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Home My WebLink AboutReel_0023D ''e• ROADWAY SY STEM - MOTORCYCLE COLLISIONS % Change S stem 1976 1977 1978 1979 1980 76 - 80 Interstate 122 145 151 173 178 +46% Full Control (Limited Access) 26 18 48 46 61 +135% U. S. Routes 109 115 112 131 123 +13% State Routes 455 573 554 756 692 +52% County Roads 814 872 916 1,170 1,092 +34% City Streets 11199 1,329 1,464 1,678 1,732 +44% Other 36 41 37 38 36 -- TOTAL 2,761 3,093 3,282 3,992 3,914 +42% ROADWAY SURFACE CONDITI ONS - MOTO RCYCLE COLLISIONS % Change Conditions 1976 1977 1978 1979 1980 76 - 80 Dry 2,431 2,667 2,833 3,601 3,445 +42% Wet 310 404 435 364 459 +48% 9 Snow 1 4 1 4 4 +300% Ice 14 17 9 13 6 -57% Other 5 1 4 9 0 -100% TAL : 2,761 3,093 3,282 3,992 3,914 +42% LIGHT CONDI TIONS - MOTORCYCL E COLLISIONS % Change 1976 1977 1978 1979 1980 76 - 80 Daylight 1,901 2,102 2,180 2,656 2,448 +29% Dawn or Dusk 118 113 123 159 211 +79% Darkness 742 878 979 1,177 1,255 +69% TOTAL: 2,761 3,093 3,282 3,992 3,914 +42% Prepared by: Sergeant R. W. Bruett Washington State Patrol Accident Records Section STATE OF WASHINGTON 1980 MOTOR VEHICLE/PEDESTRIAN COLLISION ABSTRACT The State of Washington for 1980 had 1706 motor vehicle/pedestrian collisions. This was a 2.4% decrease under 1979's total of 1748. Total pedestrians killed were 108 as compared to 118 for 1979 a decrease of 8.5%. The number of pedestrians injured in 1980 was 1783, less than a 1% increase over 1979's total of 1778. The number of fatalities in urban areas was 47 and there were 51 fatalities in rural areas (2,500 population or less). There were a total of 97 fatal pedestrian collisions for the year 1980. CONDITIONS FOR THE FATAL COLLISIONS WEATHER CONDITIONS SURFACE CONDITIONS C ear 85 Dry 75 Rain 11 Wet 21 Snow 1 Snow 1 LIGHT CONDITIONS SEX OF DRIVER Daylig t 33 -Mal -e 77 Darkness 29 Female 17 Darkness with street lights on 29 Darkness with street lights off 4 Dawn or Dusk 2 --1978-_-1980-PEDESTRIANS KILLED ---------------------------- --------------------------- --------- 1978 1979 1980 AGE OF PERSON TOTAL Male Female TOTAL Male Female TOTAL Male Female 4141 00 to 04 7 3 4 9 5 4 5 1 4 05 to 09 12 8 4 6 5 1 5 3 2 10 to 14 6 5 1 2 1 1 3 3 0 15 to 19 11 8 3 9 6 3 7 4 3 20 to 24 3 3 0 16 15 1 10 10 0 25 to 34 10 9 1 14 7 7 14 8 6 35 to 44 12 6 6 11 7 4 9 7 2 45 to 54 9 6 3 10 8 2 9 8 1 55 to 64 9 4 5 10 7 3 6 4 2 65 to 74 7 2 5 7 5 2 8 6 2 75 & Older 15 9 6 23 11 12 21 9 12 Not Stated 0 0 0 1 1 0 1 1 0 TOTAL T01- 9y- -l; T1 -8 7T- -70- 99- 6-r 9W-- Driver violations in the 97 fatal collisions included 20 Failure to Yield Right of Way to Pedestrians; 22 Driving While Intoxicated; 12 Inattention; and, 2 Exceeding Stated Speed Limit. The Interstate System had 9 fatal pedestrian collisions; U. S. Routes 5; State Routes 27; diounty Roads 24; and, City Streets 30. The months of January, July, October, and November were the worst for pedestrian fatality collisions. There were 24 Hit and Run collisions; 15 fatal and 239 injury. x` I-, rr ACTIONS OF PEDESTRIANS 1980 . T/1T 111 1`,, 0 F, PP/lP[tMla11 Q!•}ll11lC V; Nol7n.1 AGES Not r - - ua tl v a ltl 6t!U Crossing Intersection With Si nal 9 277 6 32 38 116 66 19 Urossing intersection A ainst Si nal 26 44 12 5 rosstng ntersectton No Si nal 42 91 52 29 ..rosstng n ersection Diagonally 4 5 2 1 Coming rom a to n Vehicle 15 16 1 5 rosstng o. ntersectton No Crosswalk F 84 109 39 24 rosstng o ntersec ton In Crosswalk 5 11 7 0 a ing or t ing in Roadwa wih Traffic 25 37 3 1 a inor t ing in Roadway A ainst Traffic 5 12 2 0 a ing or t ing on Shoulder With Traffic 50 0 29 7 1 5 Walking or Riding on Shoulder A ainst Traffic 1 22 1 1 7 9 1 Standing or Wor ing 3 In Roadwa 7 94 0 9 21 56 3 5 Pus ing or working On Vehicle 1 12 0 0 7 4 0 1 a to n oa way to n oa wa Not in Roadway All t ers 1 11 M 59 T8 23 6 4 Not Stated 1 4 7 1 4 -• 10 11vav 71 414 368 580 ---2M---- TT6--- Prepared by: Sergeant R. W. Bruett Accident Records Section Washington State Patrol tiff L, IL o-1 r ' v" q,+ T„^.,.y rr vl s,r_ s l1 t. ? Inf1 ly,p.t¢C.t I t! '?Ir A q 4d 1 ? ? Y W AR , I j i _?. ??i I J II i { ?? e l 1 j + 1_f l?J 1 f'? i _ 1 f k 1f? ?]j ri ?5? 1 1 f ? ' 1 f 1r? ? 1 ? 1 P l t t1 C. X 1 A I t b tti a, STATE OF WASHINGTON 1980 TEENAGE DRIVER COLLISION ABSTRACT Teenage drivers were involved in 11.7% fewer collisions (28,069) as compared to 1979's total (31,804). Fatal collisions were reduced 6.4% from 220 to 207. Injury collisions decreased 12.7% from 12,299 to 10,742. Property Damage collisions decreased 11.2% from 19,285 to 17,120. Traffic collisions for "all" ages of drivers in 1980 decreased 4.2% under 1979. Fatal collisions decreased 5.5%, injury collisions decreased 5.7% and property damage collisions decreased 3.2%. Teenage drivers comprise 7.5% of all licensed drivers (198,613 out of 2,662,659) in Washington. Of the 113,751 reportable collisions, 24.7% (28,069) involved teenage drivers for the year 1980. ;<<4; As a result of the 28,069 collisions: 242 People died 16,830 People were injured (2,554 were disabling injuries) 75.4 Million dollars economic loss Teenagers were involved in 562 Hit and Run Collisions of which 3 were fatal and 134 injury. LOCATION OF COLLISIONS TOTAL FATAL INJURY Interstate System O h i i 1,248 17 467 ? t er L m ted Access 372 2 141 a e ti i` U.S. Routes 1,062 19 428 State Routes 4,533 48 1,890 County Roads 8,037 83 3,258 ct< City Streets 12,663 36 4,494 Other 154 2 64 TOTAL 28,069 207 10,742 DRIVER VIOLATIONS (Top 10) Exceeding Reasonable Safe Speed 3,952 32 1,694 Failure to Yield Right of Way 3,627 10 1,382 Inattention 2,761 13 1,127 Following Too Closely 1,568 1 633 Under the Influence of Alcohol 1,490 62 782 v Exceeded Stated Speed Limit 1,421 33 717 a ' Defective Equipment 1,279 11 529 ,h Disregarding Signs/Signals 1,257 11 658 r ` Over Centerline roper Turnin V Im 590 663 16 1 279 p g 148 " Weekends were the worst for Teenage Drivers: 50% of t heir collisions; 62% of their fatals. a ' ? Col l i sions/Fa tal s 1 Friday Saturday 5,228/36 5 275/58 ?' S , , rryy _ ? ? unday 3,538/35 yy }' ? Y C f_ , . I V . aC l 7 Y A ? 1 ? e d7 l rc F i f?l '" F r Lf 7 ? , M?'Iir f % 4 1j Lt??? , I i1 Teenage Driver Abstract - 1980 COLLISIONS WEATHER CONDITIONS TOTAL FATAL INJURY Clear 21,070 177 8,296 Raining 5,746 21 2,064 ' Snowing 807 5 209 . Fog 438 4 173 - Other 8 0 0 CONDITION OF DRIVER (Sobriety) ' Had Been Drinking Ability Impaired 1,490 62 782 Had Been Drinking Ability Not Impaired 902 18 434 Had Been Drinking Sobriety Unknown 1,042 11 572 Had Not Been Drinking 19,558 110 7,945 Not Stated 1,511 14 610 LIGHT CONDITIONS Daylight 16,091 80 5,876 Dawn 295 4 128 lia ,. w Dusk 1,081 9 400 ' Darkness Street Lights On Darkness Street Lights Off 6,775 314 40 6 2,619 139 Darkness No Street Lights 3,505 68 1,578, " Not Stated 45 2 2 SURFACE CONDITION Dry. 17,872 159 7,241 Wet 8,377 38 3,027 ' _ Snow 925 6 228 Ice 888 4 243 Other 6 0 3 SEX OF DRIVER r'" 2 Male 20,810 174 7,829 Female 9,735 41 3,809 Not Stated 43 0 15 AGE OF DRIVER u Under 16 571 5 268 16 5,256 36 1,885 s 17 7,876 57 2,979 18 8,776 58 3,370 1 3? 19 8,109 59 3,151 STATE OF WASHINGTON 1980 VEHICLE/PEDALCYCLIST COLLISION ABSTRACT Pedalcycles were involved in 1097 reportable collisions during 1980 i n the State of Washington. Included in that total were 11 fatal colli sions with 11 persons killed Urban areas had 710 pedalcycle collisions and rural are as 387. Two o . f the fatalities occurred in urban areas and 9 in rural areas. Total Accidents 1097 Disabling Injuries 303 Fatal Accidents 11 Non-Disabling Injuries 601 Injury Accidents 1077 Possible Injuries 243 Property Damage Accidents 9 Total Persons Injured 1147 Hit and Run Collisions accounted for 115 collisions: 5 fatal and 113 injury. COLLISIONS VEHICLE DRIVER VIOLATIONS TOTAL FATAL INJURY Failure to Yield to Pedalcyclist 217 1 214 Failure to Yield to Vehicle 58 0 58 Inattention 50 2 47 Exceeding Reasonable Safe Speed 23 1 22 Under Influence of Alcohol 15 0 15 Exceeded Stated Speed Limit 12 1 11 Other 9 0 9 Improper Turning 8 1 7 Defective Equipment 8 1 7 Disregarding Signs/Signals 8 0 8 SURFACE CONDITION Dry Wet 948 9 931 Snow 147 2 144 2 0 2 WEATHER CONDITIONS Clear Raining 989 98 10 1 971 Snowing 5 0 96 5 Fog 5 0 5 CONDITION OF VEHICLE DRIVER (Sobriety) Had,Been Drinking Ability Impaired 15 0 15 Had Been Drinking Ability Not Impaired 14 0 12 Had Been Drinking Sobriety Unknown 14 2 12 Had Not Been Drinking 796 7 786 Not Stated 139 3 136 LIGHT CONDITIONS Daylight 892 7 880 Dawn Dusk 10 0 10 Darkness Street Lights On 41 122 1 2 116 Darkness Street Lights Off ® D k N 3 0 3 ar ness o Street Lights 29 1 28 n, l l I 1 ` - r I I Iti G I /0 2 t: wJl 6 Y 0 O O I O I O !O O O? I O O? O O I _ O Oi I O i O O i I I 0 O' O? 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M r '? f .Np d '• V j I ? Y. Vl • Y' O .O ? I I 1 C I d O I ?- In uQ1. n O O n I Od' d i'N 7 j .rl P n? o ' N ? P ? r, d K ? r i.. P o- o? oo -? ( o?: o. P: ? .. o n o0 0 0 ,0 .. ... ., o n o 0 0 0 o fa o i ... .•. o' o° ?o N. .e m y O: o r oI N O' q ?'? I r I I I > 1 I j ? ! I i I ? I I i ? I j ? 1 I I ? I ? i a n ' rt F I n < s o ? h '" i I I , n n ?? o? °. 'o ? n ?o c. o ?o ^ I I I c 'o I I ?: r° o ? ?c w ' I P ?C' O. O P V t P C r P. V P P C C' C P N P` P ?O ? ?I W FI u %) o P I O ? O i a ?) Y ?i ,w JI YI ? C' 4I rl w Y O v .°? °w ? ti N 7 I O u O? J m n d' u Pl ?. V1 i . .. _..?r , A E ? • 5 S ` SYdd` JE '' Al ,,.er:n •.aAl w m =.. ' .. ,Y ,6+ r. + ? u ? r F STAT E OF WASHINGTON -.I SUMMA RY Or M V OTOR EHICLE T RAF MC COLLIS ION S l T CITY COU NTY JEFFERSON IHlIR 3L1 FOR MONTH OFUI/0 1-12/31 P 1980 , U yy 1 - E OP NU AFRO ACCIDENTS. • NUMBEROFPES°NS SAME Pfal0OlA5T Y EAR ' 'ti'" - I 1? O FHICLE • F --• ` NON YRSPERIY 1'TOiTAL TYPEOFINJURY NOI!• TOTAL 1 PERSONS i _ ? - ACGOE l1 .. . : d `a IOIAL .. ' • I , 4 ? iA1Al °AMAG! .. I # INJ11AF0 1?0v ? INJURY a? ..,. q IrA D6..tRNO WIVE ACCIDENTS (?j, y:•Wi'Ei:i INJURED. ' ':1, - . .. ... oFlwrvwc 1 - . 55 . J . 231 2L. 7 37( I] 181 v 47 66 ' 1 37 yT p • O 9LHEalgN mll. PEDESIAAN .:1 } 0 ) 0 1 3 0 0 +,'J 0 0_ 0 0 '. 1: 3I I I 11. 1 2 0 I •: 4 1 0 0' 2:7 L Y1Ya1. LS M IN IRANSPORf W 12I 3 56 62 _ 5 95 23.: 33 174 116 5 70' ,, ,- 2 M ONOIHERRO ° I ' J 0 0 D I 0 O I 0 1 n l 0 1 0 . Q 0 „ 0 ' PARKFOM.V.j .,6 0 ..- 1 '-.5 • , 0 ..: 1 0 0 1--3 -,. I .`:4 0 115 PA WAY rRA1N I O 0 O I 0 O J O 01 O 0 O O 0 ffDAICYCIISi ;_ 2 0 ' , 2 '..D 0 .!' 2 1- .. 1 0 1 I I .L.'1 I 0 - 11 ;r AN .Al 1 HnEDOSiEC7_ >4 -154 O 7 2 I > _r 71``-76 24, L L 0 2 0 9 . x:'90 21 - 48 - - 21 118 _ 15 ` 173 0 2 3 'B wA E ' orHE4oaJECr I L 0 OI 1 x "- 9 0 OI 0 2: ' 3 ( 2 0 0.,, . " e' x....::,.TOTAlS INrpnrnie3nrEM OTHER FULL CONTROL .}68 ,...0 O 10 0 66 73382 '195 1.230, . 56 • .108 4 163I 0 0',. ._0. 31 0 J O •U 0 I 0 0 - 8 0 199' 0 ® - - Q us: aoilTe NO ,137 6 -. ? 60 71 .1 - . .165 7 88 22 40 26 145 ( 1 4 411 S Sl tE 40UlE NO 60 > 171 31 i7I 52 4 36I 9I 161. 11 " 1 20 ' a CDONTYPOAO ,159 2, : 74 83 1)4 2 51 28 161 I 140 8 ' 8 , 74 ® ) } I CITY STREET J _ 0 1)' pI 0 0 01 0 U 0; U, 0 , .. 0 0•Ei 1 OTiKCR)?AF S - 12 O ?:.. 10 2 I L O -.25 0 •., 2 O i. 1 0 12 .. ' * TOIAL 1 A 1 IF? A 119 3 I? ?--ACERB' TOTAL PECAraS EOFSi41AN5 PEDALCYCL1513 MANNER Of 1W0 TOTAL COHORIONOFORIVEA TOTAL '. a[ [T?vsuAlrr ?.1 •'- INJURED INJURED I?Lt INJURED M.N. COLLISION ACCIDENTS '. _.? A SOBRIETY • ACCIDFNIS ?' TI r -0041 0 1 O . O D 3 . ?-, 0 A 1 HAS ERN D KING 1 4951QOS)... 0 .,, 5-: 0 , O 0 0 .. END. RCAR 33 O ABIT" s IPAIPED 29 6' ^j '10101 1 ._9 0 _ 0 0 0 ANGLE _ 13 1 HADBEEN DRINKING ?j},',LIT}l9 3 37 0 1 0 ,.• 1 SIDESWIPEMEEIING 1i 0 ABILITY NOT IMPAIRED 14 1.1 ' 101Ot 1 - 27 O 0 0 O • SIDES-E PAS`.N'• 4 0 BACKEOWTO HAD BEEN DRINKING SOBRIETY UNKNOWN 5 1'?. 1 ® ;A: Tp0 D 60 0 , 0 0 0 ,47' 2 tOIIFRS HAD NOTBEEN 2 p v F+-A+SI"BA,??t .. 3 32, 14 U O I 0 J O D `• f., O :O 0 NOT STATED . . WINKING . . - .289 5'' -5510 2 23 O O O' 1 127 3 DRINKING NOT r V ?d93b7 O 9 0 .., 0 0 0 TOTAlS .., STATED 32 0'i _ DER I' o 0 2 0 ,. 0 O .. ,0 10 U T ATm rSOrs ?- 0 TCTALS .. 11 0 1 0 0 > TOTAL DRIVERS 389 13 .' 64 ?,. 11 I E MuC1J. INu 1HUY5 FRIDAY SAtUPD?A?Y q 4:W'G IING, 'All DM I ALL. ALL I?V7?v1 SUNDAY ALL. , CON(RIPUiING CIRCUMSTANCES Of IIW{SIIGAi[DAWDOIIF ONLY • IN TOTAL ` ACCIDENTS it Si'-i i ® 1'?N. g 1i ' O0 MWRG I 9 0 1 J 2 0 4 1 UNDER INFLUENCE OF ALCOHOL ' 29 6 I r 1 Ak. LAO.; .: ,.._..3 O L ] ., 4. 1 :.4. O .. UNDERINFLUENCL OF DRUG 1 O? 7oo [[7?. l-, 1 13 J 3 4. 0 • . , ' - 5, O EACFEOIN S1Atr)SPFEO LIMIT G ET'CFEMNGRLASONAPLESAFESYEED kyl AN.n'.JAD: 2 O. 3 2 ' O O 0 O ... Rq 4 A, 400 > ` ` 0 O 0 .0. 0 > 0 ?' "'NO' YIELOON 1NIIRIHG AN Aa 11RIl , . I, S,Op Lei 4 . 0 0 0 s. 2 0 1 0 010 NOT YIESO 10 VENIRE ON RIGHT 0 0 .. . ' 0 0001 0 I 0 2 O O OIUNOJYIELDWHItEMAKINGA,EFt1UdN • ' •.O Oi . ;.r 2A0 ° -3 0 0 0 1 0 2 0 DID NOT YIELD WHILE CHANGING LANES 0 0 4 ® IT eoo I J 3 0 2 u u : ' - ') ' ' O D1DNO1 YIELD TO NEH CLE A.LOTHERS . 25 ' O ' I,_.. ._ Gd b00... - 6 0 1 . . . 0 A 0. . .. 1- 0 OIDNOTYIELO TO P(DESIRIANORe1CYCOSr 0 O L ID tooo 1 8 ') 1 ) .l 0• .3 n MIROPEP IA51ING J. I - _. 9 O' o F0 11 A0,;'.?_... LO 0 1 0 :9 I " 2 IT FOLOWING TOO CLOSELY . 1 -30 0 . 12 It 00 I . 17 :T 2 D > ) 4 ,) pV(R E(NIER LINE N 15 2 y [ . I 17,0° A>.T -,'.. 14 O 5 ,) - • 5 U L. .1 FAILING TO SIGNAL OR IMPROPER SIGNAL 1 0 -' 1. IAoo ! 13 0 6 0 3 u -3 0 IMr4oote maN NC 0' Z :-,1 IS.00 •. 7 0 6 3 0 3 O IMPIIO%RU tLIRN 1 O' ';; .y3 ?'..'.' R 1 4 B 1I6 OO 15 I J 6 5 1 .. .. ) z .. DISIEGAPDNG STOP AIIO GOIGHI D13P(GAAgNG STOP SIGNOR FLASHING RED a •';; !r f : LO le aDo ! L 1 J 3 5 O 3 0 0 5 1 --.3 O ? O DWEGAEDIN(I NNG5CNA , 7 ". 3 1 1 0'. rM(/ y. FFhhr 1000 4 0 - 4 0 _ ,.:3 0 APPARENT Y ASLEEP - 14 0 1 2. to DO _ 11 3 ] 2 0 IMPwPn PAR. Im LOCNAnoN p ' 0' rKt Fx 7140 h n »° 10 D l 2 6 O 6 0 I 1 J '4 L l n pFtuT NG DEFECT IV[ (OUIPMINI NnnNI ON ' 20 53 0 0. 0 ., 't ?7 x 1 L L 75.00 5 o 0 5 _ 0 1 0 ., 2 0 . ;I All OINIe VIOIAIICNS 0 ` , v } -' A I I.RP, .. 1 FIGURES REFLCCT I NVESTIGA TED ACCI DENTS ONLY ) ? ? I L , ?• I ` . TC' k ? 11 V PREPARED BY RECORDSSECl10N I WASHING IONS TAT E PATROL . i j 4 {}1 n '` ? (10 N%RPNf`rY>'SFNU h'3f'd9µ:`1.d'SAT' A. N. "I". a' `1'31! .&1d'a1!i1I .y- ?„? - ..;,BAs 1 J' 2W 10 O N N p G '00 0 O 1 000 0 0 O 00 O N M wY I I I ?? i I I I I I 1 ) I O O ~ I I I s Z y l,p p. laW N ? Zw p q i j O N Ir ti ti O O 00 1 I N N N.-. 0 O . I i i .. r 001 ! 1 OrN 0 O -r S ; D i i I ?O ?'^ ? ? 1 i ?? ? i r I C ? y W K? c r i> F- ? O I O ?. O i ! I I ..? ti I I i m • .r m i? ? I .r O .+ ? m r I I I 1 I ? I I I I i I j • ?' ? i I ? I i ! I r I ? I ? ' I I t . . ?, ? '? ? t o to q o oo I o o I '..o i o I o.. m I I ( ? ? MoD I ? ? ? . ti' i a? Iaa ? ? 1 I I I I ? i I r I I I 'r j ? ?D I ? m I j? r ? N I I i I I I w o ? z re N , ? N 1 P mm a bo + o I + ..oaW ootia I ?aP Dti t I I ? i ,? '.ti -:? ?.# ? "4'fi 'r1? V` ' r Y WZ : IJ Op 'L O I G O 00 rtim O Oo ? 0 OP O u00D ..?r 00 I I I ? r I ! i i} ? 6 I O O r0 n V 'a ? O N I N N '' 'J 1 ? i I y t bK O nNt r P P ? P? ? i Y ?, LL I 1 1> i I I I r J J R 4 R J f I Q J H ? f , :? l ?.? it y 1 . p V i O O ? D I O U i ?. q S ? l f? T ? I i w ,, I ^ 1 ? M I i ell I 't J. t CITY TYPE OF G E,RaE NU. J.. rhC10iNI TOTAL I O ERTVRNING •Qil'F?NON COLL. 0 PEDESTRIAN I 0 „M17 i4ANSWtt 7 ON OMEN MAD I U - 4'{D M:Y:.:. ' 1 z 9 LWA TRAIN J cPSOAICYCIISJ.";. 'g . _. 0 I c ANIMAI 1 NAED OBJECT"" - 17 OTIEROBIECI I p ...., .„-,-,,TOTALS' 31 1ME00tAif SYSTEM ' 0 OIHER ruu coNlROI i 0 • 14 4 STATE ROUTE NO. - 5 a .E COUNTY MAO: '.12 CITY - n.... . .... -......_ P: TOTAL PER A.EOF SONS E CASWITY un INJURED ROME, .95)409' 0 o, 1 10 To 1 1110.19.,:... 0 : 2 j ' - 4 T010J 0 6 Ts TO 1 3 55TO0 SSj1iT ( ii o I O o 2 ..0 a mER 0 0 1 TOTALS 1 5 COUNTY JEFFERSON (ITURALI FOR MONT'II OF12/01-12/31x1980 j FAN 1•NPIRTI' I J1 iAIAI OAIMG^, t IOTAI - 1TfF OF INJURY 1lI:U4tD f NON 0 3 I snquq _ TT rg: I INJURY. . ., 0. .,...,0. 1... ,,0.,.- 1 . p 2 I 0 I 0 U OI o 0 OI. OI ... OI - .0.1 0 . ._.. ... 0 ol o o 0? OI p 01 0 ' . 8 . 8.. 2 . °13 .. 2 , 9 , ,. 2 _ 15 0 OI ' o 0 ol . OI oI_. oI_. . 0 3 " ;17 l 11! . . .. 4 25 ,. 31.;1"'. 15,' ).. 7, 35 0 -. ,,.o . . . 0 .. 0 0 _. 0 .. . 0 ., . p._ 0 0 01 .. . 0 , , 0 p1 . of of 01. 0 2 .6 6 2 . 30 1 ' .- . 6 . 3.,, . 18 J 3 .. 2 0 3? OI 3I 0? 4? 1 , 8 3 '. 2 12 2 6 4 : 13 U UI U 0. 01 01 al ; of U - 3 171 I1 - 4 251 3; 151 71 35! (DIAL pfR;gNS ,l ACCIU(NIS [3t } I(JlV4ED' 6 •'" J' 3A 3 0 _ IT 0 Cl ;.- 0 0 pr 0 0 0 1 0 "Al 1 0 0 '; 15 0 7'9 0 0 a :,726 0 ;llAC. L .0. 0 per; ':'E 0 " 0 0 13 0 10Y 4 0 0 6 0 OY. I 0 0 0 3 p 26 0 11 INl'JFEO ? 31N lURED NANNER OFIYJO Of AI M.V. COU150N TS ACCIDEN CONDNIO I., DRIVER' TOT t ?Y $pORIE1T Y J O 0 -0 0 0 t 3 •?? HAD D BEEN DRINKING".. , ACCIDENTS 0 O 0 1 REAR• ND J A81LiYIMPAIRED I 2 1.- 0 0 0 U 0 ANGLE I ' 0 0 HAD BEEN DRINKING 0 0 0 0 BIOf-pf-MEETING - 1. '.. 0 ABILITY Not IWARED 5 1• O O O SIOfSWIPEPASI NG " - 0 0 - AD BEEN DRINKING O 0 0 BAC,EDINIO?. 4 2 $OBRIFIT UNKNOWN 2 0;... 0 O AU OTRERS 0 0 HAD N0I BEO 0 O - O Q DRINKING 24 3ti 0 . 0 0 0 I : 'i TOTALS , 8 2 0 RINKINGNOi T ±. 0 s AI(D .. 2 0 . 0. O ...0 p . 'O 0 0 o TOTAL DRIVERS 3A GJLOIWP ALL AIL n°•?•,•-, ASATVD `_: ? sUNOAv 1 CIRCUMSTANCES Co I n CE 'A YI 0. MIDNIGHT I 0 J i _ All. Or v(St GAII A R , 'ACCIUINI 'J:,. '0 0 1 O UNDER INFIVTM1Cf OF AICCEIOI J TO I () 0 J O ' UNDER INFLUENCE OF DRUG ,. ', 0 O: , AO O O 0 p 0 0 0 0 EKCEDINGSIANDSPDIIMI p 0' A 00 I p 0 0 0 0 0 ' EYCEEDINo REASONABLE SAFE SPEED ' 1$ 3' • IT 0 1 O DID NOT YIELD CVJ ENTERING AN ARNRIAI . R 00 I O 0 0 1 0 0 0 PID NOi SILJ.D IOVMIOE ON RIGNI ... "0 0. y. 11?y E:.:.T•7•b0"l. ' ~ ,O O 0 0 0 O O 0 DID NOT YIELD WHILE MAKINGA OUT IUPN 0 0:'.. •• 0. Boo I 3 J O U 0 0 0 DIDNOI YI[IDWIBUFCIIANGINGIANES 0 O;. 0. p _ s 0 0 1 0 0 O DID NOI YNIO tO V[NICIFAU 01Nfp5 0 p' 10 1000 I 3 0 0 0 0 0 0 O DIDNOIYIELDIOPEDESIRIANORBICYCLIST . "0 S(` ;,ilm ? 1 O 0 0 4 ' 0 ` 0 IMPRGptR PASSING I 1 0• . 1 2 IT oo 1 0 l U 0 1. . 0 0 IotLOWINGIGOCTMGYd -, p p . ?•: CC Itw r•?13ED '. O O 1 0 3 i E 2 1 IA 00 I 0 J p , 0 ..0 O MIING tO SIGNAL 09IMPROPER S GNAT D,. 1 Z??1 1 00,. .. 0 0 0 0 1 0 p 0 O O IMfrOtER TURrIING 1 O O le uao 0 0 IMPmpll u TURN -. ," . ;, 0 p, 1Y"""1100 " 0 0 1 U O O 0 0 DISRTGARDINGVOp ANUGOIG 1 0 01. I le ieoo i I) 0 1 0 O p DISREGAtDING STOP SIGN OR nASIJNOR[D p 0!. 1V_1O. pO"' ... • 0 0 1 O b D 0 ' 0 DSR(C.ARP.NGtvARNINGsIGNAI Jd iG 00 ' IT O O 0 0' . 0 0 AwAR[NRY ASLEEP 0 0' 1});'_7100x 0 0 O 0 O 1 0 0 0 IMPROPER PAPK NG IOCAION 0 pi' JT JT aO 0 0 0 0 OPERATING DETECTIVE EOUIPMtFII 1 pl ,TS 00 "-J. 0 0 0 U 0 0 0 wAlllNtoll 7 0 0 0 .' 0 T) All OTHER VIOIATIONS - " :1 0" 1 14 * FIGURI S Rf FLC CT ETJYCST 2 2 0 _. TOTALS - 30 G'E . IGA TEp ACCI OENIB UNLY MIf PAN(O BY; IIEC(N4O'.f[CTION WA SHIN31ION STAT( PAIHOL - -0- -f i , ?o o ?I o000 0 "o "i .. I of I a? \?. i ? o o o000 0 -lo '? I m o i I j o .? u i I I I j I ' 11° I ? I I ? ? OtY I 1 "I O 1 j ? Z i i I? a o o"?o o? 1 ?? I I I I I „I I' i ..ob? i I I j w ' I jm ' N! ` a I n 1 i z 1 ? I Y i U? I .r .inn ' ' K ? ' T. t'.1 ( 'i n f• A z > ? ( I s a a F, 2 I ?^ N ? I I ' UI 1 ,`U O O d I 7 > 1 1 I i 1 i ? I _I I 1 i I Mn I ,rr?, I RNA •IV VRW RYYIE.IrItl Y Y vl>0 DVROi/ tl `0'U 0 vL-Y?fi%iPwF- n ni?u-rfly o T4.A'???B V®??dt lL CITY COUNTY JL:FF.R;ON (RURAL) FORMONTHOF 11/01-11/30,198 ACCIDENT TOTAL ek7}'SY 0 EDESTRIAN O .Y HI TRANSPORT 'V E O D 1 0 LW AY IRAIN AI ; 12 ANIMAL I T(FDOeIECT I EROBJECT 0 22 ;I,?JrE TCinrini p OTNER FULL CONTW ) ROUTE j Y ROAD [7C .IT CITY STREET OTHER TRAfFICWAYS _ 2 ) 0 NUMBEROFPE NON P EKIY 1 tOi Al IYPEO I'VE A ' IGONS F I111URY N O N• SAMFPEOODI 5 YLAR a GIP: E'ANS P" .AA . A4f 4 J ilI1URFD Ot 51J1uA) pyl ilq I i?))E INIURY j ACC o-s INIVREDI' 01 0 01 U - • J OI ' JI o? )I 0 0 0 0 0 0 i 2 ' 3 GI 0 1 5 £ 3 ., 1: 3 ,; 6 0 ' ' 4. U 0 oI 0' _ O 0: J O . 0 0 ' 0 DI U J 0! JI ' o JI 9 0 0 0 D '1 0 0 1 i o o i 0 0 0}' o ni D' 0 _ 0; JI JI OI 3 O 0 -5 L 5 1' 3 1.:.' 1GI •:18 0 - - 1 -:: 9 "LF.. .: 1 •2, 13 s : - a ,..2'. 20 34 0 O OI U J lI J )I J ) ? 0 0 0 0 0 4 1 1 3 0..c 11 ,13 .0 •: 0 2' 3 0 21 LI lI )? 3 d 0 3 1 3 3 ) 1 6' 1 :4 1 2I Y2 'C Cif O _ J U . 0 OI _ U . 0i 0 0 0 ll ?. 1 '1 0 •, 1 0 : 0 . 1 ` 4I 1 '0 1 91 1 1 1 131 31 3 2 21' 34 0 19 L?UAlr INAURFD .` INJURED J INJURED MANNER OFT110 IOIAI M.V.COLUSION :ACCIDENTS 3 •': CONf509aICIY Dr IVEk "- ACCOIDENTS SE?O?Oi00 )n OQ : o O O n ) ) :) : ` NFAD ON J JJ HAD BEEN DRINKING . ,, iY 1Ot01 0- ....0 3 O 0 0 .0 .... ) REAR END, 2 .' J ABILITY IMPAIRED 2 ?,. WL21Gi19 0 ?'. a o 0 . ) O ," ANGLE , 1 0 HAD BEEN OMNKING ' u.I 2010 -. . ..0 ) .O SIDESWIPE.MfETING., ', 2 . 0 ABILITY HOT IMPAIRED 1 24 . J n O 1 - 0 0 0 SIDESWIPE-PAS51NG J 'J HAD BEEN DRINKING _ 351OK 5 O D ) .., 0 BACKEDINIO. O .0 so-ETYIINKNOWN I 2 eer1:•• ll-- LL?? i 1-. o .,2 n I) 1 D ALI OIIIERS 1 U HAD Nor BEFN ' .ii. .. . 5S To 111 . :.•- 1 o .0 J 0 . NO15iATFD ::. .. DRINKING.. . 13 Ta• e?.X Ml E n n 1 O O ) 1 S 0 DRINKING Nor . CEY. C Ie1 0 0 0 •) :.0 - ' IVITEq' - n 0 0 0 J TOTAL DRIVERS " 20, MON.INVTHLOIS "MUI rT II.NIOPT%10 ALL fi FRDAY SATURDAY ALL AU SUNDAY ALL - M - E C ONIKIBUiINGORNM$TANCfS o1IHVl51 WTIDPCOD[ 50 : 'IN (O(Al MI " AL VOMIAD O I ND , F - If I) LY n j Q ) . 0 N1Y ? UNDE RINFLUENCEOPAICOHOL IDF 2 0.. "j I • l . 1 t 100• 0 o n ...-G 1) 0 0 UNDER INPLUENCEOFLHILRET 0 0: ,.0 'k " 0 0 O, ,1 11. ) 'U 'ICE WING SIAI[p SPEED LIMIT 0 OB - 0 I IT 0 0 0 0 0 E%CEEDING REASONABLE MET SPFED ', l? ??rdh•? YYE C K Y''? I) 9 n G U ) ' O DID NOT YIELD ON ENRIING N TERAL '- O 0? S . . 1 n 0 0 - 0 n . 0 0 UIDNOTYIflD10VEHInEDNR011T ''0 O3 O ? • ? (- O n n J ' G J O DID 1101 YIELD WHITE MAKING A LEFT TURN I O OI ? Bm .J '''El I 0 0 0 U U O U OIDNOT YIROWHIIECHANGING LANES C) 03 ') 1?9?; ?e?f,? - ` 0 0 n ) G -J 0 DIDNOf Y1RD IOVEHICLE• ALLOINERS 0 Oi LJ L {.- , ' 0 ' 0 0 n L O 0 O OIDNOIYIDEITOPEOESiNANORBICYOISi• O OZ ate o D 1 0 lao O n O J n 1 O IMPROP(R PASSING 0 01 ..:., .0 a.d q lioD I 0 0 0 J n .'.L G iOlIOwINCr00 aosnr s 0 O; 1 P.IT'300, MM'' ?? O 0 n 0 0 ... J 0 J O OVfPCENIERLINE 2 01 tt Ie r 1 0 :) .: O 0 0 0 FAILING TO SIGNAL OR IMRgPE151GNM 0 D ^?5 o _L' ?! n D u ) o z u IMPROP[R TURNING I 1 o I . O le 1e 00 O 0 O U 0 '. O O IMPROPfP UTURN O O? n 'DD • _ J 0 L U DISR(GAROING510PAND000GHT ' L 1 1??+•?B O O 0 2 0 --? 0 0 DISREGAtgNDS10P SIGN OR FLASHING R[D ' O OI SS?? lqw •• 0 0 n 2 n J O •,.. U U (HSREGAfrlNG WAPII1NG SIGNAL . O O1 A)D 00 .. 0 1 O J 0 0 G AWARTNILYAEE(P .. ,. ` :. 2 O? In 1 D0 ?' ? [I' • .'!I n 0 0 ) 1) ) 0 IMPRp IN" RKING LOCA IION I 0 OY Y. . ' , n ». 2100 i n 0 0 G 0 0 0 OP[RA INGDDECIIV((GUIPMUR 0 01 G 00 S 35 0 1 1 L J J ., .1 1NAtR .. I 5 01 , , „ 0 wn,uml 1 0 0 0 11 n 0 0 AIIOM(RVKKAVONS 01 -K I • TOWS J9 it M FIGURES REFLECT INVESTIGATED ACCI DENTS ONLY PDEPAALDRY^ HCCMIDSSE Cl ON WASHINGTONSTATEPAVTOL AA HO. 1R 111. - - - - - - - - - - - - - - - - - - - - -- - - - - - --- - - - -- - - - - - f ,, l J 9 a a J?ip h. ? '? 14 l ?. 1 ? rr 1 ?? ?( t ? .- t t MIT i ?n h p h j 4 rYy H? J, J 1 i -3i??5raib^?v?7_ \ "TS•sasi°'0i ?;-15'-•..muvaR4......l: `e? ? STATE OF WASHINGTON - -? SUMMARY OF U610TOR VEHICLE TRAFFCC C®LLIVONS CITY COUNTY JCFFCRSON IRURAL1 FORMONTHOF 10/01-10/3111900 1 v IY1EO NU BfR OF ACCIDENTS NUMBER OF PERA f ,.M'O VfN CIE •'^. SAME IEPIODIA$1 EAR KKN.CIOENI iOfpl F _-`1 NDN p'OPL t TOTAL IYPF OFIIIIURY NJURY INTAI pEu0N5 fAlAl•., pRANGE I J INJURED IpyY M k,, %1W INJ ACCDFNTS INIU?ED ?? oEru c •• I 1 J _01 1 J J, J UI OT _ li 4 0 pmEq HDN w1L..; 0 V '.0 ..0. 0 ,.,_0. Q . o u _,. ?0 0' 0 ? pF0E1 j O O O U U J J 'I ;j¢V,iN.TRANSF= 6 0 I I I { ! O 0 O ` ON 1 0 :. 21 4' 0 4, 2, 2" 0.. 171 6:. 0" 53 -&FfDKV Ex xDAD 0 01 U 0 JI ) 0 Oi 00 0 0 ;J• YRALWAY IRAN I r,0. 0 ,...01 '.. . 0 .: ... ' ".1 00 00.i 0. O O.! 00. ..0 0.1 D p[DAIGY - Cus, G g ANIMAL 3 0 D 3 0 U1 J I O 0 .. . 5i 3 00 02 5 'FiXPIECI 11 0 6 7:'5 0 6' 2 1 3 B I 3 0 2] orHwoBRCr 0 0 O I U J J I J I 0 I J I 0 i...'ll TOTALS 21 0BIli 0 10.E 4.", 3 3 30L _?- 17 0 101 q ;URETpi iF5Y51FM 'O 0 '.,0: O 0., Q _.... •" ?N OI RFULL CONTROL 1 0 Q R I 0 D Gi Q O Q Q O•' 0 -Q? . 'g :41s•ROOrENO .::7.. 0 ...,.. 4, .. ".3. 0 . , „6:., 31.... 21 1 2 6 Q -01 4 I'll, ROUTE NO 1 0 01 1 0 J) JI JI J 11 •2 0 2 '.OOU 5TYEROAD _..,...I,. 13 0 ....4 $ 0 4'. I!, 1 2 110 ...8 0 R? . :GINER)RAFFICWAYS I J Q O j Q 0 1 QI OI 0 0 0 ,. 0 o Q o J o.; Q .o 0 1 Q Qa TOTALS 21 0 0 13 0 101 .I 31 °; 31. 17 0 10''' (, '? -AGE OF IOIALPEINJUR50115 ?ED?FSiRIANS PFDALCYQlSfS MANN[ROFIWD TOTAL ' -C'SWT.IY RED MI?? INJUR[D 3] INAIRED MV COlll$ION ACTOT \ CONOIIONOF ORVER TOTAL DIII 00 tOOa O, O tr• SObRFY• AITIDENR L•_ y ?) 0 ) 1) MOON I U yJ NAD BF[N pY NK NG E(}TOVP 0.. I 0 O J 0 RCAREND 2 0 A8LITYImPA410 I I 0 1 0 TO TA 0. C 0 O J O JGIE I 2 0 HAD BEEN DRINKING 0 1 0 .. 0 0 r, W?U}14 _' Q SIDESWIPE MFFRFIG.' ' Q. 0 ABItHYNOTIMPAIRED 2 Ut TO OTA 0 J O '0 ) _ 0 5015-11 PASSING 0 Q NADBFfN DRINKING g}}[d?sJ 0.' 4 0 0 J bBAa[D INTO.; 1 O f ]510 AA 0' 1 0 O 2' O SOBRIETY UNKNOWN i ALL o"" OT iAl[D "... Q O HAD HOT BEEN .s e?-•?A"'1r-•.•. 0 1 O ..Q' O .•:.Q N _ 551C,64 DRINKING 17 Qi Q. 2 O O J " ?§YIh7: .'- 0. 0 0 0 ,. _. 6 0 .....DRINKING NOT L 1 t r.. 75 S OLDER O JO STATED I '? 0 ., .. C 0 0 J o D 02 0 ??T' . D D 0 0 0 Q TOTALS ? - TOTAL DRIVERS 23 0 E, IME MOH, IMr i11U6 FRIDAY SAID O\Y SUNpAY L CONTRIBUTING CIRNAISTANCES I -'I P ?j,RIlWIRlp ALL All ALL 4 IN TOTAL 1 ,yyr'? ALL dINVI3TIDAlIDA[GDI OMY • ACCIDENTS f'? .y,r?, 114 MIDNIGHT I 2 O 0 0 J O 1 T 0 UNDFRINfLUENCEOFAICO1IOl I O,. : /- L i 0 0 O 0 '".U 0 0 0 UNOEYINiLUENCFOFDKUG ] 2.00 O O O O O O' J O EKCF[DIHGSTAUDS111CE II O O3 `MD .00 0 0 0 0 0 0 - O 0 OtCEIDINGREASONAIIIESAFES1f1D 01 i E { 4 0' 00 I0 0 0 0 0 0 _ .,,0 Q DIDNOI YI[1001J LNI[RING AN RIF 1 G+'.rt i•.i.00 "'O O 0 0 0 0 - O 0 DID NOT YIELD IO micif ON RIGHT 0 O !I'' 0 01 1) a ?• Tim I, '0 0 0 O J 0? J J DID NOT YIELD WHITE MAKINGA Ff1TURN I•, Q 07 b,+r1y?l?1w 1,_?, e. e00 t 0 0 0 0 0 - .'0 0 OID NOI YI[IO WHILE CHANGING lANt5 0 0? J U 0 DID NO; n[lD 10 vFNICLE. All O1N(YS I O i ''. . h.. .. 0 0 0 0 0 0 -1 0 DIDN01 YI[LD IO PFDESIRIAH OR BICYCLIST - 10 to 00 1 .. 0 0 O 0 U 01 1 U IMPROPER PASSING Q Q? ,. . ?Y? :IIAO , 1 0 0 0 f, _ 0 0 - Y 1] I]00 I 0 0 O INGT00 CLOSELY 1 0: ' 1 0 0 0 J 0 OWICI „k J U O mYUNI O Nyt vf?? O O 1 O 0 0 ..Q O FAILING llIN0105GNAT OgIMPROPER$GNAt 2i OL . 7 1 1 00 0 0 MI h)CfR TURNING . I J 0 .. I) Q ;. 1 .. 1eg0. 0 1 0 0 0 0 IMPROPLPUIUYN •I 0 , { 1 00 0 0 1) 0 J 0 0 Q DSYFGAYD NG STOP AND C-0lIGl11 1 Q? a ieDo Ol O I 0 0 0 1 0 DISREGARDING STOP SIGN OR FLASHING nD 1 Of 0 0 0 TPW ?J .. J J OSR(GACO Nf. WARNING 51GHA1 LJt i` i100 1 0 0 0 I 0 0 0 APPARDInYI 11P 0 I 0'. I4 q E^ 0 0 p J n J 0 IMPROPIRPAYKRRGIGCAIION 0 0"? f r n?!?IIQO? 1 0 0 0 0 0 O O ON RAI ING DEFECTIVE EOUIPM[NI I OI?lt )SQ 1 1, - ]] ]Too O G 0 0 : 73 OO ' J 1)U 0 V N,INNNON I` 6 .11 ® ] API V.NO.. I R 2 0 0 U. 0 0 ALL OTHER VIOLAIWIl3 O 0'I E\ I, ,!,•, OT_ 9 d all :yl° TOTALS IO O 1 * FIGURES RE FLECT INVESTIGATED ACCIDENTS ONLY f •'' r `PR[PARCD OY: At CORDS SCGf10N WASHINOTONSTAICPATROL .1 tl ®r, 9{ B W ..vIH• FI `. R Fro IP ]VTR A YR! 5 k r a F f r S - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I. ? y ,- v 4 r 5 I I t 5 G ? r'i Ttl . 1 : {, SE?? It R ttilw i?? w & a .':M r ,? ? rl I cu 771 1`'Y'"L 'P b L Y 1 T Y F ? ? }:?:1 d ? ??? I ( 1 I 1- I i J A C J Po l 1 PYAA A7 1 f . 1 ) ,, 16 Y ?3 ) I ? ?? r I\ ? 11 IE R (? ` s`21 I L I 6 I .. ? ? p "'S ' 1 ?? ?? P ?`t ' ? w 1 . ?f. .. s F ? m?t^is.? ??.a?'?e?..? . _.._;_.xwu ? , ,... ,? ...,.?. ..«,?.?„ . ?. ? ,M ,,?,.,.,... ....s?mu?? ? ,?w. -,, .c„ ?'-?, ,. .? ? U [". _ ?AlllE I Er STATE OF WASHINGTON - 4 SUUMMY OF MOTORVEHECLE TRAFFIC CCLLISIMS P CITY COUNTY JaFFERt;JA IRURAL) FOR MONTH OF 09/01-09/30, 190C IYPEOf NUMPFP Oi ACCIUfN13? 