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20170907 Olson McFarlandSAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8VZ Wisconsin Motor Vehicle Crash Report Secondary CrashAmendedCrash Type Private Property/Parking LotReportable TagsSchool Bus Related NoActive School ZoneGovernment Property Trailer or TowedWork ZoneLane ClosureHit and RunOn Emergency Total Killed 00 Total Injured 00 Total Units 02 Time Notified 10:36 AM Date Notified 09/07/2017 Time Arrived 10:58 AM Date Arrived 09/07/2017 Crash Time 10:36 AM Crash Date 09/07/2017 Investigating Officer/Deputy DEPUTY JEFF CAIN Agency Crash Number 17090703 Primary Crash Document #Document Number Override 6V L 1 3 M V 8 V Z Additional InformationPhotos Photos ByDEPUTY JEFF CAIN Reconstruction ByDiagram Description Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. UNIT 1 WAS OBSERVED TO PULL UP NEXT TO UNIT 2 WHICH WAS PARKED AND UNOCCUPIED. UNIT 1 STRUCK UNIT 2 ON THE RIGHT SIDE, THEN BACKUP AND LEFT WITHOUT ATTEMPTING TO NOTIFY THE OWNER OR OPERATOR OF UNIT 2 Structure Type Fire Y Coordinate 5107522.5 X Coordinate 152772.703125 Longitude -91.487108421 Latitude 46.033111989 PARKING LOT HOSPITAL RD LOT 11134N (FIRE 11134N) IN THE TOWN OF HAYWARD IN SAWYER COUNTY Location Crash Time 10:36 AM Crash Date 09/07/2017Wisconsin Motor Vehicle Crash Form DT4000 1 of 6 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8VZ Wisconsin Motor Vehicle Crash Report Special StudyAccess Control No Control Tribal Land Crash Classification - Jurisdiction Private Property Crash Classification - Location Private Property Relation To Trafficway Non Trafficway - Parking Lot Animal Type Weather Condition(s) Clear Environment Factor(s) None Roadway Factor(s) None Road Surface Condition(s) Dry Light Condition Daylight Manner of Collision No Collision W/Vehicle In Transport First Harmful Event Location In Parking Lane or Zone First Harmful Event Motor Veh In Transport Crash Scene Intersection TypeJunction LocationWithin Interchange Area NO Reporting Threshold 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 Parking Lot or Private Property Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With Parked Motor Vehicle Total LanesSpeed Limit N/APre CrashTire Mark Direction Of Travel Not On Roadway Insurance? NO Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 2 Train/Bus # InjuredTotal Occs 1 Operating As EndorsementsVehicle Type Passenger Car Unit Type Automobile Vehicle Operating As Classification D CLASS Unit Status In Transit UN I T 01 Unit Summary Driver Actions Driver Prior Action Other Vehicle Factors Unknown What Driver Was Doing Park Maneuver Vehicle Removed By OPERATOR Towed Due To Damage Not Towed01 Extent Of Damage Minor Damage Vehicle Damage 12--Front Initial Contact Point 12--Front Bus UseNot A BusBody Style 4D - 4DR Color GRY - Gray Model GRAND MARQ Year 1993 Make MERCURY Vehicle Identification Number 2MELM75W1PX670206 Country of Issuance UNITED STATES St WI Plate Type AUT - Automobile License Plate Number AAD3222 VE H I C L E UN I T 01 Vehicle Crash Time 10:36 AM Crash Date 09/07/2017Wisconsin Motor Vehicle Crash Form DT4000 2 of 6 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8VZ Wisconsin Motor Vehicle Crash Report Driver DistractionsInattention Details Unknown Failure To Control VE H I C L E UN I T Address GORDON, WI 54838 , US IndividualJOHNNY G OLSON01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventMotor Veh In Transport01 EventParked Motor Vehicle02 Event 03 Event 04 Crash Time 10:36 AM Crash Date 09/07/2017Wisconsin Motor Vehicle Crash Form DT4000 3 of 6 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8VZ Wisconsin Motor Vehicle Crash Report Individual Condition Appeared Normal Drug Type Drug Test ResultsDrug Test TypeDrug Test GivenTest Not Given Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given Test Not Given Suspected Drug UseSuspected Alcohol Use Action Other IN D I V I D U A L UN I T Action To/From SchoolLocationPrior ActionStriking Unit # 00 1 01 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 Injury IN D I V I D U A L UN I T Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 1--Front Seat-Left Side (Driver/Motorcycle/Bicycl 00 1 Safety Equipment Restraint Use Unknown On Duty Crash 01 Dr berO State: Wisconsin Country: UNITED STATES Address GORDON, WI 54838 , US RaceINDIANDate of Birth 08/06 Sex Male Citations Issued 2 DriverJOHNNY G OLSON IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Violations DescriptionHIT AND RUN-UNATTENDED VEHICLESeq Num001Statute Number346.68Issue To? 001 UTC Number AE01461901 DescriptionOPERATING WHILE REVOKED (REV DUE TO ALC/CONT SUBST/Seq Num015Statute Number343.44(1)(b)Issue To? 001 UTC Number AE01462002 Crash Time 10:36 AM Crash Date 09/07/2017Wisconsin Motor Vehicle Crash Form DT4000 4 of 6 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8VZ Wisconsin Motor Vehicle Crash Report Reporting Threshold 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 Parking Lot or Private Property Emergency Motor Vehicle UseSpecial FunctionMost Harmful Event: Collision With Motor Veh In Transport Total LanesSpeed Limit N/APre CrashTire Mark Direction Of Travel Not On Roadway Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 0 Operating As EndorsementsVehicle Type Utility Truck/Pickup Truck Unit Type Truck Vehicle Operating As Classification D CLASS Unit Status Legally Parked UN I T 02 Unit Summary Driver Distractions Driver Actions Driver Prior Action Other Vehicle Factors Not Applicable What Driver Was Doing Legally Parked Vehicle Removed By OPERATOR Towed Due To Damage Not Towed VE H I C L E UN I T 02 Extent Of Damage Minor Damage Vehicle Damage 3--Right Side Middle Initial Contact Point 3--Right Side Middle Bus UseNot A BusBody Style PK - PICKUP Color SIL - Silver (Aluminum) Model F150 Year 2016 Make FORD Vehicle Identification Number F90942 Country of Issuance UNITED STATES St FL Plate Type LTK - Light Truck License Plate Number N975RX VE H I C L E UN I T 02 Vehicle Address JUPITER, FL 33458 , US IndividualMICHAEL KEVIN MCFARLAND NE R Vehicle Owner Sequence Of Events EventParked Motor Vehicle01 Crash Time 10:36 AM Crash Date 09/07/2017Wisconsin Motor Vehicle Crash Form DT4000 5 of 6 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8VZ Wisconsin Motor Vehicle Crash Report Event 02 Event 03 Event 04 Individual MICHAEL MCFARLAND Insurance Company PROGRESSIVE-CASUALTY-INS-CO Policy Holder UN I T Crash Time 10:36 AM Crash Date 09/07/2017Wisconsin Motor Vehicle Crash Form DT4000 6 of 6 This report does not include any CJIS data.