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<br />08074245 ~7 AY
<br />NR•Ni0•RUM FUOPNOP VBNIFLaB tOkL@D INJURED - fMM ~ MON711 gATB ,'. ;YEAR - C C,r~. MB.nN,RY TM1!! - C
<br />N ~ ~2 ~J1 ~QO `,~' 4 4 2008 ].557m
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<br />0 2 ~ TwP 314.8 + .,,,,,,,,. ' _-..,-...~. ~. 0 14 2 AVE NW
<br />1 AOIN'RFN ORRrER 41pBNEE NUM9L°R.1. BTATE CtABB O48TATUE POERWII ORIVBR IJOEJJBE NUMBER • A - >YTA78 FLA88 QI, aTATUa - ~4R /
<br />O1 0963028267918 MN A 01 01 X276230760215 MN D O1
<br />PAiSTORS NM,Ei lFiRa~ MMJCUE.4A8T1 OATS ON RRTN ¢ (FN187', M8%Sa. L/aTl ~ -. LATE OF 81RiN MACTaR R
<br />TERRY MILES OSLUND 07 28 48 AMY MARIE SNELL 06 13 81
<br />MNUVBR AOFR¢68 - N RBB ICI 68 OR VIOL aTRNJT M
<br />01 5391 156TH LN NW N, 01 15420 SODIUM 5T NJ 01 06
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<br />01 RAMSEY, MN 55303.. ass-sz~-~3ss RAMSEY, MN 5.5303 ass-226-9ses 01
<br />01 " M . O '~ 12 M 98 ~ 98 . 1 K `~~" s F T"~9 °~ 99 ~6 X98 IN,Nv ORC.i No
<br />ALCXL YVPB O141a TYPE TO NOSP 'TRANBFYIRf AMaULANOE SERVR:E RUN NUMBER ALCFK TYPE DRUG TYPE' TO HOaP TRANSPORT AEBUL.ANW 98RVICE - RUN NUMBER
<br />'~ 9$ 98 Y•, ©~ ALLINA 8026427 ~I 98 ~~ 98 N; pQo ER
<br />OCCUP aWN$INAME fIRE OWNER NAME FR8 OCGUP
<br />0?1 OSLUND TERRX MILES N SNELL AMY MARIE Id 0~
<br />vanTm AAARESB TOWED AOOR¢58 To vaNTrv
<br />11 5381 156TEi LANE NW Y; 15420 SODIUM ST ,I,V 01
<br />ven USE qtt 3TAT8, *.M PULtINO OIRaLT CRY, STAIR IAP TAILLRJa OI V¢II UBE
<br />01 RAMSEY MN 55303. ~ 01 RAMSEY MN 55303 °"~ ~3 01
<br />CAIR L,tNJ. MAKE MODB4 TEAR GOI.OR ~MAKa MODEL COLIC INa7 LOC
<br />11 SUFI R^S 200. SLV k'ONT SE1 004 G~ID 98
<br />pMB aSV PI,.ATEY aT RBa YEAR R¢O Tom.... a~ryW~aNCA fIR EV~HfB N~Ix EV PLAT¢W Bi REa Y¢ARR¢O y ERC~UEA OF SVMR6 MOBTNMMEYAn OM08EV
<br />09 45797MD MN 9 90 .90 PBC917 MN 09 9~ '~ 90 98
<br />RJBIRIANOE PfA,ICYNUMRffA. _... .. -N18tIRANOE (IaJR R) Pal10Y NUMRaR -
<br />GETCO 40383011A1 MERIDI:4N SECt~RTT'Y QUC~OB~I7557
<br />CAROB RO. tM3 MAT 8ipp'ECTR4NM:. ._ INaR aAAOEp - - - _. _ WAIVBH NAZ NAT. BAY
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<br />~' ~ REMEMBER TO NpTIPY THE STATE PATROI. (ngMlratl PndaT MS 186,7BS and 1E9.4511), ~
<br />CFM7AERGAt YaNNan NUMBER 1. Mp1T]R CARRIER NMIB. pOTNUMaER fAMMkROUN, VanR7.E NUM88R 1•MOTOR CARRIER NeME OUTNUMaER
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<br />0'~ AMa BEINICB RUN NUMBER
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<br />OWNER OP OTHER DAMAa¢PPA.OPEgfYANO DESCRIPTION OP DAMAOEO PROPERttANIYOR YBLLOW TAO NUARIERl81 OAEUOSAPROPBRTY lYBLLOWTAa NUMBER ~.+~a
<br />ACC TYP ~ NARAA7AR: DBViW
<br />90 f,.^ 98
<br />J ....._ ..:..........:.... ... ...........:.
<br />aaNtaMB
<br />03 VEHICLE ]: WAS TRAVELING N/B HWY 97 IN 'SHE 19200
<br />N BLK. VEHICLE ~2 WAS TRAVEL2NG~~5(~"HwY~"97, MAKING •
<br />wcmN .LEF.x. TURN ..ONTQ,,..E,I:A... 1.42. AVE NW:.,,,, THE. DkiIVF~.R. 0~ _ ,.... .. 9$
<br />O1 p ~ VEHICLE 2 FAILED TO VELD THE RIGHT AWAY. THE
<br />oN~1AFE '~~ ,.DELy.VER,..OE..~V•ER~~Z,E 1 TRIED...T4..STOP,...DIIRS.NG..TI3E,..,. EITREL
<br />IYT'? `~) PROCESS THE ARTVER WENT OVER THE HANDLEBARS AND 07
<br />TYracPwa ~ ~ ~„ „T;ANt7ED" ON"THE"ROADWISY'. Nq"'CONTA~T"'WAS"`MAi?E' _ BP
<br />98 urnta BETWEEN THE VEHICLES, u~l~
<br />~'~ ~ ^ 1?RTV~R OF VEHTC~,~'~~ DIED~~'I~I~~ NE7~'~' DAi' AT MERCY`
<br />TAaAVeMw „FiOSPZTI#I. _.p.~i,TV.F~}.2,.:W,~S ~3rSU~D 3# C~T~~'xON. ~'Q~t k',~x~ WEAT118P17
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<br />OPP8/Mt RANK NAME ANO BIIOQEP 'Ap¢NCY ,. ..: PATRp48TA710N ~.8TATE PATROL LOCAL •..
<br />OFFICER L7erad Dixon 0034 Ramsey FD ^ ENERIPT: p ATNER
<br />73
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