1 i' " CHICLE fJUA18[ROf PCRSONS SAME PERIOUI 3 YE 9 • -'A, E 1, PC4U'Ni _ iDipl {INIURY Al OMUG[ F INURED IVPEO{ NON, TOTAL ?.ONS d khU' ,,.,? OLele"0 w+ /. I?r? INIURY ACCIDENIS INJUR[D?? „ g- OVERTURNING 5 21 3 J 21 ) L 1 ! 3' 4 5 - _ J' ` ?'Pdt E:,9f CRNON.CCTL- -, 0 0 '. 0 - 0 +..0 0`.' ... O 0 0' t' p PEDESTRIAN 1) U 01 o U o l J I o l o f a+ t0 o 0 0' _M V IN TRANSPORT : 10 0 4 :. '6'' 0 7 0 La 3 O Or ERRO D 0 aitiIMxaw o o l' ol 0 o o o1 o o : n C c RAIIWAYI -AII o cl q 0 UI of of o! o D Q 0 Q PioAtcYws7 b D 0 'O U -- 0 0 .. 0. 0 0 0 0; AN VAL I 3 ) UI 3 0' J JI )I U; 4 . F)pore1FR t 0 0 • -14 2 5 '; ; ?7 J j 6 1 4 1 `. 9I 13 0 Oj. O E90BlECt 1 9 Q 0 1 E) Q _ UI U( Qi DI QI 0 Q 0 e L .. TOTALS 32 2 •a11 ' 14 3 15 , 1 8 •. "6• 31I '.'30 0 21i _ 4 i TE1V6rlM .. .0. 0 7, OI .:..Q, 0 0 0 Q . 0 . •.0 O; 0 oI E HI C. HIC, n J 11 0 J J 01 0 0; 0 p °?PS-Rart[NO11 1 :. 3 .7 2 .: 5 0 3 2 11 14 0 13; S srAlE aourE o. 1 9 1 3I 5 1 `. 11 SI 61 2 0 1 1r , r S '2oumrROi.q:1! Q ` 5 6 0 ...:'S 0 2 .4 .11I 1Y 0!$; nlYSrR H ) 0 o OL ., 0 0 01 01 of 01 0. 0 0 0 0 0 - I. DTHERiWiilC wAr 1 0 . OI ,. s 0 L U U ` rorALS i 1 31 ' 31 ', 0 I' 3n. o lit. G LOT LHRSONS ??PED!EOSTRIANS CRVPEDAICYCl1515 MANNEROFiWO TOTAL CONDITION Of DRIVER tOIAL .'•?' f > ?GACI..AITY I?? INJURED lu e.ss3i.P INJURED LSUI.1 WFURED MV [011150.4 A[ODENiS jz.,'_.." SOBRIDY • ACCIDENTS _ DoTO0 Q- n .1 -') J tl EADO 1 ` .) OBEEN DRINKING 0 0 0 0 0 0 KFAR ENgii;'.4 0 BDI mvMREO I y 2; 1 - 10101 9 1 fl ) •I) ANGLE' 1 (I HAD BEEN DRINKING 1 4 0 00 SIDISWIPE-MEETING ,- Z - D ABILITY NOT IMPAIRED 0 0:_ 75 i0 AA L 1 O 0 0 0 PE PASS t Q HAD BEEN BFFN DRINKING KEt? A'.._-( n 1' n ••Q', 1) .,.O MCKE ..BACKED WtO.. t'. Q SOBRIETY UNKNOWN I x 7510. 1 1 7? 0 0 All OTHERS ADN 4 O'. U J H OI BEEN nn - FlOeeJ.....: U .) -,Q NO)StATEq .R DRINKING 29 l)•+ n 4 N 9, ) 9 DRINKING 401 h"r'r• [7 ..) 1 0 O 0 _'0 4, TOTALS STATED i. 1 758OLDF9 9 1 0 ') ) ) ... t) :'.Q .,-. 1 0 p '?TiofSEATED 3 .. 0 0 .0 0 .,..0 „TOTAL DRIVERS 38 Z• :• TOTAL5 T' H'I'T MON,&u HUR5 FRIDAY 5 iURDA SVNDAY n` r1ti E Ju .. CONINPUI NGCIKUMSIANCES - 11}II RUWIING All I, I: ALL 0i -1 ALL ?? 1 AII!U Of INV(SIIWIFO ACU ( SON ACIN IDEAL CIDEN15 T _ 0 MIONIWIt( D N Q Q Q I] J Q UN0f41NFlU[NCEOFALCOIOt LI .TAD, 1 0 n 0 0 o. ,.-2 U UNDERINf/VINCE Of DRUG 4 2 7. 700 0 01 (KCf;GNG5NIED6PE[DIIMIT ?' .34o.?, n 0 Q Q. Q )' •.,. ? - DCEDINGRFASONAB1ESAFtSPFED 4 0. P 00 l .1 Q Q A J Il U ,Q DIDNOI Y[LDON ENIIRINGANARIIRIAL ? 8 Oi •'C? •'' 0 0 D Q ,) n, .. .w t Q DIEN01 Y:Elo Io VDIICIf QNLoG`,I I" .?. ?./ Q f 0 1 0 .,V Q 6qg bt YIEIDWHILI MAKING A LEFT TURN Q Qj '?"•'• •0 0 DID NOT 5+1[IOWNgL IANGING LANES e P00 I 1 0 L .1 1 0 ,.J I) DIDNC)1E?OIOY(RICI('ALo1HfIS I` 0- 07 f No -!^qoo 3 . A: 1 0 0 0-.1 U 0 O Do NOT nnDlo vlo[sYnIAN OR OICrI:usr" Oa ° to to Do 1 ,1 T 0 J 01 _ ) U IMPROPER PASSING - 0 0 . FI:{'t.:11;00 Q ' 1 0 .. 1 0 0 0 FOROWINGIpOC10SILY I 1 Q1 I+ 14 u. IT- I ,. 2 D 0 0 .. O 0 _.U 0 OVERCIHIIRIINE z OS E I?7 ?'17D0 Q 0 t 0 ) 0 - n I) FAIIINGTOSIWJAt ORIM.'IOPOSIDNAL 1100 MPRDPIR TURNING 0 Ot r I' t'R 1 0 0 0 1 0 0 0 IMPROPERU TURN 0 07 qef ', ', { - 0 11 01 le o0oo n 0 IT n u D •J Q OSNwoDNG SIDI AND GO UaDASHI I L3R5 Ii`..5, tl y"...iP• U IR 'IIpO 1 0 0 0 U 0 0 Q Dt51EGARpN05101'SWJDR RNO R[0. O tl et 0 J O 0 ,1 1 ... J U DSRIGARD NG VJAPrJ NG SIGNAL I 0? 1 n 1 0 U n 0 0 D) I) AroAI(NIIV ASI[f1 0 03 `7 + yy' i t `M i 00 0 9 1 U 1) ) Q RPROIIRPA"IhGIDC.Al10, 0 01 t ! 1 \ 1 Q 0 n 0 0 .0 0 OIYIAINGDEIECIIVEIGUIPM(NI y' g 1 » uoo 1 1 f, 0 ) 0 J -U RHII(NHGN $ 01 1 [ e r ' i., ,?, ® ?' 71 DD 0 C 0 0 0 ` 1 J AI1010II VIC ATIOPI I' ..3 0 r Y I I ,( ?,_L91n15 0 .. 1 f 1 t 5 P 1 TOTALS 3 l? PIT rIQURCsREFLECT INVL STIGATCD ACCIDCNTS ONLY ?S YT+I" iy r??"' A ' T J t'r. 1 '+i. hfR A?l15 MErArIf08V. NCC(HID ON r A. wABUVIG7011TUN3TATC MlllOl am 1 E ' c r? 6 I 1 ? ns ? v :1r - F qAL Re ;? ??¢ n ? ? I AiA 1??? F. I ?? S) P 1 tr .r ?"V c ?? If bL? P4'ELL'" tnw.v '+d? I"? t? w V ? 1 el L Y ;.,1 J 3 i t ?Yr ? 1 r I ',<+S ct?ra 1, .fir ? r'J1? hI rl ? I? t IJ+Y. ,J ?1 ??d {JIY I r F I g, O O O U O 00 O O O O i O O O O 00 101, 7 W I I I 1` I ? J I I I w Y I 16 I I ? I IO I j II 10 0 0 0 0 o Io 0 0 loo 00 0 - I N '.O O O 10 O O 00 I I J Z l I I ? I i ? I ? y , I ?????'? I z ?' l?? 10 o o j0 .+t a ? .i IN ? ? o '0 0 0 o tnl to Ioo 'o alo m ? I u I? m I I I ? I I ?? f H o o b ? o -• ?, -+ '?, o o? 0 0 0 o ? o o I:. o .+ o I t a I r I oo+ I i I I ? I I ? i i ?, l O l ? - i 1 ? I I I t 1 l ..t i I I ' I w - o, o 'oo to .. .., .. .. o o .. o... .... 116 77 1 VI .• l .y ti ..? .-1 .-t .• .y .y N .• . N I? j rl ,, u ?A ?? S r W vni '. F 9 i ? I it i I ( 5 fir„ ; m ?i :o o "o, ,ono '. o u o 'o 00 '. °ao ! I I ,.' N ,Y I .1 M T o r, ? I N 5 I = U •L O Y S ''? J ' J .p T i P I P ! I I l rJ I Aat Y•? u I? ? a ?: a '? I a I. I ?H ?•? > ? s ?i I ? 1 I I l I i ? `? r I ? I I I ? ! > i 1 ir I I I I h ? i I I I I I I ( ? I , I I M 1 I . . t ,1, ??'?`? , I?+;. ( ?tll r s ?1, ? t i' IXC Iva Yr a loop STN 'fin U. 411 w r t f w z I y ? rFl a - (h Ili of ? I 1•?f I ? I' • J H limits + ?ti ' S' y I I a 1 t, C' .r t h, Y ? r t Yon, ti ? 7 •vrli, ?'; _ - V - hN i!f 7sr. ti it f f J ? w v0i j `j ' I N 100 ?O O O '.O i {??? o 'a„ I I I I { I I I s ;. a ;au ? I I ? ! i ? I I I !' ! j ': i t ! I I "o t ! SHOW r u ?? ? t! I ? I i i t 7 a N 1 I I i i i t i I- y ,: ? ?L 0 0 O ! I i r P I ? r ? r •? ?4r ? 14? --- ----- ---- -----.. -- - ? --- STATE OF WASHINGTON -- SUMMARY OF MOT®R VEHOCLE TRAFFIC CCLB MOMS F CITY COUNTY JdFFERSON (Y.URaU FOTIMONTH OF 08/0 1-08/31,1981 TYPE Of O ?? VE KtE SCCIUNt IOTA NUMBER Of ACCIDENTS. P I NON pp0 [PI fAi l NUMBEROFPERSONS SAME P TOlA! IYPFOf INIURY NOl1 • TAL ? [g10D LAST YPA4 7 < NS '-: OVERIUN G I 5 0 DAMAGE F 2I 3 _ 1, IN... .. LSA,[4p aX&I MIA, INJVRY ACCIDENTS J 1 =. N1URfis_ - ; I 8 OtNER NCN OOII, ; p A ,. O O , 3 -. 0?._. 0 2 7' 6 0 5 , ;,;,, PEDESTRIAN I 0 0 . 01 O O =0 .; t }e .Y?N r4nl8ADn - MV,O OI Ek ROD 1 16 - 0 0 O 0 ,.9 s '7 O, J 0 J? JI JI L)0 0 " 0 16 "' 7 l 3 6 211 17 O J? 0 0 0 , 0 9' 111. -: eA SVDV ?•1 0 0._ 1 J 0 0 0 ?.:. 0 .: 0 0 ... OI .70 0 ?; d' N A PEDACYC Si ...,- 0 0i 0 J 1 .. -001- . 0 .:0 0 + 0 " ANIMAL 2 0 , . O) 1 , : 0 0 0 - , Q Di UIQI 0. ? rgtcoeJEtt '. O(II 9 13 1 ......... 5 QQ '2'?. 4 4' 12I ?'; 18 0 0 0 12' J, - E 001Ett ! Q O Q, J . O O 01 U1 O1 O' 0 0 1. •- s;. TO7AL5 37 ... 1 .7 .',18 .,, ;18 . ••.1 29...;. 10.-.? $: 12..44L}?1 91 0 0 2f>; .:' IMF45ratE5YSIFM OIHFR fIttI CON(ROl :0', 0 0 J 13 1 ' 0_. 0 oI .7, 5. . .,•0 0 O 0 0 0 J Ji p, p J '0 :' 0 ? G 0 ` 0` 0 . - tt sr tE eOUTEla 1 7 0 41 3 . 3 i. 7 18?1 U 10 . 21 2 9 I I C 7 p . k S „??L1NIr ROAD OF, SiPEf1 I 16 0 ; 7 ' ., .5 ` 1 0 14 S 4" 5 ". 171 I :. 17 0 10 1 _ ;' OIHFR TRAFFIC WAYS:.: ' Q 0 1 0 .. O) .,. .1 ..: 0...1 0 0_ J UI J 0. ii ........2 0 1 TOTALS i 3 7 1 9 ..0, ,. 0....: O 29i 1J 1 : .... , 7 12 44 I 41 0 26 I 1. AGEOF TOTAL PE4$ONS PCOESiR !15 [OPLCYUt5i5 P SWIET• E INJURED 1?'P INJURED ?LJi„ INIUREO 00 tOtl 0 U 0 O O MANNER CFTWO 'TOTAL 7 ?'. CONDITION OF DRIVCR i0(Al M V COlll$gN -ACCIDENTS S : SOBRIETY • ACCIDENTS ? 3 r Q994 0• 0 0 Hf DO ?. 4 O HAD BEEN DRINKING ' - • i . 1 1 ue ' 0 0 0 0 J G REAR END , Q ABILITY IMPaIREO ANGLE .. ,.. 5 I I . 5 if s ! `•. ""' `L7S T019 0 4 0 0 - 0 HAD _ - 1 O BCEN DRINKING SIOESW PF MEETING B 1 0 P]?010] 0 4 0 :.?13 p p Q 0 J Q .0, , A ILITY NotIMPAIRED SIOFSW EP 55 G -' MCKf0 W10 -J I 0 HAD BEEN DRINKING 5 0 j " } JS iD O _ 2 ,0 0 O O 0 0 _ J J SOBRIETY UNKNOWN AtLO E 5 J O HAD NOT BEEN NOT STAT 4 0: . '? EnISZ ..yy,? ... l`• IOb ,L? rJ O 1 O O G ED .. DRINKING 17 .., 0 DRINKING NOT 28 O e , i - -u. . . .. . . - - 75&OL014 O .. 0 ': STATED - I 3 1 0; t C ....-... 0 0 2 J 0 0.., 0 J ,... ... . J 2 U .. .... .. '` ( ti TOTAL5 . . .. TOTAL DRIVERS , 41 1 6a1'e I J -TAE MON..Trv THU. ?B[MItPq.. All 0 IDNIGHiI fgIDAY All. SATURDAY 5UNDAY CONIRBUIINGCRCUMSTANCB All ALL IN iOIAI ,. ?'?°?.: OI INVISTIGA1tD ACCIO[NISONIr t ACCgFNt { 0 0 ,1 Q ) 0 ' UNDER INFLUENCE OF ALCOHOL F . . L UNDER INFLUEN •• ' .? . 01 0 0 IT D J ? CE OF DRUG. . . '0 EKC[[DINGSI t 0 A (DSPE[DLIMIT I O EXC[ ' - 07 1 00 0 0 0 0 0 0 MHO'EALSONABLESAFESPEED - ' i.:1 0 0 DIDNOt YIEtDO 4 O 1 -•?"0 0 F''c 0 0 O 0 NFNI[RNGANARI[ AL 1 0 0 e 1 0 0 0 - Q J DIp NOi YIFID IO VfNIOE ON RIGHT O 011 PIT IT 0I ::? 0 O O 0 v 0 O O 0 0 Dq N01 YIELDWHItt MAKING A 1111 TURN ' Q 01 . 1 O ? V C 0 1 O 1 0 DID NOT YIELD WHILE CHANGING ANTS Q QF vr 0 0 Iw'::.A,... ". O 0 O O 0 J DID :40t VtfID tO V(NICLE. ALL ODIFeS 2 O( 1 0 1000 0 O D O 0 0 DR) LOT YIELD TOIEpE51RIANOR BICYOISt ` p QI ' • 1L W+ t(1l00 ' „. ,', . 2 0 O 0 O O 0 1 IMPROPIRPASSING I O F • 2 01 IT 17W I 2 Q 0 J Q MLOW, 0100 CLOSELY , ' J 1 Oi P+??ID,Op 0 0 1 O 0 0 OV(4 CENl[e IINF ' 0 O - 3 0: 1 C 1 0 L 0 . FABINGIOSIGNAt ORIMpPGPFR$GNAI FR 1 .. O o1 0 0 1 0 C 0 " OP(PIUO,n10 1 IMPror R 1 0 •'? r 4 ieo0 2 C • C 0 l 0 ( U TURN Sk R G 0 D - 0 0! L 11 11 17,00. '2 O I -' ' O O O O I EGA DINGSIDPAND000Cm 0 0 kF? I j BDD ; 1 0 1 0 1 0 1 DISPtGARgNGSIOPSIGIORFALIINGRtD 2 O1 ?. t r 0"•'1000 2.... ,0 0 0 0 ? 0 0 U O SREGARDINGWARNINGSIGNAL 1 AP R 1 O; 7D 7D OO J '. C. 0 V 0 ra lmlr AU[tr J PR 1 0' )1? O O O O 2 '0 _ IM OPLe PAPKINGIOCA110N O OFTERAT N '2 0 ® 27 770 , 1 G ]100 C 0 n O 0 0 3 0 0 O I G D(( ECIIVE[D111pM[NI i7 Q INATTENTION .. , 0 A .. 1 ,4 V ,+J,i + - - .. . Lt OneRVKKAl10NS . 1 0, l r v __IOTAlS 15 n 8 0 7 0. ,... .... '. O ` v i Z' • :? 71 ( •, *fQURCS eFFLECT INVESTIGATED ACCIDENTS ONLY T TALS 33 11 , . J aY ° /t y ,• MtP4NCL Br R(COIIDS5E T { J.S ! . ?? ; k yyJXJ' 1 Y lk'?r IOM [ WASIlIN:104 STATE PATROL A. NO. IR STIR yI D '.`y' r ?i ?.? J ! ZW 0 0 0 0 p0 O OUO O ip O O O O 00 O '000 O j ! I t I i j ? ,! ti jo q o o ao i o io 0 o jo 0 0 o i o o ?o op o i zw o c o ?oN .+om w N N o oc o -.o '. o00 0 5 N ti 1 ..+ w N .-, ?I w M r .w ti V r w ..., r1 I - I W o u > w .wig o ? nr+ oria I n ?.o ' ,o .o o..r ?. T 0 ?O OUO O! V i7 30 Rog 4 4 O I ! I ? I I - ? ',r i T O O ?^ ti ? ror- o ? r I N IP P ?iM ' d ru 0.` N ?!J r? N m Nd P I ; ;?'1 Ix ? w I J I? ' ? J Q I ? F I c ', r r 1 ' i d M `G i U O F I F O O ? I A l ? I ?? i I d 1f d d d d ? ,p tf O I~ I ? I F yf 4. I I ? u I '?ivif. ? a _ li LL ? h ..dtJlr ? ? CI I I ? ? ? r}} i l t+. r r ?f I ?ti ? a a? ? ? t + J t S C fs" w44.Ar ,i. j f Ff yt'` I O O j w r O o q 00 o 0 0 0 00 0 O 0 GO 0 0 O o q q 0 D 0 0 O 0 - i , I z 4 14- G ? a ? a I I -?- ?n o o c ? o ri o q o? o o ? o r ?! jw I I a ? I I j i v1 .+ nqr N..i M 1 t 1 nn O t i . VI ..i w r n1 M N r r J 0 00 oq ?? oG I' j. T-] , r ? f ? f 1 t I l u o F o u v I ? ! I v i d5 • j t : ?,S'r 1„ Z I H ' roc x r ? t ra t - i, r , '• ? ' ??? " ' ? iGJ 1 .i Y { 11 i W 4 1 ? 1 `- ? ? I ti II( , r ? ? ? , I _ rr a , I I r r ' ?? ?' w? " h ch 1 n l r( - S .' i t t dfk + ; I 4 ? '-1 t ? i- t u 1 F •; SUMMARY OF MOTOR VEHICLE TRAFFIC COLLISIONS CITY COUNTY J IFERSUN (RJR AL) FOR MONTH OF 07/0 1-07/3131980 TYPE OF NUMDlR OF CC DW15 ' 1 '. /'OtORVW CIE r f .ACCIDENT IOIAL - IT NO : rpAT. ,LOT I ....: FATAL pAMGE { ovFRmRN c j 7 0 5? L! e aNt?ia co0. o 9 O o :.? _ . '. NUMBEROFFETANS '•> t TOTAL TYPE Of INJURY INJURED p uu30 J 61 2 j p 3 Cpl o.; ;! O 0 1 O Q ' SAMEPERIODLASTYEAR NON• tot" PERSONS INJURY ACODENtS 4 1 L 1 O O 0 C? . . PEDESTRIAN ? 0 0, 1 11 0• .. 0? 1) 0 . O. O• 0 .. ?' M) iiroANV oR{ Mv. 0,0","`A. 1 . 21 0 0 O 11 ,10 O[ 1 0: 0 , Y6 Z 8 1) 1 JI OI 6 01 29 0 12 0 0 i"13' 0 0 pA.G;D M;v _. 1' RA Lw,AY1 AN 0 pEOAICYCUST 0 0' 0 0 F D - 11 Oj ) 0 0 J"'. 0 0- D YO 01 JI 01 0 7D 0 OI 0 0 ... D I 0 0 0 0 . ;•..- 0; 0 0 0 .. 0 • ANIMAL I RxElioBlECf 3 '12 0. 0 ) 3 6'? 6 0 )I JI 01 08 ;;0 7 0j 1 3 'B) 2 10 Q 0 0 6; OTHER OBJECT 1 . TOtAIS .-. •.1 45 0. '... 0? OI L 22 '..'2), ,. O _ ..Q.? JI 1J Oj ., ; 30, .'=3 ,L8 .. )1 B 2 .4,6L O .. 25 O O 1 ... 2Os .. Inric3ii,rE$nrUA oHER FULL COWROL ' p:.RORlre fvo .0: n. 12 I 0' C t D . J Uj J 0 =0'i 0 J JI Jl- 10 ?-.l 6 _ JI 3 0 ?13I 0 J 0 0$ 0 0 0 7. 11 S SATE ROUTE NO 1 g GohNTY ROAD 7 ."26 0 0. 5 2 10 S'16 0 0 '. 71 1 4 13 3 B 31 2 6 X27+ 7 8 0 4 1 5 ' CHYSTREET I n 0.. of ) O'. )1 J 01 of I 0 O C. 0 . jOTERRAFFICWAYS TOTALS 0 45 J 0 0 •' J 271 T1 0 0 0 .: O 0 301 18 0 81 `-"OI 46. 3 25 0' 0`: 1 20 RP :' 0 AGf OF "".`^`? C+WALTr,•_ IN1UR[- AN5 41515 It?J? INJURED TENURED GD1l !• MANNEROFTWO M.V.COLLISPO TOTAL ACCIDENTS TS*, CONDHION OF ORIVER $CHHNEY • TOTAL ACCIOENI$ } ? S:: 00100 0 '] U n J. O HEADON I 2 J HAD LEE--PINKING 0.- o 0 :0 0 n O _ RE-0,11) 7, - ' 0 ABILITY IMPAIRED 4 . O i 1 0?10 n 1 0 1) J O ..GTE 3 0 : HADDEENDRII.IKING T ?; ? ;W I4,y'i:•? YJ O T O- : ,0 - J :.':'O ,SIDCSWIpEMEEIING - ? 0: 0 ABILITY NOT IMPAIRED 0 . Ot 70 TO2 D 4 O O J O SIDESWIPE PASSING 1 0 HAD THIN DRINKING 1 1r ??• 4Aa [07!. ' 0 3 0 0 : .. J IO _ BACKED NTO 9 1) SOBRIETY UNKNOWN 2 0' IS 10 0 T O ] J: J All OtHFRS 0 HAD NOT BEEN ,Y c raSI 31 0 O 0 .. 0 . 0 Q -. NOT SATED '.: DRINKING,, 44 OJ 5510 0 4 O 0 O' O 22 0 DRINKINGNOT 0 `?..2 0 0 0'- :. 0 .i?• ,.TOTALS . . .. 51AIED 4 01. 75BOlpre 0 1 0 C J 0 3 J ... .,... ` ? ?FOTStnno-,„`" 0 1 0 - 0 7 J. TOTAL DRIVERS 54 - 0l TOTALS 0 1? TIA! MON 'yyLPpR urG ALL M MILS 1RIDAY All ''• SATURDAY - MS ?: . I-OAY ;' All ?.. o MIDNIGHT I ?Lcs [•DD :'`r .. 1 -0 0 0 ,) 0 - 0 0 ) .'as2 0 0 ) 0 J 0 7 Too t n C •^, 0 l 0 1 0 ED j H!? SAD, '::'-:• n 0 0 0 0 0 0 n J .,, 0 0 0 J. '..:u.. , 0 0 • •• I e eoo o O 0 ., 0 ) C J 0 2 0 . 0 0 ','0 0 0 .0 to Row 1 0 0 0 ) O U 0 m 1Too I 5 2 0 0 0 0 0 O J :.0. 0 0 2 :1''0." 0 0 I u Oa _ ? r•..?15g0 . , • .' . - •3 0 0 0 0 1 0 0 ) '.'.0 0 0 J ,0 0 0 e T. oo ?W? ipoo' 6 1 0 0 0 . 1 O 0 ) ..,.0 0. 0 J ...'°p.. J 0 N ,Boo 1 MID-.ED J 2 0 O 2 0 0 0 J .'1 J 0 1 ,....0 J 0 T0. TOO C J 0 l 0 J 0 -0 0 27 7700 _ V5" 1 7760 1 0 C 0 0 0 0.. 1 . ?,-.U ,0 0 J ......?. 0 0 131.no1 . .. ... q... -.6 . . ...„.. 5.... 0 * FIGURES REFLECT INVESTIGATED ACCIDENTS ONLY PREPAREDLY, nECOnOSSCCTION WASHINGTON STATE PATROL AR NO. IR L1e CONIRIBUi NGORCUMSIANCE$ IN TOTAL 1T?"=l OSINVE311W110 ACC R[N IS ONLY ? ACCIDENTS UNDER INFLUENCE OF ALCOHOL 4 0 UNDERINILUWCEOFDRIIG .. 0 0! EXCEEDING STATED SPEED LIMIT 3 0 ; EXCEEDING REASONABLE 5AFESPEED 0 ;. OIDNOIYIRDON{NIFRINGANARIE9AL DID NCR YIELD I DIDNOI YIFIDWHitE ARAKNGA LEFT TURN 0 0. DID,NOI YIRDWHII I CHANGING LANES 0 0' DID NOT YIEID TO VNICH - AIL OTHERS 5 0. DIDNOTYIEIDIOPEDESIRIANORBICYCLIST 0' . 0; IMPROPER PASSING 1 0 IOILOWINGT00O05ELY 3. ` '. O'. OVIRCENTERUNE 2 0. FAIUNOTOSIGNAtORIMPCIKITSIGNt ;i 0,,' . 0 IMPROPEPTUPHING 0 O IMPROPER U TURN ., 0.;- 0. 1 G159{GAppING STOP AND CA I,f,Hi I 0 0 OSR(GAPDING STOP SIGNORIIASIIING RfD .y 11 : 0? DISREGARDING WARNING SIGNAL 0.. 0' APPARENTLY ASLEEP 1 ... ,. 2 0 IMPROPfRPARKINGIOCANON 0 0 OP{RA7 ING DN ECIIVE{OUIPMtNf INAIIINIION I 5 0 ANO1Nn VIOLAtIONS ':ryT, E.:_ •;Q. ... 0 -tl47 [ rR '[ 3 r? e + ?? ,A :N E H S 1 { ` ! r T y 11 ?? 1 p Y >: i• L a Vq? I 11 .I =tl LY Ir ',?r9 ti '? r ?, I L f 5 ? R? F ? d {FS 1 I 1 rrtJ L 1' 4 7 P -:1 ? 1 k ?I r ' 1 ' 1 a f . `a,' y 4 `?, ?? J.. t t> ,Y t ??rt? t • d ( l t , d. Wr [ ?. ? .y 1(I??'tl{ ... 170!IS(1 f • ?, , fu P I t EA' k _ ,w o I H J 0 0:0 00 0 0?0 0 o I ia o oid o d;d o o?o ? ? f ? ? `,. ,. J Hk I6 ' I I I i i eYY N t?? ® I ' f I i i . I ! O O !LLtOrT O O i 0 0 0 O O '. U O U Z O O O ?. O G O O O O I ? I z J r Z W .n N O O N N N O O I .-I O H O m 'M M O :r O - Ary .' f -- .+ oo N o ? o o N .+ .. o o y N O '. O -' 00 O .+ O O O O O ti ? ? I i Z I ? IttI 1 4. t Y r i it „?,y?trf+` ? 4 P [ 4 u ' n y on v. Z o ,. no n I ? n ? I vv d O ? ? ??'? ?? I- ' t K J F w ' O n ON O O N ?; J On O d ^? i Oo O ! C u I I , ?. r r 1' 5 0 ? V? A M h °n d d r •r N o c. rr ?' w ? N N N N C ? M r H `w I , N R I R I. ? J n r ' r F F F F I Jo P U @14 0 : 0 A C o Cu O © f7 ff o cA D ff d f1 W !9 c7 0 ? V „: ? ?l i1 u ' +nh 47 u t rSrYtMld?a @F S4YB?a ar l? ` ?i Y4 1 7U1 si e 7 ? ' m"v? ? GM, a f{?Viflt?gri a q t ? A ? k? Por i k ?f t ;?1?f; hrar . ?' Y,'V 'h1 ?t? 5 .l Y t S k' (?rf?? r I ? _ t. N y5? ? I V? ?}ti? t } F _? S 1?f4p3,' I N r r?` , I ? Ark 4 ? ?? ? ' f rL ? 7 ? Y 1f -'f 1 E y;?o x ???'- o O c c O o r ' t in o o 0 0 0 0?! o 0 6ov': o o a o 0 0 0 o 0 0 ; 1 3 o 0 0 0 0? o 0 0! o 0 0 0 0 0 0? o o o i o 0 0 0 0 0 z f. ? ?n0 O O .• N ' O 00 O ti.+ O O OO .+.a N O O ,f•. ' Z W 7 (Fu O G ,y O •? O O O O O N O O O ', O ^• "^ N O k. o , i r r U ! N N ? X11- N . m o ' tLL O T P r • • • ti ' • n - w ?^ O n 0 0 0 O O 0 0 G U 1? 11-4 l ? ? P ti P .? ?? m N I • O' O ? 1 w O O ' P 00 .• ai T N S P a ?? ?. LL ` J i '.? r R R Z f ?" W r u U ? ? .I I ?( F 4 ¦¦?¦,.y?y ?f? t.-g,? i - ; tu?pt ;?: .'v i ij,M1 Y`[(IiA j"1??t,u x,,11 _?I Y; ?c t4?'T?i y 1 Y.?4 r 7 k?: 4j I Jr?m.?•Y f ?r4!'??•y1,?rtJ ?I?Y3 I i Y I 1 fit{ '? ! r.' I ? i I ? .j ?s ??talafrx"?'wNL?m';? t?{ ] I I ' ?' r•,y? 1 c { •? 0 0 oco 0 0 0 0 0 00;0 0 0'.000 0!0 0 00000 I 4 1 I ti ( ! ? I I P O O O O O .-? til .+ O G ' O O •+ O ti ?•'• O •? N .• N O O .y }? Z I I 1 ti ? .+o0 0 0 0 0 .•o I .. .+o .. ?o o .moo-. - .?? I I z ? n I I ? I I LL n .p ..pn vT N? P LL - NJ 00 O n nn n n 0 S ro N'T nonon L I n nn n n n O U O n O O o n O O O O O I r O U O VO I r' I I U O G •• O O O J ' P N U J N i? N U U ' U {L M P ti ? ? M M ? 0 M P MI Y ? H 1 I • i ' S U N N .p .p N P ? O• p LL a 4 ' ?' K Q I , F ?' Q 9 1 H• O r O ? O V I O ? 7 N r H I r . I ? ef I 1, fr? ' CD A ¢a G? Q d L'a G? 4 Qs ?! d ® (J O d d d t? 4o QJ ? 1 ? ? ? ,crv?y b VO p cat y. J° r, IY 1f? utl r "" a# iNSSN. avdl G, .,: t J h ???bl ? SIfY ? i i ? r Ill }?l A' , ? ? ???4????t 't f- ? t t " ? 1?Fi"S??lrn'^. Aa •}? y ` ? 4 ? ?2 tk ? ? ?h? 1 J?t 4 } f t 1 1 ?.4 ?v9 t7 `y ,9^ ??dt, ?t,?t I STATE Or WASHINGTON e?rHJ ,,!g'S?L?ai1i F Ocn"O ILrOR i' tl RL41C y+ H, nOLL..p?Lpit?p?.y17`C?pS CITY COUNTY JEFFERSON (RURAL) FOR MONTH Orol/01-06/30,1980 E it i IOIAI N ? ' FA1 l TROrf R( pAA•P GE T VO l nJ 7 I,FE Or INIURV 'JON R ... $ ? O f l1F u tIG .. _ ?`J , ....J O 3 . 12 J J . 19 1 RtrnG N : L L UNIT 7 I JUr.Y 7 z tf l FN[JNO)LL 1 t) O 1 J J O' . .,. O . 0 1 PEOESIRIAN 3 0. 3 3 0 3 I - 1 I 1 1 1 2 AJViNICANSIORt 52 1 21 30 3 ` - 36 10-: 13 ?- -' 70 ` M.v ON OIHER WAD 1 0 0 O! 3 O J . J 0 I O O '. pASK uAty, 2 0 0 .: 2, 0 0.. -['0 0 2 f P VAY7RAN ,I 0 0 In 3 0 O I O I 0? O I . 0 'd fslSAUrttlsr 1 o 1 . .. . i... 0 0 - ..'?... 1 . . 1 ." 0 Z ANIMAL 12 0 2 I 13 0 2 J I 1 I 1 1 7 nAEDCBJECl 72. 2 33 37 2.: ". 41 13 13 . ...10 .., 55'' ' DINER OBIECT I 0 O O : 0 O( J O I O I O T< ;i-.:.iOTAlS: 168 3, X73 92 5 102, 30 :.. 45,, . 27 155 gdiarESVSIiM 'OTHER FULL CONTROL 0 0 A 0 0. 0 I 0 3 0 0' 0 J J J ? u l 0. 0 0 0 o t! IqU EIlO 1 .. 69 2 29 38 2 42 12 18 12 61 SS sr iE RO 11E NO 26 1 10 15 3 1 5I 41 6I 28 5 rCOpui4ROAD, 67 0 33 b34 0 4/ 13 22 -9 65 c1 sEn I 0 0 01 1 0 OI JI 01 01 0 ?olHfalPA ncwars 6 0 0 : 1 TOTAL5 I 168 7 I 9, 10? 3J 27 1 155 L;•? Iyf?i? INAIR[D t+00100 c;Q5f009 t? . 0 ' 0 1 2 C10101 L',j5T0 E4 0 0 2 • 17 70107 0 \ . 9 :.7s P31. .' .0 ` 27 7s ro 1. ?!alG s. m} 1 2., 15 '10 SS 10 Al !??N 7 s 2 . 0 e 5 7saaot (ia0rsnlTd,', 0 ` , 0 0 G .{{ I; ANNFROPIVO TOIAI t l",y INIURED? 1 INJURED M.V. COLLISION ! ACODENIS' L - _- O 0 . 0 ' 0 NEADON 5 0 0 0 3 .0 REAR. END.. 9 0 O O 0 O ANGLE 11 1 0 1 O 1 510CSwIFE A EEI NG L 0 0 O ) 0 s D[swlrE Aswc 0 : 0 0 CACKfD INTO L2. 0 0' 1 J 0 ALL DINERS 0 0 0 O :O NOt SiAIEC ol 0, 54 0 0 0 . . '... 0 ...; `;'. TOTALS 0, 0 0 0 3 O 10rA1 rFkEOhS 1 PCCIDfli15 ?'^' ? Itl1URED ,i 40 0 16 ,.. 3'. 0: . 11 1 0 1 62'. 5 ' 30 i 0 0 0 .. j, 0 . 1%j 0 0 0 0 0,11 5 0 ; 1 mk 9 6 , 2 4 2 1 0. 0 209, 7 92 i -..p 0.,.,. . E 0 0 0 91 1. 40 E 28 L 12 78. 2 34 } 0 0 0 12. 0 '.' 6.1 CON DRIVEA TIONOF 1 01 t l s..R ly ? ;AEC DF LS L.. . +.0 HAD BEEN DRNKING I , ABILITY I .PAIRED 8 2 HAD BIT. DANK IG ' ABILITY NOTIMFAIRFD 5 . IAD BEEN DA KNG SOBRIETY. C,- 10 Q-, HAD NOT BEEN J DRINKING 124 . 2 1 DRINKINGN01 L slalED 30 O _ ..TOTAL DRIVERS .. 165' JRtW G _ All ? f21jti f LOA? All :T.` ? 5A1 RI( AY SUNFD1^^ Atl ? . All CONI4 BVrING CICCUMSIANC[5 : r V G I IOI T !? 0 A DY 4H1 R 4 : . Lu? LJxX.v N ISU A110 C ANrv ShRLY ? ACC O[N15 i, L'::. J 100 ( 5 1 0 ' 1 0 1 0 1 0 UNDIR FtUENCFOFAICOIOL I O 2) L. • 7 700 I ? 0 0 0 0 0 1 0 UNDER INFLUENCE OF DRUG j; 01 F11I . . 1 0 0 0 2 0 3 0 tXCUDINGSIAIEDSTRID 11.1 8 y 70,1 YiT 2 0 0 0 1 0 •. 0 . 0 EK000ANG 4FASONAEIE 5AfE 5r(fD' 4 Cl .. .10(1 F 500 L O O O •) 0 1 O DIDNOI YI[LOON ENIFI.G AN ARIERIAL O O'I , 1 ' 2 0 - O. 0 l 0 0 0 DID NOT YIELD TO VEHICLE ON RIGA Q'. Q.j 1C0•f" 1 0 1 0 1 0 0 0 OID1gl YIfID W,III[AIAK NC.AIklI TURN O OJ' ?r 1 100 2 0 0 0 ..1 0 1 . 0 OID HOT YILIDIVHILE CHANGING LANE5 0- : 01 . 1 r VM'. iV 2 0 2 0 + 0 3 0 DID NOT YIFLD10VEHIC,f.AILOTHfRS 13 Q1. . 3 0 0 0 0 0- '.0 0 DIDNOI YIFLDIO r(DESILIANCRBICYClF$l 0 0 0. IDOD I 3 0 1 J 1 0'. 0 0 1AV1RO1IR PASANG I . 3 01 IGD 3 0 0 0 3 0 D 0 IODOwNG?DOCIO' 0Y , 3 03 7 1200 I 13 Do 4 0 1 0 1 0 ?. 0 ov(RctlatPlnil ... ?I 4 0, 11 1100 12 0 1 0 2 0 L 0 . TAMING IC SIGNAL ORIMPMIER 51GNAt . 0,. OI ?S -.1507 9 5 0 0 2 0 O 0 1 0 1AEPRCPfR lu., ING J- 2 0,. ET. 7 0 1 4 0 2 0 2 0 IMPROFIRO TURN O. 01 11:"'1700'' 0 3 0 1 0 WILDARDItIGB1Ur AAIDGODGr11 ( Q. Qy' IA00 1 5 1 0 0 1 C) 1 0 DR RIGARDI41G51DPsIGNORFLmll'NGRID 2 i0 •,.IV00 2 > Q 0 0 2 (1 1 ' O DISC[GA4UINC. WARflING 51C.NAlj 2 Q) , }0 7D I'D 0 1 0 2 0 .2 ANAREHILYAEN[P .;:. 0. of 5 0 1 0 1 0 2 1 I'll ROIR FARKING i OC AT ON 0 03 77 ai 3 0 2 0 2 0 1 _ CPI-ING DOICIIVL EOUIPMENI .. , : I1 OI 7100 (I U 5 0 0 0 I 0 I INAntmKm 19 01 71 ,ul u.r 11' 2 0 3 0 L O 1 0 ALIUNI[RVIOIAIIONS .... - 2 Y 0 tOl Al` HO 1 >(. 0 7H 0 ( TOlAlS 130 .1 ) *FIGUltf 11 1: F I LCT INVTSTICIATF D Ar,Cl 01: N T S ON LY 3 Y11TrANltI IIY IILLON DS 51 C1 1O14 . ANNO "I". VIASII H.G TON B TA I L 1411117E 1 ?J' r I , y.y i .yv ? ??a ',0 0 0 v 0 0 0 to of v u o v ?o v v o I I . YY I I I I I I I ? I I y I j- H I I ? I I ? ? I ? ? I ,, I I I i i i I U 'I O 1.y i i.. ...I I ?p• • I I ?? O ?i U H ? O ,U 'N iN ? , ? J II r' ? ? I 16 •• 1 ( .I I I I I I i I 1 I I I I I 1 .1? ? ? rl I ? I ? I i I I ? I I I 'I h o .r I U •o ...? .? ! ... i I ti Iti ? I ''1 'o to HI ? I I i i I i I I I I I I, I u. .. ? ? ^ I n of , <. .I ?? I J o u o ,o c 0 ,?o - u I ?.? 1 1 ?' I ? ? of I o i I K 4,t >' 7 , I 1? ! i !N I ' I I ? •'-: o ? ? I ' I I i ? i 1 y. .n o? o? I o c I i I I S 1 O r', v^ . T .Ob .?O N ? Ip?i ? I Y 4. vNr I ?1 LL i J 1? ,? I J I I I I I,n '? I? I I. !, '}.. I I > U i? U I U J? N ?p, h U + ? k l ? I I ? i ? I I I X?i?' ? n ~ i I I I ? i i I j I ;;'S rt, ; 1 ? l i i l l( ( I ? 1 i I ? i I I ! I I I I I I I ? I I ? `?'??? lT7 t (:' CC a 0 Cal 0 0 0 a 0 a 0 a e) 0 0 a © y ;1??' pl _?? zSr ? ref ??i'1.1}1}1tyrPCra? M1?n`?(j?'"A(1, h.?? +,? " M? J' ? 4n 3i ? J I ?? r' ? t ?? rd Lf +?}ra by .C 1 ; l ? I 1 `E ' ?'"! ?yrc soon Dixon + ' ? I 4 J v, J ? . ? hl rat y. ? i ? 1 ' ? a>, p 14 k 4? i r- y 1' ?' 1 moo t t?Y? ti t E u h? ? 1VPE OR LLF • NU_ O[S coo S S ) IUMBERolft V)NS SAIAE PIODlAS1YE N 'F RE J( 1! 1 IOIAI E J NON I IA p'0 •(IY iCllL IYPEU INJUPY NON4 IOIA1 A I 0 I.CC , ) 1prD G a., Kj:a: v[ INNttT r ACCIDENTS Lt'1i?j ' INIUREU( by o [Rl c I . ) 2 .. J J ) I 2 1 J t 0 I N c ? 3 I2H :.C711rENf?N IXAL.: .l 0 ,0 ,1 .. O .Q. J ,.. 0 ..J...,. ..,. 1' 0 0 r(D sr N ?ry ' J 1 1 C l I J 1 1 J 1 U J U _ a ,uv NYvA Ciem 9 0 3:. C ' 9'.' 2 ..: 3:.:, .12' I 10 L 7 M v o of (P PDAO l n J p I C 7 I ) O I J I ft 0 C . 0 Jut 0 C 0 C 0 ?, J 0 p _, ...O. I 0 O O1 '. Rnl AY 1R v . . C .. . 0 01 . ) 0 ')i )I )I )I Q 0 C' 0 . q ; , ICC cralsi .0 o ,b .,. J: 0 J, U ;n J'" 0 1 D 0 31 . 1. I AN al l I l I J I 0I 1 I 5 1 J 0 ., ri>{EDOaJEa .. 7, 0 0 3" _ !i '15' 0 5 'F _ DINER Ofl1kC1 1 N 3 0 .J I 0 J ) Q I Q 0 , 01 Q T TOTALS ' „ 26 0 :13 .. ., 13 0 16 " b y 24 34 0 151 ,rtn f tES stun p" u ? 0 J .. 0 1)';' ' : 0 ..0". .. 0 8 otH ull CGGTroL I .u.a rotlre lJn _.." 0 ll 0 J 0 -.3 J' 1 TO 0 L :2 1 1T C )r S sl EROU-No 3 ". O 71 l 0 2 J 1 1 1 2 2 0 . 0 3 cD RMFOAD 9 ) ''7 _ 2 C :9 __ 3 4 2 .' ::3 11 'C -213 clTY LRf(T I 0 0 l I ) 0 .11 J J I o U Q D 0 76m(x teurkwnvs' 3 0 l' 1 U : 0 1 " 4 0 4 1 10IALS DA 1 L) I N 1 4 4 2' I !/ r- ls 00 1510+ 3 3 0 0 0 0 ILO IJ(PS I .. 0 .J 1 ONOI FEIN 'x Er' E'Cr 1 : fERSON'v IE SV%ILC r( 14 URED yy 1 1 4 OOIOp }. Q Eos or ) : 0 1 FAT J '14 n 3 7O1020 1 G ?lC?2 f) •' 3 510'5 0 0' el, -. L >SLOLOEP J. Q (FicifSYgr[?' .0 .. '2 IOTALS 1•rOE51P S L,7 1 J i[D 'u4? U Q 0 0 0 0 O 0 0 0 0 . 0 00. 0 0 01' Kf ( lCY[AIS15 t' f IMIAED Fc:. 1 ) _ n o Q 0 u Q 0 0 0 ) :.. Q . ) ....D C :1 J'.Q A 1011 10 To AV COLI_0 A0GDFN 5 .?'.. 1 DO 2 J R(nP I ND ( 0 SIOrS1(iIFF A,[E11 G I 0 Q _ SOESN EPASSING Q Q UFCRED1110 .: y 0 NUI LAIEU„' I ?_. TOL\l5; Q Q CONDIl10Y OR DRIVER sou(IY ? DPEFND +KNG A01 IPA R[O ""FEE" DRINKING AB IIY BIL17Y NOT 11AP OT IWAIPEReD HADBrENDRINRING SOB IEIYUIJKNOWN DR NKING DRINKING STAHO 1 TOTAL D2IVERS 101A1 ACCIU[N1S I I G . I 4 22 2 9 ,? C'i 11 03 04 J :':? 0.1 3 b Y ': . t u O 11,.., t'NX1I Y - A L Lv FRIKIAY All 5 1 1 SJ DA l ' - COht INI JOC XUMSIANC(5 p f , . 1 µ .. ? . A(l. I, ,:.1. <a D C c rSONLY 0 ACCI kN 5 e? atLI 0. OrvG 1 1 f, J J J ,J J J . . IJNC(4INrt11[NCL Or nICUIIUL I 0 C; 0 C 0 G Q 0 : 0 ' - J UNDIRINtIVIGCE OF DRUG t aoo ? . ?J.00" . ) O Q- r Q I - . J ) ? ". rca1DlNG llnl(Ir.I'aDUe• ' D ... •1 1 . Oii e r -'' ??. ., AUO O O Q J 0 0 U Q (Y.CE[ ING PCaSpNnOt[SA(E SIffO DID NO: Y[IpON [NI[4N [LI G RF I 1 0 ) O F p, - t'Q .5? '-TT O f, 0 0 0 1) :J. DIDNOTYIEOTOVCNCtf ON RGiIr Q Ox I r I Q 0 0 ,,. 1 J ) Q DID NO? YIELDWII.IE M4N1G 1(11 TURN o O'J . 0 0 0 C Q Q J 'l 'o O DID N0I YI(LD\VNLE CIIANGIN L NES Q QI? . 0 t G 0 0 I Q :) .J :) UIDNT)"Ir1010-110f ALIOIHERS J 0 10 Ip OU I I 0 y 0 [ 0 1) J ) J I). J: 0 ') 0 DID fmi YAD 10 PED[STRIAN OPIICIC1151 IMfR011 R 1ASINY. I Q 1 p:y 0.:+ S W 1 0 0 0 C U U ) N%IOWIN'viMCIOSELY Q 0 1 1100 1 .._•. 1D OD 0 0 1 0 ) J J OVER([N114'IIN[ 1 2 . . Qv . u IAOD j 3 . 0 n J . 0 J "..J Q IA111NOIDSIaJAIUR IfAfROffR$f.NAI .. . U ' O: . . .) 0 r, 0 J J 1 ) ,.. InU :gRIR?ImRNr. I Ie Ieoo 2 0 ^ 0 U . l J Q U malxtr(RU loan -- ? 0 O,B ; 1'... n LU :... 1 3 . l 0 l J 1 J DSRmnxu NC,51DPAImco c11 0 . 0,4 . i IR` iDCO p Q 0 n C J J J nsR[racD fw:aorSGNDR ???I •JGND "p p;J ! CO. `1'J CO r C C n ) '7 ) } D:SI[GARDI'.C.W 111G.yarn( 1 1 O:i !0 h. CU 0 I,J C Q 0 1 0 ,) .. I ) J J' J o J ,) AfYARINILY IM, .. Il1PffJM 11111 NG ICSA IIDN ' - 0 0 Q ? Q1, fl.o4 _. 2 C 0 n , - J it •J J . orrRA NDOU1CnVEEDUrMOn 00i 7R 00 A JSIw ' 0 n J ) - t J t J.I II r.lON / pt J IC, . - 0 0 0 0 J n U ,) nu oNnP VnJlAUOUS 0 . .. ? IU IIU; , ;S ,II 10TALS - 2C 04 yll -IGUIIESitc r LLCT INVES'rIC ATENAC I _ C OCN TSUNLV fL l I If INII V ILC,I 11 Sr lllr ` : l l? '.Ill y, 1 1 lC I•rt l ;, ? I H O O O O O O O ?O O O IA O O IO DO O 000 O O i luu I I ! I I ? I I I ! I i °1 a ?, I I ' ? j I I , I ? iN I ? mI ? I j i i l (, I N ? I .?I N r N ' I O T Z I i I I i I U T ? I I I ? , U o.+ .. o00 o I '0 0 0' o o ?: 0 0 0 '' 0 0 0 'I o 0 N I w .w w w N .? r .w M .. I T I ( H ' O O I r .r O .-; N T ?. '. '' N n i7 6 ? 00 000 v I I j f I O K N M S I 1 I •O i P P ? P .' O I _ M 1 ~ I - ? M I I I I I ! j Y I V l u I ? ? I J J J J H Z ? I I n 4 ti .f I ^ I 'f ' F ? I u u I ? ?? O ?I V ? ? F ? U U : O 1 H i N U I !F? IN ' I I I i? i i I I i ?s I? ! I i ? I i ? j ~; i i I I i ~i I i ~j I I I i? I i I I I ?. 4 ;rn ? c? ? m a© d o ? ?? a o m m o m w 4 n a? ?pE Nor. - STATE OF WASHINGTON ?•'?' 1 SUNIMARY OF MOTOR VEHICLE TRAFFIC COLLISEWIS ,. CITY COUNTY JEFFERSON (RURAL) FOR MONTH OF05/01-05/3111900 F [ IY COI NIJWMI OF ACCIDENTS. NUMBEROFPER-0115 SAMEPERIODlA51YF R ?? ,010 FH CIE NON y^O [ i "^T1 IOt CFAI ( PE OF IIIIVRY NON? ME AI PERSD 5 _ i y ,?. j ACLU NI TOfAl fAtAl DAMAGE IIIIUD pUTFLNG t INIURY. ACCIO[NIS I • INIU W' •P A? _. ?_' G. rxa,uD r L9 °..•L .. ovFatuRrvwc, 2 0 .,.1 { 1 J 1 1 J I. 3 I U t b G 0 5 Y~Y ae o1gERNaNEOa o Q o' Q Q o i Q o. o 0 0' o o, PFDtxa N .? 0 0 O J 0 J f J I 0 1 0 1 0 0 C 0 tf A?.?LINTRANSPOT „9. 0 54: J d 3 -3 2l d' 10 4.- 3r 1_?pY p 2 M,V, ON OTHER ROAD I Q 7 Q I J L J I. J O I O I Q O • O D Y S eAFY.1PFA,V . 