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20170817 Vrieze LinvilleSAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLVR 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 06:25 PM Date Notified 08/17/2017 Time Arrived 06:35 PM Date Arrived 08/17/2017 Crash Time 06:25 PM Crash Date 08/17/2017 Investigating Officer/Deputy DEPUTY CASEY CULHANE Agency Crash Number 17081704 Primary Crash Document #Document Number Override 6V L 1 2 W M L V R Additional InformationPhotos Photos ByDEPUTY CULHANE 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 STOPPED LEGALLY AT A STOP SIGN WAITING FOR TRAFFIC TO CLEAR, THEN NEGOTIATE A LEFT TURN TO TRAVEL NORTH ON HWY 27. UNIT 2 CAME FROM BEHIND UNIT 1 AND STRUCK IT IN THE REAR BUMPER. THE DRIVER OF UNIT 1 AND UNIT 2 EXCHANGED WORDS, THEN UNIT 2 LEFT THE SCENE OF THE ACCIDENT. Crash Time 06:25 PM Crash Date 08/17/2017Wisconsin Motor Vehicle Crash Form DT4000 1 of 8 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLVR Wisconsin Motor Vehicle Crash Report Structure Type No Structure Y Coordinate 5088675.5 X Coordinate 150505.03125 Longitude -91.502580162 Latitude 45.862854357 ON STH70 EB 176 FT W OF STH27 NB IN THE TOWN OF SAND LAKE 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) Wet Light Condition Daylight Manner of Collision 02--Front To Rear First Harmful Event Location On Roadway First Harmful Event Motor Veh In Transport Crash Scene Intersection Type T-Intersection Junction Location Intersection Within 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 Stop Sign Traffic Way Unknown Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With Motor Veh Tran Other Rdwy Total Lanes 02 Speed Limit 55Pre CrashTire Mark Direction Of Travel Eastbound 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 6--Rear, 7--Left Rear Corner Initial Contact Point 6--Rear Bus UseNot A BusBody Style 4D - 4DR Color RED - Red Model RAV4 Year 2011 Make TOYOTA Vehicle Identification Number 621 Country of Issuance UNITED STATES St WI Plate Type AUT - Automobile License Plate Number AAD3965 VE H I C L E UN I T 01 Vehicle Crash Time 06:25 PM Crash Date 08/17/2017Wisconsin Motor Vehicle Crash Form DT4000 2 of 8 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLVR Wisconsin Motor Vehicle Crash Report Driver DistractionsNot Distracted Driver Actions No Contributing Action, Unknown Driver Prior Action Other Vehicle Factors Not Applicable What Driver Was Doing Slow/Stopping Vehicle Removed By OPERATOR Towed Due To Damage Not Towed VE H I C L E UN I T 01 Address HUDSON, WI 54016 , US IndividualSHERI L VRIEZE01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventMotor Veh In Transport01 Event 02 Event 03 Event 04 Individual SHERI VRIEZE Insurance Company ARTISAN-AND-TRUCKERS-CASUALTY-CO Policy Holder UN I T Crash Time 06:25 PM Crash Date 08/17/2017Wisconsin Motor Vehicle Crash Form DT4000 3 of 8 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLVR 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 HUDSON, WI 54016 , US RaceWHITEDate of Birth 08/02 Sex Female Citations Issued 00 DriverSHERI L VRIEZE IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 06:25 PM Crash Date 08/17/2017Wisconsin Motor Vehicle Crash Form DT4000 4 of 8 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLVR 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 Stop Sign Traffic Way Two-Way, Not Divided Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With Motor Veh In Transport Total Lanes 02 Speed Limit 55Pre CrashTire Mark Direction Of Travel Eastbound Insurance? NO Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 03 Train/Bus # InjuredTotal Occs 02 Operating As EndorsementsVehicle Type Passenger Car Unit Type Automobile Vehicle Operating As Classification D CLASS Unit Status In Transit UN I T 02 Unit Summary Driver DistractionsDistraction/Inattention Driver ActionsFollowing Too Close, Operated Motor Vehicle In Inattentive, Careless or Erratic Manner Driver Prior Action Other Vehicle Factors Not Applicable What Driver Was Doing Accelerating In Road 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 12--Front Initial Contact Point 12--Front Bus UseNot A BusBody Style 4D - 4DR Color SIL - Silver (Aluminum) Model UNKNOWN Year 2011 Make MITSUBISHI Vehicle Identification Number 9991 Country of Issuance UNITED STATES St TX Plate Type AUT - Automobile License Plate Number HYY4246 VE H I C L E UN I T 02 Vehicle Address HAYWARD, WI 54843 , US IndividualJACOB A LINVILLE02 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventMotor Veh In Transport01 Crash Time 06:25 PM Crash Date 08/17/2017Wisconsin Motor Vehicle Crash Form DT4000 5 of 8 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLVR Wisconsin Motor Vehicle Crash Report Event 02 Event 03 Event 04 Individual Condition Emotional (Depressed, Angry, Disturbed, Etc) 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 Restraint Use Unknown On Duty Crash 02 ber State: Wisconsin Country: UNITED STATES Address HAYWARD, WI 54843 , US RaceWHITEDate of Birth 10/21/ Sex Male Citations Issued 03 DriverJACOB A LINVILLE IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 06:25 PM Crash Date 08/17/2017Wisconsin Motor Vehicle Crash Form DT4000 6 of 8 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLVR 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 3--Front Seat-Right Side (Train Engineers/Right 00 3 Safety Equipment Restraint Use Unknown On Duty Crash 02 ber State: Wisconsin Country: UNITED STATES Address RICE LAKE, WI 54868 , US RaceWHITEDate of Birth 06/04 Sex Female Citations Issued 00 PassengerISABELLA M NISPEL IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Violations DescriptionINATTENTIVE DRIVINGSeq Num001Statute Number346.89(1)Issue To? 002 UTC Number AE53865401 DescriptionOPERATE MOTOR VEHICLE W/O INSURANCESeq Num001Statute Number344.62(1)Issue To? 002 UTC Number AE53865502 DescriptionHIT AND RUNSeq Num004Statute Number346.67(1)Issue To? 002 UTC Number AE53865603 Crash Time 06:25 PM Crash Date 08/17/2017Wisconsin Motor Vehicle Crash Form DT4000 7 of 8 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLVR Wisconsin Motor Vehicle Crash Report HAYWARD, WI 54843 , US IndividualJACOB A LINVILLE PR O P OW N E R 01 Property Owner Fixed Objects Struck Damage Tag NumberStruck Object Other Object - Not Fixed Striking Unit 0101 Crash Time 06:25 PM Crash Date 08/17/2017Wisconsin Motor Vehicle Crash Form DT4000 8 of 8 This report does not include any CJIS data.