|
<br />1.ClCAL"""""O. ...........
<br />07252423 .' rq, .
<br />Hrr"lHl>l\UII I PllllPIIOP ,_ K1W1O ,lHoIlJRllIl Me" YrN\ D'Th
<br />'Ii I" 62 eO tl-' tl0 18 2007 1539
<br />-- --~-- ' .' '~D~I""1'''' I I. . '!iBto<< 8" ll!Ie I
<br />"" 0 2 1 0 . .' l'1:1"1 ~ w ~~CTIQII ... lOR ...Q.Q.....5..- OPt . 0"" 01'...
<br />c;QUNTV NO 1m. I MI!Wl r-POM _aYll HOIJ'lI! II. aT1W:t c:oR~UIMl. OfIPl"I1\IlW
<br />02 10= 3148 I _+~'_ 07 57
<br />
<br />III!H T'IP AllDIll!N 'TCl'MlIl _Hess
<br />01 2625 SALEM AVE S .. 1; 415 JACKSON
<br />.'t1S4 use: CHY, STATE. ztp I ruu..ING OIRECT CI'TV, STA.~. PUfJUNCI
<br />01 STLOUIS PARK MN 55416. 1~,03 ELK RIVER, MN 55330 u,
<br />
<br />ii TOY! LXS 200 SIL I roRD. CTV ?()O fw1h I .
<br />03 ~J449 ;;o6sHIlG Oi I "='"r'=" I '.....I-ol~ I<.A"U ; ~8""u 6i I ~".'r'~ I -- lore-
<br />I. ~l?;.?LITAN CAS ID64m9340 MT~OTOAL (YF'OOI050698
<br />
<br />I~ p~. ,>..r-. 1ID1IOH' .,....._u '1IPlt.CClDENTINVOLveDACOMMERCIAl..MOTORVEHICLE.SCHOOLElUS,ORHEAO!lTART.IlUJ "'- HAl",T
<br />I I I REYeMBER TO NOTIFY mE STATE PATROL 'FIllIul," under MS 168.783 .nd 188.41111).' '? ""'7
<br />
<br />~'
<br />
<br />Oi I~H0780ill21315
<br />__,.........l.AITJ
<br />NANCY LOIS BROWN
<br />
<br />SF^1e CI.A8S D\.. STATUS
<br />MN D 01
<br />
<br />~ACTOIll
<br />15
<br />
<br />g,,11!Ol'OIRTH
<br />11,1.0,42
<br />~VIOL.~RfW11UCT
<br />y? 102.
<br />
<br />952-922-5947
<br />
<br />_R
<br />04
<br />
<br />_u
<br />2625 SALEM AVE S
<br />
<br />-
<br />01
<br />
<br />CIlY.ll1l\T1l.Zll'
<br />STLOUIS
<br />~., 9EXF
<br />--y-.,
<br />
<br />EJECT IHJ SI!V
<br />05 C
<br />
<br />PARK, MN 55416
<br />~4 1~04 06
<br />ALCNL 11YPll I ""00 I' 1\'I'l!: 11'0 HOSPT"""""""'l-lO.ANCa ....vlca
<br />"W' 98 ~~ST '98 N-~ 0..... .
<br />'. . . 001H1iR
<br />
<br />-
<br />01
<br />
<br />....NHUMllSR
<br />
<br />OCCU'
<br />01
<br />
<br />__I
<br />BROWN NANCY LOIS
<br />
<br />CCM><IRCIAL VGHICUi_" MOIOH _Rlal_
<br />
<br />jT_
<br />
<br />UNIT 'O$1l< DATI!Of",,", SIX T'fPI!
<br />
<br />___11MlIEIlSEI
<br />
<br />D~VID GARY LARKIN (612-8686469)
<br />JEAN-PAUL BEGIN (763-360-0664)
<br />
<br />w
<br />w
<br />
<br />9~~:~ M
<br />4/31 M
<br />'"77
<br />
<br />OWN"" Of 0THlIR DAMAGED f'IlllPIRIY"""iPTION "" -.0 PROI'fSm """"'" val.0I\' 1M """"l'R(8)
<br />
<br />~
<br />~
<br />llQtL -
<br />
<br />~
<br />l.QCATN
<br />01
<br />~
<br />W.
<br />~
<br />
<br />-------
<br />
<br />6100 BLK HWY 10 NW
<br />
<br />f"1, 1 ft .~
<br />
<br />rl'Or~ro~~ I
<br />
<br />~ ?
<br />
<br />-2L
<br />~
<br />W
<br />N"
<br />~
<br />
<br />(E)
<br />
<br />01
<br />~
<br />
<br />I!~
<br />- -!I' -
<br />II--Slf ...J.
<br />
<br />-.9.LII
<br />
<br />I ...........
<br />I
<br />
<br />~
<br />
<br />01
<br />===
<br />OfFICER fWoIK. NAME AND BADGE.
<br />OFFICER Jerad Dixon
<br />
<br />0034
<br />
<br />yD
<br />
<br />~
<br />U\
<br />
<br />I i>AMAoaD""""""""YeJ.J:1WWOHUW"H Y
<br />I .:,t:;.
