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Home My WebLink About20150414 Ladwig BodnerAgency Accident Number AC C I D E N T # PO L I C E # Police Number GE N E R A L I N F O R M A T I O N Reportable Accident On Emergency Amended GZDHL61 DOT Document Number Document Override Number 15041405 15 0 4 1 4 0 5 04/14/2015 4 - Accident Date 1830 5 - Time of Accident (Military Time) 02 6 - Total Units 00 7 - Total Injured 00 8 - Total Killed SAWYER - 572 - County EXELAND - 52, VILLAGE3 - Municipality INTERSECTION11 - Accident Location 14 - On Hwy No. 3RD ST 14 - On Street Name 14 - Bus/Frnt/Rmp 15 - Est. Distance 15 - Hwy. Dir 16 - Fr/At Hwy No.LINCOLN AVE16 - From/At Street Name 16 - Business/Frontage/Ramp 17 - Structure Type 17 - Structure Number 45.669053 12 - Latitude -91.24390813 - Longitude MOTOR VEHICLE IN TRANSPORT80 - First Harmful Event REAR-END93 - Manner of Collision PARTIAL CONTROL 112 - Access Control STRAIGHT 113 - Road Curvature HILL 113 - Road Terrain BLACKTOP, BITUMINOUS, OR ASPHALT - 2 Surface Type NOT-PHYSICALLY-DIVIDED-(2-WAY TRAFFIC)115 - Traffic Way ON-ROADWAY 117 - Relation To Roadway DAYLIGHT114 - Light Condition DRY116 - Road Surface Condition CLEAR118 - Weather Hit and Run 9 Government Property 9 Fire 9 Photos Taken 9 Trailer or Towed 9 Truck, Bus, or Hazardous Materials 9 Load Spillage 9 Construction Zone 9 Names Exchanged 9 Supplemental Reports 101 Witness Statements 102 Measurements Taken 103 79 - E M S Number Operator/Pedestrian OP E R A T O R / P E D E S T R I A N Unit Status MOTOR VEHICLE IN TRANSPORT 81 - Most Harmful Event: Collision With EAST 23 - Dir Of Travel 2524 - Speed Limit D CLASS 36 - Operating as Classified 37 - Endorsements 35 Operating Commercial Motor Vehicle 29 - Driver's License Number WI 30 - State 2015 31 - Expiration Year 34 - On Duty Accident LADWIG 25 - Operator/Pedestrian Last Name T 25 - First Name 25 - Middle Initial 25 - Suffix 32 - Date Of Birth MALE 33 - Sex 26 - Address Street & Number 26 - PO Box EXELAND 27 - City WI 27 - State 54835 27 - Zip Code 28 - Telephone Number FRONT-SEAT-LEFT-SIDE-(MC/BIKE DRIVER, TRAIN CONDUCTOR) 39 - Seat Position RESTRAINT-USE-UNKNOWN 40 - Safety Equipment N - NO APPARENT INJURY 38 - Injury Severity UNKNOWN 41 - Airbag NOT-EJECTED 42 - Ejected 44 Medical Transport NOT-TRAPPED 43 - Trapped/Extricated 92 - Pedestrian Location 92 - Pedestrian Action SLOWING-OR-STOPPING 119 - What Driver Was Doing STOP-SIGN 120 - Traffic Control 162 - No. of Citations Issued 344.62(2) 64 - 1st Statute No.64 - 2nd Statute No.64 - 3rd Statute No.64 - 4th Statute No.64 - 5th Statute No. NOT-APPLICABLE 122 - Driver Factors NOT OBSERVED88 - Driver or Pedestrian Cond NEITHER-ALCOHOL-NOR-DRUGS-PRESENT 89 - Substance Presence TEST NOT GIVEN90 - Alcohol Test 90 - Alcohol Content TEST NOT GIVEN91 - Drug Test 01 Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDHL61 1 5 VE H I C L E VE H O W N E R Vehicle Vehicle Owner Insurance School Bus IN S 91 - Drugs Reported NOT-APPLICABLE 124 - Highway Factors AUTOMOBILE 21 - Unit Type PASSENGER-CAR Vehicle Type 1 22 - Total Occupants 874GVM 56 - License Plate Number AUT57 - Plate Type WI 58 - State 2009 59 - Exp Year 1558 55 - Vehicle Identification Number 1994 50 - Year CHEV 51 - Make BLAZER 52 - Model 4D - 4DR 53 - Body Style BLU 54 - Color 100 - Skidmarks to Impact (Ft) NONE 94 - Vehicle Damage NONE 95 - Extent Of Damage Vehicle Towed Due To Damage 96 OPERATOR 97 - Vehicle Removed By OTHER-DISABLED 123 - Vehicle Factors 45 Vehicle Owner Same As Operator LADWIG 46 - Vehicle Owner Last Name T 46 - First Name 46 - Middle Initial 46 - Suffix Date Of Birth 46 - Company Name 47- Address Street & Number 47 - PO Box EXELAND48 - City WI48 - State 5483548 - Zip Code 49 - Telephone Number NONE63 - Liability Insurance Company Policy Holder Same As Owner60 61 - Policy Holder Last Name 61 - Policy Holder First Name 61 - Policy Holder Company 01 01 01 01 BU S FromTo Bus Travelling to/from School Name Body Make Seating Capacity School District Contracted With Operator/Pedestrian Unit Status MOTOR VEHICLE IN TRANSPORT 81 - Most Harmful Event: Collision With EAST 23 - Dir Of Travel 2524 - Speed Limit D CLASS 36 - Operating as Classified 37 - Endorsements 35 Operating Commercial Motor Vehicle 29 - Driver's License Number 30 - State 31 - Expiration Year 34 - On Duty Accident BODNER 25 - Operator/Pedestrian Last Name SHIRLEY 25 - First Name 25 - Middle Initial 25 - Suffix 07/16/1 32 - Date Of Birth MALE 33 - Sex Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDHL61 2 525 VE H I C L E VE H O W N E R Vehicle Vehicle Owner Insurance OP E R A T O R / P E D E S T R I A N IN S 26 - Address Street & Number 26 - PO Box EXELAND 27 - City WI 27 - State 54835 27 - Zip Code 28 - Telephone Number FRONT-SEAT-LEFT-SIDE-(MC/BIKE DRIVER, TRAIN CONDUCTOR) 39 - Seat Position RESTRAINT-USE-UNKNOWN 40 - Safety Equipment N - NO APPARENT INJURY 38 - Injury Severity NON-DEPLOYED 41 - Airbag NOT-EJECTED 42 - Ejected 44 Medical Transport NOT-TRAPPED 43 - Trapped/Extricated 92 - Pedestrian Location 92 - Pedestrian Action SLOWING-OR-STOPPING 119 - What Driver Was Doing STOP-SIGN 120 - Traffic Control 062 - No. of Citations Issued 64 - 1st Statute No.64 - 2nd Statute No.64 - 3rd Statute No.64 - 4th Statute No.64 - 5th Statute No. NOT-APPLICABLE 122 - Driver Factors APPEARED NORMAL88 - Driver or Pedestrian Cond NEITHER-ALCOHOL-NOR-DRUGS-PRESENT 89 - Substance Presence TEST NOT GIVEN90 - Alcohol Test 90 - Alcohol Content TEST NOT GIVEN91 - Drug Test 91 - Drugs Reported NOT-APPLICABLE 124 - Highway Factors AUTOMOBILE 21 - Unit Type PASSENGER-CAR Vehicle Type 1 22 - Total Occupants 955NPK 56 - License Plate Number AUT57 - Plate Type WI 58 - State 2015 59 - Exp Year 1348 55 - Vehicle Identification Number 50 - Year JEEP 51 - Make PATRIOT 52 - Model 4D - 4DR 53 - Body Style RED 54 - Color 100 - Skidmarks to Impact (Ft) FRONT 94 - Vehicle Damage VERY-MINOR 95 - Extent Of Damage Vehicle Towed Due To Damage 96 OPERATOR 97 - Vehicle Removed By NOT-APPLICABLE 123 - Vehicle Factors 45 Vehicle Owner Same As Operator BODNER 46 - Vehicle Owner Last Name SHIRLEY 46 - First Name 46 - Middle Initial 46 - Suffix 07/16 Date Of Birth 46 - Company Name 47 - PO Box EXELAND48 - City WI48 - State 5483548 - Zip Code 49 - Telephone Number FARMERS-&-MERCHANTS-INS-CO63 - Liability Insurance Company Policy Holder Same As Owner60 BODNER 61 - Policy Holder Last Name SHIRLEY 61 - Policy Holder First Name 61 - Policy Holder Company 02 02 02 02 Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDHL61 3 5 School Bus 02 BU S FromTo Bus Travelling to/from School Name Body Make Seating Capacity School District Contracted With Trailer 01 TR L 106 - Power Unit Number License Plate Number Plate Type State Expiration Year Trailer Make Unit Type Vehicle Identification Number 105 - Photos By DI A G R A M A N D N A R R A T I V E Diagram and Narrative N. RASCHKA ON APRIL 14, 2015 I, DEPUTY RASCHKA