1: 0 O.I 1 Q O O IIL 1 0 C Oy: £ RAILW IR N i 0 01 ) 0 o j J 0 f 0 I 0 0 0• 0 G :yEDALCYQIST 0 0 0 0 0 0 0 0' 0 0 .0 0 0? ANIMAL 0 0 0 1 0 : J 0 1 J 0 1 0 1 0 1 0 ': 0 ?ilKwoeEEa. I 17' L ?..8,'.. 6 15 . ,`9. 0;, '2 5P&Y'.ra "onlfaoBlEn 0 0 0 ) 0 J I J 0 O l 0 0 0 0 29_. 1 .. 14':. 14:......1 ,.22,:7-, .., 10:; B 0.__ "25 4' 307 SiN1EIP AtESrs1EM. .0.. ..;0 -' 0 0. „0 0' ".0 .0.. L OTHf FULLCO -1. I 0 0 01 J 0 J J{ 0 1 O 0 _ 0 0 0 _ Q.„ys:ipulENO11.. L :.2.' 'd'1 5: J.2:. 3 .`.115 11 4'. 31 S SLATE ROVIE o •yl 4 0 11 ! 0 l J I O 1 1 7 2 0 1 _ b COUNTY ROeo 13 0 11'" :2 ` '0 15 4 0 .,10 1`1 0 6a ?R Oll ST.[fi I 0 0 0 1 0 01 J 0 1 0 0 0 0' 0 OINFRTW FIC WAYS'. 1 - C o.' 1. .0 0 '?. 0 ... 0 0 .. 0. 1 O 0{ TOTALS I 2 9 14 14 1 22 4 I 10 I b 1 1 40 25 4 10 IGF OF }Ot LPER50 5 P[UFS}4 NS P1DAlCYCL1513 MAN E40F 1W0 TOTAL COND110 1 01 11111 tOlAl .yX DA+DATn C r??-"1 INIURED =I INIU ED INFVRED MV CLHlI51pN ACCIDENTS SOBRIETY • AUID[Ni5 PP'' '1 \ 00100 }i0J 1 0 C 1)0 , HE DO 1 it HAD BEEN PRINKING 0 Q O 0 AfA4 END, 3 0 ABILITY IMPAIRED 4 1X W : 10101 0 1 O Q.0 0 ANGLE 0 0 HAD BEEN DRINKING' A'S 0 - .. ?, Zy,}t¢E9,. 0 5 0' O - O SDfSWIPF MFEI NG :'..3 O ABILITY NOT IMPAIRED -1 0. I 70 T07 0 1 0 J O 0 SDES PE PAM" 1 0 H DBE[ D NKNG 1 2 O _ ® C=510]il 0 6 - O O O „Q OAC%[0 N/O. - z' Q SOBRtEIY UNKNOWN RIpr7•5 f0 1 4 Q 0 Q 0 ALLOT ERS J Q HAD NOT BEEN .R ," B.A5Jp3 i'.. 0 1 1 0 .. 0 0 r 0 l10151A EO DRINKING 25 0 ;., 1 ? 53100 0 2 0' 0 Q 0 _ '10 0 DTNKNG NOT E'ofjo>_ 3, O "-C O .0 : J O .c 7T¢TA15 STATED I O3 738 OLDER 0 0. 0 i :, ii rI.GPSDLYED •` • 0......, 1 0 0-.: 0 a.., .. i 0 TOTAL DRIVERS 33, la TOTALS P 1L1, III - MO 1-11111 FRIDAPY?r? . SAID DAY SUNG tY - - C NI O *U`EINGCIRCU SslA1 CES IN (DIAL E: K .+HNo All ? ALL (;.?.\•.,; + .. ALL ? ALL' -x' d lr1vf51 GAI[DA<GOIN S- Y ACCIULNT? . o DNGH I 2 C 0 0 J 0 1 0 urvola wnUENCE OF ALCOHOLI 4 1., h.. y, \,. ?T.+ui:,lno `..?'.'0 0 0 0 O 0 0.- 0 UNDER INFLUENCEOF DRUG, :.'0 0;.1 - ] 7.00 ?,•,. 0_ O .. 0 0 O'J O DICEEDING SIAlto SPEED LIMIT I 2. O.i. T) v7W. ...: O O D O O O O. O EXCEEDING REASONABLE SAFE SPEED 7 04 n ?q^ Apo I O 0 Q Q _ J Qr Q Q OIDNOIYI DLDON FNI[RING ANA RIERIAL I Q 0 ,,1 ?i •. 4•`? ` C+•il:?s? 1 -?'C O 0 0 0: 0 0"' 0 DID NOI YIElD10VEHICI[ONRIGHT Q Q e 000 Q Q Q Q J J J 0 DID NOT YIELDWHILE MAKING A LEFT TURN I 0 OS H 1` 0 0 0 1.. 0 .' 7j O DIDNDIYIELDWIIIIFCHANGING LANES _ 0 OJ B Boo Q C O O J 0 J 0 OD NO[ YIF TD IO VINCLE, AIL OTHERS 1 o ib. 1000 Q 0 O O J 0 '-^O U OIDNOIYIE1010P[D[SIPIANORBCYCLSI? ? `.O OI 10 IGoo I 0 0 0 0 O 0• 0 O MPROPERPASSNG 2 0:I 1 O S 11 i ", ? S. ;p;ao _ f C C 0 O 0 0 .. .: 0 0 FaUDWING 100 COSTLY f 17 1700 I 2 O C O _, J 0 0 0 OVERC(NIERINF I 2 O1 K--„ID.00 2 0 1 0 .. 1 0 .,.o 0 FAlLNG 10 SIGNAL OR IMPROPER SIGIIAI 0_ 0 J 0 0 IMPROPIRIURNING I 0 0 T I . oo C C 1 0 ) 0 : 1..` f 'i? f ry t': 15.00 ..0 0 C 0 0 0 .. 1 Q IMPCOPUPUtURFI r '.'.0 01 le leoo 1 1 0 0 0. J 0. U 0 DSR(GAIDINGSIOr AND GOic T f 0 L 09 r ...,poo " i 1 1 C 0 0 1? 0 DSRfGAPD NG STOP SIGN OR M511 110 RID 0 0 1 ,1 IB FDO 0 0 0 0 l 0' 0. 0 OsREGAPDNGWURNNGVCN I 0 Oi S to5__wto,oo ,0 0 0 0 0 0 .0 0 AronnrIT,ASNFP 3- OI is 7000 1 C C 0 , 1 0 1 0 IMIPOPIRPARKINGIOCAHON .I ,. 0 0 11 71.Do o 0 1 0 ( 0 1 0 OPIN1010DIIECIIVEEDVIPMENT - 0 0 4 Jl 27 uoo 1 0 1 0 J 0, 0 THAI DN 4 O l •A VIII Jloo 0 0 2 0 Q 0.. 0 J ARO1HH vKxAIK)NS 0` 01 / I ? ] UPIID - I .I yy I I t. T TAES 6 H 17 .? 1 5? y l IC },,,,,?pVA ,y 1'R * FIGURCS REFLECT INVESTIGATED ACCIDENTSONLY ry UN ykIM \'1 '( PFI[PAnFD BY: WASHIwNG•.[lnr nTA TA f yry1m ??xL F; r\ wesNTL PAnwL ? ,?; V B NO 117/10 Yrti fT?.j'r?F" u t lYi t f I {Ex w..: 1 2!: 'v i AL`S L 'i"A?°YCJAI ?' 10. t?`Y14f rf 1. mSS: t i n i s?A dAw? F f ';1 ? Sl _ vt M N fY' r? Y 4. ? t t'S G d ?"S ?v ',S 1 4 T r 1H i ylf 'yl > ?v 6U4XT'".al ?YihAX? aN Ik4 F nt.. '? fl L S. _,-,Y ? r6. ?# ?,?, ?I nIr 1 1 v rat r 1 t' .lr?? r,? sLf -I E+T Y 1 T A4 ? ? ?•? 1 14 1 14 y?? I ?.1 I ? 1 1 } ' 1 Sal 1 . I??? III r rI_, H s?? 51 1 T ti t,l' R ,? ? 1 t 1 Y 11;? F P }{lk R R 1 U E l Sfl. •. r? Ll ! 1 I,,, Y t NO.O 0 0 IU 0 0 0 0 000 O Op O ?O O O . I N W I ! 1 ?Y i I I i i i I I I i ? j N l0 0 0 l0 0 0 :0 0 000 0 ooi o 0 0, o 4 LL Q I I I I ? i O 1 1 I I ~ NO I:N N O .O O O O O NOO N 00 O N 1 C 9 w O 1.0 0 0 0 O x+00 00 O- ht ' C 2 I j Ni I I w I o, a l I I I ! , , u z ? i~ I I ~; ?. ' a o? 1 i I ? I ? ?. i J ! i I I ! I i j i ' I o 4 I1- I a w Ni ! .. I i N .. In 'o ! I I } ? ? 'I O In O i nn In I ? I, n l ? I^ 1 ^ I 5 ;r U IOU I.f ( O ? m I ? r 1 U N I N I I L`? 0• F {{{ J h t? I ! Y LL i .1 (J '? I .t .f x 1 ?O I I G/ I U O 1. c1 p ? V i ? 1 l71 ^ 1 b ? J' i I I d l 1 I ti -0 '1 ? _: {. XH? y?•,: i ? ,.? ?r<a ??a? id ?? II ? n; !a ? +??La ?? ti v i '? r t I I 1- 1 ? 1 k r CITY COUNTY JEFFCR ON (RURAL) FOR MONTH OF 04/01-04/30 1980 + TYPE OF f OICW VEHICLE A.ODENI -TO NUMB" O ACCIDENTS. NUMB(AOF PERSONS iYP(Of INJURY TAL : RO NO • _ A NU SAMEPERIOD LAST VFAR PERSONS TOTAL & .a OVERTURNING G ? d ? FAT L DA MA J 4 ? I UPED pINAUNO D %0. ,. WM 0 - 1F INJURY. 3. ACCIDENTS ( PRS: •'S iElti:o0Jl IlUU9fD? . .. Q O 4? 2? 71 0 0 1? 0 .0 6 0 3 (srRIAN 0 J 0 0: J I o 1 0 O 0 O 0' 0 6 0 1 1 0 V ON OIE ROD F 0 O 0 0, OQI oI 0 O U OI 0 0 0 0 LWAYIAIN 0 00 0 1 ucKVST o J1 0 JI o- J? 0 0 7; MAL F RUEC! 3 4' 0 01 J 0 OO, Of O, 0 0 "O _ EA OBIICT 3 0 3 15 0 9y .. . 0 0) 0 01) 0 00 0 0 0 .f .J tOYA15 , . 22 ,.. 0 L •. 1 E%i?TemrzM 0" O O D 0:; 0 ..0 0 O "°.0 ? '" "; 0. 0- ?O OTHER FULLCON . Q Q OI ) 0 OI QJ 0f ) 0 O O O E Q 1panv NO 10. 0 .,.•2 - 1 Z ; 15 0 12 S StAIE ROUTE O NiY QO o t ,., " fD 2 0 it 1 ! o; 11 11 0 ? ' J 1 0 3 . 0, 1 a U CITY STREET 10 0 ; 3 0 0 01 ) 0; : 3: 01 0l ) 0 Al OTHER ER&FNC WAYS I 0 C) 0 0l 0? J 0 0 . ? TOTALS 22 0 81 14 0' 1It 5151 1? 7 29 0' 18 I ' AGE OF TOtAI PlRSCMIS CASUALTY'. .I INJURED ?PIpPpE?DE?ST 1 Bi14 - RIANS PEDALcra515 INURED=-3(INURED MANNEROFIWO '. 101A1 . MV COLISION ACCDENTSV ?I CONDITIONOFDRIVER TOTAL SOBRIETYY ACCIDENTS wt00 01 O ' 0 ' 0 MWO M 1 n J 0 O J O EAD ON LL , HAD BEEN DRINKING , , _ RR , ' 0 O ABILITY IMPAIRED 1 O 1!to 10 0 U GJSTIYJP..i<?. 0' .,'.2 0 0- 0 O. 0 . .O r) -`:O ANGLE _3 SIOESWIIETAEETINGV 7 17 J 0 HADBEENDRINKING ABILDYNOT M IR •.1 0 ]010] ) 4 Q, , 0 O I) . . , -,. SIDESWPEP55 G I PA ED W ?23J4 TS U 2• O O 0' O J BACKEDWEO 0 HAD BEEN DRINKING I 15 10 O 1 O O ] O - 2 ALI Oi [RS ] : O 0 SOBRIETY UNKNOWN HADNOT BEEN 1 " O : x?+ GY?3?F ]0 0 , 0o O NOTStARD DRINKING 9 O SSTOD U 1 . 0. 0 1' 0 ^? 7 0 • DRINKING I!OH S r .Il??.. ?._ 0 .0 1 . 0 .- LL STATE 1 , O - • 59O10[R O .,,.-0 . ?NOr3tAno'. ?(' 0 --'. 1 0 0'" 0 ,] O 0. 0.: U O _ .,....,_ .•-. ?,..: v " . TOTALS TO 3' 11 0 .. Q ,j ., :TOTAL DRIVERS 13 Oy A " NUN. Ihrv[[,,1}?1?tsm?U?R.S? P.O ,. : It:. E:AtlAY?1K1 FHC . ALL 0 ONOIti 1 ?JaLDD.I: .'D Q 0 Q 0 ' t zoo-?] ZAD...' ...O 0 0 J 0 ? 0 J 0 • e. ew n 0. L TO 1000 O I l oD -,:?.: ?:..0 O 0 1 0 . 12IRw _? 0 .) _ u, uoo 2 ?yfSAO" ' 0 0 0 0 0 ID Lew 1 0 0 11]00'1:•_'...:1. Is Ieoo' 0 0 0 0 J x".1!m:" :...:1 o 0 RD. To 0o t t 0 o •T) T1w i 1 j3IM'. 0 . 5 p 0 0 l 1 FIGURES REFLECT INVESTIGATED ACCIDENTS ONLY MTPAR[D EV. W4]WN R11"INOYONON S S A TATE PATHOL AK AH). iR ]/iR OUTINGC TANCES IN fOETAIL 1.. tlINVFSTIW-SH i{DACO[NIS DDHIS ONY ACCI D[N15S' • UNDER INFLUENCE Of ALCOHOL I 1 O e UNDER INFLUENCE OF DRUG „O O_5 ERCEFOINSSIAIEDS EEDIMIt 1 0% FFCEEDINGRFASONABLESAFESPEED .,.4 O; DID NOT YI(LOON ENTERING AN ARTER AL I 0 O,4 DID NOT YIELD IO VEHICLE ON RIGHT 0$ DID NOT YIEL D WHILE MAKING A 1 FT I TURN 0 Da DID NOT YIELD WHILE CHANGING LANES .. :, E O OA DID NO I YIELD TO VEHICL E - ALL OTHERS 0 O] 'DID NOT YIELD TO P(DESTMANOR EICYCIISi ' .i0 Of IMFROPERPAS,•ING I 0 Ol _ FOLLOWING TOO CLOSELY 01 OVERCFNIEFUNE , 0 07 FAILINGTOSIGNALORIMPROPERSK:N L am '0. Oa IMPROPER TURNING 1 OS IMPROPERUTURN ' 01 DISPIWROINGSIOP ANDGO LIGHT 0 0j DISHOARWNGSIOP SIGNORFLASHINGRID" _ ',.'0 03 DISREGARDING WA4 INGSIGNAL 0 04 AMARENTLYASLEFP ,?v4+ :1 Of IMPROPER PARKING LOCAION J 0 Of OF(RAIINGD(FfCTIVEFOUIPMENf ... '3 0T IIRAII(NTION 2 O1 All OTHER VIOLATIOINS '. ry -,0 01 I " - ..... TOTALS 13 8 .1 5 R4F cRDvyEn T?1 S Rf E LT ? I },? •L L 701K) r}Q,i3 .ly?l 1?[a A I{ - NNjn P. T ?, 'TFf(AIr. ,y,4A7*,}n#ET'? $^ 19C , lEl ?'a NI?_T^? 'Y„ . ? W f I f far ... • S Y a, t 1 ! {i(4• A ? rr , a i ?? 1fA / I ?, I I o : F 1, ;F E I yl", R r ?B J I1 5 v ?I; c ? t) Q t I n w t T )a ??. :: All •[3L(:a.J .AIl..' 0 J 0 U 0 ] 0 0 0 0 0, 0: 7 ) 0 7 0 0 ] 0 J 0 0 :..? 0.: 0 01' - O J 0 0. 0 U 0 ) 0 J 0 0 ) 0' 0 0 J 1 0 1 0 0 l 0 0 0 :1 0 0. 0 0 ) J 0 0 0 D 0 J ) 0 J 0 0 "'.'D 0 .`I•.0 0 I I? N O A O. O O G O ? R p ' I ? ' O O O ?? I ? ? I I I 1 I I I I I I I I I i I I i I i i I I ' I Foy, o s a ? I i j ?? i ? ! j ? ? I I M ?; c; o o c ? '? z I ' o o .. i ? i I( I I I ff i I I I i I F t ( n ?~? I I , I I I 1 I ' I ? +p . i ; ? Z ?" ly ( I I i ~ i ? I 1 I j ! I I 1 i boo ? i. _ ( I a .f I i i ? I I i I i I I ._ ... ? I I s I w i i i i j I I q 1 rt, j I i I I I i o l 4 I I 1 I I LL ? ? ; i I I C I ` I I I I I I I ? , I ? ? N T I I t I ? ? I I ? I i ! r t I I I i j ? e ?! ' n I n l ? I I I i i I I I I 1 .,• I LL I U I ' I 1 w (K J I F I ~ I 1 } I i I i ? a .u. I t. ? F I `' I I I E I f r ? 1 Z 1 ?j 1 I 1 I„ 1S ? I'r }..• t ? I '? E ,? z ` " ate Fxaa - L EDV a. 2,- Ikl• ?Y. AxLx 5"" C ?i Nx w V On ramgc AL A ' i ? AFR7ALC r1xEDQ OfHERO OT FR FI ROU l STATE RC {E? mE7NEr STATE - OF WASHINGTON Nf L+? 9?,' d ,?AAs9 !?"0!C, @r? ?!• r ?t^'0 Va S e''?AIr }? /+,f?9 Y U'A®TC::=u Jt?dd+LG TflAFFICCOLLIS;Olms CITY COUNTY JEFFERSON IkURAI) FOR MONTH OF 7 03/01-03/31P19P.0 C ICLE E'. ' CC CEF D N"51. OF PE=NS SAIAE pER10D lA31 YEAR ENT rOTAL Y A D . ,: rYPEOFINIURY y':D "a, • T01AL FERSONS . I O ?.^ '.. .J ) 1 ) ),? '.. I 1 j Pau + ?f INlU9I I ACCIOI L^1lflR9O INJURE )N WtI. ( 0 IN EANSEOAT .., _ 4 1 .. 2 I 3 :.' 6 I 3 I. 1 1 n 0 0 DTHER ROAD t ,:] 0 ) n 0 U I •C; 6 I . 11 .'. 1 4' .;, ._ 19AIN n n 3757.. :,.0 Q 0 0 ) +.'0 p 0 ,) Q I Q D 0 ::?0 f 0.. '• '`;0 30 1 4 . !F[I .. . :TOTALS ".16 2 B 6 4 ,j16' •9';'° gI ?...2+I? 0 esvsTfJA ':o n o Q Q '::Q Q o 'o:' e. No . . 'ENO I ..5 1 3 D 3 .• 4 • 1 DAD .. 1 4 0 1 . .. 3 0 Q 2 ,2 i ? 4 . .•'1 I a S FncwAYS To. ) 0 0 0 J 0., R i 0. 6 0 N I ^0 0 ?. 0 1 +Ol p a r-„ 0 O),t ?=? I A 1 •- ?^, -___ °••, - unU O r j? INN9ED INJURD F?:?.INUaED T CO MAN ERO11 O TOT, M.V. COLLONA[[EOENTB " ce? eFNa1YADP Q . r D. 0 n O ) ) n "' HEADON Q 1 Io TO 0 9fA9 END.: D r - n tRi4 c.'• n ' . 3. 0 Q ) NGLE ' 7o T07 0 ... LCESwIFE:AiFEi NG 0 . . '. WW 7, 0 1 .. 0 n ." 0 0 , ) Q D SIOESWIPEP ASS G Q eA[A o id ...,-Q 3310 ^ i n 1 . ) O e r o LOM I 0 EK ] SS 61 7! _ Q p 0 p TOTALS 71A OLDER ,] (• n f) A o L L4,,k3 ML L:-.i ALL Au, MUarI 'o ' O 7. aoo ( ` 0 0 0 0 ) J I 0 Et i.aGS,; .. o 0 0 0 n n n o 00 n Q . n . 0 ) n p O 6. .00 R„ R„. I •, o 0 o p n p 1 ] 0 n 0 n , e. e7D I n ) n ) n ? o ? I7 177o i t r 0 ) 0 0 u. 1.70 C n t n n 0 tf^ 7F.Do-... - ii iBw... 2 n 0 0 0 n 0 n Go w io Du a ? 0 1, Q Q ) p 0 0 ) 0 n 0 1e? _ilao _... 77 n 0 n 0 n 0 ) 7 ) 0 2 1 7703 T 0 D •] ) 71 RA7l-RD. ^ 1 ^ D n T 7A ] 4 ] A 7M FIGURES REFLECT INVESTIGATEO ACC IDENTS ONLY IRERARRo RYA FTMI DSSEGTION 3VASHINQT0N STATT. PATROL AR No 10111. 0 0 0 o0 n 0 >ln 7 0 •in: 0 0 o ] 13 6 0 I _. I 13 1 0 p ? 0 ? On 32 7 CONMSK)NOFOR ER TOTAL 'SOBBIETY .ACODENR f 1 /?. J HAD BEEN DRINKING ABLITYIMPAIRED I 1 1': HADBEFNDIBNKNG_r .. .ABIUfYNOi LAVA 4FO.: Q" O HAD BEEN DRINKING SOBFIETYUNKNO N 2 n ;' NAp NOT OFEN Y DRINKBVG 16 2 i 0 NKING NOr - y D . TOEAt DRIVERS. 20 -' k 3 CONTRIBUTINGCIR[yMBTAN[ES 1 OWVfStIWifDA(OpwR WIY • A . TOTAL CCIDENTS UNDER INFLUENCE OF AFCO OL uNOFCwavwcror DRUG '?';;' 0 Dv3 FxCFE0,N421Aif0SP11 OL i : f%CFfIrIrvGREASpNANF5AFE5DEED - •, 4 p OIDNOTYIlID ON fNIF91NG AN ARIFRAt MON0l nflo lO VEN10EON NG ? 0 13 p4i; + f MDrR01YIfIDWNILEMAKNGAlfFr1URN I . 13 pi D DIC NOTYRID WNILFOVAHMNG LANE, •?' " J _0 ?. '•? 'o- DIO Nor YIEto TO VFNIcIE.ALLO1NErt5 ? NoNOTYIELD rDPEDFSTMNORBICYCOST.. .. 'p . . , n IMPROPER PASSIrvG 1 p . .D{: 1,_: FOIIOWIN0iOO0 0SGV, ""`? -.,.,•D D " OVF9C[Ni(9 LINE IMF90P(R TURNING ? - n.: i IMPROnru WaN r-• .. .... ' 0 0: DGRIGARORRG STor AND GO LIGHT . o:SREG, MNG STOP SIGN OR RASFrwG REM 2 I.^ MSafGA RMNG WARNING SIGNAL I 0 :. APPARENTLY ASLEEF MPROPPPARKINGLOCARDN Q ^ ' wfRAnHCO(FERNEEGUIrMENT '? 1 D INAITINIION All GRIER Vqu1ION5"' • o n;n 4 NW p O, O i0 O O O 00? O O O? OOp O: O .O OI ? H ?O O O. a ? O OO ?O O 00 O f0 I pOOp O, O 10 O ' ? Z O O , a i O o o OO ? i I I I I I ? ' ? I O: O w .-? O O N t N I I i r - i i I I w' ? O O'' O a ?oo ? O O. O N I I~ ? .? O'O ? I w ?ti ,p I I I I Tr o ?a u ? i i I I ` I I I I 1 u 4 4 1 ? I i I ? I I i X I I 1 ? f R l'k O I I 1 I ? I I I I ? I ? ? I I ? I L I ? ? ' Y v ., w ~f O j ?' OFU i 7 1 a n, I .r .y N ? rI yl 1 1 I I I I I ? H .r .r ? T ? ti ' 1 ( ', I I I I i 'I p ? i u p ? LL N H K O W O ^ O LL J? ? O er.zn n I i I OI P I P P' T • t0 J ? ,.T j o? n n'o i .+ j P P J ? n i p P T i , ti ' ? ?? x? 'M I ?p p ° ° I I I ? I ? ! i I I I ?? p•. . u z a n r n o n ? a n of n ^ m P N m. P , rr I ? ? .. r° .? I ? I ? ? w ? U ? N ? ?~ I I .j ?J r VA ? ? I P I P i P H! i °? I g j I I I i I ? aI n j J a z? I A i _ y F HI o ' I H a H r o ; I. } 4 a pp ? I 1 Iw o 1 ?S ??? ' I ?? f y A? ? 4! ? I .???1? Y ? c' ?I Lirh 1 V N 1' } tt Y t L 1 1' . 1? f l ?l?tt - ? t , i f 41 ???? ? ? l jl 11 ?At+?y ] ? y ? A i I f: i f a 1 ? 1. 4 ?il I . t 1 1 r l ? ? 1 `+ ? 1 . <T fi f ' A . t I t 1 • 1P?1 STATE OF WASHINGTON SUMMARY O MCf'oR VEHICLE TRAFFIC COLLISIONS CITY COUNTY,JEFFERSUN (RURAL) FOR MONTH OF02/01-02/29 1980 Hf EE - TOTAL R1 K NON ra FAIAI FPOPE r.._:. LOI l:num tKiYN OFINIV0.Y rt DAMAGE ? I JUPED. py µlNO. NON. INJURY .. Nc i 3 i ... 1 L _ ., , .tp ... 9 1 0 1 1 . 0 1 3 IN COIL . 0..: , .•.., 0, 0 0.... 0 0.. 0 0 N ? 1 . 0 11 o iI of QI o IANSroRT :: 7 :. . 0 . . , 1 ! '. 6 y: . _. , '0 ?`. 0 2. 0 , ...:' _..• 2 - .._ ? -4 . . -t-o- 0 0 0 ? 0 . .0 o f 0 0 0 I . . 0 IRAIN 1 - O 0 0 0 0 O O 0 0I ? D15f, - .' . . 1` 0 1' 0 0 1 ?1'O;,-:-L:;' - 0 ..._ . '.- 1 2 J O 2 0 01 01 0l 01 O E[i 9'.. 0 6 :.:3 0 6'1 .5'- 2 -: 5 IE[i 0 0 O I 0 0 at 01 01 Oi 0 ?TOTAES: `. . .23, 0 - 10: 3:•.; ., '0 11 ;.:.?. 6;. 4 ,- 3 rdnliln'... .0 `_.... 0 :0'. .,.,.0 01;,""?. 0 "0 0.. .._.:. 0, LLC0111A01 1 0 0 01 0 0 O j o I 0 1 0 I 0 END ..8. 0 ? ""4 - 4 . 0 ?. 2. 1 _... 6 JIENG ? 3 0 1 1 2 . . 0 21 J I 0 1 2 ? 1 _. IoAO . ...-11-: 0 , '5' ' E. 6- . 0 0 r4z: ' . is f 6 Er Q o off -o 0 of off Q( of o TOTALS I 27 - o" 10 I l 3 n Ill I A I 41 1 9 TOTAL I{E?RSO s ACCIDENTS 4 ZURED„ J; 5 J 0 .. .: ?0' 0 0.u 1 0:: 1 14. a 6'% 0 0. 0 .Q 0. 0?6 0 0 0 `Q o .1 0.2 1 0 1 17 0 103 0 0 0 '''38 ., 0 1873 0 0 0 1 ,-22 0. , 123 3 0 1 ,:.'.12 0 5q r 0 Q 0 0 03 - - AGE OP IOTA PERSONS PFDEStPIANS EOnLCY415I5 fjlsW?fY„?Fii 1 .. INJURE. Em INJURED fy't'It INJURE. p00100 0 _ 0 LJ 0 Q 0 E95EOOP 0 '•. 0 0 0 0 O 10 ,0" O O O' O O O R1A?.1RT.IY:.? 0 3• 0: 1. 0 1 TO" 10) 0 2 O O J 0 myx00T 0 .. 2- .0 0 0 ,0„ WP3?5'CTTOO 0 O. 0 O 0 G'i1?i<R:W 0 1 0 '0 0 0 SS TO 111 O 1 O? 0 O 0 tZi^;T 0 .. 0 0..'. 0 3 0 . ag, OLDER 0 00 _`.- . Z'.. 0 ......0 0 :'0. SEA!ID7 TOTALS MANNER OF}WO IOIAE M.V.COLUSION ACODENIS HEADON 1Q REAR.ENO v L U ANGIE 2 O BIG-MEETING 0 SIDES PEPASSING O O ""ED INTO. 1 '.3 0 ALLOTHERS ? 0 0 .. NOi STATED , 7 0 K ,;TOTALS Ly,_, so r. ._ ;.' 0 •..0 -DITIONOi DRNER *TO'A' SOBRIETY • ACCIDENTS HACIBEEN DRINKING ABILITY IMPAIRED i 0 -HADBEENDRINKNG ABILITY NOTIMPAIRED :0 HAD BEEN DRINKING SOBRIETY UNKNOWN D HADNOIBEEN ' DRINKING.: 12... DRINKINONCI suTFD I 3 _TOTAL DRIVERS' :. ,.1„ 5 .1? 01 0 03 03 O i 0 ^ , .;1J?THE .-• MOK 1Nu?•tTr1eF1?•?U?L??S??{ FPIWY C SAUROA 1 SUMMY CONIRI11WINOCIRCUMSTANCES ' • IN IOTAL ACCIDENTS IA RIryS, ..... ALL t?.RI 0. M ONIG.1I 0 ' J ' L' LY6d{yOE A 0 LL . 1 0 ALL J. 1 L d 0 , All:: [:K 0 0 W,INViS1 WR 0AEO01NiSOWV UNDER INFLUENCE OF ALCOHOL • " I 0 : ( 0 r • ..0 .i..rLroD 2 700 I Q 0 0 0 0 0 0 0 0, 0 0; •: 0 Q' Q 0 UNDER INFLUENCE OF DRUG : ,.. .. EXCEED Nf. STATED SPEED LIMIT !,v I - 10 L 0 01 ? . +• r FNA+.:?JOD ? -O . 0 Q. 0 _ 0. 0 "':0 0 EKC[EDINGPtASONABLESAFESPEED 6 . . 01 00 0 G 0 0 ,3 0 1 0 DIDNOTYIE10ONENIERINGANARIEPAL 1 0 0L 1 ' tT"^ 0 0 0 0 0. 0 • O 0 DIDNOIYIRDtovvUOEONmwt ,•• •" -:. 0: OA 061 000 0 - 0 0 0 T 0 0 • 0 010 NOT YIELD WHILE MAKING A LEFT TURN 1 0 • 01 1 , =:,m a O O Q O . .0.' O DIDNOTYIRDWHILECHANGINGLANES .:, 4, . .r .Q U E 1 .00 I 1 0 0 0 3 0 3 0 DIDNOTYIEIOTOVEIIICLI. ALLODIERS 2 O 1 U?? EI? LR-,lr.0' T 0 . 0 0 0 0 0 .70 0 DID N0I YIELD TO PEDESTRIAN OR BICYQISi." ..:0 01 Y H, 1000 L I 0 0 0 7 0 0 0 IMPROPER PASSING •. .f 0 OA -$',X;-II?00 '.0 12. 1-700 Q 0 0 0 0 0 0 1 O 0 0 •0 1 • 0 0 FOLLOWING}OOCEOSRY OVERCENIERLINf ' :'. 0, 0 0i 0 i ', R7.rwJ300 .1 r Ie. IP00 1 3 . 0 0 0 0 0 0 0 7 0 0 ,1. J 0 J F11-0 TO SIGNAL OR IMPGOI[R SIGNAL. IMPAONR ALINING I ..0. 0 01 0 ao. 2 0 0 0 0 0 0 0 VRON[uruRN 0 01 • Ie 1e00 I l 0 2 0 0 0 0 0 015RECAIDIGS101 ANDGOUC 1 0 0 i 0 0 0 0 0 0 , -.0 0 DISREGARDING SIM SIGNOR FLASHING RED ", 0 0 j IR LIDO 0 0 0 0 y 0' 0 0 DISREGARDING WARNING SIGNAL 0 Q T N."-'-10.00 0. 0 1 O b 0 ,. ,.Z- 0 APPA1[NRY ASlEE1 a. rl. :. 01 OI M. 1uW 1 0 0 0 ) 0 0 0 IMPROPER PARKING LOCATION I 0 O I Ia.-?.t1A0 -??! 0 0 1 0 0 0 0 0 „.. . OPERAIINGDLFECIIVEEOUVMINT I... ~' 1 0 1 77 7700 1 0 0 0 0 3 0 0 0 INPIHNIICN I 2 0 1 1,90 0 0 -0 0 0 0" ,_.. ,.0 0 ALEOTHtRVK%A11004 : 0 01 t P,D1NANO TOTALS * FIGURES REFLEC T INVESTIGATED ACC IDENTS ONLY ,L?a? Y 1 Y MCPAREORY: R[COROSSECTION 3PT f WINI INOTONSTAT EPATROL AR AO. 11111. I:. ------ --- --- - --- - --- - ----------- -- -- - cl STATE OF WASHINGTON SUMMARY O MOTOR VEHICLE TRAFFIC COLLISION'S CITY COUNTY Jl:F FE R5:11E ( NUAO kUIt.ILI FOR MONTH OF 0I/OL-O1/3l. 1980 d TYPE OF F Vf 1ClC d : ' fC U NT C OF A (('' TOTAL } CCIDENTS NUMBFRol PERSONS NON P O [Rt OTAI TYPE OF N1UR - SAME PERI Y NOJJ? TORAf OD I 5 YEAR PEL30 5 1 F t ' ` FAIAI D GE 4'? IlIJUPEO pSAy ND. t? 'Si91r< INNRY' ACCIDENTS E!F IWU R ov(IURNNC I r. ) I n 1! t [0 ' .., E•gplER r»ei Coll:" "('0 a ,- o .,. a ... o o lc ' ) 5 PEDE iRIAN 1 ?) ) c o 0 o __,o 1 0 )iIuN PO._ J 0 01 01 1 - 01 0 O C 0 o }y S 0 a G a 0 i'0' 2 3 - 5 11, 10 ' 0 MV ONO ER POAD 0 ) O J C 7, JI J , U 0 UI 7 0 ' , DR` 0 J O O 0 1-.0; .. 0......:0 _ 01 '0 0 C. Q? R TRAIN '' 0 ' _, 01 0 0 JI JI JI JI 0 0 0 0 AP.BDA va sT : A NIMAL 0 0 t 0 . r•o o 0 0' o o. 11 '). a 1 1 ) I l I ' o O i 0 2 o. C CLI 0 , . o1NEROBJfct 17. 0 0 s7 :;10 D :7 3 2 2.° 13 27 1 . 13;1 J 0? ) 0 OI UI GI GI O l 0 0 ? ., TOTALS 38 0 _ ,. 18 _20 0 _,.,22, 6! a I 8', ,26 51. .L. 2.4y :)rhFRSfnres'rs1rM p'' 0 '.'p 0 00; 0 0 0" 0l 0. f•. 0 ? w Y .. ' or wfuucowPO 45, rtolRE NO . .0 0 19 0 )I 1 0 rRl 01 0OI '1 r0 " t 01 n ! 0 0 0 ... srAtE rtouHf NO : - 1 ., 0 13 3 ..„ 4 6.. .. 12 I 13 ' 0 ..3? . 1 SS E 11 ROAD / 7 11 $ J ll J !I 01 12 C G OIYSIRRH 0 .6 5 0 IT 3 6 I ;. 2 11. 21 1' 1'31 I OTHERTRAffIC WAYS J 0 •.2•. D 01 ) a )i JI OI ?•• O •.''2 0 .•b. 0 ' 0 J O 0 0 i O '. 0 " TOTALS I 6 ) . , . . , Ld u) 0 a [, ,: $: 1 . a 4 61 R: 3 261 51 1 24 • AGE Oi t0}M P11-5 PEOCS P,IANS PED LCYCIISIS UINfR OFiWO TOTAL CdVARY YiLk]rd INJURED INJURED e"y' ? "?' INJURED IAV.(OIII$ION ACCIDENTS CONp110NOF DRIVFR FOCAL yJ?: sOBIHIY ? A[ CENTS 11. ' 0_100 O. 0 D n ) O HEAD ON 1 1 U NADBfEN-TIFING n..A NA'Jj E05T(T0c 0 • 2 0 •- _ ,_ 0 ) „'.0 REAREND 2 i J ABILITY IMPAIRED 1 0; To 101 J' _ APt1Qt9 0 :' O O 1 0 J J 0 ANGLE 1, 2 0 0 0 SIDISWPE MEETNk s' 0 HAD BEEN DRINKING 1 ` A q DD 10] 0 CC FXrJI5 F 0- 1 0 7 0 _2 0 a 0 SIDESWIPE-PASSING ] 0 a 0 EAMCINTS`' "t 0 AB1LOYNOr-RE0 3 HAD BfF DRr NG I 1 0 ''S ?a - •- MM]••55^ ToI 0 L 5 O0 2 0 0 .. 0 ) n UC FS U 0' MTSt IED 0 J O SOB4F UNKNOWN O HAD NOT BEEN 0 09 9) 5 L?IG u 0 .1 .. 0 .. .. •7 J 0 14 O J - 0 DRINKING .:, J Da NGNOT 25 a.i ? • Rs B OLDER .) 0 0 . 0 7 0 STATED , . V ... .. ... 7 _..x 0 ?R4A 0 3~1 ... 0 0 3 _ 0 0' 0 TOTALS TOTAL DRIVERS 34, U: ll?: H[ AgN.rNV?TRU?;'DJ,!Ip pRPOR1,A•0 All W'1a11'iY . RDArYSAIUD ALL. t> ,1L1 ?J'Llr,I'; SUNDAY All'. 0 MIpN G I 1 .) 1 0: 0 0 D 0 J 0 0 0 U ;'. a 0 o ]. zoo I,,,.... 0 0 0 0 1 J 1 '0 ' 00 I 0 0 0 J O' ) 0 ?..?°o. .0 0 n 0 0 0 J J B. eo0 I ....., 1 p ' "V^!; bloc 9 0 .... 1 : 0 0 0 ,. a J U,. J ....,..a 0 0 ID woo i I U RAD ' P/:S' 0 0 J 0. J 0 .. . 2 0 .. 11 .7oD I I C I.. - 0 C 0 ?.:. a : 0 1 a 1 0 ) 1., 1.00 4 D Z3i V)1,06, 1 0 l 1 0 0_ ) 1 4 0 J 0 0 e leoo 1 J Y_ 0 E ieoo ?..•.. U J , ) 0 0 t J ~ 0 o .r , J 0 L 0 ]°' ]ow ' 0 0 0 ) 0 J 0 n ]Roo . J C ]. ARID * FIGURES REFLECT INVESTIGATED ACCI DENTSO NLY All[IARED IY, P[COIROS SECTION WASrIINOTON f1A T AA NO, IR LIR S PAIHOI CONIRIBUIINGORCUMSTANCES IN TOTAL ff d NVRfIGAHtO ACOD[NISONIY • ACCIDENTS +I1T VNDERINFIUENCE OIALCOH01 1 UNOERINELUENCE OFDRUG EXCEEDING STATED SPIED LINT 2 E%CEEDINGREA•ONA1115AFESPRO 30 DID NOT YET D ON INHERING AN XRIFIIAL 0 DIDNOTYIELDIO VENIOEON PGHr 0: OIDNOT YIRGwNLE MAXINGAR(Ft IuRN I 0 DID NOT YIELD WHILE CHANGINGlANC3 E ,'..0 DID NOT YIELD TO V(HICIE - ALL OTHERS 3 WD HOT YIELD TO NDISIHAN OR BICYCLIST, ;. 0 , I.NICTNRPASSING I a FOROWING TOO CLOSELY , - 1;- OVER CENT12 LINE 1 0 FAILING IOSIGNAIORIMPROM051GNA{ _ :..0. -PON, HURTING O - IMPROP(RUIURN V I DISRFGARDINGSIOP ANDOOIC I D OI CAROING STOP SIGN OR FLASHING RID .. • ..-0.. 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(3,. ., 4 .. 0 HfADON , . 6 0 HAD BUN DRINKING 'REAR-END ',.2E 0 BIIIIT M1 PAIRFO I 20 +' pp??}10- i0 O IU 0 ? 0. O O . _ ANGIE _ 8 Q NAD NIN DRINKING ' 7 . •'I' 5pfi . ' 0 -36 0 a]O 10]? 3 35 0 : 0.. 0 0 0 0 SIp[SwIPE '.ET'NG_ ., 17.-, Q ABILITY NOT IMPAIRED SGESWIP P :.9 'OI E?:ucc ItjZe? GA-?lb 5 ? 54• 0 0 ASSINC E. 6 O HAD BEEN DRINKING 1 BACKfolmo - p ql ?I? 351o, . 1 19•.• L`Ctt 0 36 3 SOBRIETY UMOWN A(wIHE s (7 0 'NADNOi BEEN O 0 Q i+ TA - 1 l Q - .. Sa L 17 '0 0 0 0 0 0 . ors l[D DRINKING R? O ;.•..10 .. 0. -,.0' 0 101 3 DR NKINcrE Or siplfD 109 - . LD[ f3i"Ytn 0 2 U 0 "e 0 ,. 0 0 0 •..D 0 0 ' 3 0 .-. ....'.:' ., ? . •.. ., TOTALS f) PIP a 2 f) „TOTAL DRIVERS 351 ,13 i NAY Mr THU45 fRiOAY HOUR DAY HOOFEI. If101 w0, ALL ` All i,l _ALL Um- SUNDAY CO NNBUTINGORCLMSTANCES IN70FAL ; All '1' d VIETkMfDACODIN d • AC S '.? •D-MD GHII 0 j 0 3 Q _ A 2 Q U D R F CIDENTS vt t gG=>'+•''? •7 0 - 0 ,.,. 0 3 ,, E LUENCEOFAECOHOI ' ' 2 . .- I 0 2 •.. Q: 0 6 0' . .t .3 0 UNDER INFIUMCEOF DRUG". .. X 1 U , 1RMM 2 0 ' 0 ,.„ Q 2 0 7 l E CEEDING SIATEDSDEED LIMA :•• "2 ' L2 0 1 ?_ • coo . _2 1 0 Rx? : Q I Q1 . O E%C[FOING R[ASONABlE 5AFE5DEfD - Q. Q DIDNOIYIRDONENIERINGAN RTF l 1.39 : P+1L.p,..I •,'2 ?1 A 'co I j 1 1 I _ D -1 O Q 0 Q 0 'DIDNO1 YIElD IOVOEIOEON RIGNI I. 0 0 y Q -.'O. .0..: IY TT, E?••-•%?'?•1 .:: .0 O 2 O 'O O DID NOT YIELD WHITE MAKINGAIFf )URN 7 0 I " O y Q'? S RO0 ( G 0 1 • 0 2 O . . DID NOI YIELDWHILE CHANGING 1-15 1 ? Q - '-Q ?y ? ?n 4;. •AOOY I`11 0 3 , 0 :3 0 0 DID NO? YI(IO TO VFNICLE - ALL O [RS 0 6 1 10 1000 I 10 1 3 OIi II ` 0 2 Q - 0 DID NOT YIELD TO PEDESTRIAN ORBCYCI Sr 2 Q '-'MILK PASSING ;.0 OZ E O I l } J , a , 8 0 3 0 3 0 FouowlNCioo nosuv •" Q j . .. Q 1 Q 2 O OV[RCENIER IINf 12 0? ' 13, 0 .. Ew7 wTSA0 , 4 I Q .. 2 O •, I... .2 0FAllIN01051CNAl ORIAVgpP1RSICNAL 15 O 2 ..O I 1y ' " 3 0 .. .. 3 0 IMPDOp(x TURNING L ,up . 5 le I 0 5 as I I 1 8 ., 5 0" 0 Q 0 ?,. 3 0 IMPROP(RUIURN p 6 5 0 0. y'?•-1F0011 ••.. ..... . 13 0 4 1-+- 0 3 0 0 Drs fwxpwcslO1 AND wucll I 0 wSRtGARI%NG 0 - ? I B I 12 0 2 Q 2 O SIOr SIGN OR nAS,ueeero 5 Od ? y +, E0,00 0 7 " 0 0 4 0 O DISpIGARD NC.WAPNING SIGNAL I 4 O 4 O _ 9 1000 I 1 3 7 1 Q AMAq[NttYAStjU, 3 . 17 Q 211DIi',,,," ? 2 1 0 IMPDOPfgPAaKINC. LOCAtION ' 0 1 0 0 a. 77w i I1 0 4 . . . 0 0 0 .. ., O OP[RAHNGDERCIIYE EGUIPM(Ni N T 0 0 18 0 7 a1 .,700 9 I j 0 '2 0' I A IENI ON .. ?, .. ^- 30 0 t A t .. ?"IOYAIS 171 '. .. 3 O AUODIERVIDIATIONS .. .. .. _ 2 I 7 . TOiAI 276 9 l ' * FIQUr1ES REELECT INVESTIGATED A CCIDCNTS ONLY N r !.I ? ?l . ? N2PU 1 yF 1 I -P'. lrp. ltOnv: n[calus c[cnDN IYASNINGION STATE PATROL AHNO IR SJ.R T J ? 1 h ' ,a7 F Is ? R .1 M1 1 ) I FIX ?j ba zTCeuxaAz.aearattg??l. a+i03aNdk.: 1.6 i.' STATE OF WASHINGTON uk4ti x .'6HSY:5Y11(1"'"Y.Ub4yr , ? I. f CITY COUNTY JEFFERSON (RURAL) FORMONTFIOF 12/01-12/31,1970 TOTAL I NON P 7 `1Y r IDIAL IYPE OrI IUPY L FAFAl IA M4 4 .1 IN11RE r t NON• a O E f.G I ?? IHCR rAN l iI: 0 21 3 .i .. J j I 333 "PIR i W?G ?C ?r OI NEW 5 O I CO P111 u t) c .. 0 ,0. 00 0 o 0 ..0 1It]AFM VCRT I ' " : 11 I ' a! II I O l 6 1 0 yt • CNY . 0 ":-7 - 4 0 :'11 :.. .: ..: , ,. . . 2 0 3 v o 10l IrY RO D I 7 l 0 0 01 0 11 o l O I ? U I p ?.. 0 .. ?;,p t Yllx v:: I ' 0 0 ' .?..1' 0': 0 0 " , 0 O.I .. ..0 £ RALW IAN ` . " J . 0 UI . o Ur U . . OI UI u l, 'tdndra 5r 4 ! . 0 .... 0 ; " 0 .. ,.:0,: 0 '.-. Q. _,.. 0 ' 0 -'0.' ":0 h AN MAL I 'rI O a ' I " o 01 1 01 01 .. . o f . 0 p. I .. I , xED Brz . _.. . _. 22 2 J< tl 12.: 10 5 ... 4 ..' 1' _ of FAOD,ECI T(77AL5 , D AO 1: a ° uI !7 . o QI pI p? p ph ` 0 ...•.. :. .. , • .. 24, 10. 7 ? t,: .'37 (hERRrr;rls srtM :o' o -:?•oI o'•. o .''o. o ,,..Q.:. ...p i OIHf lUII CONIPOI I . 0 " 0 JI ' ' D 0 QI JI OI UI'" . 0? q yL1SR o. . .24 0 .., . 11 ' ,13; 0'16 7 ° -.. A 17 '- SinfF POUT[NO I :;coilNrr rono. .. 2 1•i 0 2 II ... 1 01 lI Uj OI 11? 4 Cr srkffr I - . 5 7. .. 2'; ; . :16 . 7]iH[R lv vflavnrs U 0 ^ o 0 UI 0 0 0 0i OI 0 pi . OI 0 I •_ 0 . ..tOTAIS I .. 40 2 171 21'.. - y '??"I „Oi ' , 0 '0,• 0 l' I-EOF i IPERWNS L. U;W LFY ':I I--.RED 1 oD[oo 0. U rQSIQOP 0. WED1 0 2 611414 0 2 )010] 1-' 4 Fr7. io, FZ ' 1 ' '. 7. 35 TO U 5 55TOAR o I IaM7 ,i 0-,. ... U.. Is I OLDER 0 U KG?r3inTEU• 0. .• 0... SAME P[PInD TOTAL l111SC P AX I AC[ DE r5 ( ran IN R[ ? , 3 „.0, U 0 3 0 1 f7r 4 0 0 0 . J 0 0 0 _.-..0. . 0 . . Q'i 0 . .. !i:0. 0 .. 0 0 .... 0 p ` 0 0 0 :I 21 1 '11'! U 0 0 32 T. ; 20 '77 0. 0 O-j 0 U 0 0 :.:'101 , '1 4. 0 ;:.0.) 0 0 0 ...1.1 1 ..,0 32 1" 20 NUKED^,y? Oi,UREO MA lnEq CFi O 'iOIAI M CO.l15 ON ACCIpE 5 CONp1110NOf0 VCR IOIAL SOOkIUY • ': nCC'IUEN15 7i^ : O ` : [ADON I U .;J HAD WN DRE INGV _ r .: • 0 O .0 MILE-. .... 1 0 AB I IY IMPAIR[D I 7 2_ O O ; O O Ar GIE 2 O HAD BEEN DRINKIIG " ' [ 0 O :0 ; SIDESWIPE RICE ING 1, 0 ABILITY NOT WAILED i t 0:'1 o O U O O SDESWPF PASS G O O „ LAD BfEN DRINKNG O 0 0 ',O B CKFDINTO tl : 0 SOBRIETY UNKNOWN Q Q ) 0 0 0: ' O ' AILO HEIS U O ,." NAD NpI BF[N : ? "J 0 0 0. 0 . U O . '0 O NOTSRAICD:. i 1 1L 0 DkINKING. _ OINKINGNOI 27 0,.,! Y 0 0. 0 :-?0 ;70TALS I 3 „?_•, 0 .. STATED . ... .. _ . 12 0 o , O " 0 0 _ . ,:. u . IT Q "o TOTAL DRIVERS 17 _21 ' Y.. WWQRiN.G .' All L. F ALL t S-?... ALL ?s: L 1. All t v ^ o mNC LI •f. i SAID. .. U .0 0 0 I 0 J 0 1 :.:0 .i . U 0 L [ • ]. too .I._ .. U 0 1 0. ,. U o' 3 oB ( - 1 1 0 0" U 01 0 i ' rr"f s 1 0 0 0 .. ..0. 0 c. 0 I 0 0 0 0. .. 0 0 '.''"D . C 10 to oo I 1 Q U 0' D o' Q 2 0 0 U 0 0': .:..:%1 t I] I200 I I?]„,'1]100 •.-.. -.. o 5 0 0 IT o 0 0 _. ? 1 .• 0 U. I C :.... u uoo I E5 TS.oo . 0 I 0 U J 2 0' U .. J 0 D. U 1 U ..; _.0 U T l-0 I 3 IT 0 D 1 o 0' J . U 'o 0. 1 U ,-, ? 1? o I u a 0' u 0 " v 2. 1 11 ?. 0 D I U u 0 0 0 ». ]Roo 1 0 0 0 0 I U 0 0 .... 0 II 0.. 0 0 .;.0 0 10TAt5 2 0 1 n n " .. CCRJIRBW NGaRCVALSTAr:CES IN IOT l J• OF n1V(SUGM[OAttI SONIV Y. ., ACGIDENI.. UNDER INFIU[NCEOF ALCOHOL i 7 2 I UNDER INFLUENCE OF DRUG _ Q 0 EXCEEDING STATED SPEED UNIT 0 0 ! EXCEEDING RrAIG14AI E5AEESPEED 19 . 0 DID NOT YI I I U ON ENIIPING ARIfk At I . -0 DID NOT YIELD 10 MICE ONR 7 '. . O . o i DID NOT VIE I D WIM FMA KING LEFT IURN I 0 0t DI D NOT YI RD WHIZ F CHANGING WIFIL 0 Q.I OID N01 YUt0 TO VNBaF•ALI OTNfRS ? 0 O.l 'dpNOl YlOplO VtBF51RIAN OR 8ICYCUSr t, "; 0 0) IMPROPER PASSING ? U :. O! FOIIOWNGIC10C105[LY . . .. ' .• .' : I 0? OVER CEIH[R SINE 3 o! MUNGID5GNALOJEWMPIRSIGN t -0 IMPROPIPIUpla9G 1RArkortku TUkN a Oj nSRfC DINT; STOP AIIOGa IC 1T I h, Oil pSREGAPIINfMOPSIGNORFtA5 NLID '.. O_ DSR[GAVDING WA"IING SIG1111 I 0 01 APPARDtnY AA[[P _. . .. • I 0 0: I.PClIIYPAIKINGIExAIION _ 0 01 OPfRATINODIFtCNVEEDUIPM[NT I . 01 I1IMIINpDN I 3 01 All OTHFk VION110N5 ! ® rmurtrs RLFLLCT INVESNGAT LO ACCIDENTS ONLY PIRPAIImoY: ITCI TDIELCIIOfl WASHNrn ON SIATE PATHOS. A. No. Ts vrs Oi WV{tf LAILUA<0 IN 1011, PF j= Y 0{N fONIV ? ACCI DENTS ?