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20061922 williamson20061922 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0FB000C 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 06:43 PM Date Notified 06/19/2020 Time ArrivedDate ArrivedCrash Time 06:43 PM Crash Date 06/19/2020 Investigating Officer/Deputy DEPUTY MATTHEW JEFSON Agency Crash NumberPrimary Crash Document #Document Number Override 6VL0FB000CI, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. Structure Type Y Coordinate 5119725 X Coordinate 165474.203125 Longitude -91.332035807 Latitude 46.148943638 ON USH63 SB 0.56 MI N OF MOODY'S RD IN THE TOWN OF LENROOT 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 SOUTHBOUND Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 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 UNITCrash Time 06:43 PM Crash Date 06/19/2020Wisconsin Motor Vehicle Crash Form DT4000 1 of 3 This report does not include any CJIS data. 20061922 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0FB000C 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 OWNER Towed Due To Damage TOWED DUE TO DISABLING DAMAGE 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 RS - ROAD-STREET Color BLK - BLACK Model FLHTCUI Year 2006 Make HARLEY DAVIDSON Vehicle Identification Number 18560101 Country of Issuance UNITED STATES St WI Plate Type LCO - LAC COURTE OREI License Plate Number VEHICLEUNIT Vehicle UNITVEHICLEIndividualInsurance Company STATE-FARM-MUTUAL-AUTOMOBILE-INS-CO Policy Holder UNITInjury Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED Trapped/ExtricatedEjection PathEjected Airbag NON DEPLOYED Injury Severity NO APPARENT INJURY00101 Tint Compliance NO Eye Protection YES: WORN Helmet Compliance UNKNOWN Helmet Use NO Seat PositionRow Protective Gear BOOTS, LONG PANTS On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address HAYWARD, WI 54843 , US RaceDate of Birth 06/09/ Sex MALE Citations Issued 0 Driver ITSafety Equipment Individual UNINDIVIDUALCrash Time 06:43 PM Crash Date 06/19/2020Wisconsin Motor Vehicle Crash Form DT4000 2 of 3 This report does not include any CJIS data. 20061922 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0FB000C 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 06:43 PM Crash Date 06/19/2020Wisconsin Motor Vehicle Crash Form DT4000 3 of 3 This report does not include any CJIS data.