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Home My WebLink About20150601 Aberg HueleAgency 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 GZDWFQS DOT Document Number Document Override Number 15060101 15 0 6 0 1 0 1 06/01/2015 4 - Accident Date 5 - Time of Accident (Military Time) 02 6 - Total Units 01 7 - Total Injured 8 - Total Killed SAWYER - 572 - County HAYWARD - 06, TOWN3 - Municipality NON-INTERSECTION11 - Accident Location 027 14 - On Hwy No. SB 14 - On Street Name 14 - Bus/Frnt/Rmp 493 FT15 - Est. Distance SOUTH15 - Hwy. Dir 16 - Fr/At Hwy No.SLEEPY HOLLOW RD16 - From/At Street Name 16 - Business/Frontage/Ramp 17 - Structure Type 17 - Structure Number 46.035257 12 - Latitude -91.48844013 - Longitude MOTOR VEHICLE IN TRANSPORT80 - First Harmful Event REAR-END93 - Manner of Collision NO CONTROL 112 - Access Control STRAIGHT 113 - Road Curvature LEVEL/FLAT 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 SOUTH 23 - Dir Of Travel 4524 - Speed Limit D CLASS 36 - Operating as Classified 37 - Endorsements 35 Operating Commercial Motor Vehicle 29 - Driver's License Number WI 30 - State 2022 31 - Expiration Year 34 - On Duty Accident ABERG 25 - Operator/Pedestrian Last Name MELISSA 25 - First Name C 25 - Middle Initial 25 - Suffix 04/18/ 32 - Date Of Birth FEMALE 33 - Sex 26 - Address Street & Number 26 - PO Box DANBURY 27 - City WI 27 - State 54830 27 - Zip Code 28 - Telephone Number FRONT-SEAT-LEFT-SIDE-(MC/BIKE DRIVER, TRAIN CONDUCTOR) 39 - Seat Position SHOULDER-BELT-AND-LAP-BELT-USED 40 - Safety Equipment C - POSSIBLE 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 STOPPED-IN-TRAFFIC 119 - What Driver Was Doing NO-CONTROL 120 - Traffic Control 162 - No. of Citations Issued 344.62(1) 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 UNKNOWN 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 GZDWFQS 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 659NCP 56 - License Plate Number AUT57 - Plate Type WI 58 - State 2016 59 - Exp Year 5396 55 - Vehicle Identification Number 2001 50 - Year HOND 51 - Make ACCORD 52 - Model 2D - 2DR 53 - Body Style WHI 54 - Color 100 - Skidmarks to Impact (Ft) REAR 94 - Vehicle Damage SEVERE 95 - Extent Of Damage Vehicle Towed Due To Damage 96 A-1 TOWING 97 - Vehicle Removed By NOT-APPLICABLE 123 - Vehicle Factors 45 Vehicle Owner Same As Operator ABERG 46 - Vehicle Owner Last Name MELISSA 46 - First Name C 46 - Middle Initial 46 - Suffix 04/18/ Date Of Birth 46 - Company Name 47- Address Street & Number 47 - PO Box DANBURY48 - City WI48 - State 5483048 - 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 SOUTH 23 - Dir Of Travel 4524 - Speed Limit D CLASS 36 - Operating as Classified 37 - Endorsements 35 Operating Commercial Motor Vehicle 29 - Driver's License Number WI 30 - State 2019 31 - Expiration Year 34 - On Duty Accident HUELE 25 - Operator/Pedestrian Last Name KATHLEEN 25 - First Name L 25 - Middle Initial 25 - Suffix 12/29 3 32 - Date Of Birth FEMALE 33 - Sex Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDWFQS 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 DANBURY 27 - City WI 27 - State 54830 27 - Zip Code 28 - Telephone Number FRONT-SEAT-LEFT-SIDE-(MC/BIKE DRIVER, TRAIN CONDUCTOR) 39 - Seat Position SHOULDER-BELT-AND-LAP-BELT-USED 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 GOING-STRAIGHT 119 - What Driver Was Doing NO-CONTROL 120 - Traffic Control 162 - No. of Citations Issued 346.89(1) 64 - 1st Statute No.64 - 2nd Statute No.64 - 3rd Statute No.64 - 4th Statute No.64 - 5th Statute No. INATTENTIVE-DRIVING 122 - Driver Factors APPEARED NORMAL88 - Driver or Pedestrian Cond UNKNOWN 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 3 22 - Total Occupants 979TWC 56 - License Plate Number AUT57 - Plate Type WI 58 - State 2016 59 - Exp Year 55 - Vehicle Identification Number 2015 50 - Year DODG 51 - Make GRAND CARA 52 - Model MV - MINI VAN 53 - Body Style SIL 54 - Color 100 - Skidmarks to Impact (Ft) FRONT 94 - Vehicle Damage MODERATE 95 - Extent Of Damage Vehicle Towed Due To Damage 96 ROADRUNNER TOWING 97 - Vehicle Removed By NOT-APPLICABLE 123 - Vehicle Factors 45 Vehicle Owner Same As Operator 46 - Vehicle Owner Last Name 46 - First Name 46 - Middle Initial 46 - Suffix Date Of Birth SOUTHGATE LEASE SERVICES INC46 - Company Name 47 - PO Box MILWAUKEE48 - City WI48 - State 53228-250548 - Zip Code 49 - Telephone Number TRAVELERS-CASUALTY-&-SURETY-CO63 - Liability Insurance Company Policy Holder Same As Owner60 61 - Policy Holder Last Name 61 - Policy Holder First Name NORTHWEST COUNCELING AND GUIDANCE CLINIC61 - Policy Holder Company 02 02 02 02 Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDWFQS 3 5 School Bus 02 BU S FromTo Bus Travelling to/from School Name Body Make Seating Capacity School District Contracted With Occupant Address Same As Operator OC C U P A N T 02 65 - Unit No SIMPSON 66 - Occupant Last Name NATHAN 66 - First Name G 66 - Middle Initial 66 - Suffix 01 68 - Address Street & Number 68 - PO Box LAKE NEBAGAMON 68 - City WI 68 - State 54849 68 - Zip Code 11/17/1999 67 - Date of Birth M 69 - Sex FRONT-SEAT-RIGHT-SIDE-(TRAIN ENGINEER) 71 - Seat Position SHOULDER-BELT-AND-LAP-BELT-USED 72 - Safety Equipment N - NO APPARENT INJURY 70 - Injury Severity NON-DEPLOYED 73 - Airbag NOT-EJECTED 75 - Ejected Medical Transport 77 NOT-TRAPPED 76 - Trapped/Extricated 78 - Agency Space Occupant Address Same As Operator OC C U P A N T 02 65 - Unit No VIG 66 - Occupant Last Name TAYLOR 66 - First Name J 66 - Middle Initial 66 - Suffix 02 68 - Address Street & Number 68 - PO Box BENNETT 68 - City WI 68 - State 54873 68 - Zip Code 67 - Date of Birth M 69 - Sex SECOND-SEAT-RIGHT 71 - Seat Position SHOULDER-BELT-AND-LAP-BELT-USED 72 - Safety Equipment N - NO APPARENT INJURY 70 - Injury Severity NON-DEPLOYED 73 - Airbag NOT-EJECTED 75 - Ejected Medical Transport 77 NOT-TRAPPED 76 - Trapped/Extricated 78 - Agency Space Trailer 01 TR L 106 - Power Unit Number License Plate Number Plate Type State Expiration Year Trailer Make Unit Type Vehicle Identification Number Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDWFQS 4 5 105 - Photos By DI A G R A M A N D N A R R A T I V E Diagram and Narrative DEPUTY JEFF CAIN UNIT ONE SLOWED FOR A VEHICLE TO TURN LEFT FROM THE SAME SOUTHBOUND LANE ONTO HOSPITAL LANE. UNIT TWO WAS FOLLOWING UNIT ONE AND FAILED TO SEE UNIT ONE SLOW AND COLLIDED WITH UNIT ONE. BOTH VEHICLES CONTINUED APPROXIMATELY ANOTHER 100 FEET AND STOPPED ON OPPOSITE SIDES OF THE ROAD. UNIT ONE SLOWED FOR A VEHICLE TO TURN LEFT FROM THE SAME SOUTHBOUND LANE ONTO HOSPITAL LANE. UNIT TWO WAS FOLLOWING UNIT ONE AND FAILED TO SEE UNIT ONE SLOW AND COLLIDED WITH UNIT ONE. BOTH VEHICLES CONTINUED APPROXIMATELY ANOTHER 100 FEET AND STOPPED ON OPPOSITE SIDES OF THE ROAD. OF F I C E R I N F O R M A T I O N 125 - First Name 125 - Middle Initial Officer Information CAIN 125 - Officer Last Name JEFF 314 131 - 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 06/01/2015 132 - Date Notified 0802133 - Time Notified (Military Time)0805134 - Time Arrived (Military Time) 06/01/2015 135 - Date Of Report 15060101 19 - Special Study 18 - Agency Space Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDWFQS 5 5