„ IC .W UNDER INFLUENCE 01 A,COIIOL 3 1'.I q ' UNDER INFLUENCC OF DRUG 1KCIEDING5IATED SPFID LIMIT 0 0 (KCCf DING REASONAPL(5A(E SPEED' !0. 0:1 DID NOTYIEIDOfF NlVHlGANAUrRIAt ' o 0 ; IIID NOI YIELD TO YCIHO I ON RIGHT ? ,. . ... 0' 0.4 DID N01 rI[IO WNIILEAIAKINGALLET TURN IT " Oi DIDNOIYIFlO WNIf OFANGINO LANES, 0 03 DID NOT YIELD 10 mnCLE. ALL DIETERS I 0 0= FRET NO? YI[ID TO PCDCSIRIAN OR DICYC15T ...'0 : O3 IMPROPER PASSING rOIIOWING 100 ctoutY U (1 0i OvfR [[NIfPDM 0 0 ? IA FRIG IOSIGNAI OR RAPROPFRSGNAI. O. .' IT IMPR0PIl NJF NG I 0 D IMi ROPLR U TURN . 0 I O',P/WaO NG STOP INDC-0ItC IT DSREGARDNOSIOPSGNORrIAsNoM RID O U?, I nsacARDric WARNINGS UAL U 0.i ArIARINTLY AttI I). ,. L 0'R mrroN R PA R, INC INCA IKIN U 0' OM RAT RIG OIr TO TYE URRPMCNI 1 0 i A1IfN110N I 1 0 I AI l OIN1 VIOIATI01!$ U. 14 IO TA. I k: T10VT1 CS DEr LCCT INVESTIGATED ACCI NE N TS ONLY t PAEPAIICDHY: Fir-i DSLr0110N i WASINNOUH1 SIAIE PATIIOt AN NV, IR )Ile L______.--___._._._._.._.-.._.--_._.---_-..__._._ __ .,_ ? P STATE OF WASHINGTON k' f CITY COUNTY J[FFE: NS on (RU RAL] FOR MONTH OF II/0 1-11/3 19/i7 J r lYl O { NUMeT O ACC II ItS _ NUIO NUEILR4N5 SAIff PLNOD LAST YI : CIE G `[ { TO F 3 Ii ,N M l i IA EPO ERI Y L VAMA F " I TOTAL TYPE U4E0 0' M L OF N1URY i NOHe 10I/l IN iR50t. t y - I -a , I l gi l?f IURY ACCIDENTS ' INIIIRFp 1 o EuT R c ? ' _ i J 7 1 JI_ I I ,.U , 171 7 0 J ll , $Of!!ER ONGDLI 2 0 11.: U I .'. 0 . 1 0 3 2 ' 2.. PEDESTRIAN I Q J U 0 U I U I ) I U I U U J 0 ':A V', IriraANSROaF ,.5. L 0 r l 2'.? 2 :. 0 0 7 '11 0 17 I 'y I V. ON OTHER ROAD I 0 0 U I J ' 0 0 I U . ' 1) I LI I 0 0 0 ..; 0 f1 qn ASV 0 . 0 U 0'.. I J 0: 0 ...U. ,0 0 0 RAILWAY TAIN 'Q fDAICYCST 0 L 3' O J U U U 0 I U U I C:O J U O O .. 00 0'- 0 0 0? ANIMAL ..I 1 D IF I _. .1: J, .. J I O U J I J I J 1 n/EDGeJm ; ', 21 0 0 10 1 1 10 :" 21 0 7 cUZo IECT I .. 0. O 0 _ J U 0 U I U J 0 0 ) 0 :: ' 25''. 1 ",? 27 •:! 45 b. J1: ;. ,,. ' RHttRSYA ESY5IEM, •.. 0 IT 0 , ,. 0} - OTHER FULL CONTROL I ) U ) I .. J 0 •0U 'l ... V OI Q 0 Q • STATE ROUTE O 13 10 0. "15 ' 1 SS a 'OCVNl ROAD ' ? 1 L3 J 0 7 11 0i 1 2 2 1 '0 :5:; 5, 0 J I 4. 0I -1 7 10 ,.G 15 0 ', 0 i1 .1 t .. R cnrs REUI 0 - 0 " OI U 0 OI OI 01 U! 0 0 . 0' . 0 OfMCY TRAf11CWAWi "" } TOTALS I a l y T I, 3 n ' AG Oi TOTAL P[RSONS V[DFS1R 5 PfOAtCYO IS IF j I .0..lNlIY Er ? INNRC MUSED t` M y IN1Ui•ED MANNEROl1 VO TOTAL IT (AV COLLISION ACCIpfIRS CONDITION OF DRIVER - SOBRIETY R TOTAL ACCI NI ? ' I. y j , • .? _ .. : . OF S _ 1 . mloo 0 0 I! ,.. 0 f 0 0 E U J 0 0 0 U _... 0 0 HE Do L ,. PE R 0 J I H D 16E DRINKING P 95: 0 .;,.. : 10101 _ 0 1 . U U. 0 0 A CND A GIE I Q, J 0 0 BNIY IIAlAllYD HAD BEEN DRINKING 3 - ' 1Wk10:19„ 0''.. 3 0 .. O' 0 0 51DESYFli'E•MEOING_ 1- - 0 ABILITY NOT IMPAIRED 1 C J-ONTO T4 0 0'. Q O U SipESW PEPAStING 1 U HAD BEEN DRINKING F •? . Lw .. iro34? 0b, 0'. 0' D „..._0 PACKFO INTO.... SOBRIf1Y UNKNOWN ( i ]5,o a 0 1 0 0 (7 0 A,, o, .,R5 J Q HAD NOR PEEN R? Y.?1n5 0 ,. 0 C1 U - 0 " 0 ;.NOi STA fO' DRINKING 17 5510 1 ]. 0 (1 C) C I 5 1 DRINKING NOT 0 .. 0 .. 0 .0 O• 0 •.r: TOTALS . ,. .. I SHED Q 0 - • .. Y56 otD1a 0.. O o-: o 0' O 0 0 .,._. ..., :-. ?tF3 1tD 0 - IT 0 U IT TOTAL DRIVERS 30 7 '' TOTALS 0 11 .1 11 _ .. 1:,... . Q ? o - NAN n pnl Rs, 'fit FRIDAY SATURDAY SU.AY a mloNNC 1I 0 0 0 0 ., J 0. U J o 00 _?. .. 0 0' 0 0 'U IT u . o . 0 D , c' Q . - Q 'O . 0 ,.' 0 O ,. 0 fl 0... . ., O b. boo I .1, f3 :zao o 0 o . J . 1 J'.. 0 ,0 0 0 D . J..' o O n IF $Do r 1 0 0 O .•0 17 ,0 O VC?'S',A'R,1b Q .0 0: t?? :id7AO ; 0 0 0 0 0 D 0 0 R. N].oD I J 0 D ., J. IT ,U 0 N OR 11 . ,.. 2 ? g 0 0 0 1 n U (1 .' U O 0 ,. O 0 0 0 I b ib oo 1 D I (1 2 0 0 0 J?'... 2 LI.:...:Jr,oD 0 0 (1 2 . 0, . 1. 0 le IB iJO I 1 '"' ' ' J 0 t J 0- / 0 IO.011 1tl . . 0 •.: 0 o 0 1 0 :. 1 0 Ta + .? I n RI 0 U 0 0 0 .. 7 2100 I 2 ,k1'_8500 0 R A eI () 0 .. 0 0 IT J . U. IT N U ... O .1 U 0 y ilw' ...in 1 A C% V A f) ;.x STATE OF WASHINGTON SUdLA RY OF MOTOR @G :HUCLE TRAFFEC COLLISUONS CITY COUNTY JEFFERSON (RURAL) FOR MONTH OF A.'Y .?>a Y 10/0I-17/31r 1970 - Lb ACT 1 7Q O FRIV N G 7 QO?(F IADN PEDESTRIAN 1.YIN IRANSNRI MV ON OIHE OC 'polirloa3.v. RAIN/AY iRA CAST A ANIMAL NIMAL fl%fD DB1FDi OTNFR OOIECI ...,,,_IOTAlS ;EfD[WiiLTE SYSIFM , ' OINFR fUl1 CC NIROI 4 LES.70UTE NO E ROUTE No [SEA fDFY ROAD CISTREET OTHER EIMiNC WAYS NUM EROFACC pE113 TOTAL NON fAIAL PROPERTY NUMeEROf P[kANi 1011 TYPE OF It JURY NONP SAMf P[R OD LASIY 1'e PER ID pANAGC INIUR[D y( AAA I„0 M 0 FWyy?P wI NJURY EA[ ACCIDENTS 50l W. 4 0 2 I 2 U 2I 1 1 0 I Y 1 I 3 INI ° 1 - 0 b 0 ' 0 .. . 0 0 "" . 1 O D I 0 i O( O I 0 0 0 0 a 01 Y .-.. .? 5 0 OI t, 01 0 .10 - " O: pI 0 0 ' 0 r23 1 ;'.•, .,71P1,: 15J _ 1 ?.,? .9 J 0. o I 0 0 9 0' .3 6.1 - 0 3 0? l I 2 0 L - 7 0: 0 0 0 0 JI 01 01 0 0 • 0 ' 0 '0 O.L. O' 01 , 0 ?•I 0 o _..:Z. 2'.I; 4 1 " 01 01 OF ..O I .......o 0i 01 ..3 ?7 0; OI DI ..0? 0 1,. 41:;.., 31 15 0 0 D 0 D 0 0 ' 0 01 0 0 0 0 0 O.. 0. 0 Oj -,'0 i 0,. "O 0 0 E .'0, 0 -.,. 01 0 0 0 0 Oil 0. 0 0 0 0 0 P-.r, DASLW I B.Cy, NJURED NJURED 1?'uua {,1 INJURED •ANNE OFiWO TOTAL A M.V. COl11510N ACODOJ75 " A 'CONDITION Of ;RIVER IOTA) ":• 00100 D O • O U O ? U O ! FAD O I .,.. •„,SOBRIQY , :- ACCIDENTS w m? cYR TEL04 0 '•.O O .?? O N U ?REAR.[ND. . •: O O HADBEEN DR NKING A '1X 101o1 ME ? 0 0 0 E ANG L ? 0 0 IMY BILIT0 AI4E ? HADBEENDDNKI 1 L.TI Ep 70] 7 0 0 1 0 „O 0 2y0 MEETING - O ':.D NG ABILITY NOT IMPA - Ae? ? Drc'SD79 E' , 0 L 1 3 0 0 0 ' 0 O SDES INPASSING ) O RfD NAD BEEN D4 NK NG 0 -0 . 73 TO 0 . 2 0 • ,0 0 0 ,,F0 0 eACXtDU4T0„1 3 D SOBRIETY UNKNOWN L O J?54r ... - 0 „1 • 0 0 0 0 ' 0 LI0 [K 1 0 N01 Si T d 0 HADNOi BEEN " SEED. Y O 0 O 1' U O „ A F 'A- DRINKING DRINKINGNOI 10 ?y 1 1 756OLDER . 0 .0 D d t I I , t O D ._ U O D O . 0 ... i.: . S ATFD _ 3 U I .,? WMATE6. : 0 ; 0 0 . .., O O' ...0 p r• TOTALS 1 9 0 0 O 0 TOTAL DRIVERS pj(M%IIMq .... All 0 MwR GN 1 dRAEfR16e• All efdRE[PL'itl Alt .All vn 0 0 0 0' 0 0 0 U 7 ]oo I 0 0 J 0. 0- 0 1 0: 0 '. : 0 1 .''.'0:: '0 0 rtna DD 0 6 600 D D D 0 01 0. ' . 0 . O e. eoo ( 2 0 0 0 0, 0' (yVSTS Poo ..,,;.0 I0 1000 1 2 0. 0 0 0 0. 0 . 0 ...' 0. 0. 0 _ 0 .:. . 0 0 O p '. 0 I 0 1 0 0 ' 0 IT IT ao I 0 4ih E4o0 ,0 :.. 0 .. 0 0 0 D 0 0 ...-0 0. 0 L A 0 L 0 u 1 00 0 0 0 0 0: 0 p i Ib 1000 ( 7 0 O n ... U 0 0 0 T7oo :?. .. 1 u n o° 0 '0 0 ,.0 1 0 .. :.0 0 . 1 l Ltl. M°140o'. ... 2 ]o 0 0 0 1 0 0 . 0 .'.0 0' 0 . 0 ,..., 0 0 0 1000 0 7" }140'`.. 1 0 0 1 0 0 0 1 ... 0• . 0 " 0 7T T]Ilo 0 1 0 .0 0 0 p' ..0 0 0 0 2 ]4 Aq Ita.rR1 " 1 0 0 0 0 . ,0 ' 0 C fOTAIS * FIGURES REFLECT INVESTIGA TED ACCI DENTS ON PeV LY AALDUY: NECODDSS[CNON WAITHINUTON SLAT[ PATROL AA ND. 10SJN ) OF WVI5I WIEDACODLn15CN1YCe '1 AINCCI IDEOTNATS E UND[R rvF{UENCF OF ALCOHOL ..• ' 1 1 j _ .ld UNO(41NFLUENCEOFDRVG . ,, •? 0 "O7 EKCEEDINOVAI EDSPEEDI IT 0 O 0 FKCEfDINO REA50"111 SAFE INTO ` : O 1 010 NOI 1 IL D ON ENTER NG AN ARlf PLAT 0 DID NOtnn010VMIQEON RIGHr '" y 0' DPI DIONOI YIELD WHILEM KING A I(fI TURN 1 D 01 ,DIDNOTY111DWNILfCHANGINGIAN[5' rl._. ,. Or 0.1 DIDNOt Y11LD 10 VIHIQE • ALI OINfn I O D 1 DID NOT YIELD TO PEDESTRIAN OR BICYQIST _ 0 0 IMPROPER PASSING _I 0 D 1 rIX(OWINGTOOC036 0 , 0,1 OVERCINIIALINf I J D O FAILING IO SIGNAL OR IMPROPER SIGµ " 0 0 ) IMPROPER !DINING 0 IMPROPER UIVRN . 0 O i 1 DISRLGA4DINGS10P4IDG01 GNI 0 . 01 OISRIGARDINGSIOP SIa/OR FlA5111N0 R( IF 0 . 01 OISA I NGWAINING 51Gr1µ 0 01 LY PPARlNiIEN ; . , A Akr(P ,.. _•, . 2 0 j il IMPPpP14 PAFK NG IOCA OI 0 01 OIIMI NG DOECTIVf 10UIPMINI .. 2 . 0 2 INAIIINTION I 1 0 1 ALL OTH(RVIOLATK7F4 1, 0 1 0 t'1YFAhl .l { _ ??f.i,:.:.:latmRS 136 ^,aN ? ? s61mw ,.,?A:w, ??. , , +° ',YW)w N.... •mzAa'}.d°?[AURYe?.zs?E,.. y::.? , kz!" ? ? Ir u STATE OF WASHINGTON SUMMARY O IMOTOR VEHICLE TRAFFEC COL LISIGMS CITY COUNTY JEFFERSON (RURAL) FORMONT[IOF 10/01-10/31.1' y I1p CF tU BFROr ACCIOENte [.', ENICE[ NUTABLROF Pf4^',ONS {G f OF it UGAI NON pR0 C lY r TOTAL TYPE Of INJURY FATAL DFMAGC : It LURED :. .-....1 ., A j _ -- IF ItlIUAY OVERTURNING F NON A+ >?o 1.. ' 0 2I, ,2. 0 21 11 01 L I 3 ?'.SRtHFANON.aou. __ 0 Q 0 ..0.,, 0 ..0 0 '•O p 0 pEDESTPIAN J 0 01 ° • _ - A11v INrRANyPOAT I _,.. 3 0 o . ° ° 1 ° 1 : 001 ° I -....O . ° 0 o o,E«ROn 3` ° 0 3 I 0 0 0) o 0 of of 01 0l o : yrwpD AKV'.; -..: 0 0 .,.` 0 .:'0'_ 0 01, R L AYi N' l O 0 I 0 ° 01 0. 0 01 o l 01 of o ?R(K (f'DALCYbu"'';; O 0 0. 0 O 0...::.Q .0 :..' o. 8 `FIXEDOO1FCl'',;:. 10 is%:> 51. 4 i F-:? 1 i t ° j_ ... o f _y z O, [ROTF 1 0 0 OI O O OI O 401 01 -0 ??' 1 TOTALS 23 1 .. " 1 1 2 4..3.. L 5. '.ENtFRO%Ar[`pr51FA5 `:-'Ci 0 ;,'. 0 1 ,.0': ' 0 -7o O, IER NIICOmROI ( ) 0 01 0 0 01 01 o1 01 0' t ?Ua ROLRE NO 19 0 '.;5 0 .' v 4 ? 1 .7 S '_oclr+rv ROAUO';? 1 10 3 1 0. 1 1 7 2 10 t ..1 I o l o l I I 3 1 2 ' '2 1 - 01 5 I [tY SI«FE1 ,ODIfRTRAFFIC WAY. I O' 0-° I ° U 0 ° 0 0 1 0 0 TOTALS I..: .: 23 L 7 l. 0 1 0 0.., OI w ? ?w 'CA AGEOF ?YafTOTAL PERSONS -TIi L I INJURED E r, PEDE]SIFAN5 Tf'YSL40' IN -PEO LCYCISTS !' tF 1 9 2 4f MA NN T TOTAL W V ? ; . . .. 001o00 E4}100 1 < O JUR LRl ED 0 O INJURED O OLIT COLLI•OIDN ' E -ON ACC UENf 0 1 . O 91. o 0.. _ ..:0 0 O : O O REAR FND :`;.I 0; 0 ? to 0 O O' 0. O O NGIE 1 0 0 ]0 1 0 7 0 SOESVP:MEENG OI 0 ' ER:,•- S ] I M1 i O ' L O ' 0 O O S OESw PL A O ) 0 L ! -0- ? 2 0 . . .0 0 •,0 OACKEOINtO.: F. 3 .0 _ f '!• AA*j ? 0 ' . O .. 0 ,LOT F45 I ? C . . ' SS toe .. ?i?tb} l '.0 D.. .:1 0 1 0 ..... '0 0 0 0 0 ' ....... 0 0 NOT STATED.'- ...• ,, 13 .0 il 7si OLDER 0 . . . 0 0. 0 :.'.0 .+.?. 101,,,5 ?.. • ;;•r, inrnlc . I 0 0 0 0' 0 ,. - IUi A AU 0 MID If I I ??,YS ? .»I E^ All I f.. . U l 41?;,, i ALL SUNDAY Al ta.. ' XT 0 0 0 p 0 0 0 0 :..: 0 0 0 0 p 0 0 . 0 0 0 .. ,.,.1 0' 1 0 • ?,, ?.SOO I 0 I`O 0 0 0 0 01 0 0 1 O ,•x. 0 O 0 U 0 . 0 ?, 0 0 0 0 ,.1 0 0 0 700 7 b B 00 . 1 2 0 0 0 0 O ,o loon 12 `i 0 17 I A I.: 0 0 1 0 0 0 1 . 0 01 0 0 ?..: 0 0 0 ]O O 0 - O . 0 O 0 0 O 0 -0 0 0 1 .,. 0 O 0 0 • IS ')suo 1 0 0 0 0 0 _ . 0 0 16 .0 1 0 . : 1 0 0 0 0 0 0 0 ' 0. 0 0 . U, S. 1Y4 Tx E-0 :. '2 0 1 0 0 '0 0 0 :0 0 0 0 70. ]G DJ i U :1j"...71 OD .:. ,_... 1 0 0 1 0 0 0 0 7] 7°^^ I, 0 0 1 0 0 0 0 0 0 0 7 n ,. m o 1) 0 0 'o 0 ?L rlOttllr5 HOr LECT INVI:SrIGATEO ACCIDENTS ONLY t POEPANE-V: IIr COILU531CIION W-NIFI. ION SIAa PA VIOL An NO mva ACCIOEN4 0? INJURED.!. 0 0 0 o o O' tl 0 "G', 0 0 0 1 0 0'1 0 0 0 0 01610.4 0 0 0 ';,TO 0 16{ 0 ) 0 3f 0 27 0 0 -0l 0 0 0 49 0 101" 1 ) 0' it, 0 15,;'1 0 0 0 5 ) "2l, CONDITION OF DIVER TOTAL SODRIETY ACCIDCNIS S M .AD BEEN DRINKING I _ U? AB 1 MI-ED f 1 1,?? HAD BEEN DRINKING ABILUYNOTIMPAIRO, 0 0.1 HAD SEW DRINKING SOBRIETY UNKNOWN 1 HAO NOT B[EN :DRINKING, 10 o DRINKING NOT . srauD 3 0, 3 TOTALDKIVERS , . 15 j tQ,l NCF.Y L« 5 4 LID A<CM f0 IN TOTAL ACCIDCNIS -}, ', UNDER INELUC C[ OI ALCO O UNDER INFLUENCE OF DRUG ? ,'1 EKCE(DING STAN D SPIT U II Mn •.0 I 0 Oi '0 i EXCUIRMREA50NAIII SALE SP(f0 I 7 .. 0-i DIDNOI YIEIDONLNIIRING N-I L 0 O; DID NOT YIELD 10 VEHICLE ON RIGHT _ N ".0 0, DID NOT YNIOWNIL FAAKNC I[LT TUR 1 O O' olo NOT YIELD VIIItE CHANGING IANFS ". O OI DIn NOT YIIID TO VIII CILAt10111[R5 1 0 03 DIDNOTYIODIOPED15/RIANORBKYCNST :.0 . 01 IVITROPIRPAMPIG 0 05 IOILOWINGT000L04IlY. .+ ?.0 O? OVIRC(NI[R TIN( O O; MAILING IO SICNA{OAlIA1M'OP[R SIGNAL ':. :. 0 O' j_POYIR IURNINf. IMDROr(rtU IVRq - " ' _.1. 0 ., MSRIGAPDNG STOP ANUWIG 1 1 0 0 0, M5e[G,KLD NG SI01'SIGNOR FIASIIING RED ',. 0 0 WAR(GAeU'NG NARI111C•SG AL I O 0 APPARENIIYASIF111 2 0' o IVPROPI R PAD: III', IOCAION f O 'O: , DPIRAIINGDfILCI1VE[GUIPM(Nt 2 INAIIINIIOII All OUIIO VIOIAlION3 1 1 0 . Tnrnls " L :r- -::; STATE OF WASHINGTON ONS CITY COUNTY JEr FERS:)N (RURALI FOR MONTH OF 09/01-09/30,1 P / NU !"' fgCC DfN1$. NUMB ROFI•[RSONS SAIAE P[RIOD LAST YEAR fY (?DiOP V? C NON' p C ! IY r IOTAI 1UFLOE11-TTY NDN• TOIAL PE SO s r qy. N4 pr NnG N INIVRY ACODCNiS f^?W1u.? "•?.?,.? iq JN)URED1 eACCID 1 IOIAL FATAL U hMl,t ?' {{ I 1 [D LL , S OVERTURNING ..?, ,•....4 J 2I. 2 !7 21 01 1 11 2 3 0 2 .. E 'Gt)rEEifaN CO.t .: L Q r 0 1. D 0 0 0. 0- 0 0.11 PEEISIIIAN I O o 01 0 o o f 0 ' 01 0, D 0 0 0 u h1.F7.i9"ANro" 7 16 0 12 0 13''-7:`4 5, 9 33 8 0 7 Mv.ONO LRODI 0 0 0I 0 0 01 01 01 01 0 0 0 0 S- A onEV ... L' 0 - O C. 1 0 'IN 0 10 RALW.YIRA ??`... T 0 01 0 0' 01 01 0( "1 0 0 0 0 ! ycw CYnu, 0 0 - D'.. 0, o 0* 7 0 0 0 " o .'• o 0 0 y n ANIMaL - 3 0 0 3 0 0 01 01 01 3 1 0 0 71(LEo o¢)En _ I n o 12 G' .. 0 2 .:' 5. 7 6 8 0 7.; OTHEROBJECI 0 0 01 0 0 0 0 01, 0 I 0 0 0 0 °0 3'G, 11, 17" 56 -ii '22 D' 16; •.?.'r'o.`.. TOTAIS 43.. ,0 17 ., ::(E7tE?uTESrir(m 0.,,., 0 0.- 0 ,0, .17_ 0 . 0 0 0 0 OTHER FVU CO RO 1 0 01 01 0 0 01 01 01 Oj 0 0 0 0 Li PaUt[+o •17. 0 U. 9_ 0 30 2 3,. -" 21 suiEou ENo 4 0 ri 0 0 GI __1 1I 4j LO __3 0 1 ..toLrirr pond "' - -19 D 12.' '7 0 L4 2 .,'4. 8 ".:.ar ., 9 0 9' oTV S,RFN 'j o o o l o D o D_ o,; o o o 0 0 79FHECTR,AmOwAYS+. .'-.._ 3. D 2.: 'L 0 4 1 3 0;° '< 1 ., 1 0 I 107ALS I 43 0 261 17 0 34 6 111 171 46 '22 - 0 16' AG O'.: IOIAl Ptl60rS FC ,IC NS F n, CYCt 513 A 90c1vJ0 10tAL + l? CONDITION Or DRIVER IOIAI ?`+ C,.SVAII?Y• f 1 INJURED I) EO r?. 1 lU (D I CO t ION JCC GEII 5 1 +? : 506RI[iV • .; ACCIVFNTS ,j :RE. 0 0 0 0 0 . 0 HE DON 1 0 HADB(L DIKING '.6 0 ABILITY MPAIRED' 2 0 r S7C1o2::. 0 0 0 ,0 00 R(Aa luD . 10101 D 3 D 0. D D A aLF 2 D HAD BEEN DRINKING 5 0 0D 0 ABILITY NOT IMPAIRED L l O SID S4 PF CC NG :_3' ,. )010] D 9 0 D D D SIDE / [f 55+G 1 '0 HAD BEEN DRINKING - ' fT?.?'y '• O '.. 4. O '..O O 0 tUL1;EIT' 4 O SoBRIEIYUNY,NOWN 2 ]310.. 0 4 0 0 0 ..._0 AumapS 0 0 HAD NOT BEEN { `?s3)O S..sT,.,,, , D -,?.2 • D "0 0 0 -015 AItD' . DRINKING .., 33 . ` 3 IOe 0 3 0 L 0 0 0 17 D DR KI GN07 L f 0 2. 0. .0. O .?:D n. 7DiAL5 :?. _ STATED_ 1 14 0! )stofoeR p 2 0 0 0 0 D 0 `" Lim, tyYED, . 3 0 0 0 0 ..'-0 TOTAL DRIVERSM Y 52 0, - TOTALS 0 / 34 0 0 0 0 Al '! E.. ? E 1 I .E MON Iru t11UC5 IRIDA SAI JAY .101y coNTRBUIINGCIACUM I ICES Ii IOIN FJ WRLIKR. NL r plc ALl All j Li' Or 1NVISHW,TDACOVNI 0 ACCIDE,y 0,-NIGHT 3 0 0 0 1 0 0 O UNDlP INI W[NCEOf AICOIIOI 2 U, -1 0 0 0 0 0 :.0 0 UUDLRINNUENCEoroRUG , .: 1 0, 1 I). ]00 0 0 0 0 1 0' 0 0 EKC N DING STATED SPEED LIMIT _ 2 O' w JAD ''3 O 0 0 .. O D','... •. D. 0 F%CTLDING RFA:ANABLE SAft SI ECD ,-? 9 O'I '?I • .00 0 0 0 0 1 0: D D DID No, YULDON ENTERING AN n I[ Al ?Ii' ,fDpA 'NOI YIfLUlO VDIIn[ONRGHt - -- s 0 .".0 0 0 0.... : 0. 0 .. ,0.. 0 OtD 0 O l ? e. "e0U { 1 ?: 0 0 1 0 0 D DID NOT Y1oDN41ILF MAKINGA LOT TURN D D'''. 2. 0 ".. 0 0 ... D 0 0 D DIDNOTYIELDI:HILCCHANGING r1S !•.•. .;.,,..0 D. e. Boo 1 0' D 0 0. 0 0 _ 0 0 o:D No; YV:E voaaF.ut oIHERS I 0; ':j 0 ?tlS?'?i.00 1 0 1 0 D 0. 0 0 DIDNOI EI DI OPEO[STNANORHCYCIIST ?,. 3 0 O; to loo0 1 O 0 0 0 0 O. O 0 In-PIRPASS1G I 3 7 Skw.ib?„ '.2 0 .1 0 0 0: - ....4 0'i ' 0 0 rouovnr,G loo ddnr:"" ¦q voo -- 1 0 -_ 0 0 0 0 0 0 OvtpnmlPl E_ _. 1 0' ??:'•'?u oo `"..3 0 0 0 0. 0 _2 0 rAILNG1OSC+ LORIMPROP:R IOf1At 3 0 0 11 0 0 1 0 1 0 0 0 DATrrn l R ITILI;NO Z, ?t)Ao 0 9 O D D D .. D 9 1'11101[111IURN 0 0. . ....IJ:. ' 0- 01 ' 1e ' leoo 2 0 1 0_ 1 0. 1 0 -"GAIIo NNSIOPANDGOUr 0 0, 0 0 1 0 0 0 1 0 DlseteALronmstop slGN OpnnsH Na r[n': I.' 0 01 0 leoo l 0 L 0 i p;' 1 0 DutnAPD Nr,wnPrl ur,sa,+nl 0: 1 7 1 0 0 0 IOA¢ 0 - 0 Ppf J,RC 11 PA -A 1 1 1111. 2 ® - Id )o ]o ¢0 4 0 0 0 0 1 0 0 0 Du nv lOCUION 0 1 h :. 71:20 ! '.. 0 0 .. 0 0 1 0 ....0 0 Of I Ranvc DETECTIVE [GLATM 1 1, 77 ]R Ld 2 0, 1 0 0 0 0 0 nrnuuurn I 9 O' -.0 0. 0 0 1 0:. 0 0 Au UHUR vow,oNs•_., ':'•'si { r...L 0 1 i;, T>}rt 11 I 1 . iOT/.l519 0 11 0 11 0 0 TOTALS ' 38 O+ \'?P + FY FIGURES NEr61C71NVESIHIA1 r U ACCAULNT5 ONLY fnf PAVE 11 BY: HFU, 1105%t CTION c M I4nSI11rIG r0 STgll 1•n,1lL An Nn 1. ,IR q ? 1 3 Il, yri 1 ?:.. ,'la F 1;,•C7 T vt7- _0 E r uX'14E 12r f t T?e f?l ? S ti ? I 1 r , 1 1, } li?? k? a ¢+i 4 R Y 7 r 7 ' IE 1/ UU :i4 y 5,) T r y 1 1 f r 't ? ,S/ Il f r ti CA '? L?pl ) ? t ` { GL f fi\I? F} r 7 I ,1 ? ?' 4 I .; 1 w Ndl r i9 ? ty 9 F% [- vav' " ASRNNO TON STATE OF W 1 + - i g*g @?1 gyp' cJG:16?rf il?i?S ?u`'> if ? ''I.' p- LL?c tl ?S i u"jl V p G^ RAF ry-? ?yty?I? H EHICLE TB-E[C MV, d%tLIL ?n Eo? ?(p'g?,pgs. NI` ANA :. .• . ? CITY CO JEFFLRS UNTY ON (RURAL) 08/01 FOR MONTII OF -08/31 ,1978 ' -'' - " A ??` T ' (I( 11'P[U TEL[ TOT N '!+'( AL C IfIS ' GK It 4 !A, U C ' ffU//IiROrI'fR50N5 SAME PERIOD EMT YEAR 1 "TOT L TYPE OFIy1ll1NY {{ IN1U ! NOl1 • IOTA! pr, Is - ' 4 - - ' ' - .. .: R 7 r . A. A . 1 I .',OJ b -- I;it:Y2 Duuil3 ACCm 'll t xTa I [NTg ! ? N 1UPl 6 I v r URIJ Nc 1 b o T HIIEP. NON COIL - .. J J 0 0 O ... 0 . 0 . 0 0 ... 0'.... 0 ..'. O 0 0 ... 0 0 0 0 0 I .0 0 0 0 0 0; 1-sNIAN I 15 U 91 6 0 261 - 81 121 61 10 . 15 1 9 0 b '0 0. 0 : . 0 0 o ,?.o .'0. 0 0'. I +v GNa[ onl 1 0 01 1 O 01 01 01 01 0 ( 0 0 0 (A,'H)MV 0 0 O• . ,.:. 0 0 0 0 o '..` o :._p ; 0. 0 0;..' `. ' -WAY NN I pcoAt[rcu5r, .. O 0 :' 1 0 0 O'.. 0 1 0 0 0.; 0 01 01 01 0 -0. 0::.',. 0 1 1 0 1 .?? nNIMAL 14 0 R 6 1 l I 01 OI 81 3 8 9 0 5 ry f n O I DceiFCT II 1 0 0 .. , 1 .._. , 0: 0 '. .. 0 0 p •2 0 D 01 . ou[ oluECl 1 39 0 221 _ 17 0„ 431 91 231 111 42 30 1 21 e ® ,.0 0 OI 0 o 0 . 0 0 0_ 0 ? 0 0 0_ r}I+3 V ? JNrE1UlAi'CS SIFi+ o [aruumlPOL _ - 0 0 G 0 1 0 91 0 7 '. ' 0 -• 0 ' 02 0 '0 O 0 0i( 7? 4 11 I 17 • 0, .11 0 0 0.' 12 1 'I "' u,,. BOIf<F NO ' Sr IEROUIE o S ,9 0 6 3 OJ' 151 1 ' I 4 9 2 :1-3 I 5 0 0 4,. CW rr aoae 13 0 0 0 7 0 6 0 8 0 0 o 31 ,I 11 1 l 0 O 0 9 ' 0 1 0 5 -1 CTY51RIE1 I 1 0 01 1 " O' 01 1 .0 . O 01 0 1 2 0 0 U ' OTHfRIRAfFICS r 39 0 22 - 17 D .? 43 1 9 23 11 421 30 1 211 1 ' TOTALS ? I 1 I ® ?.A Y tRI kOf iG1At l..,OhS WOE; li..f C,n•?.D.1 Ih1UREr2 G((, RANG PFJ t 1'[1..15- INJUEZ)I1i?{.Ip1 ITNURE[p IMNNEROFTWO AI V, COLLISION . TOTAL COND1110NOF OX VLR , AODDINi? _•Q SOBRIETY? : 10 AL '' ACCIDENTS -.R i, •,: I ®. a - ' 00100 p 2 0 0 O - O IIEADON ' I 7 0 NA.REEN.1NIIING 0 O; ti'•*'? p,Q5 Tq,09 O .. 4 U 0 0 0 RUR:END, 1 O ABILITY IMPAIRED I - y1010 0 .5 O 0 0 0 ANGIE I 2 0 HAD BEEN DRINKING 1 0j pdj7919:J.?;'• 0 - 3 0 - 0 - 0 - 0 SIDESWIPE-MEETING, 2:. - 0 ABILITY NOT IMPAIRED . ' ' 70 tOT , . .. 7 .' p p 0' 0 C • SIDESWIPFPMP- 1 0 HAD BEEN DRINKING 1 0. , • • . :• USIU3? O 9 0 0 0 .' 0 BACK"' WTO .. *-0 0 SOBRIETY UNKNOWN 1® 3510 O I L SJdS 0 11106 .. 2 6* p 0 p 0 p 0 p 0 ALL OI ERS HOT STATED I HAD NOT BEEN ( 16 p DRINKING i 31 O' . - b. :_ p . !...I?? Z To} i. 0 3 .. 0 0 - 0 O 0 O 0 '. O - 0 „ . -,,. r., TOTAlS DRINKING No, .. a „• 0 .?.'. 0 _ SiAIFO I 5 ' I pi 156oLDER0 . 0 . 0 0 0 0 38 0' FO 3YAtrn.' - 0 ?.,. ?.. 43 0 0 0 "? . .0 TOTAL DRIVERS ,. , TOTALS 1{ ( Pr - NA 1. LNG I' 3J lau>vIIMYG,. Al! D (R0 v 1 All 01,,•11 pl SAIUM SUNDAY n. _AIL pJ (_O1_ ALT; 1?: q..np. CONIRIBUNNGCIRCUMSTANCES O, INVt'.f oAl[O ACCID[NISONT ?. ,_?. :IN IO[AL 11E ? e ACCID[Nib I ' -' IT WD G II., 0 0 0 O ?..., O O O O UN DER INNU[NCr Or ALCOHOL p O. Yl ,.k 100::..0 0 D 0 _.'O 0 0 O UNDER INFLUUJCE Of DRUG 2 O,' yy M/ ,.'? }00 II TT• ` 0 0 0 0 0 0 .,0 O [%CEf01NG5TANDSPE[DLI?AIN 9 0 .• ^ ' 51,N7A0 - _, C 0 0 0 'O 0 .., O 0 EMCIFOINGREMONABLFSAFESPEFD ,'.1 0 , p U O - p D p p DIDNOI YIELD ON ItMNG AN ARIV I I D p" p S SAO•? 10 6 600 I 1 O 0 0 1 0 0 •? 0 0 0 0 O p D 0 DID NOT YIELD TO VORO E ON RIGHT DID NOT YRI D WILL I MAKING A I H T TURN 1 0 p 0. Ow'7? )Y .7001,, •'''D 800 R 0 D O 0 0 , .-, 0 0 DIDNOTYI[IDWHIIECHANGINGLAHIS ;; 0 01 ] ; •_• ( R 1 ED . 1 ^r 0 0 0 .. 0 0 0 _ DD NOT YIELD IO VIHCt I. AIL OT IrtQS IDNOI YlUDIOPIDESMANORBIC C T 1 ,. 0 - 0 1 ,, ' ?.? • 10 1100 ?` p ' 0 p 1 U 0 O 1 ...1 ' ' 0 D 0 0 0 p Y I IIM1PROPlP PA55 NG ,I J 2 ...3 0; p' ! ® ?' 1 f y . 1dlt 11'C0 ?:.. 2 U 1100 I 1 P 1 Il OP 0 0 0 1 I 1 0 0 0 D • . 1 0 0 0 0 0 O 0 0 0 0 fOILOWNG1000LOSELY ;...' ov[auw,el Nr TAILING IOSIGNALORIMPROPIERSIGNAI ) .? 4 :.' 0 1 0 Y ,°" p?? it T O i ) U4 ? P 1 Do I 1 0 0 0 - o 0 0 0 oP.'U"'Ne i 0 b 4 r 1 IP j? ED 1 t 0 1 ) .. - l 0 0 0 WA ROPIR u non '..... _. o _ .p o o p 71 a; K 4' JI le , oD i 3 0 1 0 .. 0 0 .. ...0 0 eSR@ARUND STOP AND 001 GIN . 0 0 111, ;' "yJl f. r r •. III R 11W 2 3 I p 0 0 0 0 0 O 0 O 0 ,. 1 0 0 0 DISREGARDING STOP SIGN OR NASHINO RED nyN[cwO NCwArrnuc slcNAL 1 0 4 p p ?t " "? • 'k a •YO' ,000 " 1 0 0 0 ., 1 0 ., 0 0 ., AIMARFNIIY ASLUP 4 0 0 ® 1 -I r , A. V 1bt0 I T 0 0 0 { IMPROR(R PANNNG - 1 I k. • f L 1, I 'C r )f 'F . . 0 r t I y1 710[1 1 I n 1100 1 0 0 0 9 ' O 0 0 .. 0 0 -.,0 0 Im. H OI EPAT NO DETECTIVE IOUPMINI 'N I 1 3 .: 1 O 0' I K? x V,?? „ r 1 2 ?Y 71 OD 0 3 0 .. 0 0 ,. 0 0 N ;N o , _ AI10HO vO AlT N 1 0 ® 4 14 I" 21 ;} K '. 0 10 O .. 5 0 ,- 2 0 l O S 0 ? . . . .. . 1 TOTALS , tPP Y - YT' FICURESHEr L1CI' I IIV1SEIf ATI' I) ACCIDF.N i t PIIlPAO[D NY, ft(OH DG AEC110N TSONEY rT]j?? I O'41? N r NaY I WAIN NG 7 I - An ND I' _a (1113 TA ,Y 1A1110L 1 ' TRIL91JJ ??y` 11 .•i,'A'A ? •Y?lL,1, ,?????._.__?_ ?..?....?...........?- ..?-?w-_. ?._?._-..-_. -....??_?_...r??_. ?.....?._• ?...?? ?? ?, r p1(y1 s Jl,?t: ?.1 .,KL . 6 H !(" . F l Y '+M I d r 1? RJ' "1 U n a 1 u P ,i 1 v X ? P'' P'? I ? 1 ' , g Y ? ) ? ? ?StT?b it ?S"ll4w ? F 9 r s, ?r.?t l ?h •P hYl ty?^ }g?,? q y??•I ''1 6m Y I }+?y,r I WMi1R71Lk?' I 901' t-dEl A 1 7?e '^,I)+ ? ??11 rxL f I I 1 { T ri r[ F 111111 },' 1 e J -, ? 5111 TT r YI?? 4 ,t,?{ ?'"++t.LNI'Y t. r. 1 V I 1 .J.N, STATE 01: WASHINGTON SUMLIQA Y OF 0,10MR V E-tl C"a-E T CdAF EC C0LLK J%Cl'NS I CITY COUNTY U1:rl'I:I6ON (RURAL) FONLI0rl'FHOF07/01-07/31.1970 . I il '? O ' L IO LPFRJONS 1 1 1(O (S iPIANS - PEUn.CYCtISTS MANNFROFTN'O 10 qL i'l CONDITION OF DRIVER TOTAL ':. , ttt.... ? C C ` •1 r' 4 ? INJUBFO 1?7:':A INJURED C, Mqls j I lJUAFO lA V LOLL ON ACC DE IL {'- vF SOUR [tt a ACCIDL ITS 111 00 00 O O J 0 0 O HEADON I 0 IIAD BEEN PRINKING _ {P++ • h0 FQ09 ?;. O : , 0 1) O D • ":n. REAR.v , 4 I 0 ABILITY IALPAIRED 1 0 r In TO IA 1) D NJGIE I 0 O BF(JDRINY.ING'? HAD - - -? l.T?lQro 0:. 0 IT ,. 0 0 0 SIOESLYIif•M[[LING 0 ABIIItY NOIIMYAIREU.' 1- O '. Ro TOR 1" 7 D D 00 $IDf$W Pf PASSING 1 IT IIAD BEEN DRINKIN G I A,J$LGJ?.• ).. ,S• O O.. O:'. PACKED IMIO, 1 SOPRIEIY UNKNOWN o /}? 0 0 5510 11 G+SJ¢ 0 0 L 3" D 0 J D' D O IT _' D ALL OI FPS NO151Ai[0 1 0 D "AU OI DEI •,•UYNKING 1 29 L ' 55106 0. 2 J J D; O 1fI L DRINK GNOL IN ' 0 _ 1".. 0 ?. O 0'.?. 0 TOTALS 51 TED 9 L . N isao DF 1) o o 0 0 0 1 o . .'". ."" '.• .i fir, YAYfD : ? " 0 2 - IT 0 0. `.0 TOTAL DRIVERS •: 40, 2 70T ALS 29 D 0 0 U III 11C OE i(`T CCD[NES IVVICROf IEOO'll S111I FAJILAP 11AR II VCIL rcl. EUU YI tOlAl ON IN]: 'FRII "'.j iGf 1 TYPE UFINJ'... NOIJO TOTAL .[IN S rr • F "1 IAL E UN.IACr L ! .? U M1 " 'M Af S. P l INJ IUsf URY ( Ac""NFS C yy ..,,c.Y N JUfCO I ?? ?A, A.H 3 O fA1UUN ' 3 . O L I 1 ' ' 0. .1 1 I 1 I I L 4 - O 8 'Z VNONtO- 0 Q "0 0. '.. 0:. 0 0. 0 of ....o o 0; J P[D[51AUN 0 0. 0l O y IYANSIORi /_Y;LN ' 16 1 IT 1•-r: - 1 '14 ,... 2, •• 9 ..... '3. ._.. 29 ;75 0 : 9 WV.ONOlNlA aon0 I U 0 )? ) 0; Oi 0? 91 JI 0 0 11) 0 p eArc€D!.ly 0 0 0 0 0:: 0 0 0 0 0 1 0' 0: b LWAYI J 0 0l 0 0' Ill U? 01 01 0 0 0 0 0 1Tog YCLET U. 0, 0 „. O 0•'. 0 0 0 0 0 0 0 AIJ MAL 5 0 1 1 4 .01 2 i 01 2 01 9 4 0' 0 Q fiKFDOfli[Cr 11, 0 8 °3 0. 10 ! 2 .J. 3 2 20 IN OTHER OBJECT 1 0 J 0 ) 9' 0 I J I C 01 0 0 0 0 ,A S.. .; TOTAU .35; L :.IB LG.?, G ' "4 i3 L."_. 37 L' 32: 1jfETES4ATESrsiFAT b' .0 OI ,• 0 0-'" 0 '. 0 0 0 ?. O.? ?j : 0• 0 0: of Ea FUI co ro I J 0 0 IT 01 31 01 0 O 0 0 0 0 '.; '{J ROUtE NO ::., to o 0 ?. U 2 4. _ 2 18 I .. 7.1 0 19 51 IE POUIF o ",. 5 '' 0 3 2 0, 3 1 " 01 2 1 11 5 0 S - COUNrr ROAD 10 1 10 / 1.;. 17 : 5 I ! ;' 13 9 2 r cr srRFN 0 U DI ) 01 0 0 01 OI o 0 0 0 o•irLn[RAPfir.-S '. 2- 0 .1.•: 1 '1 0 1 0 1' f 2 I 0 2, TOTALS 35 I ,. Id 16 P 291 71 161 G I 431 1 37 - 2 32 ' LhUSW MG..:._: All L)fi14+5' All 72)13 .. ALL 0 MUNIGHTI D 0. 0 J 0 U 0 0 0 0 1 0 .',' ,0 ' S a.DD ? 1 0 7 3 J 0 t . 00 0 0 0 0 0 0 0 1I IIU ¢h_„ 506 0 O 0 ) -:. °..PO 0 O e 600 0 01 0 0: J U 0 ' . PY,W ,fao:r . 0 0 0 :.. .': 0 0 .:: IT A oti r 1 0 0 0 2 0 0 • . ??. . ' 10, 1000 ? 1 0 0 0 0 04 2 t5 t: DD I 0 0 0 0 0 0 100 I 1 0 0 0 0 0 0 - _ . A1.,ip,00.?.: 0 0 1 0 .,'.1 0 .?.:"1. r • 1e 1600 I I 0, 1 J o 0 t 'IV gojr • 0 ' ` 0 0 0 0 0 e "OJ I 1 lu 0 0 0 0 J l )0 A0 o0 I 0 0' l 1 1 0 0 .... no0 1 ) 0 D 0 n 0 n 2 7 M An9 0 0 0 .'_L 0 ...,,.. 0 1 • I'munESILEr LLCT INVLSTN7ATI mlrgncU BY: nLOOnunfcnoN iL A LVA 11IN-11 h1AN R lr nNO. le vre :D ACCIUENTSONLY AUiUL CONIRIPUf NGC ACI I.SSTMCfG - I N LOCAL pInVLST.AIID MCCINE ONLY ? ACCIU[Ni5 'VI_ • ? UNDF A INFLUFNCE OF ALCOHOL I I (J UNDER INrtU[NC E OF DRUG _., ,. :0 O.' CKCF IDING SIAI ED SPEED IIM1IIt I 2 O -, rmaTINGAFAEONABL[SAFE5PEED - 10 DU NOT 'In D ON IN IF RING AN APNAtll I 0 0: Q OD Not YIELD TO VEIICLE ON AIGIIT .0 0 OD NOT V It D WHI E MAKING A I fI I TARN 1 0 DID NOT YIELD YJIILE CHANGING LAIJLS ?0. 0 0 DID NOT YnID 10 YDICLE ANOMIRS 1 1 1 DID NOT YIELD TO PfDLSTR1AN OR BICYCLIST , ?0 U IMPROPERI'ASSING I I 1. fOUCAYTIG TOO CLOSELY ,. - 3 '.. 0 OVFRCENILPNNF I 4 O 1 FATTING TOWGNAt ORIMPTOPERSIGNAt .• 0 ? . 0: Q IMPROI•IY IVPN NG I 1 0 IMPAOPIRD TURN I ?0 IT, nSA- AONGSIOPANDODUCIIl i 0 0 DISAIGArDINGstOr SIGN OR rl ASHIJG Ain ,: ? ?. 0 U OsNC•u.DUG WAADMCSIWIAI 1 U' APPAPINILYASNEP '1 0: IMFwTEAPA-NGLOCATON ! 0 0 ONi-i4snEr[CTIVE[OUIPMENi uJAnOamn I 4 0 ,.• TOTALS 31 1 (fj, r ' L:.1 Sl{.,UNIIIU•iW Old--* P GDTGR VEh_dIC u.: 9 6-iAG"°L'` C FLo4Ji0,,.0,.11S505N;e-Y CITY COUNTY JEFFERSON (RURAL) FORMONTIIOFOI/01-06/30,1978 Q S - C 1 lOlhl E l NJI PKJt[kf FATAL DAMAG .? tOf At INJU (D IYFF Of IN1URT E NON• NJURY TOTAL aCCIDOliS _. F[RSONS . V . ,: _ o Exluxwr+c 1 ,.U 1 71 It L o 71 G 4 TA N I I U_ 2 "MSLES 41 I 22 1 26 IN1 Q UkfU 20 ... Es. ' 9TMERiuN aou. :..: 1 () 0 .•: -; ?' 1 0.. ...., 0 .. •.0 ... 0 0 ..1 '_ 1' 0 0 , .,-.? , " 1[D[uxIAN 2 O 2 1 0 0 2 I L I 1 0 2 0 0 0 • V Ui 1RAN5NCr ' ,. 30 '1 11 :; •> 18 2 15'.." J .-3 6 6 .. '. 40 34 2 27 myoNOIHER ROADI 0 0 OI. ') 0 0 0 1) OI 0 0 . O 0 Ci cK[DpCV. 1 0. 1' . . 0 0 0... ..0 l 1 1 0 0 i R-AY IIAN 0 0 01 0 0 01 U I 01 JI 0 0 0 0 D FE[iAICYCL151 -..: 0'. O 0 .. O 0 0. 0 0 '..: 0 .'. 0 0 0 -:( ANIMAL 9 0 2 1 7 0 21 0 ? 2 1 01 0 9 0 0 - 3 f7cfDODiFti ' ,.. 70. 2 36 . . X32 2 ':. 53 . 12.. 27 X14 40 67 1 43 OFFER OBJECT 1 1 O O I l 0 01 O 0 1 U 1 LT 0 . 0 .f,iOTAL5 134 4- 59 7L 5, 80" 17,; ., 38 25 115 138 3 9) _ INT[INTATESYSiLIA 0 .•.. Q O : '.O O '. O .?. 0..• O ....0 '..O 0., .1 .. O. O:; otHERTUIICONIROL i o 0 0 I . 0 0 o l 0 I 0 I 0 o o ' 0 o p ?"'?• 4 LI'?Wu'EW 40• 2 18 2D 2 '. 20 _ 7 14 7 36. 64. - 3 52 1 c SS STATE aauTEND CouNrY MAD D 20 2 11 1 9 3 3 161 31 I01 _ 3 29 ' 28 " . 0 17 0 - ' y, yryry 'yy'``,, . b C I slR[O 0 0 29 01 ! 2 J 0 0 35 01 7 0 1 14 0 I 14 O I .45 0 42 0 0 0 n 2 ® 0 ? 'E,"'?,i .. 1. ?OrNEa raAFaCwars 3 0 I .. 2 0 L. , "0'J' : 0 ' 1 .: 5. `:.4 0 1j • TOTALS , 134 591 71 5' 80 L71 381 251 115: 138 3 90 i C TOTAL P[FSONS PED(STRIANS PEOAICYOISIS MANNFROF-0 TOTAL CWHIONOFORVER 101 L , G SL. t1Y L ' S ?•*- `~ INIU 4_dLvi RFO INJURED ? INJURED ?{ uJ M,V.CChHStON ,ACC DENTS ' _: PIETY • ACGDENIS 1 WTOD O 2 J O O O ICADON 0 J HAD BEEN DR NK G EV2 f0DY 0 2 0 1 0 '. 0 RfAR.FNO 10 0 ABILITY IMP RFDI 6 3'•. -, ID 10 0' O O O O _ O ANGIF 3 O HAD BEEN DRINKING_ F .:' [./,71Q3C . 0 • 12 0 0 0 ,• 0 SIOESWIPEMCfiING b . ' O ABILITY NOT IMPAIRED 4 ]D TOa Lo 11 Wi 1 : :.,: 3 . 10 22 O ' 0 U - 1 O:' 0 .,:..:..;0 0 SIDESWIPEP SS NG I BAO(ED INTO .... ?1: _ J 12;' O ? l HADDEENDRINKING SODNETV UNKNOWN ` 7 ' O II ' SSt 1 11 O. 0 0 O ALLOTHCRS I O U IIAD NOf OCEN - DS)(SS + 0 _O 0 : 0 0 - O N0I SIAIFD E DRINKING $5 2 " ', 55106 F Y 0. 4 0 3 O D . I 31 I DRIN KING I . IL G a? 0 .. 0 0 ,0 T9YAl5 sAI[D STATED 57 1 i ('LL+Ir_rA'rto,'' ::' • 0 .: -6 . 0 ,.;.0 0:';'•,?-0 , IDIAL DRIVERS 129. TOTALS_ ___ n 0' J 71 0 '{ 1 Y•E'. NAN ALL L?? I.KN, LING.,' - MYi1VRA AFRIDAAY - LL ri . SAURDAYSUNDAY All .' W:kAS4-...AB. Eri.U1' o Mwlcrnl „2 0 0 1 0 0 ]2o00 . 0 L U _ L O 2 0 0 O 01 ) ? I 1 1 1 0 0 0 0 .fir o• . _ . ? ::•.4 0 0 o' . 0 ..•0: a o. IOW I •• O. l n V ...,-Y... ., . ] 1200 I 1 0 2 0 0 0 0 51Y LDAO 2' o 2 1 L: o o' JAW 12 0. 