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20111509 denzer20111509 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3X 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 03 Total Units 02 Time Notified 12:03 PM Date Notified 11/15/2020 Time Arrived 12:13 PM Date Arrived 11/15/2020 Crash Time 12:02 PM Crash Date 11/15/2020 Investigating Officer/Deputy DEPUTY LUCAS SHEPARD Agency Crash NumberPrimary Crash Document #Document Number Override 6VL0F03P3XAdditional InformationPHOTOS Photos ByL. SHEPARD Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. ON NOVEMBER 15TH, 2020, DEPUTY SHEPARD ALONG WITH MULTIPLE OTHER LAW ENFORCEMENT OFFICERS FROM MULTIPLE AGENCIES, WAS DISPATCHED TO A TWO VEHICLE HEAD ON COLLISION ON STATE HWY 77 APPROXIMATELY AN EIGHTH MILE EAST OF THE INTERSECTION WITH COUNTY HWY K. FIRE AND EMS WERE BOTH DISPATCHED AS WELL. BASED ON OFFICER OBSERVATION AND INTERVIEWS WITH PASSENGERS DEPUTY SHEPARD DETERMINED THAT A BLACK 2014 JEEP GRAND CHEROKEE WAS BEING DRIVEN BY AND CRASHED HEAD ON WITH A BLUE 2011 FORD F150 DRIVEN BY WAS A PASSENGER IN THE F150. AND WERE PASSENGERS IN THE JEEP. AND WERE BOTH INJURED IN THE CRASH AND THE EXTENT OF THEIR INJURIES IS UNKNOWN. WAS TRAPPED IN THE TRUCK AND NEEDED TO EXTRICATED BY FIRE PERSONNEL. VORLICKY AND WANDA DENZER WERE BOTH TRANSPORTED TO THE HOSPITAL BY AMBULANCE. DEPUTIES SPOKE WITH ALL OF THE PASSENGERS IN BOTH VEHICLES AND THEY ALL STATED THAT VEHICLE CROSSED THE CENTER LINE WHEN IT HIS A SLIPPERY PATCH AND COLLIDED HEAD ON WITH THE VEHICLE. IT WAS SNOWING AND THE ROADS WERE VERY SNOW COVERED AND SLIPPERY. BOTH VEHICLES WERE PRESUMED TOTALED AND TOWED. Crash Time 12:02 PM Crash Date 11/15/2020Wisconsin Motor Vehicle Crash Form DT4000 1 of 10 This report does not include any CJIS data. 20111509 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3X WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type Y Coordinate 5106184 X Coordinate 160977.59375 Longitude -91.380446164 Latitude 46.025210016 ON STH77 EB 964 FT E OF CTHK EB 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 Weather Condition(s) SNOW Environment Factor(s) WEATHER CONDITIONS Roadway Factor(s) ROAD SURFACE CONDITION (WET, ICY, SNOW, SLUSH, ETC) Road Surface Condition(s) SNOW, SLUSH Light Condition DAYLIGHT Manner of Collision 02 - FRONT TO FRONT First Harmful Event Location ON ROADWAY First Harmful Event MOTOR VEH IN TRANSPORT Crash Scene Intersection Type NOT AN INTERSECTION Junction Location NON-JUNCTION Within Interchange Area UNKNOWN Time Scene Cleared 02:06 PM Date Scene Cleared 11/15/2020 Time All Lanes Open 02:06 PM Date All Lanes Open 11/15/2020 Time Initial Lane/Rd Closed 12:13 PM Date Initial Lane/Rd Closed 11/15/2020 Reasons for Closure LAW ENFORCEMENT, TOW TRUCK, 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 MOTOR VEH IN TRANSPORT 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 0 Train/Bus # RecordedTotal Occs 2 Operating As EndorsementsVehicle Type UTILITY TRUCK/PICKUP TRUCK01 Unit Type TRUCK Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITModel F150 Year 2011 Make FORD Vehicle Identification Number 49140101 Country of Issuance UNITED STATES St WI Plate Type LTK - LIGHT TRUCK License Plate Number Vehicle Crash Time 12:02 PM Crash Date 11/15/2020Wisconsin Motor Vehicle Crash Form DT4000 2 of 10 This report does not include any CJIS data. 20111509 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3X WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address 12044 N PETERS RD HAYWARD, WI 54843 , US Owner Name WANDA E DENZER 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 TOWED DUE TO DISABLING DAMAGE Extent Of Damage DISABLING DAMAGE Vehicle Damage 01 - RIGHT FRONT CORNER, 07 - LEFT REAR CORNER, 08 - LEFT SIDE REAR, 09 - LEFT SIDE MIDDLE, 10 - LEFT SIDE FRONT, 11 - LEFT FRONT CORNER, 12 - FRONT Initial Contact Point 11 - LEFT FRONT CORNER Bus UseBody Style PK - PICKUP Color BLU - BLUE VEHICLEUNITUNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event RUN OFF ROADWAY RIGHT02 Event 03Event 04Injury Time of DeathDate of DeathHospital HAYWARD AREA MEM HOSP EMS Run #EMS Agency Identifier 6000954 Medical Transport EMS GROUND Trapped/Extricated TRAPPED/EXTRICATED Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT EJECTED Airbag DEPLOYED-COMBINATION Injury Severity SUSPECTED SERIOUS INJUR00101 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 06/08/ Sex FEMALE Citations Issued 0 Driver ITSafety Equipment Individual UNINDIVIDUALCrash Time 12:02 PM Crash Date 11/15/2020Wisconsin Motor Vehicle Crash Form DT4000 3 of 10 This report does not include any CJIS data. 20111509 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3X 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 INDIVIDUALDistracted By Injury 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 DEPLOYED-COMBINATION Injury Severity SUSPECTED MINOR 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 HAYWARD, WI 54843 , US Race WHITE Date of Birth 01/10/ Sex MALE Citations Issued 0 Passenger