direction Of Travel WESTBOUND Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # RecordedTotal Occs 1 Operating As EndorsementsVehicle Type POLICE EMERGENCY01 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status ON EMERGENCY Unit Summary UNITCrash Time 08:08 AM Crash Date 03/17/2020Wisconsin Motor Vehicle Crash Form DT4000 1 of 3 This report does not include any CJIS data. 20032608 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3L WISCONSIN MOTOR VEHICLE CRASH REPORT Truck Bus or HazMat Owner AddressOwner Name 0101Driver 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 BLK - BLACK Model TAHOE Year 2016 Make CHEVROLET Vehicle Identification Number 37250101 Country of Issuance UNITED STATES St WI Plate Type OFF - MUNICIPAL OFFICI License Plate Number VEHICLEUNIT Vehicle UNITVEHICLEIndividual Insurance Company WESTERN-NATIONAL-MUTUAL-INS-CO Policy Holder UNITInjury Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED Trapped/ExtricatedEjection PathEjected AirbagInjury Severity NO APPARENT INJURY00101 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address BIRCHWOOD, WI 54817 , US Race WHITE Date of Birth 09/21/ Sex MALE Citations Issued 0 Driver UN Individual Safety EquipmentITIDUALINDIV Crash Time 08:08 AM Crash Date 03/17/2020Wisconsin Motor Vehicle Crash Form DT4000 2 of 3 This report does not include any CJIS data. 20032608 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3L WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Distracted By 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 To/From SchoolAction Other Action Prior Action LocationStriking Unit # Distracted By Action Distracted By Source Non Motorist UNITINDIVIDUALCrash Time 08:08 AM Crash Date 03/17/2020Wisconsin Motor Vehicle Crash Form DT4000 3 of 3 This report does not include any CJIS data.