1 0 2 0 2 1 0 1 0 2 0 .:... 2. e IeW I 3 1 3 0 I 0 3 r »oo : ': 7 0 2 0 1 0 1.' IF ..Do j 4 0 0 O 2 0- 1 r ,TO,oo :: 2 • 0 3 1) '0 0 3 b !Do I 0 0 1 0 3 . !1 ]!100 ': .. •. •.3 U 1 0 1' ;! .?200.:..... 3 N ,q+S+ArrP j 0 ,. 0 0 :.0. 0.,:..-. 2 ?fZ(,(S - 67 3 21, 1 4_ _L__ ? 22 * FIGUIILS IILFLECT INVESTIGATED ACCIDENTS ONLY FHEIANCO BY; NECOHOS SECTION WAPHNUTON STATE PATHOL All AG, 1R 2, FR CONTRIBUIINGO UNSTANCES IN TOTAL I OF INVITHGAIED ACCIDENTS ONLY • .'ACCIDENTS I1 UNDERINNUFNC[OE ALCOHOL 6 3 ' UNDER INFIUWCE OF DRUG O O i Ry EXCEEDING 5IATEDSPEED LIMIT I 6 0' fxcrEDINGR[ASONABLESAFCSPE(D _ 37 1 DID NOT Yr(LD ON ENTERING AN ART ERI t 0 0 DIDNO/YI(IO lOVO1CIFONRCHT 0 O S DID NOT Y'IEIUSVNIIL MAKINGA LEFT TURN 2 0: DID NOT YIELD WHITE CHANGING LANES - 0 0' DDNOIYI(LDIOVEIRCLE. AllOUIERS 4 01 DID NOT YIELD IO PEDESTRIAN OR BICYCLIST .. 0 0 IMPROPERPA551NG L O i 10L(OWING100Go5ELY ... ,. .. ?, Y'.. 1" 0' OVfRC(Nlfk LINE 3 I 0 •' ' FANINGTO5IGNALOCIMPROPIRSIGNAL •. 0 0'. IMPROPIR IURNING I 3 0 IVPROPERUfURN ., ..-1 • 0?. 1 DISREGARDING SI OP AND GO I IGHI I 0 0.: DISREGARDING STOP SIGN OR rlASHNG RED. 5 0; DIM GARDI NG WAR14114G SIGNAL I 3 0 AWAY(NIIYASI[LP 7 ?L 0 Y1P I.1-POI E PA EXR+G I OCA HON 0 0.: OPERATING DDICHVIEOUIPMENT . 9 .. ?.. •.. • 0 1 I INA I HNHON 11 0 ® ALL OTHER YIMAT104S : ,..0 I 0: IOTAlS ..... .. ..99 4 ' Hell I RO L?' ?L ? ? ?!y'" FFppmA i 4 y'vgyRr,'p Rjt'? to Fb Ly v y. STA TE- OF WASHINGTON ? SUMIWAR V OF MOTOR WEHECLE 'B'RAG FEC COLL ISEON98 1 ? ® I. _ CITY COUNTY JLFhF N50W (f<JRAL) FOO MONTH OF U6 /Ol-O6 /3 0/1970 I ? P 1ry1 // I F'OF 1 NUMDE-01 - CCDENI . N-ITH, OF PERSONS 1 SAME PERIOD IASI YEAR j ' E 11 S / JI CIE 1: A C [ JI . IOIAI I 1 Nol I'ROeE FATAL ID .-CC GE L IYI'k OFItIIURY TOTAL a I JURLD slop Pf.?[lp ' xj'IE NONE INIURY fOlAl ACCIDEIJIS P?,•?P[1 y I"^."' JI -5 I!JlI1RED I J _ : 1 • 1 3 ) t ? 1) 7, 1 1 5 5 , . J Y . i 71NF91wN LOLL:.. J Q '0 `•0. 0. ':•'.0 0 0 U O 0 0 :0• •, r[D[sIRIAN 1 U 1 0 01 1 I0 1 ' 0' 1 0 O 0 ® g 1:. " v.Jri7w Svvt ' - '.'4 1 0 3' 2 2 .2 .0 0: 2 - 9. 0 5 ' M V.DN OIH[x ROanl 0 0 Oj 0 0 OI 01 01 0. 0 0 0 0 . rtf €DYdv.'I ' 0 0 ... 0 .O 0 ..0 0 0 •... I 0,,, .. 0 '0 0 0 0 0 i 0 P t lAN I ; j'NUCraT ?„ 1 •"0 0 0 01 0 0 0.' 01 J 01 0 0 ;.0 O 0 OI 0. ; 0 +-O f 40 0 0', ' ( 19? AN L I "nYEDO8IECT " - 2 .. 8- J 0 1? 1. 4 '4. L? oI 1 0 '. j`6 0 ':;-3 Ji 3. 2 ,. 5 I 4 10 J 0 O 6 ?. ?!. pl [ DBJFa 0 0 O 0 D DI 0 U? Oj 0 0 0 . 'vR .... .. / "1 G. 2 r..: 11, 3 4 . , . 4.. .1.5 J . 28 - 0 1 .. ® ? . ? ':.T1iCf31ATC5YSTEM .. ....0 .0" O. .L . O. O ..:'0 0 ....,.,._0 .. .: U -' ? of 1 ..0. 0 ... 0„ ' Ot FR lull coNl.1 ) J ?? 9 J 3 J I J I J I D Iy 0 O :r ?' 4 us RLilrtENO. .'. 0 3 6 0 ..';3 1 L . ... : 1 '9. ' 12. 0 El r SEA E ouI ) 3 1 1 1 1 2 31 1 I l 01 3 0 0 5 S S S `.COUNTY ROAD .,: 6 0 3 ' 3 ) °73 0 ..'. 2 , 3' 3 . " 7 0 2t, . SIPEtI 1 a's c ) 0 0 0 0 0 D O O I 0 0 0 J ,.. .. .„ r TRA 6ICWAYS a,.. 1 O ... 0 ,.. 1.. 0 ..,, .0 0 0 , 0 0 .. .1. ... 3 D' t 4 ?_ IOTAlS I 1 7 1 71 11 2 111 3. 0 is, 28 0 15 ("? S Ilr TOTAL PFRSOtJS PEDESTRIANS t E A.LLVCOSTS - MANNEROFTWO TDIAI CONDITION OF pTIVER IOTAI µ ll ?l N1URaD ? I f^ N1UkED lURFO ?y L]dJ JA V CoIIISION ACCID[HIS _ ? SOBRIETY ? ACCDCNIS .. ?„• d: O oo,00 O J U O O HEAD 01 I '1 U DBEEN OP NK HG F°Ad5,f00] . 3. 0 0 0' 0 0 _ REAR END ! 0 O B L IY I AIRED 1 2 1.: • A 1010 O O 0 3. 0 O ANGLE I 0 0 HAD BEEN DRINKING ® 0 2 J O D 0 SIp[SW PE•MEEIING. ?_?.3 O ABILITY HOT IMPAIRED 1 U.I • ]010] 1 .• - - ? 1 O J O 0 SIDESWIPE PASSING. O ' O HAD BEEN DRINKING I .' ? - • D ' • ?..Ri LS 1' , D 1 O 0 .. MCKfOINTO. 1,. 1 SOBRIETY UNKNOWN 0 0 . I .15,0 O 1 0 0 0 0 ALLOHFITS O O HAONOI BE Ell 4 ' $/ ?• ?'S3J454 0 ? 0" 0 ..' _ O. 0 O NOi S1A1ED. ?, DRINKING 6 1 :. I I X :.S 5510E O 0 0 0 D O 4 1 DRINKING HOT I PPPasa .. rXygR -.0 O o ?. J 0 ` 0 t9TAL5 . _ :- sTArco 7 U I? ;iiS1ATED ' ; "'•' 0:' ; . " 2 J 0 ". - 6 TOTAL DRIVERS 16 2 : ® 1 4 TOTALS 11 0 1 0 0 .m , lu T11 IRON. ?tl10K1 'G. All rlxv llrLPS ''ryry ?Iui'IZ..W FID(')' 1 All 1" t:r'i.,t SATURDAY All i1tiW. EW DAY AIL.. ?sull.El2.• o. MID c 1 U 1 J. U 0 0 9 p Ntu: LAO ., 0 O 0 0 ; ?. 0 0 0 0 1 ]00 0 0 0 O 0 0 0 0 00 0 0 0 0 0 0 0 0 \. -0 0' 0 E. Eou 1 y 1 ). I) 0 D U ?:A%7Hq .1 0 0 0 ?. :.. 0 0 :..0 0 B eoo I - U 0 0 0. 0 0 0 0 ID 1000 0 0 D 0 0 0 0 0 ?,(.r„•r ::IIAD ... . 0 0 0 0 1 0 .' ' O 0 ] 1]0q/ I t 0 0 0 ) 0 ) 0 I) 1 o 0 0 'o 0 0 1111 1 00 j 0 0 0 3 0 0 o 0 0 1 0 0 0 0 0 lE. m0o 0 0 0 J 0 0 0 0 Ar".v,oo ' 2 0 1 .3 . .. 0 0. .... 1 0 1e. 1.0u 1 0 0 1) 0 0 0 O ?C..' 1.oD-` .. 1 0 0 0 '0 0 .. '.....0 0 ]o >o w 2 0 0 0 0 0 0 0 0 11.oo" .., '... 0 0 0 0 1 1 '... 0 0 n ])D'1 I 0 0 0 J 0 0 0 0 L NOIS 0 ; F•ir)TAIS - 9 0 3 0 5 1 " 2 0 CONTRtUt NGCIRCUMSTANCES IN IOIAI (. ,y DF INVISI CAI[U AC<'UIN110NLY • . A5CIpEN1S i., ,•?I,EI' UND(R INrH.HNCE OF ALCOHOL I 2 1 UND[RINNVENCEOr DRUG , 0 0 i [%Cf(DING $IAT(D SPND I MU I 2 0' E%C[IDI(IGRfASCINABLESAFE5PEC1,'.'- ,.4.. ' 0.;, DIDNOT YiIDON ENNRINGAN ARi[RIAt 0 0: 1 DIDNOTYUJDIOVDRCLEONRIGHI .. D : 0. i DIDNOTYII[DWHIIE MAKINGAIEJI TURN 0 Di. DID NOT YIELD WHILE CHANGING LANES ?0. O: DIDNOIYI(ID-EHCIf ILOHERS 0 0• ' DID NOT YIELD TO PEDESTRIAN OR BICYCLIST 0. O'; IMPROPIRPAWNG 0 OI Ap a (OLLOWINGTOOCIOSUY D 0: OvEPCNTIROPH 1 0: FAILING IO SIGNAL OR IMPROPER SIGNAL , ?:.0 . U. ' IMPROPERIURNINO 0 0 . IMApOp(pV TURN 0 0 ' DISS tGARDI NG STOP AND CO EIGHT 0 0 p p DRAtGAR01NG STOP SIGN OR I LASHING RED :O 0 D15' LGARDUJr• WAH-G SIGNAL O 01 AFFARENTIYASHIP 2 0: ?K p IMPROPIRPARKINGLMAIION I 0 O. TITILLATING DEI[CIIVE EM/PMENT '• 1 0: t1NLH I ? 1 U T . MI OTHER VWlA11UN5 . O • O. TOTAtS ?.-'13 1° FIGURES III'FLECT INVESTIGATED ACCIDENTS ONLY ' PDEPAHEDII H[COIIDSS[CIIIIN WAS14INGION SIATE PATF40L A ( All NO. IV S/1V ------------------------------ ------------ -- ' STATE Gf WASHINGTON l'J d 5 -[ CITY COUNTY JEF FEILSUFJ (RURAL) FOR MONTH OF ttr[oP - N /P or KCe(N1s OS/O L-05/31, L97tl i II M1 0R C nUF I NO O)t Ci NUMBEROF PFR ONB I o,i TOTAL Y {fir SAME PIN HOD IA5t YEAR 1 q+ lG TOTAL 1VPEOF INIV'Y F 't iAl Al OAA Gf 1 IIVRED N??• '•IOiAI Pl R50N5 "Y S DtN DtiWW'J mill, INIURY. KCIDfN15 Tai, '? "+E •AlHEauuou cou p 0 ,. 0 21 3 I) _ 2 I (i _ p I 1 G I 7.,:.,t..d? twuE9 v, PEDfsta AN ...0 0 '.0. p •`U ,. 0. 0 . O 0 •.,.,0.. 0 .. 0 T4 'r .!N+J_w reArr.F'p]i •,:2 U 2 I 0, 0 J I 0 0 o 0 0 g My o orHEx o D 1 0 0 3 1 2 10- 8 pAl.{o Ntv.. .. J 0 0 I 0 D 0 I O 0 o I . U p 0 RAILWAY TRAIN 7 p 0? _•0' 0 -0 0 0 - ) :p ,•p.. p .. ..U;I "3S :r 4 PfDA`wsr .,..'.0 O.L....a O I 0 O U 0 0 0. 0 I 0 t0 0 ! I' 2 AN- 0 o I z o) D I G I o I D ?:.I o .'0 ;. o1HIROBJfcr7' 0 0 3 5 •`2 0 5'E :.1 ?", TOTALS I 1 0 DI ,J, 1 0 ... DI of of y Dl 1 p o o' 0 11 I 13:j , 0 15 ,_q 7 31 1 2 r, I.IM(RS1AtCyrsrfA ""p? O O ., _ 25 On ER iuu m111 .J 0 1 0': 0 0 0 p ..'.' 0 oir S. IIOIJISNO.. ,'ii 0 0_ 0 O I O f __ 0 I 0 O 0 o SALE ROUiF N0. 4 7 0 6 7- I 11 1 o ? p lZ 14 ? q 4 1 0 0 't ? 0 cure FI 5.. 0 r2 r. j 1 S '•:4?J ?OlHER 14A fIC WAYS I "z 0 c 0 _ 01 0I 01 01 p 0 0 fOFALS 11 I:1:' 0 IL ') ? NtrtsJl 71 2J 2 4 .'AGFOF L'`IGi 30N5 F?a! ]P?[Of93 PIANS ? PEO [CYCL515' MANNfCD TWO IOTA! CA.?AIi k^_r. I(IURED i.YC'1'vd J INJURED V .. fV WJUR[0 MV. Coi,;IONF ACC DENI3 f 'e CONOIUONOF DeIVfR IOi nnDB TOO C U U O O 0 [ DON SOBRIETY • 'ACCIOENIS 4?"1 :0 • 0 0 '0 0 Lr,!0 4EAREND,:;, I AYI 0 D I DBEEN URI ING 11 O ABRIIYIMPA ED I L p' CV.'Lto ,; . :. O D C J 7 O O GLf i O, 0 "DBEENDRINKINC k ]010] -;3 0 J 0 .-O LDFSW PDM(EIING T X01 0 AEtUfYNOTIMP IRED :; R •' ". J 3 0 U O 0 sGIS PF'ASS NO O O'I J px671 w'.. n' ..3, O . U J O O HAD BEEN DRINK NG .. ]510 p j 7 O. O -'?? ?COIDfR5t0 0 soBRIE1Y UNKNOW O :.3 0 0 0 :.p NOr STALED F, O O SHAD NOT BEEN ?S mi 5510 0 7 i DRINKING I1 •0? 3[ `_I'ZA 'de J. ) D 1 .? ....w.. i D DRINKING NOT 'e ` hl t?)SNS.?O?LUfP p. :.p. 0 ..0 0 ...L ::O ..+: iVIAL ?f,.?...:i SIAIED p .... .,,.,. _. 0 0.. ,0 - 0 0 0 I N p Y"t _ TOTALS 0 0, 0 TOTAL DRIVERS 22 0•.: ® . ,(-„ (?r,^,.?II IE MON,tFu TIRJCS FRIWY' SAIU50AY SUNDAY "'^'?1' '? ALL ?'C KILT All, EP'' '..p?IJiRIBUUNO[RCUMSIA fNiS NCFS IN IOTAI - I IS 0 MIDN GNI L IWir.-I L Nt I j 0 0 p ACCIO O O O O UNDER INFLUENCE Of ALCO Ol 1 O M- 0 00 O 0 D O O O > O''O UNDER INFLUENCE OF DRUG I .' r` 2. ] 2,01, ,1,:, O _ 0 0 ,1 p 1 0 ] ExCIEDINGSU1EDSPF[DIm1 a 1 '0 0 r 0 0. '• 0',• 0 8 0.. ?? irI 1 0' 0 efA50NABlESATE SPEED E;yy,VS?O p D J O O O O DID NOT YIELD ON ENTERING AN AR I4 Al 4. OB O O O ".r O D'., 1 7 e e00 I 0 0 .I 0 0 L iO - Q DIDNOIYIODIOVDLIUEONRIGNI i I (V ?;'Y•7A0 If 0'.. D J 0 ,D'•, t V O o' 0 O DIDNOI YIELD WALE MAKING LEFT TtJRN I 1 0' W 800 0 0 0 0 1,0 O DID NOT YIELD WHILE CHANGING LANCS p E U i U. 0 0 0: 0 Oi L 0 Dm NOr nnuro v[Nn(•AUOUIfn 0. 0 To Io oo 1 p p O. O 'DIDNOTYIEL01OPFD(SItIANORBICYCL111;: 0 1 ou SL(.. 1 O 0 o T % 0 0 IMFROPEe PASS ING 0 0 0 '... . 0 . 0l...,.. .. I 1 O.t A,. a uoo I .: 0 .. '0.. D FOILOWINGTOOCIOSIll, 'J. D: PPr?YY?8•• -' 0 7 0 0' O OVER CENIIe TIN[ O '.7. tlir3wT7woo 00 .'.-0' 0'.?.:1 0 0: 0 '.0. 0 FAILING IO SIGNALORI/AFEOF[R9GNµ ) O D Kli ?, F}MO I 0 0 0 0 0 ll' _ 0 0 uYPROrte uRNn+O I 0 O I Ie Teao U o 0 0 0 0' _0 0 IMF4oPERu IUerF r ^ 'r p' 0 0., 0 1 6 0 0 ..1 O MSefGACP NGS10PA 'O CALW I 0 0: ® - [ IB vY OO I o 0 0 0 0 :.0 0 olv(GAm NGS1oP SIGNOR FLASHING C[D L [,'a,^LI,voO 1. 0 0 0 1 0` 0 0 D MARY tG, WARNwcSIGNAL I 1 0 7o L: » Nioo I 1 0 0 0 0 0 :a- 0 AroARwnYAUI[P 2 o '1 0 I 0- L O IMPPD1 IR PARKING LOCATION O ]) 7)00 I O D1 J M 0 O'? C-O 0 OFItAIING D(F(CIN![OUIFM[Ni I{ O O. 4S Ai t.'}D 0o L' p .'1 O D? O O INKIIMOON I 3 O ]x. wnl. o 0' O%" 0 O ALOINIRVIOIA110NS' •I• "{ ,:yT? ...• • 0 U © Y KS FIGURES NLFLECT It(VESTIGATCO ACCIOENTSONLY •ti ?? FR[FAR[D RV: WAS No SlCIION ^E !t WASD TON S TATLPATAOL I? ?VfJ1' ]A r?' l I.,. AD No. 1. 111. r•????i?tj,,??'?yY,?, ni ? a d RR Y µ trr r 1 l A ? l l?g 7 P I? L 1 I? Y +? rx ? f' I I ',t 1 Y[ ? L r? I ??I[ y a('?? ?? -Y F •. STATE OF WASHINGTON SUMMAR Y O F MOTOR VEHICLE TRAFFIC CO LLISION S ; o CITY COUNTY JEFF-LRSUN IRU RA1FDR PERIOD OF 04/U1-04/3011 9711 TYPE OF NUMBER OF ACCIDENTS NUMBER OF PENSONS SAME PERIOD LAST YEA R 1 MOTOR VEHICLE ACCIDENT TOTAL FATAL NON PROPERTY TOTAL TOTAL TYPE OF INJURY FATAL DAMA NON4 TOTAL PERSONS I •' GE KILLED INJURED DIFAnIINC D?S?oiixG Px I vI IN NiIL JURY ACCIDENTS K ILLED INJU R ED OVERTURN ING g 3 0 !I 2 0 11 Oj 0; I 1 4 1 0 2 1 8 OTHER NON COLL. j 0 0 0 0 0 0 0 0 0 0 0 U 0. I PEDEST141AN 0 0 UI 0 0 01 Oj UI 01 U D 0 0 i M.V. IN TRANSPORT 3 0 0 3 0 0 0 0 0 6 D R 2 M.V. oN OTHER ROAD 0 0 01 0 0 o l 01 01 01 I 0 0 0 0 1 PARKED M.V. nAILW Y O 0 0 ' 0 0 0 0 0 0 0 0 0 A TRAIN. PEDALCYCLIST 3 0 0 0 0 ! 0 D 0 0; Oi DI 0 0 0 0 D OI 0 01 0 0 0 0 ?. ANIMAL 3 0 11 2 0 1 01 1 01 2 0 2 0 U FI XEDOBJECT $ OTHER OBJECT 9 0 4 1 5 0 6 2,, 2 2 4 7 p p 0 5 p 0 01 0 0 0 0: O j 0 0 0 0 U _., TOTALS Is 0 6 12 0 D 2 3 3 16 18 0 9 I j 1 i INTERSTATE SYSTEM 0 O 0 0 0 0 0 0 0 0? 0 1 ,, OTHER FULL CONTROL '0 0; 0 0 01 0; O l 0 01 0 0 0 0 I . O' V.S. ROUTE NO. 5 O 3 2 0 3 0 1 2 2 4 0 - STATE nOUTE NO. 5 0 0 0 0! 0. O 0 1 ? 8 3 COUNTY ROAD - O O 3 5 0 5 El 2 1 6 0 l j i CITY STREET . J 0 OI 0 0 O. Eli Oj 1 u! 0 30 0 0 11 j. OTHER TRATOTA S 0 0 0 0 0 0 0 0 . 0, O 1 0 0 0 0, AGE OF TOTAL PERSONS PEDESTRIANS PEDALCYCLISTS MANNER OF TWO CASUALTY KILLED INJURED KI LLED INJURED KILLED INJU RED M.V. COL LISION GO To EH U U 0 0 0 0 HEAD ON 057000 0 D 0 0 0 0 REAR-END SD0014 0 0 0 0 0 0 ANGLE { 15 T019 0 2 0 0 0 0 SIDESNIPE-MEETING 20 T024 0 1 0 U 0 0 SIDEEVIIPE-PASSING 75 To 24 0 3 0 0 0 0 ALLOTHERS € OS 7044 0 1 0 0 0 0 NOTETATED ? 45 TO Sa 0 0 0 0 0 0 6-Tow 0 0 0 0 D 0 T OTALS 65 ro T4 0 1 0 9 0 0 • 76.OLDER 0 0 0 0 0 0 DACKING 9 NOTSTATED 0 0 D 0 O 0 TOTALS l, 0 O 0 0 0 TIME RE HOUR MON. lh,. THURS. FRIDAY SATURDAY SUNDAY REPORTING ALL FATAL ALL FAT AL ALL FAT AL ALL FATAL 0. MIDNIGIR U 0 0 0 I 0 0 0 I. ,;CO L 0 0 0 1 0 0 0 2.. 2:00 0 0 0 0 3 0 0 D 2. x0D D D 0 O 0 0 0 0 4. 4:00 0 0 0 0 0 0 0 O 5. 6:00 U 0 0 D 0 0 0 O 0. 0:00'. 0 0 0 D 0 0 J D 7. - 7:oD D 0 0 11 U '0 0 D a. a:w 0 0 O 0 0 0 0 0 c. O:w 0 0 0 0 0 0 D 0 10. 'a Go 0 D 0 D U 0 0 0 tt, IIm 0 0 0 0 0 0 0 0 17. 12:00., 0 0 0 0 0 0 0 0 t2. 17:00 U 0 0 0 0 0 0 0 14. u:Go 1 0 0 0 1 0 0 0 16, I&ED 0 0 0 0 0 0 1 0 16. law U 0 0 0 O 0 0 O t7. t7:w 2 0 0 0 1 U 0 0 ' la. la:w '. 1 0 0 0 D 0 0 0 ID. 19:00 0 O 1 O 0 0 2 O 2D. 7000 1 0 0 0 J 0 0 0 2L 21:00 0 0 0 0 0 0 0 0 22.. ,= I 0 0 O 0 0 U 0 77. 2]:00 0 0 0 0 0 0 0 0 I 24Jgt nMlO TOTALS 7 0 1 0 7 0 3 0 •. FIGURES RFFLE.CT INVESTIGATED ACCIDENTS ONLY PIIEPAn FD IIY: RECORDS SEC71(1R WASIIRn:I ON STATE PATI101. All NV. 10 11. 14 5 TOTAL FATAL CONDITION OF DRIVER TOTAL FATAL ACCIDENTS ACC. SOBRIETY* ACCIDENTS ACC. 1 0 0 HAD BEEN DRINKING I I } t 0 0 ABILITY IMPAIRED 1 0 0 1 0 HAD BEEN DRINKING _ j 2 0 ABILITY NOT IMPAIRED 1 0 0 0 HAD BEEN DRINKING 0 0 SOBRIETY UNKNOWN I 1 0 1 0 0 HAD NOT BEEN DRINKING Q 0 3 0 DRINKING NOT STATED G 0 1': U 0 1 TOTAL DRIVERS I 16 O I i CONTRIBUTING CIRCUMSTANCES IN TOTAL Ix vaa11 All' 1111EINIa ONLY t ACCIDENTS ACOp1Nla I UNDER INFLUENCE OF ALCOHOL j 0 0 I UNDER INFLUENCE OF DRUG 0 0 I EXCEEDING STATED SPEED LIMIT j 2 U I" EXCEEDING REASONABLE SAFE SPEED 2 0 DID NOT YIELD ON ENTERING AN ARTERIAL - 0 0 1 O DI0 NOT YIELD TO VEHICLE ON RIGHT 0 0 BID NOT YIELDIYHILE MAKII.A LEFTTURN j 0 0 ! DID NOTYRLDW/IILE CHANGING LANES 0 0 A DIONOTYIEL O TO VE HICLE• ALL DTIIEnS 0 I 0 DID NOT YIELD TO PEOESTRIAN On BICYCLIST 0 0 I _ - IMPROPER PASSING ( 0 0 i ® 1 .li ED FOLLOWING TOO CLOSELY 0 0 OVER CENTCH LINE I 2 0 FAILING TO SIGNAL On IMPROPER SIGNAL 0 U IMPROPER TURNING 0 0 I _?;.}.• IMPROPER U TURN 0 O I i DISn COARDING STOP AND GO LIMIT I 0 U DISREGARDING STOPSIONOR PLASINGRCO O O j DISREGARDING WARNING SIGNAL j 1 0 1 S APPARENTLY ASLEEP 2 U I ® 9 , IMPTIOPCn PARKING LOCATION I 0 0 OPERATING DEFECTIVE EQUIPMENT 1 p INATTENTION j 1 0 1 I ALL OTHER VIOLATIONS j 0 0 TOTALS 11 0 . L! ,(• Y FG5' L 1ffh1 1 ¢IG I, C I f V 7 %! a„ .tlAJ' yy ?.? 1°hy ? Rya! tDtCPf ?: tKrBa ? ?'{h ° }? a Ik ?+' a6t` 1 r ? V S r L' h 4 ( 1 J „a 1 S4 1'< ' 11! w'!I'W?Tr+, "f'7t G?`]tp ;? _ r A ?> 9 I k S } 1 r TL iL4 ? ha + . 41 I 4 ,. r + J I? 1 1 r ?? ?4 d f F E, 1? ?????? 1 k-1 y t L'IJ -I IL 1 I I, J ,?' Pt r IvT? 1 !• 11 I J ?? T r i klr 1 VJF :r > _ ,?,x 1 ,{ Iri l t.?a r ?? 1 I ? T { III } , u?`h o 't`? f ? I r 1' f ?r I y1 1 I t f1 k ? ? I 1 ?y 1, i J r t-' `11 yI I Mti•J? R3Ii 17 9 G 17 0 D 7' 3' 3 IGI ]8 D 9 I i STATE OF WASHINGTON I ? SUMMARY OF MO TOR VEHICLE TRAFFIC COLLISI ONS ® CITY COUNTYJEFFEHSJN 1RUR41.FOR PERIOD OF 01/0 1-01/31,1978 ® I - 1 TYPE OF NUMBER OF ACC IDENTS NUMB F PERSONS I ER SAME PE 1 RIOD LAST Y EAR ' MOTOR VEHICLE TOTAL FATAL NON PROPERTY TOTAL TOTAL C TYPE OF INJURY NONt TOTAL PERSO NS ' .` ACCIDENT FATAL DAMAGE KI FL LLED INJURED osnaMUa aIU°y?Aa ro AY INJUflY ' N 1 ACCIDENT S KILLED INJURED ? I OVERTURNING THER NON COLL B 3 0 1 2 0 1 i 4 D O 4 0 2 f r O 1 0 0 1 0 0 0 0 0 1 0 0 0 q PEDESTRIAN 0 0 0 0 0 U 0 1 0 0 1 0 0 0 0 ® i M.V. IN TRANSPORT 11 ) 6 5 0 7 0 3 4 20 7 0 8 M.V. oN OTHER ROAD U 0 0 O 0 O 0 1 0 1 O 0 0 0 0, 1 f y 1 ; 1 PARKED M. V. J O D D O O O D O D D O O I j ® RAILWAY TRAIN 0 0 Q Q 0. 0 0 0 0 0 0 D_ II i PEOALCYCLIST ANIMAL O O 0 0 O 0 0 Q U 0 0 0 0 O 0 0 0 0 U 0 O 0 O 0 0 0 I FI%EDOBJECT 16 2 9 5 2 15 3 B 4 7 14 0 10 j { $ OTHER OBJ OT 0 0 0 0 0 0 0 0 0 D O 0 0 4 ALS T 31 2 16 13 2 23 3 11 9 32 25 0 20 I i wrERSraTE SYSTEM 0 0 0 0 0 0 0 0 0 0 0 0 O' I I OTHER FULL cavrROl U J 0 0 0 3 0 0 0 0 0 0 0 I 1 - o Us. ROUTE NO. 9 2 2 5 2 6 1 3 2 8 16 0 14- I - STATE ROUTE No. 5 0 4 1 0 5 1 0 3 1 2 8 3 0 2 I I c, COUNTY ROAD 17 0 LO 7 ) 12 2 5 5 16 I 4 0 3.- j CITVSTREET 0 0 0 0 O 0 0 0 0 0 0 0 0.. I j OTHER TRAFFIC WAYS 11 O U O 0 0 0 0 O O 2 0 1 I TOTALS 1, > t 1, a 1, T A 1 7IL- AGE OF TOTAL PERSONS PEDESTRIANS PEDALCYCLISTS MANNER OF TWO TOTAL FATAL CONDITION OF DRIVER TOTAL FATAL I CASUALTY KILLED INJURED KILLED INJURED KILLED INJURED M.V. COLLISION ACCIDENTS ACC. SOBn I ETY'F ACCIDENTS A.C. Do T004 0 1 0 0 0 0 HEADON 0 Q HAD BEEN DRINKING ?y 05TOB0 0 1 0 0 0 0 REAREND 5 0 ABILITY IMPAIRED 2 1 10 TO 14 Q 0 Q 0 0 0 ANGLE 1 Q HAD BEEN DRINKING I6 TO 18 0 2 :1 0 0 0 SIDESWIPEMEETING Q Q ABILITY NOT IMPAIRED Q - 0 S ]OT07/ 3 Q 0 Q 0 SI DESWIPE-PASSING Q 0 HAD BEEN DRINKING ?T 7J TO S0 l 6 O 0 0 0 ALL OTHERS 5 Q BOBflIETV UNKNOWN 2 U ® 3 35 To. 1 3 Q 0 0 0 NOT STATED Q Q HAD NOT BEEN 1 1 45TO" .) 1 ) 0 0 0 DRINKING 18 1 C 55 T061 0 4 0 0 0 0 TOTAL S j 11 0 DRINKING NOT 65 TO ]/ 0 2 0 0 0 O STATED 1 14 1 ' 'Q>?aFI 75i OLDER 0 0 0 O 0 0 BACKING, _? ---' _..I NOT'STATED U 0 0 O 0 0 TOTAL DRIVERS 36 3 5 TOTALS TIME 1 MON. l,,u TH URS. FRIOAY SATUR DAY SUNDAY CONTRIBUTING CIRCUMSTANCES IN TOTAL IN FATAL I 1 ??'?'•?'-': L REPORTING FATAL ALL FATAL ALL FATAL ALL FATA L I ONLY / T A CENT. Ae ACID ?aEN 14 0. MIDNIGHT U 0 1 Q Q 0 0 0 UNDER INFLUENCE OF ALCOHOL 2 1 t: 1 1. I:00 1 0 0 0 O 0 1 ) UNDER INFLUENCE OF DRUG 0 0 ® I 7. 1:00 0 0 0 U 0 0 0 0 EXCEEDING STATED SPEED LIMIT 0 0 7. 1:00 U 0 U 0 0 0 0 0 EXCEEDING REASONABLE SAFE SPEED L l 1 7 A. 400 3 0 ) ') 0 0 0) DID NOT YIELD ON ENTERING AN ARTERIAL U 0. S. I= 0 U 0 0 O 0 0 0 01D NOT YIELD TO VEHICLE ON RIGHT 0 U S. COO I 1 0 0 0 0 0 0 DI ONOT YIELD WHILE MAKING A LEFT TURN 1 U i 7. 7:00 2 0 0 0 O 0 0 O DI D NOT YIELD WHILE CHANGING LANES O O ® 1 5:00 1 0 1 0 0 0 0 0 OIDNOT YIELD TO VEHICLE. ALL OTHERS 2 U Y:GO 2 0 O O U 0 0 U DID NOT YIELD TO PEDESTRIAN OR BICYCLIST Q Q 10. 1000 'J 0 ) Q 0 0 U 0 IMPROPER PASSING 0 Q I _ it. 11:00 l 0 L Q 0 U 1 U FOLLOWING TOO CLOSELY 0 0 11. Irlm 1 0 0 0 0 0 0 0 OVER CENTER LINE 0 0 j 10. 17:00 1 0 1 0 U O 0 0 FAILING TO SIGNAL OR IMPROPER SIGNAL 0 U I4. 11:00 1 U U 0 L 0 0 Q IMPROPER TURNING 2 U i f•?I 1 15. IB'.00 U 0 0 0 0 0 0 0 IMPROPER U TURN 0 0 ' . Y f.•?? 10. 15.00 1 17. 17:00 1 L O L 1 U U 1 0 0 0 O• O 0 0 RGING STOP AND GO LIGHT OISREGA 015H EGAROINO STOPSION OR FLASINGRED Q 2 Q 0 T. 1 .{ C1 IS. 18.00 Q 0 D O 0 O O 0 DISREGARDING WARNING SIGNAL O O 10. IO:m J 0 1 Q 0 0 0 Q APPARENTLY ASLEEP 0 0 70. 7000 Q 0 0 0 0 0 0 0 IMPROPER PARKING LOCATION U 0 i A 71, 11:00 1 U O 0 0 0 0 D OPERATING DEFECTIVE EQUIPMENT 3 0 71. 1700 2 0 0 Q 0 0 U 0 INATTENTION 4 0 17. 77,00 0 O 0 0 0 0 0 ALL OTHER VIOLATIONS 0 1, i T F? NAM IIA1J0 , TOTALS TOTALS 27 2 1 t FIGURES REFLECT I NVESTIGATED ACCIDENTS ONLY W{ I PREFAAEO By. AlCOMM SEC TION WASHING TON STATE PATROL I ?r "?1 J'h. l GS t I I. 1 AR NO. 19 11.74 ® i i!+ W WI h VI IW wI N IH IOI !? .N HI •r II-. III 1 IN N ? Y•1- O 7 .O 2 OI !? 1 II HI ,1- HI° J. O 'O O. 2 IZ Z r0 Y J J, Z I2 J Y J J Z J , J IJ J Z Z 2I J J J I 1 1 ' 1?IY T'. 1 1 T Y Y 1 ! II Y Q QI Q Y Y Y iC 6 4 4 Y Y Y '• ? 9 J U( o I O O'; o O 0 o O o o p OI O O o O O O O O O O O O O O O ppv?Y I I J I' I IH' W If1L O`] I? w h• ! 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O O O O 'O O ,y y r 1? zY? ? 02 ? ?-I I O, I O IN O I OI I T ??• iU 21 =01 C ?? <1 P G O Q - ; T I rl N I I N J { T. L n ' 0 ?I G C ?? i]9f ,, I I J ? .m 6 ?I <WI I r ? I?iI ? r. L t W H. r I I i ? U LL` K ? O U ?` I ? riY? I I W 0 LL I ' Qi " ' ! ° I o n a n Y D ¢ it W u i NI i ' I n r ? I n m N n N N ?0 a, a z If Y a u QZ ? ? i m n ? ? .. ,50. N 7 '14 F I K O y LL O K o O r O • O a O 0 O O , o 4 1 ??, ? ?? ? a a ' ? INn ^ vNi ti INn ^ INn omi a ? i o ,1? ; ? d , . g STATE OF WASHINGTON SUMMARY OF MOTOR VEHICLE TRAFFIC COLLISIONS CITY COUNTY J_I'r I. SrJP. ()'. JI:..\L FOR PERIOD OF U1/01-1J/31,1477 ?1 yy TYPE Of NUMBER OF ACCIDENTS NUMBER OF PERSONS 1 ` 7 y! ' I SAME PCR100 LAST YEAR J (71$S MOTOR VEHICLE TOTAL FATAL NON PROPERTY TOTAL TOTAL TYPE OP INJURY NON- ? TOTAL PERSONS , ACCIDENT fATAL DAMAGE KILLED INJURED DlMaI ....N.. SCA, INJURY ACCIDENTS KILLED INNRE C J ow"Tu-No 51 0 34 , 11 0 47 1 11 17 19 - 22 I 38 3 39 re 8 OTHERNONCOLL 3 0, 1 2 0 2 0 2 0 2 I 4 O PEDESTRIAN i M.V. IN TRANSPORT 99 _ 43 54 3 76 14 28 -434 96 I 99 6 84 S MY. ON GTHER orHER RDAD sF 0 0 0 1 U 0 U 1 U 1 0 i U i U ' 1i1 LARKED M.V. 7 0 1 6 0 1 0 1 0. 3.1 I' $ J 2 I. ("i RAILWAY TRAIN } 0 U 0 U U 0 J p 0 SO PEDALCYCLISi L 0 1 O 0 1. 0 1 0 O I 2 0 U I, ANIMAL 17 J 1 l6 O 1 0 0 1 l I 7 22 O 1 (y 1 ?`g`+yx7 _ o3 FIXEOOBJECT 157 3 73 al 4 109 25 58 20 a9 145 I 94 1 p OTHER OBJECT J J U• U 0 O' 0 J I J I O' I Z J L TOTALS 335 5 154 176- 7 - 237 . 50 1 L07 I 80 219 LJ 317 11 222 INTERSTATE SYSTEM J .] 0 J U U J J ), • 0 1 0 .} p qq''OTHER FULL CONTROL J J 0 1 U 0 0 1 0: 0 1 L) i U i 0 J U j y US. ROUTE NO. o 147 2 76 67- 3 124 26 51 45 105 I 125 7 84 STATE ROUTE NO. j7 ) 24 31 :) 36 .a 17 10 32 02 L $s P COUNTY RDA0 11, 2 46 66 3 70 18 35 17 76 I 119 3 83 1 e CITY Stfl EET p 0a D p l U J U U I 0 ) p yF OTHER TRAFFC WAVS L 1 1 4 12 1 7 1 4 2 6 11 J 3 1 TOTALS 1n7 :'ILA •17 11 1 p l ' AGE OF TOTAL PERSONS PEDESTRIANS PEOALCYCLISTS MANNER OF TWO TOTAL FATAL CONDITION OF DRIVER TOTAL FATAL CASUALTY KILLED INJURED KILLED INJURED KILLED INJURED M. V. COLLISION ACCIDENTS ACC. SOSRIM* ACCIDENTS ACC. : C OOTOO[ ) 3 J .) } 0 HEAOON 7 0 "AD BEEN DRINKING ' Q OSTOBO 0 4 0 0 0 0 REAR-END Z6 1 ABILITY IMPAIRED S. _ TO TO 11 1 7 J U 0 1 ANGLE 1> 1 I TS TO 10 } 4L 0 J 1) p SIOESYrIE-MEETING •' J HAD OEEN DRINKING I 30 T031 16 '] ABILITY NOT IMPAIRED 17 U I i 1 5p 0 U U U SIDESWIPEPASSING 3 HAD BEEN DRINKING I.. 1 OS T03t 4 4L 0 3 0 J ALLOTHERS 46 L SOBRIETY UNKNOWN A•0 SS TOM 2 2L 0 U 0 0 NOT STATED .:3 0 21 0 0 0 0 DRINKING - 165 4 1 "'To", u 0 HAD NOT BEEN "TO" J 23 0 U 0 0 TOTALS 1Ju 2 DRINKING NOT 05 T071 ( 6 D 0 D O 1 STATED 49 1 .`-sy ?L 7560LDER } 2 } ) J } BACKING __ E 9 NarOTAr[O 13 - 0 ' 0 0 0 TOTAL DRIVERS 264 7 I d'' r ?,c, 4k TOTALS - 1 - :l{. ?+ 1 TIME MON. - THURS. FRIDAY SATURDAY SUNDAY I -v ^ HOUR CONTRIBUTING CIRCUMSTANCES IN TOTAL rx PATAL 4 REPORTING ALt FATAL ALL FATAL ALL FATAL ALL FATAL or IxvlanOAT[e ACDI0a1ia OxLV ? ACCIDENTS ACm[xT[ 0. MOMTAIT T 0 1 0 4 0 2 0 UNDER INFLUENCE OF ALCOHOL (5 1 r ?` 1, I:OO 5 U L J 6 0 1 O UNDER INF U NCE OF DRUG 2. 3:00 6 0 0 0 4 0 2 0 EXCEEDING STATED SPEED LIMIT LZ L 1 1 t 0. 3:00 L J 0 0 4 0 0 0 EXCEEDING REASONABLE SAFE SPEED 63 L J 4• 4:00 " 0 0 U L 0 U J 010 NOT YIELD ON ENTERING AN ARTERIAL 4 U 0. 0:00 7 1 0 0 L U 0 0 DID NOT VIFlO TO VEHICLE ON RIONT 0 p I., 0. 0:00 L J + ) 2 J 7 J OIONOTYIELOWHILE MAKINGA LEFTTURN 2 V. 7. 7:00 2 0 2 J 2 U 1 J DIO Nor YIELOWHILE CHANGING LANES U- 0. 0.00 9 0 1 0 J 0 2 ) DIDNDT YIELDTO VEHICLE - ALL OTHERS 5 1 . ':I' t. 5:00 3 0 L U 2 U 2 J 010 NOT YIELD TO PEDESTRIAN OR BICYCLIST J U.- IG Woo a 0- 4 J 1 U 1 U IMPROPER PASSING 16 U It. 11:00 7 U 2 1 3 0 3 J POLLOWING TOO CLOSELY 6 J '. 1 17. .1300 / 1) .) 3 O 5 1 OVER CENT HA LINE .1 L. 13.. 13:00 •3 U 4 U 1 0 6 - J FAILING TO SIGNAL OR IMPROPER SIGNAL 3 ; I 6 #r _,1 I fl 1/. 11:00 (O 1 3 U J U L 7 IMPROPER TURNING It. 15:00 1) 3 2 0 3 0 1 0 IMfR01[R U TURN 15. 10 1 Q 00 1', U 5 U ) U OISREOAROINO STOP AND GO LIGHT U 1) Q J4 I- + V' 7 1 Jy? 17. 17.00 1J J 2 ) L 7 3 7 DISR lOARDINGSTOPSIGNORFLASINGR(D 4 1) 4 r y IS. 1[00 (} 0 8 Q A 1 ( 0 DISRIGAR DING WARNING SIGNAL 3 0 LY '1 -'1 L ) 1 %, It. I0.00 7 J S J 3 0 2 J APPARENTLY ASLEF/ LO U 1., C " ?` '}}T}`?1 Y' 7 +f l 1 f 70. MDO 3 ) 4 3 [ 0 4 J IMPROPER PARKING LOCAi10K U Q, 1 +Li. ;?V?4[ s S v' Iv < 31. 31.00 7 0 6 0 2 0 S U OPERATING Dlf ICTIVE EOUIIMENT 19 0 1 f } f -T 37. 3300 I. U 6 1 4 0 J INATTENTION 25 1 4 1 a l p r 23. 33 DD 4 0 2 3 7 3 3 0 ALL OTHER VIOLATIONS 2 0 '• ?A' R ; k? a ?; v e tt ? 7 SIAm ar.ne 4 W }; ?'1{ t 1 ,t TOTALS I u'. T 'iy 74 TOTALS 7J0 1 [., • FIGURES REFLECT INVESTIGATED ACCIDENTS ONLY ' ww 1kt V' nl h PRO•uo a AECOflos sccnaN 'ir of { 1 IQ I _ MAWrNpTON STATE PATROL T{ I?1 r F T 40 to if NI i vt 7 11 ? I 1'6 ?T 7 !T{+ ,,? . ) t w ua..,. Hyd "' p .rF r.-? .JI . ,. i T k r y j f f{FR I '?'; I1 ?4 11 ?A p+y1.".. i 4 J.. _ Nma n t, t Iii ? i M 1 ?I ';? 'r y ? ' ""M(ii a 1 1 J } I r A K.? 111 .+, ? r I - L 1 :? J y '( 1 r // Y r 51 k ti }! G r { 1 i J1 ??j a" ¢ n [ 1 IFS t?. 5 u (, ? ,??? J q 1 I r ", k ? II,1 ?Y .? ,?k 1?' L{ if1JJi JN J I. I'1 r i y= r +,? ?, STA TE OF WASHINGTON I SUMMARY OF MOTOR VEHICLE TRAFFIC CO LLISIONS CITY COU NTY JEFFERSON IkJHALOO R PERIOD OF Ci,,o4-1 2/31.1977 I NUMBER OF A ID N -?r TYPE Of MOT CC E TS NUMBER OF PERSONS SAME PERIOD LA ST YEAR OR VEHICLE ACCIDENT TOTAL FA NON PROPERTY TOTA TAL L TOTAL TYPE OF INJURY NON1• I I TOTAL PERSONS - 1 ?? OVERTURNING 3 FA 0 TAL DA 3 MAGE KIL O LED INJURED DIAFL HC G uei 11 1 INJURY ACCIDENTS KIL LED INJURED OTHER NON CO LL 0 0 I 0 0 0 3 1 0 2 0 0 0 0 0 9 0 S j PEDESTRIAN - M v IN TRANSPORT _ 0 O• O 0 0 0 O 0! 0! O 0 O 0 D 0 O 0 O . . >! M V OH TH R R S 0 3 5 0 6 0 2 ! 4 11 21 3 19 , . GAO O E J O 3 3 O 3: O O! O O O O O Mr" PARKED M.V. RAILWAY RAIN 0 0 0 0 O 0 0 0 0 0 0 0 I 0 ? T z IPEDA Y I D O U D 0 0 0 1 0 O' D D 0 ' LC CL ST 0 0 0 0 0 0 O 0 0 0 1 '0 1 77 .' 1 ANIMAL FIXED B T 0 0 0 0 0 0 1 O I 0 0; 0 0 0 0 O JEC 21 L 9 11 1 11 1 8 2 12 36 O 22 $ OTHER OBJECT 3 O 0 j U 0 O 1 O i 0: 0 I 0 1 O 1 TOTALS, 32 1 15 16 1 20 ! 2 10 a 23 76 3 51?r I • 1 INTERSTATE SYSTEM 0 0 0 0.. 0 _.....O 0 0 i 0 I. .. 0 0 • 0 -...0.: i I OTHER FULL CONTROL 0 0 0 0 0 0! 0: 0 0 1 0 0 0 0 ai U.S. ROUTE NO. _ STATE R N 15 0 0 7 0 10 2 2 6 7 29 3 17 I OUTE O. $ 1 COUNTY R 2 0 1 1 0 1 0 1 1 O 5 17 0 14 I ogo CITYSTREET 14 0 6 0 O 9 0 7 2 L 1 25 O 17 . OTHER TRAFFIC WAYS 3 j 0 1 O D 0 O 0 0 j 0 I 0 1 0 I 1 O 0 O O 0 j (, !5 a( E P 91 0 I TOTALS 32 1 15 - lb O I 20 2 0 10 0 0 H ! 23 5 76 0 3 3 51 j 1 AGE OF TOTAL PER SONS PEDESTRIANS PEDALCYCLISTS MANNER OF TWO TOTAL FATAL CONDITION DRIVER TOTAL FATAL 1 CASUALTY KILLED INJURED KILLED INJURED KILLED INJURED -V. COLLISION LISION ACCIDENTS ACC. SOBRIETY k ACCIDENTS ACC. j GO TO (PI 0 0 0 0 0 0 HEAD ON 0 0 HAD BEEN DRINKING 05 TO SO 0 1 0 0. O 0 REAR-END 2 U ABILITY IMPAIRED L U I TO 16 I: 0 O 0 0 0 0 ANGLE 0 0 HAD BEEN DRINKING j To,. 0 4 0 0 0 0 SIOESWIPE-MEETING 2 0 ABILITY NOT IMPAIRED 5 O 20 TO N D 7 D 0 0 0 SIDESWIPE-PASSING D O HAD BEEN DRINKING I 2S TON J 3 0 0 O 0 ALL OTHERS 4 O SOBRIETY UNKNOWN O U I. 35 TO E< 0 3 0 O 0 0 NOTSTATED 0 0 HAD NOT BEEN I AS To. 0 1 0 0 0 0 an INKING 16 0 SSTO6< 0 1 0 0 0 O TOTALS B 0 DRINKING NOT 65TO74 L 0 0 0 0 0 STATED 7 1 75 B OLDER 3 0 U 0 0 0 BACKING O O I ?• NOFSTATED 0 0 0 0 0 0 ...... _-_ TOTAL DRIVERS 29 1 TOTALS I 20 0 0 0 0 TIME HOUR MON. IMU THU113. FRIDAY SATURDAY SUNDAY I •Ef flEPORTING ALL FATAL ALL FATAL ALL FATAL ALL . FATAL 01 IN11 CONTRIBUTING IA11o Al-ENIS GNLY• ACCIDENTS ACUTXNTS ' Y O. MIONK- 3 0 0 0 3 0 1 0 UNDER INFLUENCE OF ALCOHOL 1 0 I 1. 1:00 D 0 0 0 0 0 0 0 UNDER INFLUENCE OF DRUG 0 0- 2. 2:00 O 0 0 0 0 0 0 EXCEEDING STATED SPEED LIMIT 1 0 3. 3:00 0 D 0 0 0 0 0 O EXCEEDING REASONABLE SAFE SPEED 10 (1 A. A:00 0 0 0 0 0 0 0 0 DID NOT YIELD ON ENTERING AN ARTERIAL' 3 0 5. 6:00 0 U 0 U 0 0 0 0 pID NOT YIELD TO VEHICLE ON RIGHT 0 0 0. 500 1 0 ( O 0 0 0 O 01 DNOT YIELOWHILE MAKING A LEFTTURN : 0 0 7. 7:W 0 0 1 0 0 0 0 0 010 NOT YIELDtYHILE CHANGING LANES 0 O B. 8.00 1 0 0 0 0 0 D 0 DIONOTYIELO TO VEHICLE -ALL OTHERS 0 O 1 0. 5:00 1 0 0 0 1 0 0 0 BIG NOT YIELD TO PEDESTRIAN OR BICYCLIST 0 0 1 10. 10:00 1 0 0 3 0 0 0 0 IMPROPER PASSING 2 0 ! 11. It= ( 0 1 0 O 0 0 0 FOLLOIVING TOO CLOSELY 1 0 j 12. 12.00 L D 0 D 0 0 1 0 OVER CENTER LINE 0 0 13. 13100 3 0 0 0 0 0 1 D FAILING TO SIGNAL OR IMPROPER SIGNAL 0 0 IA. IA:00 2 0 0 0 0 0 O O IMPROPER TURNING j 0 0 I 16. 15:00 0 0 0 0 0 0 0 0 IMPROPER U TURN O U 1 I0. I6:W 1 0 1 0 1 0 0 0 OISR EGAROINO STOP AND GO LIGHT 0 0 . 17. 17:00 1 0 0 O 0 0 0 D DISREGARDING STOP SIGN OR FLASING RED 2 0. 15. to Go 1 0 0 0 1 1 0 0 DISREGARDING WARNING SIGNAL 0 0 ! IS.. 15.00 2 0 1 3 0 0 0 0 _ APPARENTLY ASLEEP 2 0 1 20. • 30.00 3 0 0 0 0 0 0 0 IMPROPER PARKING LOCATION 0 0 21. 21:00 2 0 1 0 0 O 1 O OPERATING DEFECTIVE EQUIPMENT 5 0 h. ]2:W 3 3 1 0 3 0 D O INATTENTION 3 1 I 73. 