ITSafety Equipment Individual UNINDIVIDUALCrash Time 12:02 PM Crash Date 11/15/2020Wisconsin Motor Vehicle Crash Form DT4000 4 of 10 This report does not include any CJIS data. 20111509 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3X 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 # Distracted By Action UNITNon Motorist INDIVIDUALTruck 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? UNKNOWN Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # RecordedTotal Occs 4 Operating As EndorsementsVehicle Type (SPORT) UTILITY VEHICLE02 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITExtent Of Damage DISABLING DAMAGE Vehicle Damage 01 - RIGHT FRONT CORNER, 07 - LEFT REAR CORNER, 08 - LEFT SIDE REAR, 09 - LEFT SIDE MIDDLE, 10 - LEFT SIDE FRONT, 11 - LEFT FRONT CORNER, 12 - FRONT Initial Contact Point 11 - LEFT FRONT CORNER Bus UseBody Style 4H - HATCHBACK 4 DOOR Color BLK - BLACK Model GRAND CHER Year 2014 Make JEEP Vehicle Identification Number 957920202 Country of Issuance UNITED STATES St MN Plate Type AUT - AUTOMOBILE License Plate Number VEHICLEUNIT Vehicle Crash Time 12:02 PM Crash Date 11/15/2020Wisconsin Motor Vehicle Crash Form DT4000 5 of 10 This report does not include any CJIS data. 20111509 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3X WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address EDINA, MN 55424 1154, US Owner Name 0202Driver Actions FAILURE TO CONTROL Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing GOING STRAIGHT Vehicle Removed ByTowed Due To Damage TOWED DUE TO DISABLING DAMAGE UNITVEHICLE Sequence Of Events Event CROSS CENTERLINE01 Event MOTOR VEH IN TRANSPORT02 Event 03Event 04Distracted By Injury LocationStriking Unit # Distracted By Action UNKNOWN Distracted By Source UNKNOWN Time of DeathDate of DeathHospital HAYWARD AREA MEM HOSP EMS Run #EMS Agency Identifier 6000954 Medical Transport EMS GROUND Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT EJECTED Airbag NON DEPLOYED Injury Severity SUSPECTED MINOR INJURY00302 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: MINNESOTA COUNTRY: UNITED STATES Address EDINA, MN 55424 1154, US Race WHITE Date of Birth 11/13/ Sex MALE Citations Issued 0 Driver ITSafety Equipment Non Motorist Individual UNINDIVIDUALCrash Time 12:02 PM Crash Date 11/15/2020Wisconsin Motor Vehicle Crash Form DT4000 6 of 10 This report does not include any CJIS data. 20111509 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3X WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition NOT OBSERVED Drug Type 00302Drug 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 UNITINDIVIDUALDistracted By Injury Prior Action LocationStriking Unit # 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 INJURY00402 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: MINNESOTA COUNTRY: UNITED STATES Address EDINA, MN 55436 1947, US Race WHITE Date of Birth 08/07/ Sex MALE Citations Issued 0 Passenger ITSafety Equipment Non Motorist Individual UNINDIVIDUALCrash Time 12:02 PM Crash Date 11/15/2020Wisconsin Motor Vehicle Crash Form DT4000 7 of 10 This report does not include any CJIS data. 20111509 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3X WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00402Drug 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 UNITINDIVIDUALDistracted By Injury Prior Action LocationStriking Unit # 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 INJURY00502 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 09 - RIGHT Row 02 - SECOND ROW Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: MINNESOTA COUNTRY: UNITED STATES Address EDINA, MN 55424 1705, US Race WHITE Date of Birth 09/10/ Sex MALE Citations Issued 0 Passenger ITSafety Equipment Non Motorist Individual UNINDIVIDUALCrash Time 12:02 PM Crash Date 11/15/2020Wisconsin Motor Vehicle Crash Form DT4000 8 of 10 This report does not include any CJIS data. 20111509 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3X WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00502Drug 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 UNITINDIVIDUALDistracted By Injury Prior Action LocationStriking Unit # 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 INJURY00602 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 07 - LEFT Row 02 - SECOND ROW Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: MINNESOTA COUNTRY: UNITED STATES Address EDINA, MN 55424 1324, US Race WHITE Date of Birth 02/26/ Sex MALE Citations Issued 0 Passenger ITSafety Equipment Non Motorist Individual UNINDIVIDUALCrash Time 12:02 PM Crash Date 11/15/2020Wisconsin Motor Vehicle Crash Form DT4000 9 of 10 This report does not include any CJIS data. 20111509 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0F03P3X WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00602Drug 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 UNITINDIVIDUALCrash Time 12:02 PM Crash Date 11/15/2020Wisconsin Motor Vehicle Crash Form DT4000 10 of 10 This report does not include any CJIS data.