Wisconsin Motor Vehicle Crash Report. Agency Crash Number Date Arrived 07/24/2017. Total Units 02. School Bus Related No

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1 Document Number Override Crash Date 7/4/17 Date tified 7/4/17 On Emergency Government Property Reportable Description Diagram Primary Crash Document # Crash Time 3:6 PM Time tified 3:8 PM Hit and Run Active School Zone Lane Closure Crash Type DT4 (Standard Crash) Agency Crash Number Date Arrived 7/4/17 Total Units School Bus Related Work Zone Investigating Officer/Deputy DEPUTY I. GALVAN Time Arrived 3:14 PM Total Injured Tags Trailer or Towed Amended Total Killed Reconstruction By Secondary Crash Photos By H. LARKIN Additional Information Photos Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. 1 WAS TRAVELING EASTBOUND ON CTH H. 1 MADE A IMPROPER TURN ONTO CTH P. 1 NEARLY STRUCK THE WITNESS AND STRUCK. 1 WAS CITED FOR OPERATING A MOTOR WHILE INTOXICATED ND OFFENSE AND IMPROPER RIGHT TURN. 1 WAS TOWED BY PLATTS TOWING. NO INJURIES REPORTED. Crash Form DT4 1 of 7

2 Location INTERSECTION ON CTHP AT CTHH IN THE TOWN OF DELLONA IN SAUK COUNTY Crash Scene First Harmful Manner of Collision 3--Front To Front Road Surface Condition(s) Dry Environment Factor(s) ne Latitude X Coordinate Structure Type Structure First Harmful Location On Roadway Light Condition Daylight Roadway Factor(s) ne Longitude Y Coordinate Weather Condition(s) Clear 1 1 Animal Type Crash Classification - Location Public Property Tribal Land Within Interchange Area NO Unit Summary Unit Status In Transit Vehicle Type Passenger Car Total Occs 1 Insurance? UNKNOWN Most Harmful : Collision With Traffic Way Two-Way, t Divided Surface Type Blacktop (Bituminous) Truck Bus or HazMat Vehicle License Plate Number 888RAR Vehicle Identification Number 1B3LC46K8N Color BLU - Blue Initial Contact Point 1--Front Extent Of Damage Functional Damage Junction Location Intersection-Related Train/Bus # Injured Direction Of Travel Eastbound Traffic Control Control Road Curvature Straight Intersection Type T-Intersection Total # Citations Issued Pre CrashTire Mark Special Function Special Function Relation To Trafficway Trafficway - On Road Crash Classification - Jurisdiction Special Jurisdiction Access Control Full Control Vehicle Operating As Classification D CLASS Plate Type AUT - Automobile Make DODGE Body Style 4D - 4DR Vehicle Damage 1--Left Side Front Reporting Threshold Total Trailers Speed Limit 1 St WI Year 8 Unit Type Automobile Operating As Endorsements Emergency Motor Vehicle Use t Applicable Road Grade Level Total Lanes Special Study Total HazMat Types Traffic Control Inoperative/Missing NO Country of Issuance ED STATES Model AVENGER SE Bus Use t A Bus Crash Form DT4 of 7

3 1 Towed Due To Damage Towed But t Due To Disabling Damage What Driver Was Doing Right Turn Driver Prior Action Other Driver Actions Improper Turn Vehicle Removed By PLATTS WRECKER Vehicle Factors t Applicable Driver Distractions Other Distraction 1 OWNER Vehicle Owner JOESPH M KNEELAND JR 64 MIDWAY DR REEDSBURG, WI 53959, US 1 Sequence Of s 3 4 Crash Form DT4 3 of 7