2300 0 0 0 0 0 0 0 0 ALL OTHER VIOLATIONS 0 0 j 2AAGt EtAI1G TOTALS 15 0 7 0 6 1 4 0 1 77 1 dL. '• FIGURES REFLECT INVESTIGATED ACCIDENTS ONLY I ' Q ' PREPARED BY: R(CORD4 6[CTION WASHINGTON STATE PATROL AR NO. 19 1.1 74 in ? Ja a STATE OF WASHINGTON 1 ,• ,, >' SUM M ARY OF MOTOR VEHIC LE TRAFFIC COLLISIO NS CITY COUNTYJEFFL RSUN MURALMA PERIOD OF 11/01 -11/31 ,1971 TYPE OF MOTOR VEHICLE NUMBER OF ACCIDENTS NUM BER OF PERSONS SAME 111 TYP 100 LAST YEAH ACCIDENT TO TAL FATAL NON PROPERTY TOTAL TOTAL E OF INJURY NON. TOTAL 'PER SONS IN W F ATAL DA MAGE KI LLED INJURED D- I,"NO .-O'i.. Pn IALL INJURY i iACCIDENTS W KILLED IN-. 1 OVERTURNING b 0 5 3 0 tl 0 7 l I 4 1 0 U i OTHERNONCOLL. 2 0 1 1 C 2 O 2 0 0 0 0 0 PEDESTRIAN 0 O 0 1 0 0 O 0 0 1 0 0 0 0 0 i D MV. IN TRANSPORT 11 0 7 4 0 12 1 5 6 11 11 0 12 M.v. ON OTHER ROAD. 0 O 0, 0 0 0 1 0 0 I 0 i 0 0 0 0 j t PARKED M.V. RAILWAY TRAIN 2 C 1 1 C 1 O 1 0 1 O O 0 j 0 0 0 0 C 0, 0 0 0: 0 0 0 0 . o PEDALCVCLIST Q O O 0 O O 0 O O O O O 0. 1 „ ANIMAL 1 0 1 0 C 1 0 0 1 0 6 O 0 ® 1 FIXEDOBJECT $ 21 0 6 15 0 7 0 4 3 L9 I - 13 0 S - i OTHEROBJECT 0 0 0 0 0 0 0 0 0 1 0 0 0 0 TOTALS 45 0 21 24 C 31 1 19 11 35 L_J 31 0. 20' i g INTERSTATE SYSTEM 0 0 0 O 0 0 O 0 0 0( 0 0 0 1 OTHER FULL CONTROL Q Q Q 0 C 0 0 0 Q0 0 0 0 U.S. ROUTE NO. 0 18 0 10 8 0 15 1 10 4 1G 14 C 9 STATE ROUTE NO. 10 U 6 4 0 8 0 4 4 5 I 4 0 0 i COUNTY ROAD 15 0 4 11 0 6 0 3 3 14 12 0 10 1 -+-. CITYSTREET O 0 0 O 0 0 0 0 0 0 0 0 0 I OTHER TRAFFIC WAYS 2 'Q 1 1 C 2 I I 0 2 0 0 1' O 1 1 TOTALS 45 n 11 74 Q it I 19 11 R5 1 al O 7 I AGE OF 70TAL PER SONS PEDESTRIANS PEDALCYCLISTS MANNER OF TWO TOTAL FATAL CONDITION OF DRIVER TOTAL FATAL 1 CASUALTY KILLED INJURED KILLED INJURED KILLED INJURED M.V. COLLISION ACCIDENTS ACC. SOBRIETY. ACCIDENTS AC^ I 00T004 0 2 0 0 0 0 HEAD ON 2 0 HAD BEEN DRINKING 05T000 0 0 0 0 0 0 RE-END 3 0 ABILITY IMPAIRED 0 0 10 TO ti 0 O 0 0 0 0 ANGLE 1 0 HAD BEEN DRINKING _ 16 TO 10 0 1 0 0 0 0 SGE-IPE?MEETING 1 0 ABILITY NOT IMPAIRED 1 70 T071 Q $ Q Q Q O SIDISWIPEPA$$ING 0 0 HAD BEEN DRINKING ]5 T03X 0 6 O 0 0 0 ALLOTHERS 6 O SOBRIETY UNKNOWN 1 O ® ' e 35TOM 0 45T051 0 3 6 0 0 0 0 0 0 0 0 NOT STATED O 0 HAD NOT BEEN DRINKING 22 I 0 ; - ', 0 '• 55T064 O 3 0 0 0 0 TOTAL S 13 0 DRINKING NOT d 05 TO )i 0 2 0 0 Q 0 STATED 18 0 7560LDER 0 1 0 0 0 0 BACKING _.._..0... _._0 _ ,'• I. . . NOf STATED ) 2 0 0 0 0 TOTAL DRIVERS 42 0 I S TOTALS l TIME MON. mrP THURS. HOUR FRIDAY SATURDAY SUNDAY CONTRIBUTING CIRCUMSTANCES IN TOTAL IN fATil ® 1': REPORTING ALL FATAL ALL FATAL ALL FATAL ALL FATAL of ""'T"T,o "c"NTS o Lv . ACCIDENTS N AC=NTS t ' 0. MIDNIGHT 0 0 C 0 O 0 0 0 UNDER INFLUENCE OF ALCOHOL 0 0 1. 1:00 0 0 0 0 1 0 0 C UNDER INFLUENCE OF DRUG D 0 2. 7:00 2 0 C 0 0 0 0 0 EXCEEDING STATED SPEED LIMIT 2 0 I ti 11 -?? S M' ]• 3:00 0 0 O 0 C 0 O C EXCEEDING REASONABLE SAFE SPEED 14 Q t L i. COD 1 0 0 0 0 0 0 0 010 NOT YIELD ON ENTERING AN ARTERIAL 0 0 S. 6:00 0 6. 6:00 ) C 0 C 0 0 0 1 C 0 0 0 0 0 C DID NOT YIELD TO VEHICLE ON RIGHT DID NOT YIELD WHILE MAKING A LEFTTURN 0 O 0 1) 1 f _ L N„Kt 7. 7:00 1 0 0 0 0 0 0 0 DID NOT YIELD WHILE CHANGING LANES 0 0 0. 1, 1 0 O 0 0 0 0 0 DI ONOT YIELD TO VEHICLE-ALL OTHERS 0 0 0. BOB O 0 0 0 G 0 1 0 D ID NOT YIELD TO PEDESTRIAN OR BICYCLIST 0 0 10. 10:00 2 O 2 O 0 O O 0 IMPROPER PASSING 2 O 1 Q - 11. 11:00 2 0 C 0 2 0 0 0 FOLLOWING TOO CLOSELY 0 0 1 12. 12:00 1 0 0 0 C 0 Q C OVER CENTER LINE 3 0 13, 13:00 2 0 0 0 0 0 0 0 FAILING TO SIGNAL OR IMPROPER SIGNAL 2 0 i® ' 14. 11:00 1 0 1 0 C 0 0 0 IMPROPER TURNING 1 I 15. 16:00 0 0 0 0 1 0 0 0 IMPROPER U TURN 0 0 1 I 10. 16:00 5 0 1 0 0 0 1 0 OISREGARDING STOP AND GO LIGHT O 0 • 17. 17:00 3 0 0 0 0 0 1 C DISREGAR DINGSTOPSIGNOR FLASINGRED 0 0 IS. 1600 2 O 2 0 0 0 0 0 DISREGARDING WARNING SIGNAL 1 C Ih W 10. 10'.00 0 0 2 0 0 0 1 0 APPARENTLY ASLEEP 0 0 i tF 70. 7000 1 0 C 0 0 0 0 0 IMPROPER PARKING LOCATION 0 0 21. 71:00 2 0 O 0 0 0 0 0 OPERATING DEFECTIVE EOUIPMENT 4 0 i'l) 77, 7700 1 0 C 0 0 0 1 0 INATTENTION 2 0 I 0 27. "w 0 0 0 0 0 0 O 0 ALL OTHER VIOLATIONS 0 0 ?rJ k 1,f ?( ]1MOT IlAffo TOTALS 27 0 B 0 5 0 5 0 TOTALS :SL G yy??A Y'^' r r f J I • FIGURES REFLECT I NVESTIGATLD ACCIDENTS ONLY { A?? 5 Et i t G I 0 r" ?I "' r 4 f J ! PAEPAATO Bv' RECOADS SEC TION T C I ,Ate?aa •1EVH I I 1011.71WASHING AR NO TON STATE PATROL J IY: r- F L 7 I i ...fir a 5 Y. , i'.$ f ' a ^ fJ yY m" nv 411 ?i ' JEFFER COUNTY DEPARTMENT OF PUBLIC WORKS ? r 1820 Jefferson Street P.O. Box 1220 Port Townsend, WA 98368 (206) 385-9160 ' Gary A. Rowe, RE., Director Robert G. Nesbitt, RE., County Engineer 5 June 22, 1988 I Janet Smart Fatality Analyst Hearings Unit, 4th Floor Highways-Licenses Bldg. p` Olympia, WA 98504 g F' Re: Raised Lane Marker Information Dear Janet, r The following is a list of roads with raised lane markers in Jefferson County in 1987: ROAD NUMBER ROAD NAME FROM M.P. TO M.P. - 1. 931507 Center Rd. 0.00 15.01 2. 932507 Chimacum Rd. 0.00 1.57 3. 933507 Irondale Rd. 0.00 1.93 ;4. 940407 Oak Bay Rd. 0.00 0.86 5. 569908 Oak Bay Rd. 0.86 10.80 6. 941507 Beaver Val.Rd. 0.00 9.10 7. 951707 Airport Cut-Off 0.00 2.36 8. 952007 Rhody Dr. 2.36 5.10 9. 952707 Flagler Rd. 0.00 7.85 If you have any questions, please contact me at (206) 385-9164 Sincerely, Scott Kilmer Planning Engineer File: TRA 10.10 100% Recydod Paper id- ? - Fr le : rAA IL •io J'r r STATE OF WASHINGTON DEPARTMENT OF LICENSING Highways-Licenses Building • Olympia, Washington 98504 • (206) 753-6918 Theresa Anna Aragon, Director August 26, 1987 Jefferson County Engineer Department of Public Works J? { Courthouse Port Townsend, Washington 98368 1987 2 7 AUG r i' 00 G9UNT r RE: Enclosed Request JFt-rEiRS E or ` y , s ENGINc h Dear County Engineer: N I am the Fatal Accident Reporting Systems (FARS) Analyst for the State of Washington and writing to solicit your assistance with regard to the enclosed request directed to me from Mr. James C. Fell, Program Manager, National Highway Traffic Safety Adminis- tration. As you will see on the enclosure, the requested information will :la be used to collect data concerning alcohol involvement in fatal crashes on (city) (county) roadways with/without raised lane markers... My assignment is to obtain raised lane marker information only. Therefore, I am inquiring as to all roadway names or numbers including mileposts in your (city) (county) with r, raised lane markers. If none of the roadways in your area have F= raised markers, I would also appreciate receiving a statement v t . from you in this regard, ti r? Please send this information to me at the following address: r y J anet Smart } 7. Fatality Analyst Hearings Unit, 4th Floor Highways-Licenses Bldg. > Olympia, Washington 98504 Should you have any questions or concerns, please do not hesitate to contact me at the above address or telephone me at (206) 753- 4141. Thank you for your assistance in this matter. Very truly yours, r JANET SMART Fatality Analyst JS:dl Enclosure t f . . t ry, Y , ?r r xt,r ^ ? ? r s ar ?.f . 1 , 3 ? 4 ??? ?a ,5 ,t .f t ff, u, ?: I A r a? f 5 ? 4 r_ f ? 6 i! i ????yyY I -' 1 I cH`? a?iM 11 3 '?` r ti Ai E ALCOHOL INVOLVBdNT IN FATAL CRASHES ON ROADWAYS WITH AND ROADWAYS WITHOUT RAISED LANE MARKERS l rr PURPOSE STATE OF WASHINGTON Originally requested by Morris Chafetz, M.D. Health Education Foundation Washington, D.C. 20037 338 3501 0059 To provide data to answer the following question: Is alcohol involvement in fatal crashes lower on roadways that provide better cues to drivers (e.g. raised lane markers, wider edge lines, improved warnings of curve ahead, etc.)? OBJECTIVES The objectives of this study are to: (1) Compare percentage of drivers in fatal crashes with alcohol involvement on roadways with raised lane markers to percentage of drivers with alcohol involvement in fatal crashes on comparable roadways without lane markers (2) Compare incidence (proportion) of single vehicle nighttime crashes on roadways with and without raised lane markers. (3) Compare proportion of alcohol involvement on lighted vs. unlighted roadways with and without raised lane markers ?' ?k ?r ? ? I 11 { ? J ? I S a t: i4 r r 4, u? 5 ? I r . r r ? jF 1t,. DESIGN State of Washington has agreed to provide information in their PARS cases as to whether the fatal accident occurred on a roadway with or without raised lane markers. The last three columns of the variable on the accident level of the FARS forms called "ADDITIONAL STATE INFORMATION' will be coded as follows: YES - roadway on which at least one vehicle was travelling had raised lane markers present when the crash occurred NO - no roadway involved in the crash had raised lane markers UNK - it is unknown whether any of the roadways had raised lane markers. This data will be provided for all 1987 cases. r ?t ? ,al ? 1 rr ? k? r qyr ? }, `v 7fk ! 1 f? ? i a F ?, d E aAM * .d'f.,?3? ? mRL:.. ?€ ? - T.JS6.Y r A , ti I RECEIVED g?{ ' - / JUN 2 9 1907 STATE OF WASHINGTON SUMMARY OF MOTOR VEHICLE T RAFFIC COLJE-PSP pWl COUNT" CITY ENGINEER; OFF!CE COUNTY JEFFERSON IRU AdORPERIODOF F . 03/02-0313L.L987 TYPE Of RVEHICUE NU MBER O F ACCIDENTS UMBEROFPERSONS BAMEPEPIOp LAS}YEAR ACCIDENT T TO TAL FATAL F ATAL PROP DAM ERTY AGE DTAL NILLfO TOTAL INJURED TYPEO FINJ UHY ON • PEgSOH9 TOTAL - X' OVERTURNING q x ueu G 1 INJURY ACCIDENTS R,, INJURE. . 9 3 6 0 4 0 2 2 A O D 0 OTHER NON COLL 0 0 0 p 0 0 0 D PEDESTRIAN 0 0 O 0 0 0 0 0 G 0 D 0 - ° M.V. IN TIUN-T 18 D 9 9 0 15 1 LO 4 32 0 0 p 0 0 OAD Q D p 0 O D 0 Q U 0 0 0 -RED Al. M 0 0 O q p p 0 3 Rr•ILw/.r TRAIN 0 0 n 0 0 D 0 0 0 p ° FEDALCYCuS, 0 Q 0 D 0 0 0 0 0 D p ( I ANIMAL 1 0 0 n 0 0 D 0 0 0 0 0 0 0 !I:I FIKEDOBJECT OT ERO 25 0 17 9 O D 2 1 9 1 0 V I S n 0 p p p l L !i H BJECT I D o 1 0 0 o 1 D o t n o o ,., 70TAIS 53 D 29 24 p 39 2 21 16I 54 0 0 0 INTERS ATE SYSTEM, 0 0 0 0 0 0 0 0 O 0 5P OTHER FULL CONTROL ) 0 - D 0 D 0 0 0 0 p 11 D D c = U6 ROUTE NO. L8 0 7 11 0 9 0 3 5 ]7 a 0 0 0 0 STATE ROUTE NO. 6 0 4 2 0 2 2 2 o U 0 0 T COUNTY ROAD 29 0 Ls 10 0 25 0 16 ° 26 0 0 0 max CITY STREET 0 0 C 0 U 0 0 0 0 0 0 0 0 . OTHFgTMFFIC -TS 0 O I D 0 D U Q 2 Q 1 Q TOTALS S 53 D 79 24 0 39 2 21 16 54 0 0 1 0 CABUA TY TOTAL KILLED PERSONS INJURED FEO KILLED ESTRIANS INJURED PEOAL NLLED CYCLISTS INJURED NNFR OF TWO M.V. COLLISION TOTAL FATAL ACCIDENTS CC. CONDITION OF DUVEP 60ERIETY • TOTAL ACCIDENTS IN FATAL ACC 00 TOW 0 OSTODS 0 D 1 D 3 D O D HEAD ON 1 0 HAD BEEN DRINKING . OIR 0 1 0 O 0 0 0 REAREND 4 C AS'UTY-AIRED 16 0 1S TO 1! O 6 D O 0 O 0 ANGLE 0 4 0 HAD BEEN DRINKING 30101A O 4 0 f/ D SIDESWIPE-MEETING 0 2 O ABILITY NOT IMPAIRED 0 0 Dl TOW 0 6 Q O Q SIDESWIPE-PASSING 0 O O NAD BEEN DRINKING .To. O A '3 0 0 ALL OTHERR 0 7 0 SOERIETY UNKNOWN 3 Q AS TOl1 0 8 0 0 0 NOT STATED 0 U 0 HAD NOT BEEN 6STO64 0 D 0 0 0 TOTALS I8 0 DRINKING DRINKING NOT 49 0 SS TO TE 0 2 O 0 0 - 75 AOLDER 0 1 D 0 U 0 eACKINa 1 STATED 1 D NOT STATED 0 1 D 0 0 0 T ` TOTALS 0 39 ) 0 0 n OTAL DRIVERS 69 p . Y CGHTFIBBUTING CIC [M5ONCES TOTAL ACCIDENTS Y.1. ...., UNDER INFLUENCE OF ALCOHOL LE O UNDER INFLUENCE OF DRUG D 0 EXCEEDING STATED SPEED LIMIT 4 D EXCEEDING REASONABLE SAFE SPEED LS D 0 0 D 0 D 0 0 0 DID NOT YIELD TO VEHICLE 5 0 DID NOT YIELD TO PEDESTRIAN OR SICYCUST D 0 IMPROPER PASSING 1 0 FOLLOWINOTCOCLOSELY 2 O OVER CENTER LINE 2 D FAILING TO MGNAL OR IMPROPER SIGNAL 1 0 PRCPEA TURNING 1 D IM PROPER U TURN 0 p DISP[OAPDIHO STOP AND aO LIGHT 0 0 DISIEGARON. STOP AKIN OR FWNINGREO 2 D DISREGARDING WARNING SIGNAL 0 0 APPARENTLY ASLEEP 2 0. ,ROPE R PARKING LOCATION D D OPE RATING DEFECTIVE EWIPMENT 1 0 IHATTEN110N B D ALL OTHER VIOLATION! 1 0 TOTALS 64 D fB F H% _ r n 11 -c K '+Q d ?'??JiJr k r t?' Y 1 ? 1 u?y, b ? ; ?Y J I ^! Y f? Itbr? ? T'S 7N' Y 1 ? 1 ? . _ 'yv?? V a S }'? ? l? ?, l T 1 , I !! LL'y`e I J -.,7 p?k?? f , ? f 1{ w zt f?"!vJ.15" t l * Y1 J XI s r , T I 7 I J 4 ?' ? 2 N' W>? ??? p ? r L h jf$411 r ,f A t. y ° ? ? 1 a ? /I ? ? T { t y ' ? ?y' -?. ? ,y ?iT'kl} I tlg w, 9 ,. f ? I I .?J I ? !Y ?'?VJCC I 1 1 1r f e r i. / l I ; y ? 1 , 1 : + ? ? I t 7 iI .1 rt ? I f' 1 t t ' ...?1 I ' IIIT ?jE 1 ?i4c S f .7 t ? _ 1 r T 1 f r `L I ? .b ? I L It ? I R N Lj • FIGURES REFLECT INVESTIGATED ACCIDENTS ONLY PREPARED BY. RECORDS UNIT WASNINGTON STATE PATROL iuz to ° o to e c I°a ~i rl i i. oI o ^ to .?. to ?I C 1- m 6 a. o o ?,_ ° I I?u °!? 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' ?" 551 i, 1 I tl [ 1 1 6?ft??{ ?r 4ry a ,ti 1 ? l 1 "u7F{, ? } Sri ,( '"? ?- 1 4 M STATE OF WASHINGTON SUMMARY OF MOTOR VEHICLE TRAFFIC ACCIDENTS *'*1986** URBAN RURAL TOTAL NUMBER OF REPORTED MOTOR VEHICLE ACCIDENTS 74,328 48,590 Property Damage Accidents .................. 48,376 27,794 Injury Accidents ........................... 25,762 20,328 Persons Injured ............................ 36,304 30,403 Fatal Accidents ......................... 190 468 Persons Killed ............................. 201 513 STATEWIDE 122,918 76,170 9 46,090 66,707 658 714 STATUS OF PERSONS KILLED Drivers..... 83 270 353 Passengers.. ... ........................ 37 138 175 OCCUPANT RESTRAINT: Used: 62 Not Used: 414 Not Stated: 52 Pedeetrians ................................ 42 52 94 Bicyclists.. ............................ 6 6 12 Motorcycle Drivers ......................... 28 43 71 Motorcycle Passengers ...................... 5 4 9 HELMET INFORMATION: Worn: 41 Not Worn: 39 Not Stated: 0 RECAP OF TOTALS - PAST YEARS TOTAL REPORTED TOTAL MOTORCYCLIST ACCIDENTS DEATHS DEATHS 1986 122,918 714 80 1985 120,056 759 82 1984 111,655 762 72 1983 106,597 705 77 1982 100,644 757 108 1981 111,993 872 i01 1980 113,751 985 120 1979 118,686 1,034 119 1978 116,923 1,006 114 1977 119,058 927 75 1976 120,864 825 61 1975 120,635 771 51 1974 106,242 761 58 1973 105,515 776 36 1972 101,002 855 43 ? r r ' 'of Yw r I I It ,y+ { 91iv J' ` 1 0 COMPARISON OF MOTOR VEHICLE TRAFFIC ACCIDENTS ECONOMIC LOSS & MOTOR VEHICLE TRAVEL st1986Yt The following data are based on motor vehicle collision reports received by the Records Section, Washington State Patrol, Olympia, Washington. There were 122,918 reportable motor vehicle traffic accidents in the State of Washington during the year 1966. This compares to 120,056 for the year 1985, an increase of 2,862 or 2.4%. Fatal accidents increased to 658, 0.3% above 1985's total of 656. Injury accidents increased to 46,090 or 3.9% above 1985's total of 44,373. Property damage accidents increased to 76,170 or 1.5% above 1985's total of 75,027. Persons killed decreased to 714, 5.5% below 1985's total of 756. Persons injured increased to 66,707.or 4.5% above 1985's total of 63,806. The economic loss attributed to the 122,918 reportable motor vehicle - ' traffic accidents in the State of Washington totalled an estimated $639 million, which represents an increase of 3.2% as compared to 1985. Motor vehicles travelled 36.416 billion miles in the state during 1986, an increase of 7.2% in contrast to the 1985 total of 33.978 billion r, ;c miles. The motor vehicle death rate for 1986 was 1.96 deaths per every one hundred million vehicle miles, which represents a decrease of 12.0% compared to 1985's rate of 2.22. The accident ratio statewide was 1 fatal accident for each 70 injury accidents and for each 116 property damage accidents. The ratio for rural areas was 1-43-59. The ratio for urban areas was 1-135-255. One person was killed every 12 hours and 15 minutes in motor vehicle traffic accidents. Injuries averaged 183 per day. The population in the state increased 0.8% in 1986 for a total of 4.420 million. The number of licensed drivers in Washington increased 1.6% m in 1986 to a total of 3.029 million. STATEWIDE TOTALS - 1986 DRIVERS DRIVERS DRIVERS IN ALL IN FATAL IN INJURY ACCIDENTS ACCIDENTS ACCIDENTS DRIVER VIOLATIONS (Top 10) ** Failure To Yield Right of Way 23,946 52 8,705 Inattention 21,105 57 7,097 Exceeding' Reasonable Safe Speed 19,694 136 8,802 Under Influence of Alcohol 9,336 306 5,081 Following Too Closely 8,854 2 4,034 Disregarding Stop Sign/Signal 7,547 53 3,567 Exceeding Stated Speed Limit 4,726 144 2,489 Improper Turning 3,866 5 849 Operating Defective Equipment 3,839 33 1,580 Over Centerline 2,707 93 1,375 CONDITION OF DRIVER (Sobriety) ** Had Been Drinking Ability Impaired 9,335 306 5,081 Had Been Drinking Ability Not Impaired 3,695 51 1,827 Had Been Drinking Sobriety Unknown 5,097 13 2,248 Had Not Been Drinking 129,372 546 54,486 Not Stated 16,874 35 4,917 SEX OF DRIVER Male 129,837 732 49,438 Female 74,028 210 30,061 Not Stated 10,644 9 1,916 RESIDENCE OF DRIVER Local Resident 175,653 758 68,907 Residing Elsewhere in State 18,602 133 7,261 Non-Resident of State 7,138 50 2,564 Not Stated 13,116 10 2,683 AGE OF DRIVER Under 16 746 5 309 16 - 19 Years 28,770 154 11,739 20 - 29 Years 60,668 316 24,939 30 - 39 Years 43,105 201 17,375 40 - 49 Years 22,920 95 9,055 50 - 59 Years 14,479 64 5,516 60 - 69 Years 10,809 52 4,051 70 Years and Over 8,055 53 6,904 Not Stated 24,957 11 5,573 **Drivers in investigated accidents only C STATEWIDE TOTALS - 1986 TOTAL FATAL INJURY ACCIDENTS ACCIDENTS ACCIDENTS WEATHER CONDITIONS Clear 95,284 554 36,038 Raining 22,600 74 8,384 Snowing 2,283 8 627 Fog 2,751 22 1,041 SURFACE CONDITIONS - Dry 81,659 484 31,314 Wet 33,983 142 12,603 Snow 2,919 11 779 Ice 4,357 21 1,394 LIGHT CONDITIONS Daylight 78,307 283 28,881 Dawn 1,946 12 717 Dusk 4,252 18 1,531 Darkness Street Lights On 24,252 121 9,044 Darkness Street Lights Off 872 4 314 Darkness No Street Lights 13,289 220 5,603 ACCIDENT LOCATION Interstate Systems 10,606 58 4,164 Other Limited Access 2,290 16 916 U. S. Routes 4,814 69 1,808 State Routes 19,449 171 8,159 County Roads 27,066 214 11,455 City Streets 57,937 120 19,300 Other 766 10 298 TIME PERIODS 3 AM - 7 AM 6,269 64 7 AM - 11 AM 18,733 60 11 AM - 3 PM 28,319 99 3 PM - 7 PM 37,582 135 7 PM - 11 PM 18,645 143 11 PM - 3 AM 13,370 157 WASHINGTON STATE PATROL MOTOR VEHICLE ACCIDENTS BY COUNTY STATEWIDE-URBAN AND RURAL = s 1986 tt:?ictt• ;:1 7:r ,:; PROPERTY DAMAGE COUNTY TOTAL ACCIDENTS FATAL ACCIDENTS!: FATALITIES INJURY ACCIDENTS _-__°_------------------------------------- INJURIES ----------------------- ACCIDENTS ---------------------- ---------- '--•--""•-- ---- :: "--• ---•------------___" URBAN :RURAL : TOTAL '- -•__-_-_-__----- ::URBAN:RURAL! TOTAL! :URBAN:AURAL:TOTAL:!URBAN :RURAL :TOTAL :ccc^::o:::..cc::ccccc:ccc:..cc:o:acoc oococ:c: r o ::URBAN :RURAL :TOTAL :occc.cc0°'''--••-----_ ::URBAN :RURAL :TOTAL ...--• ............... .ADAMS ' 1: :.cc::o::::::°:v 82 : 277 359 °• °° :: o::: :: 1 : 10 : 11 :: 1 : 11 : 12 1: 27 119-: 146 ----------•---°•----------°°---------"------ :: 39 : 191: 230 --------""------------- 54 1 148 1 202 °•--•-------°"------ ----------- :ASOTIN ' "-- : --------------- -"- 148 : 102 : 250 ------------ :: 0 : 1 : 1 :: 0 : 1 : 1 :' 42 : 38 : 80 •-"--""--------- :: 69 : 52 : 121 -----------°'--------- :: 106 : 63 : 169 "--°°------------- :. , ----•-°"-- :BENTON - - :: --------"------"----- 1614 : 584 : 2198 ---------------------•"-°______------- --- :: 7 : 13 : 20 1: 9 : 15 1 24 :: 495 : 236 : 731 :: 689 : 364 :.1053 - 11 1112 1 335 : 1447 ' - '-"----°° ---" -"------------ --------- --°__ _-_--- ___---- -"----- -'°- -------- ------- -""--- ----- "---"------ --------------- ----"----____ __-_-- _... :CHELAN 663 :-720 : 1383 0 : 6 : 6 :: 0 : ------- 10 : -"--- 10 ___----- 183 : ------- 257-- -_ --440 --_--259___ -410-_- 669___ _ 480--- 451-: -- - - 937 : ---------- :CLALLAM ' ----- :1 -------------- 619 : SB2 : •------- 1201 -"---- 1 : ----•- 8 : ------- 9 :1 --- l : ------- 9 1 ----- 10 1s -------- 182 1 ------- 200 1 ------_ 382 -_•-- :1 245 : ---------- 303 : 548 :: -•------------- 436 : 374 : ------------' 810 : --- - __-------- :CLARK ' ----- -------------- 1732 : 2549 : --------- 4281 : ----- 5 : ------- 19 : --- 24 :: 6 1 ° 20 : __- 26 :1 ------• 622 : 1151 1 .1773 ------------------• :: 872 : ---------- 1758 : 2630 :: 1105 1 1379: 2484 : -----°_-------------------•- -' . - ! --- "- :COLUMBIA. -°° :: -------------" 27 : 63 : -- --- --------' 90 :: --------- •---- 0 : ------ ------- 0 : ------ ------- 0 ': ------- ---- 0 : ------ °_ 0 : ------ 0 :: ------- 8 : ------- 28 : ------- 36 ----- :: 10 : ---------- 45 : 55 :: --------------- 19 : 35 : -------------- 54 : ----- ---------- :COWLITZ ----- :: ------ --- 1225 : 610 : - ---- 1835 :: --------- 4 : ------ 7 : ------ 11 1: ---••- 6 : ""---- 8 : ------ 14 :: -- 448 : 257 : 705 11 623 : 384 : 1007 :: 773 : 346 : 1119: - .,. . i-------"-- :DOUGLAS ' ----" :: - ----___- 0 : 472 : 472 :i --- 0 : •----- 8 : "--•-- 8 :: ------- 0 : -"-"-- 8 : -"-•-_ 8 :: _--•___ 0 : -"---•• 173 : "•--"- 173 ----- :: 0 : -"-------- 271 : 271 :: ---------"__-__ 0 : 291 : _-•"-•••------ 291 : -"-- , .,7., __________ :FERRY ____" •"""--•"------ 0: 127: ------ 127:: 0: 4: 4:: 0: 4: 4:: 0: 52: 52 :: 0: 76: 76:: 0: 71: 71: :FRANKLIN 1: 759 : 252 : 1011 :: 2 : 3 1 5 1: 2 : - --- 3 1 ------ 5 :1 ------- 236 : ------- 85 : ------- 321 ----- :: 344 : ---------- 124 : 468 1: ------•-------- 521 1 164 : ----------"--- 685 : •----: : ---------- !GARFIELD --••---°° ----- :: -•-- -"-----"-----• 0 : 69 : -------"--"""- -------•- 69 :: --•--•--- ------ 0 : -"---- "----- I : ------ ---•--- 1 :: ---"°- - - 0 : ------ I : -•---- 1 : •---"'- 0 : -•---•" 33 : "-•---- 33 ----- :: 0 : ---------- 44 : 44 :: ----------°••- 0 : 35 : ----------•--- 35 : "---: : :GRANT ' " " ° :: -- 438 : 572 : -- ----------- 1010 1: --------- 2 1 ------ 15 : ------ 17 :: ------- 2 : •----- 16 : -___-- 18 1: -•----- 140 1 ------- 224 : ------- 364 ---__ :: 193 : _-_______- 370 1 563 :1 ___------------ 296 1 333 1 -------------- - 629 : --•--' " •--- -- - - :GRAYS HARBOR:: '_ - 868 : 846 : - 1714 :1 5 : 13 : 18 1: 5 : -___ 16 : ._---- 21 :: ------" 199 : -•---"- 381 : ------- 580 ----- :: 276 1 -"-------- 595 : 871 :1 664 : 452 1 ------------------"------"--- 1116 : ---""' _________ :ISLAND ---------- _____ : ----- _°° -------- 202 : $61 : -------------- -------•- 763 :: --------- -__.__ 0 : ------ ____-- 5 : ------ ------- 5 :: ------- -- 0 1 ------ 5 : ------ 5 :1 ------- 59 : ------- 215 1 ------- 274 ----- :: 92 : ---------- 320 1 412 :1 --------------- 143 : 341 : -------------- 484 : ----- :JEFFERSON :: 101 : 316 : 417 :: 0 : 3 : 3 :: 0 : 4 : 4 :: 33 1 140 1 173 :: 43 : 209 1 252 :1 68 1 173 : 241 : ---------- ----- -------•----__ _________ .___._ ___--- ---°'_ ____'_ ______ _-_-___. -----_ °°--- ----- ------""-- ---------"----- ------__--•-"- -----: 'KING ::34096 :12429 : 46525 :: 87 1 69 : 156 " 92 72 : 164 ::11873 : 5073 :16946 ::16583 1 7379 :23962 ::22136 : 7287 129423 : :KITSAP :: 1275 : 2069 : 3344 :1 5 1 15 : 20 :: 6 : 16 : 22 :: 430 : B83 - 1313 ._ 568 1 1322 : 1890 _._840 : 1171 : 2011 ; ______________________________________________________ ... ' 1KIITITAS :: 226 : 941 : 1167 :: 0 : 12 1 12 :; 0 : 12 : 12 :: 45 ' 318 363 64 , 500: 564 , 181 ' 611 ' 792 : ------------------------------------°"------------"°°----------------- _----_ --__--• ----__ ----° -"- : ,KLICKITAT :: 23 : 296 : 319 :: 0 : 4 : 4 is 0 : 4 : 4 i1 6 : 124 , 130 :1 7 , 177 : 184 :: 17 168 : l85 : loall '-----------------"----------------------------------------------"-----------------------------------"----------------------•----"----------' Page 1 p N + ? 4"P- ? fad ao-wn?Na ?{WT¢ ?t# 4 H, t y .?tXk., dfft>IR .-5h: RiYA yo,?u ! ??, 5 r ? ?? ? {}??^ ? • J{ r5 ? t "1 +}? 7 5 5 r Y ? 1 I 4 ti r, ? ? tG ? ?u " 4 qq ?. 1 1 ,, . ?. - 77 r•. ... , t,e N r i1. R { A r : RECEIVED 3 1987 WASHINGTON STATE PATROL APR MOTOR VEHICLE ACCIDENTS BY COUNTY FFERSON COUNTY STATEWIDE-URBAN AND RURAL 1986 JE GINEERS OFFICE EN PROPERTY DAMAGE m COUNTY 1: TOTAL ACCIDENTS :i FATAL ACCIDENTS:! FATALITIES :1 INJURY ACCIDENTS :i INJURIES ACCIDENTS :,URBAN ,RURAL ? TOTAL 11URBAN: RURAL :TOTAL11UR8ANIRURAL :TOTAL ,:URBAN :AURAL :TOTAL URBAN :RURAL TOTAL 1rUABAN ?RURAL :TOTAL , ..........................................................................................! 1LENIS :: 614 1 836 1 1450 :1 1 1 15 1 16 11 1 : 16 1 17 1: 191 1 363 1 554 .._....°..._ 11 278 : 527 : 805 11 422 1 458 : B80 __.._...._.___..._-----.__.._._.__._.___._..i i ........... :LINCOLN ... rr °---•----°__._...._._. 0 ; 189: 189 11 '•---- 0 ; ------ 8 ; ___.... 8 :1 _..... 0 ; - -- __..._ 9 : ------ .._.__. 9 1: ------- ...°. 0 87 ; 87 ------------------- 11 0 137 ; 737 11 0 94 ; 94 ; -------------------------------------------- ----------- :MASON ---- : - ----------------------- 185 : 511 1 735 :: ------ 0 : ------ 10 : ------- 10 :: ' -- - 0 1 ------ 12 1 ------ 12 :1 -"'--- 55 : 236 : 291 --'......_._°----- :i 74 , 361: 441 1i 133 : 301 1 434 ? --------•----------_..------------•--___...- -.___°°__ IOKANOGAN .. _ 1 : ..............°••°--- 62 : 620 : 682 1: -°___ 0 : ..__.. 10 1 _...._ 10 11 0 : 13 1 13 :1 20 1 241 1 261 ___.-----__ 1 ! 29 : 398 1 427 :1 42 1 369 : 411 1 ___'°--___._.__....__.___.._.._._.___....__i r..__------- PACIFIC r • ... :1 ....................... 48 1 319 1 367 11 ...... 0 1 ...... 1 : ....... 1 :: ...... 0 1 .__... ...... 1 : ._..__ ....°- 1 11 __..... ---.___. 14 : 121 : 135 _.___...____....._. 11 18 1 184 1 202 11 34 1 197 1 231 _._._._...._.._°.__--......_....----------- _______________ :PEND _____________°'°...._ 0 : 221 ; 221 :: .__._. 0 ; _._... 5 ; ..._.._ 5 :1 0 ; 6 ; 6 ;; 0 ; 81 ; 81 11 0 ; 113 ; 113 :: 0 ; 135 ; 135 ; ------ :PIERCE : - --- 1: 8247 1 6787 : 15034 1: 19 1 35 : 54 :: ---- 19 : ---•-- 37 : ----•- 56 11 3232 1 2968 : 6200 ----------•--------------- 11 4714 : 4370 1 9094 1: 4996 : 3784 1 8780 ; --------------------------------------------i -------- --- ;SAN JUAN : --- 11 -°°°--•----------•-- 0 , 131 1 131 ,1 •-•--- 0 , ---___ 0 ; __- 0 1: 0 ; ----- 0 1 ------ 0 :, ------- 0 ; 53 : 53 ------------------- ;; 0 , 76 1 76 ;1 0 , 78 , 78 , ------ '------------------------------------- ------------ 1SKAGIT r --- it ----------------------- 891 : 974 1 1865 :i ------ 3 : ------ 14 : ------- 17 :1 ---- - 3 : ------ 16 : ------ 19 :: ------- 293 1 408 1 701 -------------------- 11 411: 624 :1038 1i 595 1 552: 1147 : --------------------------------------- ---'1 ------------ 1SKANANIA : --- :, ----------------------- 0 1 182: 182 ,: ------ 0 1 ------ 1 1 --- 1 :, 0 1 - -- 1 1 ------ 1 ,: ------- 0 1 81 , 81 ----.-.------------ „ 0 1 122 , 722 ii 0 1 100 1 100 , --------------------------------------------: ------------ SNOHOMISH : --- :, ---------------------- 5861 , 4368 , 10229 1, ------ 14 1 ------ 30 1 ----•-- 44 1: . . -- - 14 1 ...... 31 : ...... 45 11 2065 : iC46 ? 3911 .................... ._.. i1 k916 ? 2695:5611 ii 3782 1 2492 i 6214 , ----------------------------------- 1 ............ :SPOKANE : ... :1 ....................... 6984 , 3271 1 10258 11 ...... 20 : ...... 46 1 .... . 66 1: ..° 20 : --._. 50 , __•°- 70 1; 1590 : 14?:: , 4,-•i0 ------°-__.•...__....__.__ 1: 3604 1 2116 , 5860 :1 1374: 1178 :6152 ........••°_.......---....---°------._....-1 ............ :STEVENS 1 : ... ii ....................... 71 , 394: 165 :: ..°-- 0 : ---... 11 i ..._ 11 1; .. 0 : ....._ 14 ? ...... 14 „ ._..... 11 : 153 : 1'Ir :1 22 i 218 , 240 11 54 : 230 1 284 .._.....__.._......_..........--......................__.._....i ............ 1THURSTON r ... 11 ....°_._..........__.. 1200 : 1116 , 3616 :: ...... 4 1 ..._.. 17 , ...._ 21 11 . 4 , ....._ 11 : ._.... 21 ?1 ...._.. 701: 668 : 736" ......_.._.____..... „ 1006 , 1002 , 2008 :, 1495: 161 : 2256 ....._....._........_....r.........._...... ............ :NAHKIAKUM r . . ... :, ..................°_.. 0 : 90 , 90 11 . ...... O i ..._.. O i ...._. 0 ii O i ..... O i ...... 0 ii ....... O i 36 i 36 ................._.... ii 0 1 SO , 50 :: 0 , 54 , 54 ......_._............_......................1 ... .... ... 6LLA WALLA r . ... :, ............... ....... 651 : 317 , 992 ,: ...... 1 : ...... B i ....... 12 1s . l , ..... 10 1 ...... I/ ,: ....... 791 , 15, 1 .'.25 ................... 1i 273 , 205 i 478 ii 456 , 199 1 655 , ............................................i .... ....... 