<br />~
<br />2L
<br />
<br />"""'1ION I QRlVIilll.lCli__"..~
<br />01 G037009016710
<br />
<br />_al"'.ST, MIQClLI;. ~Tl
<br />CHRISTOPHER DANIELCORTIS
<br />
<br />It; A
<br />
<br />--
<br />13654 1915T ST CT NW
<br />
<br />DII11! Of BIRTH
<br />02105177
<br />
<br />~ 'YIQL'fN R!aTRlCl
<br />N~ 01
<br />(
<br />
<br />CITY, ST^Tt. ZlP
<br />ELK RIVER, MN 55330'
<br />ag~~~ raEIX ~aQP1' I ~.QI>T IAIfl.....
<br />'[.1 M 'v4 04 I 06
<br />ALCHL ,TYPE DRUG I 1'VPe TO H08P I ~RTt .AMIULNCE SlRVlCE
<br />""Nt 01 ~ I 98 Ni' I g:.. I
<br />
<br />763-274-0630
<br />
<br />I'HJN
<br />
<br />RUN NUMBeR
<br />
<br />~CT
<br />05
<br />
<br />I"';
<br />
<br /><lWNeR_
<br />ELK RIVER FIRE AND AMBULANCE
<br />
<br />CQt.dMPCIAI. Vl!H1CUi NUMER 2.. MOTQR Co\Mllft HME
<br />
<br />,lllJTN""_
<br />
<br />UK NIatAG EJeCT tNJ sav TOHOSP ~~
<br />
<br />? 0....
<br />001l1llll
<br />? 0-
<br />o OTHeI
<br />? 0-
<br />00TH0ll
<br />
<br />A,.-SBJW\C&.
<br />
<br />"UN NUMNR
<br />
<br />__ICIII
<br />
<br />RUfIl NUMB!R
<br />
<br />AlMJ SERVICE
<br />
<br />'tUN NUMSIlR
<br />
<br />-
<br />
<br />,., ~.,~v...._. .,., ..._.~.... .~.....,. .~"'_.'H''''', ." "~''''P''' ~..._... .~~,...,,,,,,~. "' "..".~":_"~,.,,,,,,,,,,,,,,,,^.,,,,~ ~......, _....
<br />
<br />VEHICLE 2 WAS TRAVELING EIB HWY 10. VEHICLE 1 WAS
<br />"TURNiNG" FROM' W)B '"HWY' iO..INTO'..i\-.:GocAi;.:BusINEirs.;.......
<br />..VEHICLE.. ~_.F1l.J:u:.tl....TQ,XIE:r.,tL.:rH!L..RIGa'r...Qf. ...Wl\~c..~.R. :......
<br />CAUSED VEHICLE 2 TO STRrCK IT, THERE WERE NO
<br />..INJ;t1Rr.E$....--.....-......-. ..- ......c.......... "-'." "" ....-...-. ........- ..--..-..-...."...... ..-- .......
<br />, . .
<br />
<br />''M'!BULANCE''WAS''TAANS'I'ORTZNG ...AN....ONl'(NQWN.'1I'EMMil!:...'l.'O"...
<br />MERCY HOSPITAL.AMBULANCE W~ TRAVELING AT THE
<br />'PO'STEO'" SPEEi5'LIMI't"'ARb" 'bib"'Nd't"!iAw' .'tMi:aG:ENCY .-'.
<br />
<br />..JJ.I.GH:rS....ON"."..."...... ... ._.... "..... _'"...." ........._. ........ ..c. ......... ...... ...._..~ _ ...."...__'..
<br />
<br />RIv:EP....OF,. VEHICIJl'..-.;L.. .S:tA'I'.EP.,....~!.I...WAS...'J)OO~ . BUSY.....__.....
<br />LOOKING AT THE ACCIDENT AND OIO NOT SEE THE
<br />"AMBtiliANCE"',' ..... ." .. ..... ............. ........,. ....-........................ ...........-. ,..-.-.. ........-
<br />
<br />o'RrvEROF'VEHICLE'1' .WA~rcITEi5...w.ITlr1:NATTENTfVE......
<br />
<br />.DRDlING...f9.3.6.,.-..4 8.1L............ .... ......... ..._._...._.._.................. .'...-...- ............... .
<br />
<br />...............-...........-.......-.... - ..-.... ..". ..... .............-.....................................-.....;.....----.
<br />
<br />.(8)
<br />
<br />,~
<br />~
<br />Ii
<br />111
<br />o
<br />!
<br />
<br />~ST.1\l$
<br />01
<br />
<br />or'
<br />
<br />IW:l'OR 2
<br />
<br />Oi"
<br />
<br />-....
<br />01
<br />
<br />"""'*'0
<br />01
<br />
<br />Ii
<br />7.
<br />~U3
<br />
<br />QCCUP
<br />O~
<br />som>
<br />
<br />_VA
<br />n
<br />
<br />.... coo
<br />01
<br />
<br />DMG SlY
<br />03
<br />
<br />I
<br />
<br />:WWOJIQV
<br />lYP\l
<br />
<br />~
<br />-l
<br />.
<br />
<br />~
<br />98
<br />
<br />""""iiii'Rii:
<br />
<br />90
<br />~
<br />1t
<br />...iliL
<br />~~1
<br />
<br />030
<br />~
<br />
<br />02
<br />~
<br />
<br />~
<br />~
<br />i
<br />--"'--
<br />"""'""'"
<br />
<br />".>;.. -.. ...
<br />I :-O!HCY
<br />IRamsey PO
<br />
<br />05
<br />-
<br />I "T\IOL S~T'QH TO....... """"" 13 '0Q.10.
<br />I 0- DQTHI!R
<br />
<br />37
<br />
|