4 Driver MATTHEW THOMAS KNEELAND 64 MIDWAY DR REEDSBURG, WI 53959, US Citations Issued Date of Birth Driver License Number Sex Male Race WHITE State: Wisconsin Country: ED STATES 1 1 Equipment Helmet Use On Duty Crash Seat Position 1--Front Seat-Left Side (Driver/Motorcycle/Bicycl Safety Equipment Shoulder & Lap Belt Helmet Compliance Eye Protection Tint Compliance Ejected t Ejected Medical Transport t Transported Hospital Injury Injury Severity Apparent Injury Airbag n Deployed Ejection Path t Ejected/t Applicable EMS Agency Identifier Date of Death Trapped/Extricated t Trapped EMS Run # Time of Death n Motorist Striking Unit # Prior Action Location To/From School Action 1 1 Action Other Drug & Alcohol Alcohol Test Given Test Given Drug Test Given Test Given Suspected Alcohol Use Suspected Drug Use Alcohol Test Type Blood Drug Test Type Blood Alcohol Test Results Pending Drug Test Results Pending Drug Type Condition Under The Influence Of Medications/Drugs/ Alcohol 1 Violations UTC Number AI Issue To? 1 Statute Number (1)(a) Seq Num 1 Description OPERATING WHILE UNDER THE INFLUENCE(ND) UTC Number AI Issue To? 1 Statute Number () Seq Num 3 Description IMPROPER RIGHT TURN Crash Form DT4 4 of 7

5 Unit Summary Unit Status In Transit Vehicle Type (Sport) Utility Vehicle Total Occs 1 Insurance? UNKNOWN Most Harmful : Collision With Traffic Way Two-Way, t Divided Surface Type Blacktop (Bituminous) Truck Bus or HazMat Vehicle License Plate Number 9TDF Vehicle Identification Number 4MDU86K5ZJ15435 Color WHI - White Initial Contact Point 1--Front Extent Of Damage Functional Damage Towed Due To Damage t Towed What Driver Was Doing Stop In Traffic Driver Prior Action Other Driver Actions Contributing Action Train/Bus # Injured Direction Of Travel Westbound Vehicle Operating As Classification D CLASS Total # Citations Issued Special Function Special Function Traffic Control Stop Sign Pre CrashTire Mark Road Curvature Straight Plate Type AUT - Automobile Make MERCURY Vehicle Damage 11--Left Front Corner Vehicle Removed By Vehicle Factors t Applicable Reporting Threshold Body Style UT - SPORT UTILITY Total Trailers Speed Limit N/A St WI Year 5 Unit Type Automobile Operating As Endorsements Emergency Motor Vehicle Use t Applicable Traffic Control Inoperative/Missing NO Road Grade Level Model MOUNTAINEE Bus Use t A Bus Total HazMat Types Total Lanes Country of Issuance ED STATES Driver Distractions t Distracted OWNER Vehicle Owner DAVID DE JESUS REYES 1117 CLARA AVE #B3 WISCONSIN DELLS, WI 53965, US 1 Sequence Of s Crash Form DT4 5 of 7

6 3 4 Driver FLEMON JUAN SANTIAGO SANTIAGO TH STREET REEDSBURG, WI 53959, US Citations Issued Date of Birth Driver License Number Sex Male Race HISPANIC State: Other Jurisdiction Country: ED STATES Equipment Helmet Use On Duty Crash Seat Position 1--Front Seat-Left Side (Driver/Motorcycle/Bicycl Safety Equipment Shoulder & Lap Belt Helmet Compliance Eye Protection Tint Compliance Ejected t Ejected Medical Transport t Transported Hospital Injury Severity Apparent Injury Airbag n Deployed Ejection Path t Ejected/t Applicable EMS Agency Identifier Date of Death Trapped/Extricated t Trapped EMS Run # Time of Death Striking Unit # Prior Action Location To/From School Action Injury n Motorist Action Other Drug & Alcohol Alcohol Test Given Test t Given Drug Test Given Test t Given Suspected Alcohol Use Suspected Drug Use Alcohol Test Type Drug Test Type Alcohol Test Results Drug Test Results Drug Type Condition Appeared rmal Witness Crash Form DT4 6 of 7

7 1 WITN ESS ROYAL J HARRIS II (9) S878 W REDSTONE DR LA VALLE, WI 53941, US Date of Birth Crash Form DT4 7 of 7

Wisconsin Motor Vehicle Crash Report. Agency Crash Number Date Arrived 01/03/2018. Total Units 01. School Bus Related No

Wisconsin Motor Vehicle Crash Report. Agency Crash Number Date Arrived 01/03/2018. Total Units 01. School Bus Related No 6VL13ZQKRQ Document Number Override Crash Date /3/28 Date tified /3/28 On Emergency Government Property Reportable Description Diagram Primary Crash Document # Crash Time 4:2 PM Time tified 4:23 PM Hit