1NHATCOM : ... :, ....................... 1508: 1095 1 2603 ,: . ...... l : ...... 11 : ....... 12 11 . I : . Il , ...... 12 :: ....... SOS 1 477 , 982 ................... „ 706 i 728 : 1431 1: 1002 , 607 : 1609 : ............................................ ............ ::WHITMAN ... „ ........... ........... 344 ; 310 , 714 ,: ...... l ; ...... 2 , ....... 3 „ ..... 1 ; 1 , 3 11 91 ; 773 , 261 ..... 11 718 ; 256 , 311 ,: 249 ; 795 ; 444 ............................................ 4 ........... IYRKINA . .. ... 1, .. ....................... 2561 1 1969 1 /530 1: ....................... ...... 1 : ...... ...... 18 1 ...... ....... 32 :1 ....... ...... / : ...... ...... 32 1 ..... ....... 36 11 ..... .............. 766 : 165 1 1531 .................. 11 1066 : 1261 1 2327 1: 1791 : 1176 :2967 1 ............................................ ....... . . ,TOTAL . :17 4328 118590 1122918 li 190 1 468 : 658 :1 201 1 $13 1 714 112 5762 :20328 :46090 1136304 :30403 :66707 1148376 :27794 176170 P49e 2 { ry 1 T ,+Y? 7 N'?L >kr?.f 1? Y 1 11 N' { Y ?7X K d r ^.'.Y• 1... k 6k 1 ?"?"7 7'?t., ., + fRNW 1 > - ) •'. .t/Jwl aWp, 1 r rw l?. Y )Jy ` 1 r 1 r , r.1 \ ? x1, nr ? ??11r! t 1 •??_ - r ALL y 'h y4 ` b ?? .21 i a? ?LL a .MI NI 1 9 ? ® I • v I I ? i aJ ? ` I" 34 L `' a • FIGURES REFLECT INVESTIGATED ACCIDENTS ONLY • PPCPAREO BY'. WASHIINOTON STATE PATROL AR ND. n Sig: NU MBER OF ACCIDENTS NUMBS OF PERSONS SAME P ERIOD LAS TYEAR TYPE OF MOTOR VEHICLE NON PROPERLY TOTAL T YPE. INJUN Y NO • TOTAL PER SONS ACCIDENT TOTAL FATAL FATAL DAMAGE KILLED 1 JURED T,. '•NU ADL,H +•V5Y INJUNY ACCIDENTS NILIEO INJURED 2 OVEAT.N.I.G 63 1 32 30 1 46 V 211 9 47 4P. 1 40 ? z? OTHER NON COLL 8 1 4 3 1 4 2 2 0 9 3 0 1. PEDESTRIAN 0 U 0 O a a 0 J C 0 2 1 1 M.V. NI TRANSPORT: 114 1 52 61 2 103 16 43 44 162 .90 4 84 G ? M.Y. ON OTHER ROAD 0 O 0 0 0 0 0 a 0 0 0 0 0 p PARKED M.V. 5 0 0 . 5 0 0 0 0 a 7 .. 4 0 4 i RAILWAY TRAIN 0 0 0 p 0 0 0 0 a 0 0 0 0 •a PEDALCYCLIST 3 0 3 0 0 3 0 2 1 3 .? 1 0 l M ANIMAL 20 U 4 24 a 6 0 ' 2 25 26 0 0 3 FIXEDOWECT ' 152 1 74 77 1 97 15 45 37 101 132 1 90 3 OTHER DEJECT . , .. 1 0 a 1 0 a a 0 a L C 0 0 TOTAL _j S ,..,._ 374 I 4 ...169 201 5 259 42 124 53 355 .306 ... 7 .221 INTERSTATE SYSTEM. , 0 . 0 0 O 0 0 0 0 ., 0 0 . a 0 0. OMER FULL CONTRO „ L 0 0 O 0 0 0 0 0 a a C O 0 $ u.a ROIRE NO. `; 143 2 64 77 2 S6 19 38 39 128 110 5 `73 MATE ROUTE NO 74 1 35 38 2 55 8 25 22 75 64 0 32 ;5 g c.unrv ROno '147 l 65 81 1 LOl 13 56 32 147 - 111 2 _.lll clrvsTREET 0 0 _.. 0 0 0 0 0 0 0 0 0 0 0 oTNER TRAFFIC wAV S "- 10 0 ? 5 5 0 7 2 5 0 5 L1 0 5 TOTAL S - 374 151, 201 5 259 42 124 93 355 306 7 221 AGE OF TOTAL PE RSONS PEDES TRIANS PEDALC YCLISTS NI/ER OF TWO TOTAL FATAL CONDITION OF DRIVER IN TOTAL IN FATAL CASUALTY KILLED I NJURED KILLED INJURED KILLED INJURED M. V. COLLISION ACCIDENTS ACC. SOBRIETY • ACCIDENTS ACC. ODT004 0 1 J 0 0 0 HEAD ON 7 0 HAD BEEN DRINKING OST000.,, 0 a .. -. 0 ., 0 0 0 REAREND 27 O ABILITY IMPAIRED 33 0 t0 TO IA 0 . , 9 0 0 0 2 ANGLE 21 C HAD BEEN DRINKING 1S TO 0 . 34 0 0 0 0 SIOESWI PE-MEETING 20 0 ABILITY NOT IMPAIRED 12 1 IO TON 0 36 0 0 0 1 SIDESWIPE-PASSING 5 0 NADBEENORINKING ZT031 0 ' . - 52 0 0 0 0 ALL OTHERS 39 1 SOBRIETY UNKNOWN 21 0 35T044 1 44 0 0 0 0 NOTSTAtED 0 a HAD NOT BEEN - .STO61 2 : 130 0 0 a 0 DRINKING 327 5 ITC eN 2 16 0 0 0 0 TOTALS 119 1 DRINKING NOT aloll 0 , .,. 16 0 .-0 0 0 , STATED r 12 0 T! S OLDER O 3 0 a 0 0 BACKING 5 NOT STATED 1 0 1 30 0 0 0 0 TOTAL DRIVERS 405 6 TOTALS 5 2 SS 0 0 0 3 TIME MON.IMIITNuRS. FRIDAY SATURDAY SUNDAY CONI tBUTINGCIRCUMSTAIICES IN TOTAL IN MEAL XOUP REPORTING ALL FATAL ALL FATAL ALL FATAL ALL FATAL C ACCJD(NIe ONLY • A ACCIDENTS ACCIDENTS Q MIONIO`If O L 0 L U 2 O UNDER INFLUENCE OF ALCOHOL 33 0 '>.w 5 0 0 0 4 0 2 0 UNDER INFLUENCE OF DRUG '. a 0 y 20O 2 ,D 0 0 0 C a EXCEEDING STATED SPEED LIMIT 18 0 y '. aD0 • '. '-' 4 0 . O 0 4 0 1 0 EXCEEDING REASONABLE SAFE SPEED 127 2 4 ..Am .; 2 0 a 0 a a 0 0 0 0 . .s.. so ... 1 a 0 0 3 0 C U ., .. ,_ ,.,. .. .... 0 0 e. (Loo 4 0 5 a 0 0 2 U 0 0 a,...m. 0 '. 5 0 0 0 1 0 :_ ._ ,., .;. ;; .,..... 0 0 "am S 7 C 7 0 3 0 3 a DID NOT YIELD TO VEHICLE 21 - 0 . R" ODD '.' 6 0 3 1 1 0 1 0 DID NOT YIELD TO PEDESTRIAN OR BICYCLIST , 1 0 It 1000 ' 12 1 4 0 0 0 4 J IMPROPER PAS51NO 12 1 . )L' TIOO 14 C 0 0 3 0 3 0 FOLLOWING TOOCLOSELY 10 0 12 1200 17 0 2 0 3 0 6 0 OVER CENTER LINE 19 1 ly- 1100 21 0 1 L 0 4 0 3 a FAILING TO SIGNAL OR IMPROPER SIGN AL 1 .. 2 0 IA,te00 . a 0 2 a 7 0 1 0 IMPROPER TURNING 6 0 IS00 IS . 16 2 ... 5 0 2 a 3 0 IMPROPER U TURN '. ... .• 1 0 - . , ' Lam It 14 0 3 0 4 0 2 J DISREGARDING STOP AND OO UGMY a 0 . 17 , • (T00' 9 O R O t U C O DISREGARDING STOP SIGN OR FWNINO R[0 T O . , IE tyCO 10 0 5 0 3 a 1 O OIBREGARDINO WARNING SIGNAL 3 0 1C^. 11000 8 C 1 0 3 0 1 0 APPARENTLY ASLEEP 14 0 M E000 A O 2 0 3 0 5 0 IMPROPER PARKING LOCATION 0 0 EIS; IT G0 $ 0 4 0 3 0 3 U OPERATING DEFECTIVE EONPMENT 20 0 it, "GO 3 C 4 0 4 0 l 0 INA"[NNON 47 0 n SEED '...4 0 2 a 0 0 1 J ALLOTHEMMOLARONS - 6 l ?Aal nANe TOTALS 174 ! 7h I 6C 0 46 0 'TOTALS 347 5 i ICI .,\.. , r. y P' Ll '_ .A I-y L ?I'S tl ? I f I?I I I { 1 ,`7 ? r? ? t II I 1:r\ k 1 , ?, + 5 I ? T 7 1 f. L I y _ I . Ir 'TAI 1/ J ? H, g J it ? yp ? r 4 ? ' T I I 1 I I ? ', a ' .il r r ,6 r YI s I I ' if 7 '?+r r 1 x 1 ? _ 4 R5R , , ? I L ' ? ??? ! } J l - I T r u.Nl STM . ' _.. .,.' r IPC7 s!m . r _h i ® -•''^ STATE OF WASHINGTON SUMMARY OF N40TOR VEHICLETR AMC, COLLISIONS CITY COUNTY Jr'. FF EP.5oP1 pOR PERIOD OF IH1)'N ALI DI/OI-06/70.1905 j 9 r a g' ?l I t I ® I A I L 1 1 ? I O t 1 I ® • FIGURES REFLECT INVESTIGATED ACCIDENTS ONLY PREPARED BY: RECORDS UNIT i M NO. IP 5132 WASHING TON STATE PATROL „ ?yI 111-1 N UMOER OF ACCIDENTS NUMI.C N OF PEISON• _ SANE Pf RODLASTVCAN MOT -]A VEHICLE ACCIUEfIt TOTAL FATAL NON PRnPERIY OtAI TOTAL "IEUP NJU - ' I I+ PERSONS FATAL OAM GE AILLFG INJUflEO p cAU. T? i I _ (. K.?-Iii IN J9Y `ALC DENIS KLLEO INJURED :- 111 HNIOG 24 C 11 13 0 14 2 it 4 1 T C 0 0 _$ oncn NoncoLJ_, .. 3 Q 2 1 0 2 2 O 0 3 0 0 0 PfceslfluN O O 0 O 0 O 0 0 O D O O 0 D ALL,,, TMN9PoRT 48 0 24 24 D 50 q 20 21 74 C 0 0 WV. ON OTHER nOAD O 0 O D O O O O D O O P Pa,AM.V. 2 0 0 ? 0 0 0 0 O 4 0 0 0 z nw MarTMW 0 Q Q 0 O O 0 0 0 O C O 0 PEDALCYcu9T,; .. 1 O .1 O - 0 l 0 L 0 L 0 0 0 3 ANIMAL 13 0 2 11 0 7 0 2 L 11 C 0 0 $ F.E. OwECT 69 1 33 35 1 42 fl 19 15 41 C 0 0 .THE. CGIECT 1 Q ryr. D 1 J J 0 0 0 1 0 0 0 ? p?. TOTALS 161 T$+D.. INTERSTATE SYSTEM.. .. . 0 0 T3 Q 87 O L O 112 O 21 0 50 O 41 0 152 O 0 0 0 0 0 O OTHER FULL CONTROL Q Q 0 0 0 0 9 0 0 0 C G 0 S - u1. ROUTE No.. .'. 5R 0 - 27 31 0 37 1. 8 IS 42 C 0 0 STATE ROUTE N0. 33 0 17 16 0 31 3 16 12 36 0 0 0 cOU ITYROAD; `y 66 1 27 38 1 42 7 24 11 69 C 0 0 CITY STREET _ 0 C ' 0 D 0 0 0 0 0 0 0 0 0 oINERTMFFIOWAYP 4 0 2 2 0 2 0 2 0 5 0 D 0 TOTALS N. 1 , t n /OE V- TOTALORSON_ PEOES TPIANS I• LCYLUS t_ MANNEN OF is/0 7 DIAL -D1 7 - FATAL CONDITION OF DRIVER r AL INFATAL CACUALTY KILLED I INJURED KILLED IN.IUREO Y.ILL INJURED AI. J•LOLLISION 2 2 41, ACC. =COAIEIY • ACC-DENTS CC. .TO01 0 O O 0 'J 0 HEAD ON O i HADBEEN DRINKING "'o 00 - Q 1 D Q RFA0. I I, ADILItt IMPAIRED t.5 0 IS TO tr 0 3 0 0 n 1 Aral q NADEEENDANXING 111019 0 '. 10 O 0 0 Q EIDED'NIPE_MEETING 1;) ABILNT NOTIAIPAIRED 4 U :OT024 0 23 O O ^ EIDES'NIPE-PASSING 3 I - HAD BEEN CANNING TS TO OI 0 .: ,29 0 G 0 ALL OTHERS ly l SOBRIETY UNKNOWN 7 .) 051014 0 15 0 0 0 NOT STATED 0 1 O "Al NOT SEEN ms/ Z 13 0 ..0 0 0 DAINWNO 145 WI SE e 0 Q 0 0 TOTALS 50 GRINNING NOT . a TO TP .. 0 ...' 7 0 ... .. 0 0 0 STATED 6 0 75 d OLDER O 1 D O O BACKING 1 13 NOT STATES 0 2 - D 0 0 Q TOTAL DRIVERS 177 1 TOTALS 11' 0 'ilk i: u MON.IArp THVRO. FHiOAY _ RAiu ROA EUN DAT ONtu TINnC MSTAN E S 11 T 1 OTAL FATAL R REWrt11N0 I ALL FATAL ALL FATAL ALL FATAL ALL iATAL o .i CU [ ` N OH 4 ACCIDENTS AX-s O-NIGHT 1 D 0 0 0 0 1 ^ UNGERINFLUC'ICEOF ALCOHOL l5 0 I 1. •- LAO 1 0 D 0 2 0 C D UNDER 111FLUENCE OF ORUG O 0 L 100 1 O 0 O 3 O 0 EKLEEDINGSTATED'uPEEOUMR 12 1' 000- . 3 - 0 0 0 2 0 0 7 EACEEDING AEASONASLESAFEEPEED 45 ? '0 AAO 0 D 0 0 0 0 0 O Q P1YI 6" a'.`soP .. D .. o 0 .. 0 2 0 D o - , . 0 0 E. am 1 0 3 0 0 0 0 0 _. 0 0 6 0.00 1 D 2 D A 0 0 2 0 DID NOT YIELD TO VEHICLE 1 1 D •-POD - 1 µ O 3 ?$•', 1 0 L ? DID NOTYIELDTO PEOESTRIANOR BICYCLIST 0 0 NLN 10 5 0 3 D 0 1 MPROPER PASSING 4 0 11.' .11m 7 O ' - O 0 3 0 D FOLLOWING TOO CLOSELY, 4 10 lE. IT00 6 C 1 0 0 O C• OVERCENTERUNE 6 0 15. :nos - ;:- 6 0 4 D 1 0 0 0 FAILING TO SIGNAL OR IMPROPER SIGNAL 2 0 1100 1N. 7 0 C 0 4 0 1 -,A p" TURNING 2 0 ts..„>.aoD _; 7 0 ' - 0 0 ,._ 0 C 2 I MPNDPERUTUgN .. 0 0 1P. law S 0 2 0 2 0 1' rna11011DIIG STOP AND GO LS.1 0 0 11 ?'ITAO ,' 7 O 1 D 1 O O OISREGANOINO STOP 6IGN OR FUONIHG RFD' 1 0 +0. 1000 3 0 3 0 3 O I DISNEGARDINGWAAKING5IGNAL 1 Q to low 3 0 2 0 1 0 APPARENTLYAPLEEP 6 Q N. TOm 3 0 1 0 2 O I I) -ROPER PAINING LOCATION 0 O 51; 0100. ' „ 2 O O O O 0 I Q OPERA IND DEFECTIVE EWmF.NT O O TL nm 0 C 2 0 4 D 01 0 I NATTENNOA 27 0 !' TJAO' it ,.".2 .. D 2 O Q O CI 1 ALL OtKEA VIOLATION$ O lL.gl C1AIf0 .'TOTALS R2 O 10 1 34 C 15 D TOTALS 147 , 1 I?J!n y •. ? O I O I h 1 M ?? ? j HI wp Iw '? I i+ MI I- 1 11- r F- ? II- ?I i, - a] ZO O J Y 2 .SI Z ? 2 ^, v J O J .. C 21 ...? J U Y L ? y RI I T C I ?! I? IY X Y ? > ? I I I T Y > t '). ? .. y o 0 0 0 0 0 0 0 0 o D? r ri of n ? o o n o? o c v o n o 0 ?y I 4° x 'ti° Z D? ? o o ) a? >> ) ? r o N ? ?`I > > I-I o a > r r w T I- r > r Y n ? u o 0 0 0 0 z ° i if n o x' uzi o 0 0 0 ? o ? r 0 0 Ni r a t a a a +- o. r DI r- w z ? ? z ° • p ? i K ? a xl a ? N o° a ? s o LL N H N f 3 r 1 N r LL 2 LL N V?i S W ? O w N y N O O O O NI N VY O N O O O O O N ?5. N N ti S O S 0 v u m o m ? .0. r ? ? N N ? N OI .+ O ?I N ? D p N .+ N O .+ ' F- ` N N u\ v1 a.I N N m N a n -. ? N ? ? r ? m v1 N o v1 m m rv m m m ' w m NI V N N m m U o C\ N ? o .d N r w N m? m h o r ? u V N N u ., u o a o biv ? ? i .J. Y ° .VJ. Y v ? V JI U O O r w w ? $ -'? w a a ? > a o ? w o w cm E u z .. i?:. ?' ) o o uJ o a?, I- ? Q ? m ° it ? ? r ? ;. ?'d w z .? z z .. b? w w .. LL N W w z o o 1?' a ? ? ? s i w z ° ? i s z w u _ y ? u ? x DI = to o F u _ o z s u i ? w a a •z. H u r u w n ¢ N V U v~i OC ` Y J r W [_[ F ?' - 0. = W O W K m e? y w n Z J .1 ° O OC II ? > > O W S ° w 4 ? W Y C i i tYI K 1 v, a z o w c a x w w' jl a° w r w a w a W = ) o o J ?a > ? z z' 'Pmi .- z o o> ? o 'c > o> i- u °I s° °. ? > o m o> ° o > Y- _ 1.0'1 2 > .r N r w N .-1 .n r N .. .. .. - .. .. .-r N N N - .1, .O J o ?- 0 0 0 0 0 0 0 0 ° 0 0 < Y O. O O O O O O O O O O O f - L F U 2 O .+ N O U ? V V .-i O O V ..r r U O V O U q .a U. O U N < p o n o ° o ° ? uni °p n n ° 0 0 q ? o o u°` °o o° N ° q o m W ° v 2 N N m O ,? a n ° ? o N .+ N S N N .+ w Y ;:7 1 'I O N F ? U Cel S. O a. U uw r LL O ? LL ?i d,7j r 'z n ? 3 x n14 z U q a ,°r, ?' ° o n o c o N o o q o > r ..A i ° P P ? P ? o s r aoi u` .c N N ? ? 1 H W C O P C .-r 1? P P P P N q b P N M 1ti ?'? ? ?' ? c P P m v ° o ? a n < o 0 0 ° o o a o r o 0 0 -n+ n 0 o D o o' o 0 0 0 o c o T RR ?? V ?y? 1i Li ? GG q? n n 1. (i a, N 1 n S r V OP P P P m 1 _?>?? ? II.. N N u1 v N N N N IA fr r _R .-ll Z t t.?' K "_ - .f' -r_f'? .i_ :-:,:.;_?'1= _r-•-,? .4-Ir-.r 't. s y? ?.e tit" lplsxfnJf w s ?' ad?1N ti?''fl?rS s ?ra?1. A3: ' e I ?ri t r1i21 x ; rf Ir J.1 m a? a y? y ?? 1? k n ? i I I '; 1 Y t µf i.} / 1 ? a ?' , I} I ? `11 ?? M S r? {. pl?ta i OR ??'??A? la O g`fr?h fAYI. ') ( JtSF V ! I l; ?? 1 1 1k V S «I ? ? P i? p ?jl 4 ? 7 e ? S ? rr ? l ,u H amp w Am, t>v.,` . ?o m O U z t :c N J J ?I 1 N K U Y .? r .rl U O O. > S C O It C I Y 4? N C _ < 4 O n ? h CI LL S O V > r 2 f. W m? W 3 n O r- 2 N H O H O ? t N O " > u U ?? o 5 c u u u a 2 O a o o 0 v HI 0 0 F I N N m rv ., v o v rv u F y( in i N ? u n ? u '° F ?(} 4 r ?' o Z f- N ? W = J ( Z W o .. ? w w 0 . K 6 U U ? = J J I w H .c- H JL w? C r a K ° F ' '' W z s F q Q _ s . 1 r r n o c w a s ? o z ?I v cI v u w u ? o ? u ? ` u ° t; r a N r}. ? o x G > o o w • I N r c z ? :/'R C > H O p • J C 1 O C O. N ' O O O O O N N O •T p V •'( i O O O O ' . . • O O A o q a O O O n ? O ? N O O O O • ? ¢ rs m rw P "y N J J 1 a•w IF O 6 N K C F ? -i?4.C t? f ?7 > V 2 U N ?' LL K ~ u U I W _ f Y( U w N O U (W J N N ? ? p ,O .. U ( . ? _ ?u ? r ? X n N N n 'D ?. 4 ? C ? W O ? O O O o• O p N ? Ulf O O O O O O > N ?? f l :Z Y U r' _ ??x a ? •? ?. V ti U r O N n U O O J ? ?'b T.:? O N N O P .A. y I?r SUMMARY OF MOTOR VEHICLE TRAFFIC ACCIDENTS **1982** #############11################ URBAN RURAL STATE14IDE TOTAL NUMBER OF REPORTED MOTOR VEHICLE ACCIDENTS 58,671 41,973 100,644 Property Damage Accidents ................. Injury Accidents 38,133 24,042 62,175 .............. Persons Injured .. 20,369 17,421 37,790 ........................ Fatal Accidents..... . 28,795 25,994 54,789 . .... Persons Killed . . 169 510 679 ........ .................. 184 573 757 STATUS OF PERSONS KILLED Drivers.. Passengers ....................... ..... . 59 301 360 ............... ..... Pedestrians ..... 42 146 188 ...................... Bicyclists .. .. 46 55 101 .. ........ Motorcycle Drivers 4 4 8 .............. Motorcycle Passengers .... 27 59 86 ................ 6 8 14 HELMET INFORMATION: Worn: 25 ----- Not Worn: 74 ----- Not Stated: 1 FIVE YEAR RECAP OF TOTALS TOTAL REPORTED ACCIDENTS TOTAL MOTORCYCLI ST DEATHS DEATHS 1982 1981 100,644 757 100 1980 111,993 113 751 872 101 5 1979 1978 118,686 985 1,034 120 119 116,923 1,006 114 1 h i .i. L ,? l r, -R I LEA. , COMPARISON OF MOTOR VEHICLE TRAFFIC ACCIDENTS ECONOMIC LOSS, MOTOR VEHICLE TRAVEL & VEHICLE REGISTRATIONS **l982** The following data are based on motor vehicle collision reports received by the Accident Records Unit, Washington State Patrol, Olympia, Washington. There were 100,644 reportable motor vehicle traffic accidents in the State of Washington during the year 1982. This compares to 111,993 for the year 1981, a decrease of 11,349 or 10.1%. Fatal accidents decreased to 679, 14.1% below 1981's total of 790. Injury acci- dents decreased to 37,790 or 9.9% below 1981's total of 41,947. Property damage accidents decreased to 62,175 or 10.2% below 1981's total of 69,256. Persons killed decreased to 757, 13.2% below 1981's total of 872. Persons injured de- creased to 54,789 or 10.3% below 1981's total of 61,083. The economic loss attributed to the 100,644 reportable motor vehicle traffic accidents in the State of Washington totalled an estimated $495 million, which represents a decrease of 5.7% as compared to 1981. Motor vehicles travelled 30.353 billion miles in the state during 1982, an increase of less than 1/10 of 1% in contrast to the 1981 total of 30.346 billion miles. The motor vehicle death rate for 1982 was 2.49 deaths per every one hundred million vehicle miles, which represents a decrease of 13.2% compared to 1981's rate of 2.87. There were 3.317 million motor vehicles registered in the state during the year 1982, a decrease of 2.7% compared to 1981's total of 3.409 million. The registered vehicles exclude trailers and recreational vehicles. The accident ratio statewide was 1 fatal accident for each 56 injury accidents and for each 92 property damage accidents. The ratio for rural areas was 1-34-47. The ratio for urban areas was 1-121-226. One person was killed every 11 hours and 34 minutes in motor vehicle traffic accidents. Injuries per day averaged 150. The population in the state increased 0.5% in 1982 for a total of 4.250 million. The number of licensed drivers in Washington increased 1.5% in 1982 to a total of 2.774 million. February 28, 1983 Accident Records Unit fi # I? E ?? 1 l ry`?? il% "J -, i I . I ? r: I t? 5 I 4 1 r ?}P? ? y V?? 1 rat I - ,._ .-.. w:., ... STATEWIDE TOTALS - 1982 DRIVERS DRIVERS DRIVERS IN ALL IN FATAL IN INJURY ACCIDENTS ACCIDENTS ACCIDENTS DRIVER VIOLATIONS (Top 10) ** Failure to Yield Right of Way to Veh/Ped 18,185 55 7,074 Exceeding Reasonable Safe Speed 15,376 87 6,690 Under Influence of Alcohol 10,379 333 5,301 Inattention 10,167 18 2,724 Following Too Closely 7,905 4 3,492 Disregarding Stop Sign/Signal 5,795 35 2,670 Defective Equipment 4,109 28 1,690 Exceeding Stated Speed Limit 3,007 61 1,486 Over Centerline 1,857 47 863 Improper Passing 1,594 9 534 CONDITION OF DRIVER (Sobriety) ** Had Been Drinking Ability Impaired 10,379 333 5,301 Had Been Drinking Ability Not Impaired 4,049 39 1,993 Had Been Drinking Sobriety Unknown 5,148 51 2,578 Had Not Been Drinking 96,133 489 40,043 Not Stated 14,157 49 4,129 SEX OF DRIVER Male 105,848 720 40,150 Female 55,247 226 22,189 Not Stated 9,832 15 1,726 RESIDENCE OF DRIVER Local Resident 137,924 691 53,515 Residing Elsewhere in State 16,506 196 6,476 Non-Resident of State 5,800 56 2,103 Not Stated 10,697 18 1,971 AGE OF DRIVER Under 16 596 6 244 16 - 19 Years 23,368 143 9,104 20 - 29 Years 50,933 340 20,663 30 - 39 Years 31,880 189 12,940 40 - 49 Years 16,161 109 6,523 50 - 59 Years 12,518 75 4,770 60 - 69 Years 8,866 39 3,282 70 Years and Over 5,896 41 2,153 Not Stated 209709 19 4,386 **Drivers in investigated accidents only STATEWIDE TOTALS - 1982 TOTAL FATAL INJURY ACCIDENTS ACCIDENTS ACCIDENTS WEATHER CONDITIONS Clear Raining 76,723 591 29,229 Snowing 19,690 2,790 74 7 7,261 741 Fog 1,441 7 559 SURFACE CONDITIONS Dry Wet 63,552 526 24,767 Snow 28,524 125 10,516 Ice 3,430 7 894 5,138 21 1,613 LIGHT CONDITIONS Daylight 60,056 269 22,143 = Dawn Dusk 1,501 9 550 Darkness Street Lights On 3,419 22,056 21 136 1,293 8,060 Darkness Street Lights Off 943 5 350 R. Darkness No Street Lights 12,669 239 5,394 ACCIDENT LOCATION Interstate System 7,889 70 3,018 -Other Limited Access 1,846 16 759 U. S. Routes 4,420 77 1,784 State Routes 16,466 170 6,961 t County Roads 22,911 215 9,499 F r`? City Streets Other 46,405 116 15,478 707 15 291 HIT AND RUN ACCIDENTS 9,472 23 1,880 w 3 e ?d T ?awnx?a?}N e M 1 "i nNP waw S 5 c F ( r,: ? ? y ? ?r T( ? i r 5 t ? (A1 J y ?i y ff ? e z 7 ( ?k'? ?7 G ? ,? EY ?a a v 5w °xwa C Ci A M Hqq6 F U C F 0w O N a U U N ? M to O Ol C nIn co l0 n On r-- co lp M O In N ^ ^ Ilj N M ? N u M 1 In O c. O O In N O] co O 00 w N O M N N O a co O W N ? I . V W M q In M' 7 M l?n oo M In N ^ N On In u'1 . N a n ' M On M Ln t? OJ W M O O N ^ O ?z IO O H F y C M u '1 t 7 C b M n m W ' InI1 m O o M O O r O co n U t\ N n t\ LL'1 M li'Y V t\ M W O __ r- N N .--. l0 VJ F I tl V Ow t N M ? co N In N 00 co N M co O _ U o N V 0 M ct V lO M N N N to N n 4Y A H D M H U c 1 , n N M If! co m n N N On d' N t0 !? Ol N In On ¢ ? 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K a w d' 1' K C w 2 In N K 0 0 0 r C V H p D O O O O O p U Z Z N N J J J a a uL ¢ o vi o 0 0 0 z "' w Z _ W w o 0 0 r q??( 7,12 VIP uK ?r "? 70 I s ? tt; b? t1?rA1 x i I rr a -; f r t ''' l r+ I, r r I r i r AY'hlt n ? J rf, 1. ?F , ? S.4 L1 i M Y 4-- b C C C d S l• Z O U U Q C' W d LL h a `n T or J U Z ?-•. W O Z U O U U Q W ? ¢W CO K Q ti p Ql Al, EA, to r-1 00 N M W M N N tf1 I? N N r1 N .•1 O N 4J N -+ Ol M . -a O\ Ol N LLl I •--I N L d . n N d •O „y r = 4- U Z OQ J J V v •.•• M 00 Op O N d• ' 00 M Ln lp Ol In W 10 O _ E .--I lp In N O M an lp to d d• OD d' M O Ol N •--? Ln O\ d' m 1? n Ol N '-I O N n O lc N O L C N M {n N 00 M d• 1? M l1? la) Ol m O] M O .4- Mo. J r Q W iJ ?` ? co co 01 •--? • m 03 ' O d• O N 0 N O In .--I • -i ~ d d .--1 co 0 L N d ? u EE J = 4 U 'o Q S O^ n I? w 01 .^i n 01 d' l0 In O O O Ol M m N l0 O M O O N <0 O O m .•-i O O O - t f 20 C vi rl M N LL9 n N N In M liI n M M M d' M li') lc l!'f V In l0 N l0 CO M N N W Cl 1? > V O Q W J ?.q t0 ' O O1 d' M d. t? O d• ' r--1 t/) ' M r1 N r-1 r-1 L ? d N l0 N In 'c1 N d ^ N d• Gl ? J] E U =V- V Z O,Q U t\ <D O O M n O co w 1? n N O O O > N •r b E N O O In Ol N W Ol d• Ol rn Cl N In d' 7 00 r•1 l0 M 01 M l0 M M M Ol N Ol O In O d' N o L C VI M In M Ol N to co M Ln lI1 O li'1 O\ M d' N 1? > V O ~ Q W J M U J .-? S W /- Q ~ H u U O {U. W U J -' W ? W p L C tn O V7 U W 7 C' W W W d W ? W °a K K H C S W G K M J W O CD :x N O v v Q N E E O m J Z W 4 O y 94 rv.. S = I-- J CD H H - O QQJ J Z O V- C. N O d N C W S ? N g Z Q S 0 . -r O ?• ? p C 0 rv-i _ ?o Z 0.' O W w . .. N In d C Q ?- Q ? U p O U [a v ? ? O S S O 2 ? LL = U E .r^ 1 Z Q F- O] R' O O Q F $ _J J > J J {NQ? J . L. 4 S S 2 W U m m Y E m J dd K H U C 1p- U Y ? itYl d, , ? ? q VI yy ?r?• ? 1 ?y.?t?D ' C ?1 r.. ? i ti f f 1 . +. t rf?Y' X' L. . 1. L N Ol V a E u .4- U N N o 0 M N lp O N '-r N ti N M ti N O co rr6 J Z D Q n ca M N co N m M N Ol In c3 co V .-r ~ -1 O N G/ O v{^i m m H ^ O O c) lD cr n N N M n0 CO W J N a• CF 01 m Ol co co n .--{ O H p M o N n n .-1 n p N N ' s.. w N M ? Q t O a 10. U C J Z o< H W Y O F- W r 2 O "y Ol C\ N Op c o N 1? u7 M p N I' " + 3, .. OM n p ti ^ O o O ' - U Z L C N d o H M tO m w N ct lD tl ? 'a On to M M O co u Q W O U O Q W J ,.y co d' ti O O M W r0 .-•? M ti d W N d C) J N F- ti U Z W O L N 9 O ^ ? O1 N N O N N V .--{ M m N M O N p - Z U al U a j y U . N 4 UQ W Z Z OQ I W tG ¢ V y ,..' o rn B ?° M c o rn tDm °o ` M °o co o o ?n o W L C N > V O ^ O O M ? ^ ttn O W M D V 0 M \ co Q W J n n n co f 3 S t?ti ' t t n4 ?M( J' k M ? Z O ?1F ?' ? 7 WWw..M13 G ?K ?yk 'G• ?? Y S W O K W _ 1 O Y + O O = U ,? r r • Otn W L.7 W 2 H C 1 1 W CJ W O i W N = O c0 C C. Q Q O ? r ?I j+ ?A M U O J m = O o 1 W u ? 2 1 W W 1-- Y W 6 Q C W U 'N .L ,O m Q U W W W lQL Q Q 4 !L L f.7 ~ Z byOj O J "o LL Q taQ. J LL C L J N O Q J J J J O O a LL p O) C , O QJ J _J O ` L K Q _ _ _Q K K f? •. Z cu N ? ' W Cpp N ? 2 K 4' Q w O r? m Z C "" W U QQ K K O U c ? O O H C W co m O p N O Q Q Q C7 O cL W '4 :z O U a tj ca w co r r: i I fY ? 1 ]E aaA ?? n ? t ?F l ,s ? C1' 63? r s \ 1 +'?` M ? ', ?a I, ?Vl r - rh r ? f f - A Yu r w, 1 ?^ r ? cI I ? I '? ? p ?{ 1 I 1 4 rl :! V l5 ,? ni' i! y rll . v} x Rr 1 , NOW C d C } D M V Z c O w d W U V1 d N Y O 1- J U v a° Z U O U, W aW m C W Q m Ol N W 01 C C q g 1 Y ^ "+ ^ ^ O o u'i M ? N co N m m N O C h V N lp Ol Cl L h h ,--I N . i N r = U N = 4- u Z 0.:t J ° d• O O O M O d• m O h M rn 1n M N 1 - Ol E h Ol O O ?- M l0 N - O N O N ,--1 h ,-1 h In m W O t Nil et d' , I 'cf C O rl r-1 In m h l0 WI r% WI O N m N m .--I m M h V' Ol OO O5 V' Ol O W J ~ N r ¢ h O Ol N O h In M m .-1 V1 N h t h W C L . -1 V V) ? h .N-1 !? ,--1 N N ? 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O O a N u O 1 L 1 r Y{ ; ?r f 1 l y 7 LeT .dW J ', HIS 45 r Y j, y?? } `1 ti?f 34 1 ? i ( ? 1 ? f 1 I i 1{ t r ' ? 1 3 q ? l .? ???l S .? 5 t)G? 7 . ! I? 5 r 1 r iY ;1 . "i` ?.i !1? a' b I F- O 2 u Q C W O. W V1 d N Y U Z r-. W O O U U Q W Y ¢W m K 6 ' Ch w N rn C C b oh p f ? ? 1 M th '-I rti ? O N , '? m t0 ti .-I rH ct L d '? v a a 4 u - z oQ J E N O O n V M N O N M ch O ?] O D7 a O O n M N -1 n m O t'7 O m N I? c O c O b O l0 •--1 00 a O N Q W J 1/I N N O I[1 M N M O O •--1 ct O r-1 O G L y Ol L a E u 04 u z oQ J u co O O O co im N m O O O O O O C G) E t 0 V V ' M O C M n V 2 C N O N ct m l0 N N N O v J N Q W IA N "I N .-I l0 N 10 N N m 117 m N M rl C " •--' 1? N L N Ul 'O E u ?w u Z O Q C ] U M O O M O N M O N m M O O Cu • 01 E E N N O to O .••1 co O N O W ^ M m O O O m L c UI lp t0 N m M l0 N 1? N (7 N N CI O . > u o .-1 Q W J W J _U 2 W > C9 J V) "I W w VI VNj w w Y u O H r O U VI 1 O 1' 1 O VI I 1 O cr t 1 O LL J 2 Q x !,j C7 N 2 N 2 N C V O U O V d V W > V) H O N Z w x x d W W > O W = > O W Z > O ?• W O Z +1 V l > U J E o E o f o F o o.u ?° d o W o x r a ? F- F- a O O X > O U r r r r r r 1 r 0 N w O w O U. Z w Ci C' C' C' J J - J J u O ¢ g w w O x x x c r x I - o 0 0 I - 0 0 / "' 0 0 0 W O L J VI Z O O ED .Y = m 1 m I m I co 1 m 1 on 1 m m 1 1 U w w m m q Q w J H O O O O O O O O L. Q O LL W c ? U m Q N N V) V) V) N N 1 VI w x 1' _ rry I F . y ? _ ' ? { i r l?' I F n cl. SUMMARY OF MOTOR VEHICLE TRAFFIC ACCIDENTS **1984** ###############O##11###/fI ##Otl o//Il//I/T/### TOTAL NUMBER OF REPORTED MOTOR VEHICLE ACCIDENTS UROAN RURAL STATEWIDE 66,085 45,570 111,655 Property Damage Accidents.. Injury Accidents....... " . 42,990 25'902 68 Persons Injured " . " " 22,921 ,892 32,53D 19,155 42,076 Fatal Accidents ............. 28,836 61,366 Persons Killed......... " " " ' 174 513 . 182 687 579 761 STATUS OF PERSONS KILLED Drivers ... ........ Passengers 75 317 ................. 35 392 Pedestrians............ ................ 154 Bicyclists........ 46 189 51 97 Motorcycle Drivers..::: 3 8 11 Motorcycle Passengers............ 21 41 11 ..... 2 8 70 62 HELMET INFORMATION: Worn: 38 Not Worn: 34 Not Stated: 0 RECAP OF TOTALS - PAST YEARS TOTAL REPORTED TOTAL MOTORCYCLIST ACCIDENTS DEATHS DEATHS y.?•=;,. 1984 111,655 1983 106,597 761 72 r N> 1982 100,644 705 77 1981 111,993 757 108 1980 113,751 872 101 1979 119 985 1978 110,686 1,034 114 1977 116,923 1,006 1976 119,058 927 114 1975 120,864 825 75 120,635 1 1974 106,242 771 5 51 1973 761 1972 105,515 776 58 1971 101,002 855 35 1970 90,956 876 43 97,486 875 51 45 e ppvv { .pro` 3. a li?H } ? ?? 4 I " + r ?x t- ? ? I r ? ?'u i s .?i t4 ?^q A 1 - ' ia?? Ln{ pp F i c ? ? r,. ?i1 ti COMPARISON OF MOTOR VEHICLE TRAFFIC ACCIDENTS ECONOMIC LOSS, 'MOTOR VEHICLE TRAVEL & VEHICLE REGISTRATIONS **1984** The following data are based on motor vehicle collision reports received by the Records Section, Washington State Patrol, Olympia, Washington. There were 111,655 reportable motor vehicle traffic accidents in the State of Washington during the year 1984. This compares to 106,597 for the year 1983, an increase of 5,058 or 4.7'0. Fatal accidents increased to 687, 8.2% above 1983's total of 635. Injury acci- dents increased to 42,076 or 4.5% above 1983's total of 40,273. Property damage accidents increased to 68,092 or 4.9% above 1983's total of 65,689. Persons killed increased to 761, 7.9% above 1983's total of 705. Persons injured in- creased to 61,366 or 5.2% above 1983's total of 58,317. The economic loss attributed to the 111,655 reportable motor vehicle traffic accidents in the State of Washington totalled an estimated $590 million, which represents an increase of 9.3% as compared to 1983. Motor vehicles travelled 33.340 billion miles in the state during 1984, an in- crease of 3.3% in contrast to the 1983 total of 32.275 billion miles. The motor vehicle death rate for 1984 was 2.28 deaths per every one hundred mil- lion vehicle miles, which represents an increase of 4.651. compared to 1983's rate of 2.18. There were 3.460 million motor vehicles registered in the state during 1984, an increase of 2.6% compared to 1983's total of 3.373 million. These totals for registered vehicles exclude trailers and recreational vehicles. The accident ratio statewide was 1 fetal accident for each 61 injury accidents and for each 100 property damage accidents. The ratio for rural areas was 1-37-50 , . The ratio for urban areas was 1-132-247. One person was killed every 11 hours and 31 minutes in motor vehicle traffic accidents. Injuries averaged 168 per day. The population in the state increased 1.05'. in 1984 for a total of 4.320 million . The number of licensed drivers in Washington increased 3.751. in 1984 to a total of 2.973 million. k rr 1 r S`: y ? X qq ?y.{ y. a ?ty r r (.l t> > .? 1 i i. ti"r 1- t ?? !r 7 a r YApt? ?? t,. 1 r 1 e t f . Y t \? ? ?f r I. ? ? : ail r ? 2 ? b1r .. a i,, i .? fr. qos i ',CYO ? ' 4 r : r Y' r ? G, yt'1, RZ? 1'Y 'y }} C I 1 /. ? n' r? t r- f i I l?' 1 te, 'o ? i r »'. u r y it i, 1 i w } ? N ?? ? hl rfY 1 Y ? 1 i r - _ l,? f ? ??lp v* r 3 tL ? ?4lk?7'??r,, ~?l STATEWIDE TOTALS - 1984 TOTAL FATAL INJURY ACCIDENTS ACCIDENTS ACCIDENTS WEATHER CONDITIONS Clear 84,993 566 32,529 Raining 22,211 101 8,162 Snowing 2,787 6 753 Fog 1,664 14 632 SURFACE CONDITIONS Dry 70,150 493 27,388 Wet 32,854 154 12,123. Snow 3,666 9 958 Ice 4,985 31 1,607 LIGHT CONDITIONS Daylight •71,398 332, 26,367 Dawn 1,589 8 580 Dusk 3,588 11 1,306 Darkness Street Lights On 21,723 110 8,150 Darkness Street Lights Off 831 4 285 Darkness No Street Lights 12,526 222 5,388 ACCIDENT LOCATION Interstate System 9,444 58 3,709 Other Limited Access 2,041 11 856 U. S. Routes 4,730 77 1,932 State Routes 18,235 187 7,708 County Roads 24,620 235 10,379 City Streets 51,836 109 17,197 Other 749 10 295 TIME PERIODS 3 AM - 7 AM 5,503 66 7 AM - 11 AM 17,396 63 11 AM - 3 PM 25,039 111 3 PM - 7 PM 33,459 159 7 PM - 11 PM 16,637 124 11 P14 - 3 AM 12,821 164 i5 r i y ,? !F ! q % .