RESPONDED TO THE INTERSECTION OF THIRD ST AND LINCOLN AVE IN THE VILLAGE OF EXELAND FOR A REPORT OF A VEHICLE ROLLING BACKWARDS INTO ANOTHER VEHICLE. I ARRIVED ONSCENE AND MET WITH BOTH PARTIES. THE FEMALE PARTY, MS. BODNER STATED SHE TURNED ONTO THIRD ST AND OBSERVED A CHEVY BLAZER STALLED AT THE INTERSECTION OF THIRD AND LINCOLN AVE. SHE STATED SHE DID NOT REALIZE IT WAS STALLED UNTIL SHE NOTICED IT WAS ROLLING BACKWARDS AND THE OPERATOR, MR. LADWIG, WAS ATTEMPTING TO GET IT TO STOP. MS. BODNER STATED THAT BEFORE SHE COULD PUT HER VEHICLE IN REVERSE TO MOVE OUT OF THE WAY, THE BLAZER HAD STRUCK HER VEHICLE IN THE MID-TO MID-RIGHT PASSENGER SIDE BUMBER, LEAVING A SLIGHT INDENT AND PAINT SCRAPE FROM THE BLAZERS TRAILER HITCH. SHE STATED SHE DID NOT BELIEVE MR. LADWIG WAS INTENTIONALLY TRYING TO ROLL HIS VEHICLE BACKWARDS. I SPOKE TO MR. LADWIG WHO STATED HIS VEHICLE DIED IN THE INTERSECTION AND WAS TRYING TO GET IT IN TO NEUTRAL TO BE ABLE TO MOVE IT. HE STATED HE LOOKED TO SEE IF ANYONE WAS BEHIND ME, HE STATED HE SAW A SILVER CAR TURN DOWN THIRD ST AND GO THE OPPOSITE DIRECTION AND THEN GOT IN HIS VEHICLE. WHEN HIS VEHICLE BEGAN ROLLING, HE LOOKED BEHIND HIM AGAIN AND SAW MS. BODNER DIRECTLY BEHIND HIM. HE STATED HE TRIED TO STOP HIS VEHICLE IN TIME HOWEVER HE COULD NOT. PHOTOS OF THE DAMAGES WERE TAKEN AND ENTERED INTO EVIDENCE. ON APRIL 14, 2015 I, DEPUTY RASCHKA RESPONDED TO THE INTERSECTION OF THIRD ST AND LINCOLN AVE IN THE VILLAGE OF EXELAND FOR A REPORT OF A VEHICLE ROLLING BACKWARDS INTO ANOTHER VEHICLE. I ARRIVED ONSCENE AND MET WITH BOTH PARTIES. THE FEMALE PARTY, MS. BODNER STATED SHE TURNED ONTO THIRD ST AND OBSERVED A CHEVY BLAZER STALLED AT THE INTERSECTION OF THIRD AND LINCOLN AVE. SHE STATED SHE DID NOT REALIZE IT WAS STALLED UNTIL SHE NOTICED IT WAS ROLLING BACKWARDS AND THE OPERATOR, MR. LADWIG, WAS ATTEMPTING TO GET IT TO STOP. MS. BODNER STATED THAT BEFORE SHE COULD PUT HER VEHICLE IN REVERSE TO MOVE OUT OF THE WAY, THE BLAZER HAD STRUCK HER VEHICLE IN THE MID-TO MID-RIGHT PASSENGER SIDE BUMBER, LEAVING A SLIGHT INDENT AND PAINT SCRAPE FROM THE BLAZERS TRAILER HITCH. SHE STATED SHE DID NOT BELIEVE MR. LADWIG WAS INTENTIONALLY TRYING TO ROLL HIS VEHICLE BACKWARDS. I SPOKE TO MR. LADWIG WHO STATED HIS VEHICLE DIED IN THE INTERSECTION AND WAS TRYING TO GET IT IN TO NEUTRAL TO BE ABLE TO MOVE IT. HE STATED HE LOOKED TO SEE IF ANYONE WAS BEHIND ME, HE STATED HE SAW A SILVER CAR TURN DOWN THIRD ST AND GO THE OPPOSITE DIRECTION AND THEN GOT IN HIS VEHICLE. WHEN HIS VEHICLE BEGAN ROLLING, HE LOOKED BEHIND HIM AGAIN AND SAW MS. BODNER DIRECTLY BEHIND HIM. HE STATED HE TRIED TO STOP HIS VEHICLE IN TIME HOWEVER HE COULD NOT. PHOTOS OF THE DAMAGES WERE TAKEN AND ENTERED INTO EVIDENCE. Officer Information Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDHL61 4 5 OF F I C E R I N F O R M A T I O N 125 - First Name 125 - Middle Initial RASCHKA 125 - Officer Last Name NICOLE 388 131 - Officer ID 129 - Law Enforcement Agency No. SAWYER COUNTY SHERIFFS DEPT 130 - Law Enforcement Agency Name 15880 EAST FIFTH STREET 126 - Law Enforcement Agency Address Street & Number HAYWARD 127 - City WI 127 - State 54843 127 - Zip Code (715) 634-4858 EXT. 128 - Telephone Number 04/14/2015 132 - Date Notified 1834133 - Time Notified (Military Time)1909134 - Time Arrived (Military Time) 04/14/2015 135 - Date Of Report 15041405 19 - Special Study 18 - Agency Space Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDHL61 5 5