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20171005 Johnston ThomsonSAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W1 Wisconsin Motor Vehicle Crash Report Secondary CrashAmendedCrash Type DT4000 (Standard Crash)Reportable 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 03:03 PM Date Notified 10/05/2017 Time Arrived 03:17 PM Date Arrived 10/05/2017 Crash Time 03:00 PM Crash Date 10/05/2017 Investigating Officer/Deputy DEPUTY JEFF CAIN Agency Crash Number 17100509 Primary Crash Document #Document Number Override 6V L 1 3 M V 8 W 1 Additional InformationNone, Photos 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 2 WAS FOLLOWING UNIT 1 WESTBOUND ON HWY 70 WHEN UNIT 1 STOPPED AT THE INTERSECTION WITH HWY 27 WAITING FOR ONCOMING TRAFFIC TO PASS SO UNIT 1 COULD TURN SOUTH ONTO HWY 27. AS UNIT 1 BEGAN THE LEFT TURN, UNIT 2 PASSED UNIT 1 ON THE LEFT COLLIDING WITH UNIT 1 IN A SIDESWIPE MANNER Crash Time 03:00 PM Crash Date 10/05/2017Wisconsin Motor Vehicle Crash Form DT4000 1 of 10 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W1 Wisconsin Motor Vehicle Crash Report Structure Type Y Coordinate 5079868 X Coordinate 180095.140625 Longitude -91.116566711 Latitude 45.79816159 INTERSECTION ON STH70 WB AT STH27 SB IN THE TOWN OF OJIBWA 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) Cloudy Environment Factor(s) None Roadway Factor(s) None Road Surface Condition(s) Dry Light Condition Daylight Manner of Collision 05--Sideswipe/Same Direction First Harmful Event Location On Roadway First Harmful Event Motor Veh In Transport Crash Scene Intersection Type Four-Way Intersection Junction Location Intersection Within Interchange Area YES 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 Two-Way, Not Divided Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With Motor Veh In Transport Total Lanes 2 Speed Limit 55Pre CrashTire Mark Direction Of Travel Westbound Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 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 Extent Of Damage Minor Damage Vehicle Damage 11--Left Front Corner Initial Contact Point 11--Left Front Corner Bus UseNot A BusBody Style 4D - 4DR Color BLK - Black Model FUSION SEL Year 2010 Make FORD Vehicle Identification Number 844 Country of Issuance UNITED STATES St WI Plate Type AUT - Automobile License Plate Number SUZEL VE H I C L E UN I T 01 Vehicle Crash Time 03:00 PM Crash Date 10/05/2017Wisconsin Motor Vehicle Crash Form DT4000 2 of 10 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W1 Wisconsin Motor Vehicle Crash Report Driver DistractionsNot Distracted Driver Actions No Contributing Action Driver Prior Action Other Vehicle Factors Not Applicable What Driver Was Doing Left Turn Vehicle Removed By OPERATOR Towed Due To Damage Not Towed VE H I C L E UN I T 01 Address HAYWARD, WI 54843 , US IndividualSUE ANN JOHNSTON01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventMotor Veh In Transport01 EventLeft Turn02 Event 03 Event 04 Individual SUE JOHNSTON Insurance Company PEKIN-INS-CO Policy Holder UN I T Crash Time 03:00 PM Crash Date 10/05/2017Wisconsin Motor Vehicle Crash Form DT4000 3 of 10 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W1 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 Shoulder & Lap Belt On Duty Crash 01 ber State: Wisconsin Country: UNITED STATES Address HAYWARD, WI 54843 , US RaceWHITEDate of Birth 05/04 Sex Female Citations Issued 0 DriverSUE ANN JOHNSTON IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 03:00 PM Crash Date 10/05/2017Wisconsin Motor Vehicle Crash Form DT4000 4 of 10 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W1 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 Two-Way, Not Divided Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With Motor Veh In Transport Total Lanes 2 Speed Limit 55Pre CrashTire Mark Direction Of Travel Westbound Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 1 Train/Bus # InjuredTotal Occs 3 Operating As EndorsementsVehicle Type (Sport) Utility Vehicle Unit Type Automobile Vehicle Operating As Classification D CLASS Unit Status In Transit UN I T 02 Unit Summary Driver DistractionsUnknown If Distracted Driver ActionsImproper Overtaking / Passing Left Driver Prior Action Other Vehicle Factors Not Applicable What Driver Was Doing Overtake Left 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 1--Right Front Corner, 5--Right Rear Corner Initial Contact Point 1--Right Front Corner Bus UseNot A BusBody Style UT - SPORT UTILITY VEHICLE Color GRY - Gray Model SORENTO LX Year 2013 Make KIA MOTORS CORPORA Vehicle Identification Number 594 Country of Issuance UNITED STATES St WI Plate Type AUT - Automobile License Plate Number 889YPK VE H I C L E UN I T 02 Vehicle Address STONE LAKE, WI 54876 , US IndividualDELORES JOANNE THOMSON02 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventMotor Veh In Transport01 Crash Time 03:00 PM Crash Date 10/05/2017Wisconsin Motor Vehicle Crash Form DT4000 5 of 10 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W1 Wisconsin Motor Vehicle Crash Report Event 02 Event 03 Event 04 Individual DELORES THOMSON Insurance Company AMERICAN-FAMILY-INS-CO Policy Holder UN I T Crash Time 03:00 PM Crash Date 10/05/2017Wisconsin Motor Vehicle Crash Form DT4000 6 of 10 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W1 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 2 02 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 2 Safety Equipment Shoulder & Lap Belt On Duty Crash 02 ber State: Wisconsin Country: UNITED STATES Address STONE LAKE, WI 54876 , US RaceWHITEDate of Birth 07/28 Sex Male Citations Issued 1 DriverDONALD TILMAN THOMSON IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 03:00 PM Crash Date 10/05/2017Wisconsin Motor Vehicle Crash Form DT4000 7 of 10 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W1 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 3 02 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 4--Second Seat-Left Side(Motorcycle/Bicycle Pa 00 3 Safety Equipment Restraint Use Unknown On Duty Crash 02 ber State: Wisconsin Country: UNITED STATES Address STONE LAKE, WI 54876 , US RaceWHITEDate of Birth 03/01/ Sex Female Citations Issued 0 PassengerDELORES JOANNE THOMSON IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 03:00 PM Crash Date 10/05/2017Wisconsin Motor Vehicle Crash Form DT4000 8 of 10 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W1 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 4 02 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 3--Front Seat-Right Side (Train Engineers/Right 00 4 Safety Equipment Restraint Use Unknown On Duty Crash 02 ber State: Wisconsin Country: UNITED STATES Address RICE LAKE, WI 54868 , US RaceWHITEDate of Birth 06/12/1 Sex Male Citations Issued 0 PassengerCHARLES A THOMSON IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Violations DescriptionPASSING IN NO-PASSING ZONESeq Num001Statute Number346.09(3)Issue To? 002 UTC Number AE01462301 Date of Birth 10/14/1980 AddressIndividual 01 Witness Crash Time 03:00 PM Crash Date 10/05/2017Wisconsin Motor Vehicle Crash Form DT4000 9 of 10 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W1 Wisconsin Motor Vehicle Crash Report WINTER, WI 54896 , US NATHAN D RADEMACHER WI T N ES S Crash Time 03:00 PM Crash Date 10/05/2017Wisconsin Motor Vehicle Crash Form DT4000 10 of 10 This report does not include any CJIS data.