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20080320 johnson20080320 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P47 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 02:37 PM Date Notified 08/03/2020 Time ArrivedDate ArrivedCrash Time 02:37 PM Crash Date 08/03/2020 Investigating Officer/Deputy DEPUTY NATHAN FREY Agency Crash NumberPrimary Crash Document #Document Number Override 6VL0JB3P47I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. Structure Type NO STRUCTURE Y Coordinate 5108078.5 X Coordinate 156219.9375 Longitude -91.443097898 Latitude 46.039840765 ON USH63 SB 346 FT S OF GORSKI RD 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 NO 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 UTILITY TRUCK/PICKUP TRUCK01 Unit Type TRUCK Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITCrash Time 02:37 PM Crash Date 08/03/2020Wisconsin Motor Vehicle Crash Form DT4000 1 of 3 This report does not include any CJIS data. 20080320 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P47 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 12 - FRONT Initial Contact Point 12 - FRONT Bus UseBody Style TK - TRUCK Color SIL - SILVER (ALUMINUM) Model SILVERADO Year 2019 Make CHEVROLET Vehicle Identification Number 11910101 Country of Issuance UNITED STATES St MN Plate Type LTK - LIGHT TRUCK License Plate Number VEHICLEUNIT Vehicle UNITVEHICLEIndividual Insurance Company PROGRESSIVE-ADVANCED-INSURANCE-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: MINNESOTA COUNTRY: UNITED STATES Address MINNETRISTA, MN 55364 7711, US Race WHITE Date of Birth 12/09/ Sex MALE Citations Issued 0 Driver ITSafety Equipment Individual UNINDIVIDUALCrash Time 02:37 PM Crash Date 08/03/2020Wisconsin Motor Vehicle Crash Form DT4000 2 of 3 This report does not include any CJIS data. 20080320 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0JB3P47 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 02:37 PM Crash Date 08/03/2020Wisconsin Motor Vehicle Crash Form DT4000 3 of 3 This report does not include any CJIS data.