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20060611 montroy-kaliher20060611 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P43 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 01 Total Units 02 Time Notified 09:09 AM Date Notified 06/06/2020 Time Arrived 09:12 AM Date Arrived 06/06/2020 Crash Time 09:08 AM Crash Date 06/06/2020 Investigating Officer/Deputy DEPUTY NATHAN FREY Agency Crash Number 201060611 Primary Crash Document #Document Number Override 6VL0JB3P43Additional InformationPHOTOS Photos By344 Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. UNIT 1, A MOTORCYCLE, WAS TRAVELING EAST ON HIGHWAY 77. THE OPERATOR OF UNIT 2, TRAVELING WEST, OBSERVED UNIT 1 STRIKE THE DEER AND BE FALL TO THE PAVEMENT. UNIT 1, WITHOUT AN OPERATOR, STRUCK THE FRONT LOWER BUMPER COVER OF UNIT 2 CAUSING FUNCTIONAL DAMAGES. Crash Time 09:08 AM Crash Date 06/06/2020Wisconsin Motor Vehicle Crash Form DT4000 1 of 6 This report does not include any CJIS data. 20060611 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P43 WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type NO STRUCTURE Y Coordinate 5107744 X Coordinate 165133.484375 Longitude -91.327999486 Latitude 46.041254216 ON STH77 EB 279 FT W OF TWIN LAKE RD 6 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 TRAFFICWAY - ON ROAD Animal Type DEER Weather Condition(s) CLEAR Environment Factor(s) NONE Roadway Factor(s) NONE Road Surface Condition(s) DRY Light Condition DAYLIGHT Manner of Collision 00 - NO COLLISION W/VEHICLE IN TRANSPORT First Harmful Event Location ON ROADWAY First Harmful Event DOMESTICATED ANIMAL - ALIVE Crash Scene Intersection Type NOT AN INTERSECTION Junction Location NON-JUNCTION Within Interchange Area NO Time Scene Cleared 10:07 AM Date Scene Cleared 06/06/2020 Time All Lanes Open 10:03 AM Date All Lanes Open 06/06/2020 Time Initial Lane/Rd Closed 09:17 AM Date Initial Lane/Rd Closed 06/06/2020 Reasons for Closure LAW ENFORCEMENT, FIRE/EMS Closure Type FULL CLOSURE Truck Bus or HazMat NO Road Grade LEVEL Road Curvature STRAIGHT Surface Type BLACKTOP (BITUMINOUS) Traffic Control Inoperative/Missing NO Traffic Control NO CONTROL Traffic Way TWO-WAY, NOT DIVIDED Emergency Motor Vehicle Use NOT APPLICABLE Special Function NO SPECIAL FUNCTION Most Harmful Event: Collision With DOMESTICATED ANIMAL - ALIVE Total Lanes 2 Speed Limit 55 Pre CrashTire Mark Direction Of Travel EASTBOUND Insurance? UNKNOWN Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 1 Train/Bus # RecordedTotal Occs 1 Operating As EndorsementsVehicle Type MOTORCYCLE01 Unit Type MOTORCYCLE Vehicle Operating As Classification M CLASS Unit Status IN TRANSIT Unit Summary UNITModel GSX-R750 Year 2007 Make SUZUKI Vehicle Identification Number 11020101 Country of Issuance UNITED STATES St WI Plate Type CYC - CYCLE License Plate Number Vehicle Crash Time 09:08 AM Crash Date 06/06/2020Wisconsin Motor Vehicle Crash Form DT4000 2 of 6 This report does not include any CJIS data. 20060611 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P43 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address HAYWARD, WI 54843 , US Owner Name 0101Driver Actions NO CONTRIBUTING ACTION Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing GOING STRAIGHT Vehicle Removed ByTowed Due To Damage NOT TOWED Extent Of Damage DISABLING DAMAGE Vehicle Damage 01 - RIGHT FRONT CORNER, 02 - RIGHT SIDE FRONT, 10 - LEFT SIDE FRONT, 11 - LEFT FRONT CORNER, 12 - FRONT Initial Contact Point 12 - FRONT Bus UseBody Style MC - MOTORCYCLE Color BLU - BLUE VEHICLEUNITUNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event DOMESTICATED ANIMAL - ALIVE02 Event 03Event 04Injury Time of DeathDate of DeathHospital ST MARYS HOSP EMS Run #EMS Agency Identifier 6000954 Medical Transport EMS GROUND Trapped/Extricated NOT APPLICABLE Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT APPLICABLE Airbag NOT APPLICABLE Injury Severity POSSIBLE INJURY00101 Tint Compliance UNKNOWN Eye Protection UNKNOWN Helmet Compliance UNKNOWN Helmet Use FULL-FACE Seat Position 07 - LEFT Row 01 - FRONT ROW Protective Gear GLOVES, JACKET On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address HAYWARD, WI 54843 , US Race WHITE Date of Birth 06/17 Sex MALE Citations Issued 1 Driver ITSafety Equipment Individual UNINDIVIDUALCrash Time 09:08 AM Crash Date 06/06/2020Wisconsin Motor Vehicle Crash Form DT4000 3 of 6 This report does not include any CJIS data. 20060611 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P43 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 UNKNOWN Distracted By Source UNKNOWN UNITNon Motorist INDIVIDUAL Violations DescriptionNON-REGISTRATION OF OTHER VEHICLEStatute Number341.04(1)Issue To? 001 UTC Number BE65125101 Truck Bus or HazMat NO Road Grade LEVEL Road Curvature STRAIGHT Surface Type BLACKTOP (BITUMINOUS) Traffic Control Inoperative/Missing NO Traffic Control NO CONTROL Traffic Way TWO-WAY, NOT DIVIDED 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 55 Pre 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 (SPORT) UTILITY VEHICLE02 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITModel BLAZER Year 2019 Make CHEVROLET Vehicle Identification Number 084710202 Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number Vehicle Crash Time 09:08 AM Crash Date 06/06/2020Wisconsin Motor Vehicle Crash Form DT4000 4 of 6 This report does not include any CJIS data. 20060611 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P43 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address HAYWARD, WI 54843 , US Owner Name 0202Driver Actions NO CONTRIBUTING ACTION Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing GOING STRAIGHT Vehicle Removed By OPERATOR Towed Due To Damage NOT TOWED Extent Of Damage MINOR DAMAGE Vehicle Damage 12 - FRONT Initial Contact Point 12 - FRONT Bus UseBody Style UT - SPORT UTILITY VEHICLE Color RED - RED VEHICLEUNITUNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event 02Event 03Event 04IndividualInsurance Company USAA-CASUALTY-INS-CO Policy Holder UNITInjury EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT EJECTED Airbag NON DEPLOYED Injury Severity NO APPARENT INJURY00202 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 07 - LEFT Row 01 - FRONT ROW 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 09/14/ Sex MALE Citations Issued 0 Driver ITSafety Equipment Individual UNINDIVIDUALCrash Time 09:08 AM Crash Date 06/06/2020Wisconsin Motor Vehicle Crash Form DT4000 5 of 6 This report does not include any CJIS data. 20060611 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P43 WISCONSIN MOTOR VEHICLE CRASH REPORT Distracted By 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 To/From SchoolAction Other Action Prior Action LocationStriking Unit # Distracted By Action NOT DISTRACTED Distracted By Source NOT APPLICABLE (NOT DISTRACTED) Time of DeathDate of DeathHospital UNITNon Motorist INDIVIDUALCrash Time 09:08 AM Crash Date 06/06/2020Wisconsin Motor Vehicle Crash Form DT4000 6 of 6 This report does not include any CJIS data.