20110904 wade318
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0Z6J8VZ 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
00
Total Units
01
Time Notified
05:07 AM
Date Notified
11/09/2020
Time Arrived
05:13 AM
Date Arrived
11/09/2020
Crash Time
05:07 AM
Crash Date
11/09/2020
Investigating Officer/Deputy
DEPUTY MATHIAS HALBUR
Agency Crash Number
20110904
Primary Crash Document #Document Number Override
6VL0Z6J8VZAdditional InformationPHOTOS
Photos ByDEP. MATHIAS HALBUR #318
Reconstruction ByDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
ON NOVEMBER 9TH, 2020, I DEPUTY MATHIAS HALBUR WAS ON DUTY FOR THE SAWYER COUNTY SHERIFF'S OFFICE. I WAS REQUESTED BY DISPATCH TO
RESPOND TO THE AREA OF KIDDS RD OFF OF COUNTY HIGHWAY K REFERENCE A VEHICLE IN THE DITCH. I ARRIVED ON SCENE, JUST EAST OF KIDDS RD,
AT 5:13 AM. I OBSERVED A RED SEDAN IN THE DITCH ON THE EAST SIDE OF COUNTY ROAD K, FACING SOUTHBOUND. THIS RED SEDAN WAS A 2001
MERCURY GRAND MARQUIS, WITH WI REGISTRATION OF THERE WAS ALSO A BLUE TOYOTA PICKUP TRUCK WITHOUT PLATES ON SCENE THAT WAS
ATTEMPTING TO REMOVE THE GRAND MARQUIS FROM THE DITCH. I SPOKE WITH THE DRIVER, WHO IDENTIFIED HIMSELF AS DOB:
05/23/ HE SAID THAT HE WAS NOT INJURED. I ALSO SPOKE WITH A FEMALE WHO IDENTIFIED HERSELF AS DOB: 12/1/
SAID THAT SHE WAS THE PASSENGER IN THE VEHICLE AND ALSO WAS NOT INJURED. THE TOYOTA PICKUP REMOVED THE GRAND MARQUIS FROM THE
DITCH, INTO THE SOUTHBOUND LANE OF TRAVEL ON COUNTY HIGHWAY K. THE GRAND MARQUIS HAD DAMAGE TO ITS LEFT FRONT WHEEL THAT MADE THE
VEHICLE UNDRIVEABLE. I REQUESTED DISPATCH BEGIN A TOW TRUCK EN ROUTE. I SPOKE WITH AND EXPLAINED THAT IT WOULD BE BETWEEN HIM
AND THE TOWING COMPANY TO SETTLE THE BILL. PROVIDED ME A PHONE NUMBER OF ( - AND TWO INDIVIDUALS IN THE
TOYOTA PICKUP LEFT THE SCENE SHORTLY AFTER. THE INDIVIDUALS LEFT BEHIND MULTIPLE BAGS OF TOOLS AND MISCELLANEOUS ITEMS, WHICH WERE
PLACED IN THE GRAND MARQUIS. THE TOW TRUCK ARRIVED ON SCENE AND REMOVED THE VEHICLE WITHOUT INCIDENT. I RELAYED THE DRIVER'S
Crash Time 05:07 AM
Crash Date 11/09/2020Wisconsin Motor Vehicle Crash
Form DT4000 1 of 5
This report does not include any CJIS data.
318
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0Z6J8VZ WISCONSIN MOTOR VEHICLE
CRASH REPORT
INFORMATION TO THE TOW TRUCK DRIVER AND CLEARED FROM THE SCENE. PICTURES OF THE DAMAGE TO THE VEHICLE WILL BE ATTACHED TO THE
SPILLMAN CASE FILE. A TRACS CRASH REPORT WILL ALSO BE FILLED OUT AS THE DAMAGE TO THE VEHICLE LIKELY EXCEEDS $1,000. THIS IS ALL THE
INFORMATION I HAVE AT THIS TIME. ANY ADDITIONAL INFORMATION I HAVE AT THIS TIME WILL BE DOCUMENTED IN A SUPPLEMENTAL REPORT. END OF
REPORT.
