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200410 mortimer20041007 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P3W 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 11:57 AM Date Notified 04/10/2020 Time ArrivedDate ArrivedCrash Time 11:56 AM Crash Date 04/10/2020 Investigating Officer/Deputy DEPUTY NATHAN FREY Agency Crash NumberPrimary Crash Document #Document Number Override 6VL0JB3P3WI, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. Structure Type Y Coordinate 5105022.5 X Coordinate 156048.8125 Longitude -91.443100993 Latitude 46.01233214 ON STH77 WB 85 FT E OF RED PINE LN IN THE TOWN OF HAYWARD 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 00 - 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 Travel WESTBOUND Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # RecordedTotal Occs 1 Operating As EndorsementsVehicle Type CARGO VAN (10,000 LBS OR LESS)01Unit Type TRUCK Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITCrash Time 11:56 AM Crash Date 04/10/2020Wisconsin Motor Vehicle Crash Form DT4000 1 of 3 This report does not include any CJIS data. 20041007 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P3W 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 ByTowed Due To Damage TOWED DUE TO DISABLING DAMAGE Extent Of Damage FUNCTIONAL DAMAGE Vehicle Damage 09 - LEFT SIDE MIDDLE, 10 - LEFT SIDE FRONT, 11 - LEFT FRONT CORNER Initial Contact Point 11 - LEFT FRONT CORNER Bus UseBody Style PK - PICKUP Color BLK - BLACK Model RAM 1500 Year 2017 Make RAM Vehicle Identification Number 35710101 Country of Issuance UNITED STATES St WI Plate Type LTK - LIGHT TRUCK License Plate Number VEHICLEUNIT Vehicle UNITVEHICLEIndividualInsurance Company WISCONSIN-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 PositionRow Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address GLIDDEN, WI 54527 , US Race WHITE Date of Birth 10/30/ Sex FEMALE Citations Issued 0 Driver ITSafety Equipment Individual UNINDIVIDUALCrash Time 11:56 AM Crash Date 04/10/2020Wisconsin Motor Vehicle Crash Form DT4000 2 of 3 This report does not include any CJIS data. 20041007 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P3W WISCONSIN MOTOR VEHICLE CRASH REPORT Distracted By 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 To/From SchoolAction Other Action Prior Action LocationStriking Unit # Distracted By Action Distracted By Source UNITNon Motorist INDIVIDUALCrash Time 11:56 AM Crash Date 04/10/2020Wisconsin Motor Vehicle Crash Form DT4000 3 of 3 This report does not include any CJIS data.