Structure Type
NO STRUCTURE
Y Coordinate
5094314.5
X Coordinate
159576.078125
Longitude
-91.390060725
Latitude
45.917999672
ON CTHK SB
571 FT E
OF KIDD'S RD
IN THE TOWN OF BASS LAKE
IN SAWYER COUNTY
Location
Special StudyAccess Control
NO CONTROL
Tribal Land
LAC COURTE OREILLES BAND
Crash Classification - Jurisdiction
INDIAN RESERVATION/TRUST
Crash Classification - Location
TRIBAL LAND
Relation To Trafficway
TRAFFICWAY - NOT ON ROAD
Animal Type
Weather Condition(s)
CLEAR
Environment Factor(s)
NONE
Roadway Factor(s)
NONE
Road Surface Condition(s)
DRY
Light Condition
DARK/UNLIT
Manner of Collision
00 - NO COLLISION W/VEHICLE IN TRANSPORT
First Harmful Event Location
ROADSIDE
First Harmful Event
DITCH
Crash Scene
Intersection Type
NOT AN INTERSECTION
Junction Location
NON-JUNCTION
Within Interchange Area
NO
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
DITCH
Total Lanes
2
Speed Limit
35
Pre CrashTire
Mark
Direction Of Travel
SOUTHBOUND
Insurance?
UNKNOWN
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # RecordedTotal Occs
2
Operating As EndorsementsVehicle Type
PASSENGER CAR01 Unit Type
AUTOMOBILE
Vehicle Operating As Classification
D CLASS
Unit Status
IN TRANSIT
Unit Summary
UNITInitial Contact Point
11 - LEFT FRONT CORNER
Bus UseBody Style
4D - 4DR
Color
RED - RED
Model
GRND MRQ
Year
2001
Make
MERCURY
Vehicle Identification Number
37200101 Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - AUTOMOBILE
License Plate Number
Vehicle
Crash Time 05:07 AM
Crash Date 11/09/2020Wisconsin Motor Vehicle Crash
Form DT4000 2 of 5
This report does not include any CJIS data.
318
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0Z6J8VZ WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
SHAWANO, WI 54166 , US
Owner Name
0101Driver Actions
RAN OFF ROADWAY
Driver Prior Action Other
Vehicle Factors
UNKNOWN
What Driver Was Doing
GOING STRAIGHT
Vehicle Removed ByTowed Due To Damage
TOWED DUE TO DISABLING DAMAGE
Extent Of Damage
DISABLING DAMAGE
Vehicle Damage
09 - LEFT SIDE MIDDLE, 10 - LEFT SIDE FRONT, 11 - LEFT FRONT CORNER, 12
- FRONT
VEHICLEUNITUNITVEHICLE Sequence Of Events
Event
MOTOR VEH IN TRANSPORT01
Event
RUN OFF ROADWAY LEFT02
Event
DITCH03
Event
04Distracted By
Injury
Distracted By Source
NOT APPLICABLE (NOT DISTRACTED)
Time of DeathDate of DeathHospital
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 INJURY00101 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
SHAWANO, WI 54166 , US
Race
INDIAN
Date of Birth
05/23/
Sex
MALE
Citations Issued
0
Driver
ITSafety Equipment
Individual
UNINDIVIDUALCrash Time 05:07 AM
Crash Date 11/09/2020Wisconsin Motor Vehicle Crash
Form DT4000 3 of 5
This report does not include any CJIS data.
318
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0Z6J8VZ WISCONSIN MOTOR VEHICLE
CRASH REPORT
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
NOT DISTRACTED
UNITNon Motorist
INDIVIDUALDistracted By
Injury
Distracted By Action
Distracted By Source
Time of DeathDate of DeathHospital
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 INJURY00201 Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
09 - RIGHT
Row
01 - FRONT ROW
Safety Equipment
SHOULDER & LAP BELT
On Duty Crash
Driver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
STONE LAKE, WI 54876 , US
Race
INDIAN
Date of Birth
12/01/
Sex
FEMALE
Citations Issued
0
Passenger
ITSafety Equipment
Individual
UNINDIVIDUALCrash Time 05:07 AM
Crash Date 11/09/2020Wisconsin Motor Vehicle Crash
Form DT4000 4 of 5
This report does not include any CJIS data.
318
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0Z6J8VZ WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Individual Condition
APPEARED NORMAL
Drug Type
00201Drug 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 #UNITNon Motorist
INDIVIDUALCrash Time 05:07 AM
Crash Date 11/09/2020Wisconsin Motor Vehicle Crash
Form DT4000 5 of 5
This report does not include any CJIS data.