}?' ? ttr. r ' 1 r; t `1'F y F t* h r Y T n r i ;n , ?-7 U fL' H R a<Dz wz H H R 7 T z ¢ a ? O I ? haw xx? 6 > H O v1 O H ?' .- .- h N h D` O W O O M O f? .- fT f? ? f%1 N N ?\ ? OJ .7 M 0\ h \O h M ,D (?1 ,O N O, ,O Ih .T O ,O V\ O - (T M ? N M N ? ? O N ,p DJ O H nl ? c N nl H ro .7 1+, O, d ,O ?/\ Il, ,D O, Y d h ,O O m ? M ?7 M M M N M v N .Y N c?u' U a W U O 6 N O, ?' O N ,O O 1+\ M O O h O M O O ,O O Q] .7 .O h O\ O m m N :l N O M O h .Y ? ro O, ?Y Y M fA 1/, N ?Y ?/\ Ql h O] O, M D\ O, N N ,D N O - h \O h J O, O .7 h m M d ,O O ? O, H M N ti 1 ? O ,O d O. h h ?7 N fD h ,O O M ,O h -! 7 N u\ CO M 7 p? M l? ,O Il\ T M .7 N O\ h .Y M OJ U\ M M N N O\ CO N N M fT 0.i . 10 1" 1 O D\ m O M h O N O O O O N 0\ O fb M N N d ,O O a` O O h M ,O m O N h N h ? O, '""I O] V\ (A ?Y N O M (D O h O ? v\ m f Q 1+ .7 O h ,D H ? :Y O D\ ,O (D M 2] M M h d T ,O ?7 ,O M M M OJ V\ T N 1 N M N M N W H ?, ? A •"1 O D O M N M f U m N ? M T Y \p 7 ? \p O \O M ? h O ?7 ,O ` O M D\ M h N M D v\ O N h N N 6 ? ? ? N . N N N M N ? OJ N CL a ? \O f? O O ¢] O ¢1 N M .D h N Q -+ ro M O N I d \O Y N .7 O M N O h N v\ u\ ? 'L H H a a ?' \D Q N N o d ? d ?Y M N ,O 1/\ V\ N N ? O O ? N f1 O, u N M U a H H ? N Q O N N N d O N N N N co Il O h O N M O H N N d O O "r O O N O O N O O d O 10 M O O a d M M N N N \O N N L1 ? O h, ? h h N ro N H F+? +-1 H H .-1 -'T rn O N h N O ,O 1+\ co T N O .D a N h U ro N 10 U d N a7, H b O O T Q\ O N O O cr O O sr O M f` N O O W LI H ,a M O\ .O O, N N N ,O h O M CO O h .O h O h M fD .7 ,O M N 1+\ T h N m ,O ON ,O O 7 fD fD O, N Fy 1+?? y H M N N M O Ib J m O ? .T O J M M T M A h N O, N O N M U, ,D fn ? D\ h ?7 ,O N h J N h a, Y M ?7 fT O ,O v\ v\ N 1 V\ O m N O M M m h O 0, h a, N fp N .o h ,O N 0 O O M O ? G d M M O, fD O ?/ \ ID O V1 O O N A ^ ,O Q ,O ,O J m T M N M N U a 7p y I r - N C9 H >I ?C H H P ? I ~ N { a a r.,li w C! ll En H+ __ LO) . i - r n I N M N °d Y f?., 3' E tl ii7 D v7?)"r''"a? 'q6'.e Yn, IS?. ? 7 L??n ??a1G - 1 d +II I _I F I I ?I 7??a{1. 41 y I. i4 I ' ? u 4 r 1??1 ( ( I J ? (q 1• ? r ??' 1 7 aS s. 1q4 l; q d HQI2G?? J U C Z C q w 1 maw W W 3 y d ow Iil N M d ?D ?D J O W W O ?O U CO ?D ?7 Ov N N v0 N I.J y m O ?O Q O .7 O N O? N N Ir f? Ov Vl ? - .7 V N M N '7 O h D M N .7 N Ol N Gnu W C? H H W vl l N ? q W N in .7 ^ W N O Ill •- d O Ov O N .7 ?T d W fT N ?+ q H ly H 7 ?Y .y O M M M r a\ v0 M r N ?t I!1 N ?D r N ul m .7 M N vD Vv O N O O ? W V a N p `? C W O M W N O M lJ +7 O Ifl W ?Y O M W ?' h O p? ry ? M M .7 M 10 In N O O M W N r N r d Ol Dl N W Ol W ] ""I N co r 10 Vl Ol Ol .7 '? m Ol 7 N b r N ry H 0\ I? J ? M W M W N Ill ? m M D\ O M ? W ? O M ? r M N v0 h M O N N ? ? N H r-1 ? N M N N M vO Ol O M N Vl W Ill ?D r Ill Vl O' ?D ry .Y D? i!1 h N lD W Ill U M h Ill M Ov M F e ? Vl N M ? M r N N N 0\ N h M O m F-1 G p O Ill N O M O ?' O v0 .7 lD O O a, N .7 O ry p M N h M T W M O N r M N W m N M lD v0 O lD O M M ? .7 N M M 'I m .7 ?t N W Ol N M O m M 1? N d m C? 10 W H L M M N m ?Y' Ol .Y 10 r D\ W tT M N M O ?Y d of W N N ?7 N O 7 [-7 q O F M N N ^ 7 O Q N O Ol r lD ul O ?' M M m Vl ?7 Ill W 1D M .? ry W D` O d N m 1D Vl v0 M I? M r .7 7 r O 10 M r h ?' O N m 10 Vl C ? M N N N . ? N ? ^ a co O N N h O I+l O W O O w W Q` O O M O Z Itl ? M ^ M N r W r N 1D N lD N N v0 M N h ? W ?Y r N N • H O _ _ N m M P N 0 W O d N m M r O r L^ L D I N r ? d N M ?D r m E' I N N M N Ol N M W h 10 M N M M r 1D r N Ov F ry ? N N ? N M ? aH 6 a C O O O M O O O N O to O O M O O d O r N W b p W H O ?' W N lD Ol 1p 7 O W Vl lD 10 co II- y. N h q N N ry O N d W N M ?- N M r lD M ? M N O Ill ^ ?? N 10 to M ? U 6 N K q o 0 o M o of o N o a O o M o o a o r a 6 ro N r H w w N? N W O W O W O 10 ^ ?D Ol U O] ?D r O M tD M r O N w M W 7 N Q W O N W W N O' ?O F % L D M N r ?D M O? M lp co co M Ov Ill M N r M w F _ ? H H M N ^ O ?D O ?7 W lD lD W r M Vl O M N lD O V yy :f O N O? W W N O W N W M - h m ' Ill N N r C W N Ill 10 N tD M O Nl . J y O •.Y W C r O h O N O I? O ? O Ol ?D VJ vl M Ill J 11 b N O r ? N M m r O O r D• lD A W O F N ul N r W Ill ?7 N lD D? r .7 N I N 10 D •„ a a x '3 U o w ?. H N t.7 y ? p S :? ?e ar" t.o STATE OF R E WASHINGTON WASHINGTON TRAFFIC SAFETY COMMISSION y 1000 S. Cherry St., Olympia, W,,hin3ton 98504 Phone; 206/7536197 i 1B DoayeLee Ray xa +°??? G rnor Walter E. Black, Director August 11, 1980 i?nn R ? AUG 1 s 1980 Chairman JEFFERSON COUNTY Board of County Commissioners BOARD OF COMMISSIONERS Jefferson County Port Townsend, WA 98368 Dear Chairman: Knowing your interest in Washington's Highway Safety Program, I am send- ing you a copy of our Highway Safety Plan for Fiscal Years 1981-1986. This Plan was approved by the Washington Traffic Safety Commission at its quarterly meeting on July 8, 1980, and has been forwarded to the National Highway Traffic Safety Administration and the Federal Highway Administra- tion for final approval. All, of the state's political jurisdictions and state agencies were asked to analyze their highway safety program and support systems and advise the Washington Traffic Safety Commission if highway traffic safety funds were needed to accelerate desired improvements. All jurisdictions were told that the three priorities for this six-year Plan are to develop pro- grams directed at: 1. Traffic collisions involving youth 2. Alcohol Involvement 3. Occupant Restraints State agencies and local jurisdictions responded to this offer of assist- ante with 183 traffic safety improvement projects amounting to $6,700,000. Only $3,770,000 was available for programming. The Washington Traffic Safety Commission was able to provide funding for 109 traffic safety im- provement projects. All local jurisdictions have been previously notified whether or not their projects were approved and funded and have been in- structed to complete project application forms and return them to the Washington Traffic Safety Commission by September 15, 1980. Sincerely, Walter E. Black Director WEB:bt Enc. PYi. d i `J?k'"^'11"x ?, ''r N 1, 'r„ 5 r f rry r ? -? ???' ? !!!? ??7 1S3 i -.?tt e .. r S I t f ti f l t.. x , i `/ I I ??? I ? ?gyp t x ? +r r p 41 I },?.? &'I , ftxtllt?? M1' W. r ?I t M r? ?y?v ?? r 1 I 1 ?tI 1, 1 ??? I; 4ElA N ' IOHN SPELLMAN Governor DUANE BERENTSON Secretary STATE OF WASHINGTON DEPARTMENT OF TRANSPORTATION Highway Administration Building • Olympia, Washington 9850 • (206) 753-6005 April 27, 1982 Mr. Gary A. Rowe Construction Engineer Jefferson County Courthouse Port Townsend, WA 98368 Dear Mr. Rowe: In answer to your request for information regarding county road data, we have enclosed a listing titled, 1981 Average Economic Loss per Accident--by Accident Type, for all investigated accidents oc- V curring on county roads in Washington for 1981. The data is divided into urban, rural, and a combined total. Average economic loss was calculated, using the National Safety Council cost figures of $6,700 per injury and $170,000 per fatal- ity plus the police officer property damage estimate, and is s# comparable to the relative severity index that you referred to in your letter. If we can be of any further assistance, contact R. M. Engle at 753-6182. Sincerely, ROBERT S. NIELSEN Assistant Secretary Public Transportation and Planning By: H. K. GUPTA Transportation Data Office RSN:Ich J? HKG/TAP ° S ecel p e m Enclosure MAY 3 1982 JEF[:ERS ENGINE'S U - Ly `. ? `f t ' t r 1 i : 'J A f '?r1cy1 ? ? 2/. ? t1, r r I, ?f y {"i+M? lL ? f 1 t y ? . 1 ra L , :jl ? j? t y ! 1 ?? I } i Sl Ott r i ? tit ? 7 r ?, i lt. 1 +rr?? f ? It- ! ! f l?' ? , ' I ? F J t } r' t J? 1"1??' !Yr'fn .rv I'. j , - o? ° eTAT` STATE OF WASHINGTON WASHINGTON TRAFFIC SAFETY COMMISSION 1000 5. Cherry St., 011-0a. Washington 9&SO4 Phone: 206/759.6197 °v Dizy Lee Ray ?N `. } i ieev a . ti t Gouernor Walter E. Black, Director J September 17, 1980 r?J© MEMORANDUM LlU JEP 67 JEFFERSON COUNTY TO: City and County Traffic Safety Representatives BOARD OF COP&ISSIONERS FROM: Chuck Hayes, Assistant Director ON b?+yilh I SUBJECT: F.Y. '81-'86 Highway Safety Plan Structure 7^ ;d. It became apparent at the recent meeting of the Highway Safety Representatives at Yakima that many of you are confused as to how to locate and interpret specific categories and programs in the Highway Safety Plan document that was recently mailed to you. The enclosed H.S.P. Structure sheets should be of assistance to you. You will find: 1. Program Modules by number, title and page number. ti 2. Problem Solution Plans by number and title within each Program Module ',ts . ?. 4 3. Tasks or Projects with tentative dollar allocation within each Problem Solution Plan. K The narrative included in each of the above categories gives descriptions of activities to be conducted. The charts for each Problem Solution Plan show milestones and funding breakdown for the various projects. x - It is hoped that this Information will not only assist you in nj44}+ r. understanding the current Highway Safety Plan, but will also give you guidance In your F.Y. '82 submissions. a +' } „ } S+f ???W Fr F1 J 'r p i ' 6 A °'M n S .? I t 3 9?y} :yt? 1 ?1 ,G" k , 4t>Sn? 'F i ?Y4;aw, 1 ! v ?4 { 'ht 4 t ? ? ) r ? / 1 1 r% t ?Ve i t 7 ? ? ? Gi? 1 t t l o f ?? G 1 S . ? } .,, r x ?Cy?. I 1' ? [ 1 ' r4 ?, M 1 F r ? i. ' -. rinl c r?i T' +? ? y r i ?1 t I ? ? - 11 3 r `. i ., l r rt IV-17 81.20 Highway Safety Plan Structure Fiscal Year 1981-86 Program Module - Problem Solution Plan - Task Traffic Safety Program Management PSP #1 - Program Planning and Administration (STD 300 P & A Audit Program Analyst Program Evaluation WAWSL Workshop/Conference PSP #2 - Traffic Records (STD 310) Model Traffic Records System Bellevue AMPS Project Battleground Records Clerk PSP #3 - Driver Improvement (STD 305) Klickitat County DDC Driver Education Elderly Drivers Traffic Law Public Education Youth Involvement PSP #1 - Motorcycle Training (STD 303) Motorcycle Rider Training, High Schools M/C Motorcycle Rider Training (General Public) PSP #2 - Traffic Safety Education (STD 304) Driver Improvement Program for Young Traffic Offenders SAFTYE Driving Simulators PSP #3 - Tri-Cities Traffic Services Olympia, Lacey, Tumwater (STD 315) PSP #4 -School Bus Rider Competencies (STD 317) PSP #5 - School Bus Driver Training (STD 317) Driver Workshops Expansion of Local School Bus Driver Training Consultant - Small and Remote Schools $ 300,000 30,000 18,000 29,303 5,000 8,000 $ 100,000 16,000 1,500 $ 1,000 29,700 1,200 $ 21,300 69,000 $ 42,000 19,165 100,000 $ 174,500 $ 26,100 $ 5,300 54,800 42,000 i (Over) r, y h 7. T 1 I 1, , b , t 1 .1 4 4tl R1kfltl, lPup 3 t ? trdmr.:. P ? hi Program Page Module PSP N6 Pedestrian/Bicycle Safety Activities (STD 314) Bicycle Instructor Training (Seattle $ 6,800 Pedestrian Reflective Program (Seattle) 4,600 Pedestrian Training Course (Tacoma) 20,000 Pedestrian/Bicycle Safety Interns 122,000 Education Materials for Vancouver Police Dept. 1,300 PSP N7 - Pedestrian/Bicycle Safety Engineering (STD 614) Pedestrian/Bicycle Safety Studies $ 41,500 School Bike Route Signing 8,810 Other Pedestrian/Bicycle Safety Studies 1,575 IV-52 81.30 Alcohol Involvement PSP N1 - Community Alcohol Safety Education Program (STD 308) Develop the Community Alcohol Safety Education $ 15,000 Program Implement Local Programs 225,000 PSP #i2 - Alcohol Education for Drivers (STD 308) Youth Accident Prevention Program $ 18,000 Alcohol Information School Assistance 1,000 "Drinking, Driving and Deciding" 50,000 Instructor Training PSP N3 - DWI Support (STD 308) Alcohol Breath Testing Equipment/Services $ 30,000 Collision/DWI Van Operations (Kent) 9,400 DWI Patrol (Yakima) 38,000 IV-77 81.40 Occupant Safety Restraints PSP N1 - Restraint Systems Education and Information (STD 304) Child/Infant Restraint Program $ 529000 Youth Seat Belt Awareness Program 11,792 Walla Walla Seat Belt Seminar 1,700 IV-83 81.50 Traffic Courts Management Improvements PSP R1 - Traffic Courts Management Improvements (STD 307) Plan, Develop, Manage, Operate and Evaluate the Traffic Court System State Funded Judicial Information System $ 250,000 (District/Municipal Courts) Q ?.Cliwi, Y[ ? 1 G+d?IRFA4'IW3uhAP: LN , ?" d'k M1 %6 ., kt ? S 7+J.yd(Nj NWrIW,[/'r Y'W'?ny,yy? Y?? ' f ?? AY ? ? ? q?t A i ? M 1 y }i Program Page Module IV-88 81.70 IV-115 81.91 -3- Emergency Medical Services PSP #1 - Emergency Medical Services System Support (STD 311) Emergency Medical Technician Training $ 150,000 Vehicles, Medical, Extrication, Communications 121,200 Equipment and Supplies Medical Incident Reporting System 55,000 NEAR Advisory Committee 3,600 Police Traffic Services Improvement PSP #1 - National Maximum Speed Limit - 55 MPH (STD 315) 55 MPH Speed Reduction Program - Public Information $ 71,496 55 MPH Speed Reduction Program - Enforcement 709,795 55 MPH Speed Reduction Program - Aircraft 83,000 PSP #2 - Upgrade Traffic Enforcement Capabilities (STD 3 15) Police Training and NUTI (Seattle) $ 81900 Motorcycle Acquisition (Pierce Co.) 18,000 Motorcycle Acquisition (Kitsap Co.) 11,000 Motorcycle Acquisition (Puyallup) 10,400 State Patrol Salaries to Satisfy NHTSA State Funded Matching Requirements for FY 1981 PSP #3 - Heavey Truck Inspection (STD 301) Heavy Truck Inspection $ 83,600 Surveillance and Evaluation of High Accident Locations PSP #1 - Accident Analysis (STD 609) Accident Analysis and Evaluation $ 54,200 PSP #2 - Traffic Counting Program (STD 609) Traffic Counts at High Accident Intersections $ 45,000' on State Highways PSP #3 - Surveillance of High Accident Locations(NHTSA) (STD 315) High Accident Location Enforcement/Engineering $ 20,000 Program (Over) r r i 4 r + r a ar ?, ??? ? 3 F rh-? T 5' - •_1 h 1? g { ? a } la d} 5 afrr i t 1 fs{' r? i r pF it It ?? ??? 1 r l r ? _ a ,? - 4 ?. Program Page Module IV-123 81.92 "way Design, Construction and Maintenance PSP #1 - Upgrade Highway Design, Construction and Maintenance (STD 612) Equipment Skid Resistance Inventory Street Name Signing RR/Hwy. Grade Crossing Inventory Traffic Engineering Services PSP #1 - Traffic. Engineering Support (STD 613) Data Collection and Studies Equipment Upgrade Regulatory and Warning Signs Manpower Training $ 17,200 2,000 8,700 30,000 $ 131,400 82,525 13,590 37,500 t ' ? + I vt 1 + r!, )a?? w 1 f N',ti PENINSULA TRAFFIC ENGINEERS' MEETINI MAY 20, 1987 -- MINUTES c;4X z s 1Ga7 Attendees: rrx ? ti?i = ;aiP3"f`( Scott Kilmer Jefferson Co. Greg Wahler Thurston Co. K. Robert Henderson Jefferson Co. Ron Merila Aberdeen Jack Gaudette Kitsap Co. Mel Kemper Tacoma Dick Elsner Kitsap Co. Mary Roy Wilson Bremerton Henry Cragerud Kitsap Co. Chuck Monell Bremerton Wayne Gruen WSDOT Rob Deering Lacey Chuck Hornbuckle WSDOT Dave Whitcher Grays Harbor Co. Guests: George Crommes NWT2 Center Brian Limotti WSDOT Called to order at 10:15 a.m. at the Aberdeen City Hall Council Meeting Room. Presentations: N 1) George Crommes, Manager of the Northwest Technology Transfer Center ? gave a presentation of the history, goals, and role of the T 1 Center. He was particularly concerned that T2 information reach first line maintenance personnel. He stressed the need for two way communication and an aid to this is to provide feedback by returning the questionnaire contained in the Spring 1987 Bulletin. George stated he would provide information regarding access to the Technology Center Bulletin Board. The following was relayed by phone from George to Ron Merila on May 21. "Procedures were published in the T2 Center Fall 1986 Bulletin. To access the Bulletin Board you will need a modem, microcomputer communications package, and access to a clear phone line. The phone number is (206) 586-1942 and it is available from 8 a.m. Monday through 5 p.m. Friday. For anyone needing hands-on assistance, Al King, 753-1073 (SCAN 234-1073), can be contacted." 2) Brian Limotti, DOT•Planning, Accident Analysis Division, gave a;pre,- "sentatiom of :. the, SPSS' (Statistical Package, for Social Sciences) e Accident •Analsyis-Computer Program.- This:. program, usable' on PC's 'tii' ' ' ' " ' " 5' versa s provi de and cad 'one diskette can store; 2900 accidents on ' ? (K information in many' formats . He mentioned that'; the .-accident data , ;`Citiy, of" Vancouver' has" developed a' similar program using "SMART.'.. Discussion: Standards for Curb Markings Henry Cragerud opened the discussion by stating that Washington State has no uniform standards for curb markings and they imply different meanings dependent upon the jurisdiction. Only two cities, Seattle and Tacoma, use markings which have similarity. Henry explained the Seattle markings are as follows: ? ? ?? ??! f ? ? h ? Sxt ? 9 W { L y/ Passenger Load Zone - white Truck Load Zone - yellow Danger - red Transit - red, yellow, red (etc.) continued on 8' +/- bands with red always on the outside. o .41 Mel Kemper stated Tacoma uses a similar marking program except truck load zone is marked the same as passenger load zone. Two items of importance were identified during discussion: 1) establish- time did not t meetin h g or ment of standards and 2) implementation. The s cided to continue this topic at the d d it was e allow much discussion an next meeting. Two items will be addressed: 1) Wayne Gruen will investi- gate the relationship between the MUTCD and WAC to determine if statewide d 2) Considera- m , an uniformity can be established through that mechanis r 4 member committee to possibly 3 i i o sh ng a tion will be given to establ set of uniform standards, investigate support of other organiza- u r s e a pu tions, and report back to this organization with some direction as to its role in the process. Open Discussion: 1) Wayne Gruen ., a) The national committee has 'still not, made any-decision whether d l ' o ' ,r . owe be al uld or not.modification to the curve warning sign sh A final rule will not be published, dependent, upon decision, for ` continue two or three-years,,, and in the interim the State will ,to use the modified curve warning sign. b) The State of Illinois has requested use of "End Speed Limit" s sign which was discontinued upon adoption of the new MUTCD. Apparently the Illinois speed limit laws are written differently from this state--which would make that sign useful to them. but Input indicated most agencies would not use that sign here, osted speed limit sign at the a new l . p ace would normally p appropriate location. This concurred with Wayne's thinking and his response regarding the proposed sign would be that it is a sign this State would not use. 2) Henry Cragerud Kitsap County has for use vertical panels which could be installed , in soft shoulders when doing road work. He recognized they are not in conformance with MUTCD guidelines but felt they should be con- t s e sidered as an appropriate tool for this use. He will demonstra them at the next meeting. Next Meeting: The next meeting will be hosted jointly by Kitsap County and Bremerton fe and the date is tentatively set for Wednesday, July 8, 1987. Henry Cragerud will send announcements. Meeting adjourned at 12:00 noon. i S 4 i N t0 O` O O F.. p fM` C7 i? O d CV fY . R!'1 I j_ i 0 o '1S 13313 'E a E IT LQ0 1S a31A1'S a co v 0 a E a, M v° '1SSI1bH3H3'S N I ? N ,? ?Zeco29 Acc:oe y ? I7 a2U?'l2fYM S?sS'r 11dW HVAHSIM 0133Nb81N3 11tlW HVAHSIA 0130NVS.LN3 '1.S SI1bH3H3 'S ?, t l i{ A', t r q '?. t c 1 r? t '? ?r ` r r.? 1 r ?t a t h U 1? ? ?- ? r _ ? t ' r r r .,rear C? ` r.? , r a 7 ' '' - Page 2 SR 12 M.P. 0,37 TO 0,62 1/11134 - 12131/97 5118/81 SOUTH CHEHALIS ST. TO SOUTH FLEET ST. I YEAR Valid Cum Value Label Value Frequency Percent Percent Percent - g 95 22 42.3 42,3 42.3 96 17 32.7 32.7 75.0 94 13 25,0 ----- ------- 25,0 100.0 ` 1 - TOTAL 52 100.0 ------- 100.0 ,. Valid. Cases 52 Missing cases 0 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - MONTH t Valid Cu,,, F.Value Label i Value Frequency Percen t Parcent Percent l MAR 's 7 1315 1315 !3,5 JUL 7 7 11.1 13,5 26.9 JUN 6 6 !1.5 it., 39.5 MAY 5 5 9.6 9.6 48.1 DEC. 12 9.6 9.6 57.7 JAN 1 4 7.7 7.7 65.4 SEP s 9 4 7.7 7,1 73.1 1 ;.OCT t0 4 7.7 7.7 80.8 APR 4 3 5.8 5.8 86.5 NOV 11 3 5.8 5.8 92.3 FEB 2 2 3.8 3.8 96.2 AUG 8 -- 2 ---- 3.8 3.8 100.0 TOTAL - 52 ------- 100.0 ------- 100.0 i Valid Cases S2 Missing Cases 0 i - - - - - - - - - - - WEEKDAY - - - - - - - - - - - - - - - - - - - - - - - - s Valid Cu" Value Label Value Freq uency Percent Percant Percent THUR . i t0 19.2 19.2 19,2 FRI 10 !9.2 19.2 39,5 MOH 9 15.4 !5.4 53.9 TOES 7 13,5 1715 67,: WED 3 6 !!.5 1!.5 78.9 SAT E 6 1'.,5 90.4 SUN 7 --' -°- 9.6 9.i 11010 TOTAL , 52 ------- 100.0 ........ !00.c Valid Cases 52 Missing Cases 0 it r 7 {F J s + l A? 8 a, 3 r d "C ' Y l '? ? ? k i t ! 4 ? ? r a ,41x 1?pf Page 15 SR 12 M.P. 0.37 T8 0.62 1/1/84 - 12/31187 5/10/97 SOUTH CHEHALIS ST. TO SOUTH FLEET ST. ' HOUR Valid Cu: Value La:el Value Frequency Percent Percent Percent l ' 6 A,M 6 1 1.9 1.9 1.9 B AM B 5 916 9.6 11.5 l,.9 AM 9 2 3.8 3.8 15.4 It Al 11 6 I1.5 11.5 26.9 NOON 12 5 9.6 9.6 36.5 '_. 1 PM 13 3 5.8 S. B 42.3 2 PM 14 1 119 119 44.2 3 PM 15 7 13.5 1315 57.7 PM. 16 a 15.4 t5,4 73.1 ' 5 PM 17 9 17.3 17.3 90.4 >6 PM IS 3 SIB 5.8 96.2 7 PM 19 3.9 ------ ------- 3.8 ------- 100.0 TOTAL 52 100.0 100.0 :Valid Cases 52 Missing Cases 0 ?? H Y? T 1 ?r 3 11 1 ql' 1 , 1 ? N+x 4 ? l I a YI , wAl ??Y ? +Y ? , v ?? ? ? L , ,5.yih ' L 7}? rly.?? } e y Page 3 SR 12 M.P. 0.37 TO 0.62 1/1/84 - 12131/e7 5/10181 SOUTH CHEHALIS ST. TO SOUTH FLEET ST. SEVERITY ACCIDENT SEVERITY Valid Cue ?. Value Label Value Frequency Percent 1 Percent Percent P00. 1 35 67.3 ? 61.3 67.3 . INJURY 2 17 32.7 - --- 32.7 100.0 52 100.0 TOTAL 100.0 1 Valid Cases 52 Missing Cases 0 - ';';_?t, -----i---------------------- ' ALCOHOL DEGREE OF DRIVER ALCOHOL IMPAIRMENT -------- Valid Cuc Value Label Value Frequency Percent Percent Percent ` HNBO 4 39 75.0 75.0 75.0 UNK - 5 12 23.1 23.1 98.1 .? HBO SOBUNr. 3 1 - -1_9 1.9 100.0 --_- - TOTAL 52 100.0 100.0 ,..Valid Cases 52 Missing Cases 0 I : - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - SURFACE 9d: id CUP, Value Label Value Frequency Percent Percent Percent NET _ 27 51.9 51.9 51.9 DRY 1 25 46.1 ---- 48.1 100.0 52 100.0 TOTAL 100.0 Valid Cases 52 Missing Cases 0 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - LIGHT Valid Cua C' Value Label Value Fregcency Percent Percent Percent DAYLIGHT 1 45 86.5 06.5 86.5 M DARK ST LT 4 6 11.5 11.5 98.1 ' qq F DUSK 3 1 1.9 ....... ....... 1.9 100.0 ....... t TOTAL 52 100.0 100.0 Valid Cases 52 M1sslrg Cases 0 y ? 7l .,l ? ?' 1 1 r_ 1 1 . r 1 ? ? r ??, 1 1 r 1 ? k? r 1 i T ,? 1 ( { t ?? 4 Y Q 1 i i Page 4 SR 12 M.P. 0,37 TO 0.62 1/1/84 - 12131187 SOUTH CHEHALIS ST. TO SOUTH FLEET ST. DRICCI DRIVER ICONTRIBUTING CIRCUMSTANCES Valid Cua Value Label Value Frequency Percent Percent Percent ?i. NO VIOL 10 17 32.7 32. 32.7 FAIL YIELD R 0 W 1 13 25.0 25,0 57.7 ' FOLLOW TOO CLOSE 7 B 15.4 15.4 73.1 INATTENTION 11 5 9.6 7.6 82.7 D1S STOP GO LT l1 5.6 5.8 e6.5 - EX SAFE SPEED 4 3.8 3.8 92.3 :.IMPROPER PASS 6 1.9 1.9 94.2 IMP TURN . 10 l 1.9 1.9 96.2 'OPER DEF EDUIP 16 1 1.9 1,9 98.1 IMP SIG 19 _ - -- 1.9 .., ;00.0 TOTAL 52 100.0 100.0 Valid Cases 52 Missing Cases 0 - - - - - - - - - - - - - - - - - - - - i DR2CC1 DRIVER 2 CONTRIBUTING CIRCUMS - - - TANCES - - - - - - - - - - - Valid Cun Value Label Value Frequency Percent Percent Percent NO V16L 18 42 80.8 80.0 80.8 FOLLOW TOO CLOSE 7 17 5.8 5.8 E6.5 DIS STOP 60 LT It 3 5.8 5.8 92.3 " FAIL YIELD R O W 5 2 3.6 318 96.2 INATTENTION 23 2 3.8 3.8 100.0 --- TOTAL ---- - 52 ------ 100.0 ------- 100.0 f Valid Cases 52 Missing Cases 0 5/18;87 ti ?? t t??? ' 14 . tvy2M ?' f _ j r 1'l? g'?uis4llpn % r 5<_ t ti ??. ?, } +? ? ?1 r alt ? ??? +?? ? Y 1 1 ,}Ut in ? V .( y4 Page. 5 SR 12 M.P. 0. 37 TO 0.62 111/84 - 12/31187 5/18/87 SOUTH CHEHALIS ST. TO SOUTH FLEET ST, `..COL COLLISION TYPE t Valid Cu. `.Value Label Value Freq uency Percent Percent Percent REND ED I STP 14 20 38.5 38.5 38.5 ENT AT ANGLE 10 4 17.3 11,3 55.6 LT TAN OD 1 SIR 28 8 15.4 15.4 71.2 SOSNIP SD BM I1 4 7.7 7,7 78.8 -..DRIVEAY ENTERING 21 4 7.7 7.7 95.5 r REND ED RM 13 2 3.9 310 90.4 ?. RR HIT VEH 40 2 3.8 3.8 94.2 VEH HIT FED 0 1 119 1,9 96.2 LT TRN SO 1 SIR 15 1 1.9 1.9 98.1 DRIVENY LEAVING 22 -- 1 ----- 1.9 ------- 119 ------- 100.0 i TOTAL 52 100.0 10010 'i.Valid Cases 52 Missing Cases 0 - - - - - - - - - - - DBJ OBJECT STRUCK - - - - - - - - - - - - - - - - - - - - - - - Valid Cum Value Latel Value Frequency Percent Percent Percent FIRE (LUG 64 1 1.9 100.0 100.0 --- 51 ---- 98,1 ------- MISSING ------- TOTAL 52 100.0 100.0 Valid Cases 1 Missing Cases SI ? r / h Y v ?' ;t L ' r a ? ? ? ? ??•J?fiv i i ..i '1` r ?? ? ?Y'1 j??`5!Y"'?&•?4i3 w r ?-. < ? f - - _ t r 21 i t :r t (? ] ( q v '{ t ? 7 yalu ? ` 1 v _ ?Y ? x1 ? r I 1 ?. ? l} j Z ?l yT S.. r' . 1 . 1 ?l ?? Y r 1 F 1 l _ J z x.41,7 Page 7 SR 12 N.F. 0.27 TO 0.62 1/1194 - 1 2/31197 5119/57 SOUTH CHEHALIS ST. TO SOUTH FLEET ST. IMPLOC IMPACT LOCATION Valid Curt Value Label. Value Freq uency Percent Percent Percent I:. LANE 1 INC DIR At 16 30.5 3015 30.5 LANE 2 INC DIR A2 15 29.5 29.9 59.6 - LANE I DEC DIR O1 13 25.0 25,0 54.6 LANE 2 DEC DIR D2 5 9.6 9.6 94.2 -1 RT SHLD INC DIR A7 1 . 1.9 1.9 96.2 INT RD INC RT 51 1 1.9 1.9 95.1 INT RD INC LT E1 ,; -- 1 - 1.9 ------- 1.9 ------- 100.0 . TOTAL ---- 52 100.0 100.0 Valid Cases 52 Missing Cases 0 iy,?cr??yr 'P t S N,? 1 L t ! r xm ?.N d! ?rt i t +•t ? n iJ ?k ?q?`?11 q 1 r F t 1 i t s Page 17 SR 12 M.P. 0.37 TO 0.62 111194 - 12/31187 5110107 SOUTH CHEHALIS ST. TO SOUTH FLEET ST. Crosstabulation: COL COLLISION TYPE By 1MPLOC IMPACT LOCATION Count :LANE I 1LA'15 2 :RT SHLD :I!V RD :LANE l !LANE 2 .10 PO 1 IMPLOC-7 ZINC DIP, 11NC DIR ZINC DIR ZINC FIT !VEC DIP, :DEC DIR :111C LT 1 Row :Al !A2 !A7 !Bl :Dl !D2 :El 1 Total ;.COL --------+--------+--------+------°-y------------------------------------4 0 1 VEH HIT FED 1.9 10 5 1 1 l 1 9 ...,. ENT AT ANGLE 173 " 1! 1 1 l 1 4 SDENIP SO BM i 7.7 --------------------------------------------------------------- 4 13 1 1 i _ RENO SD BM i 3.8 y________a________y________i-__-____y-_______i______-_y________- 14 3 it i -0 2 20 . REND SD 1 SIP i i i i 38.5 i--------i--------+--------*--------------------------i--------y 15 1 1 . LT TRNSO 1 SIR I I i 1.9 '. y________y________f________i-_____--y___--___i________y________- 21 2 1 ! 4 DRIVENY ENTERING 1 i 7.7 .;-. t--------i--------i--------i--------y--------y--------y--------+ 22 l 1 1 ORIVENY LEAVING i 1.4 ---------------------------------------------------------------- 20 4 1 B IT TRN 00 1 STR 15.4 +--------+--------y--------y-------- +--------+--------i--------y ,. 40 1 1 1 2 RR HIT VEH i 3,8 i--------y--------y--------y--------y--------j-------- i_........ Colum 16 15 1 1 13 1 52 Total 30,0 28,8 1.9 1.9 25.0 9,6 1.9 100.0 Number of Missing Observation = 0 : '•• +?{?? ,? ? '?, r r rl f ? .i ? 1 ;; r 4 b F4 W1 a ? ? C 4 ? 1 'Ji „ 1 ! tr : ? 1 r 1 i i v? r} ?rJi^l lti t r r - t } k1 4 0 I ? o f ;;y??yy? fi?+??1A1 i t i ?• r r3? h?`?' i , 1G?b?4???t' r r 1 ?r i ? , t ?1 ?9 i 1 ? lAt f. Page 13 SR 12 Y.P. 0.37 TO 0.62 111184 - 12/31/87 SOUTH CHEHALIS ST. TO SOUTH FLEET ST. Crassiabulation; CDL COLLISIDN TYPE ' Count 1DRY !HET 'SURFACE-) 1 Row 1 ! ? 1 Total COL --------+-----------------+ 0 1 1 YEN HIT FED LS 10 5 4 9 ENT AT ANGLE ! 17.3 +-----------------+ 11 '. 4 SOSHlP SD EN 7.7 13 1 REND SD BM 3.8 ;--------+--------+ 14 1 12 ! 8 ! 20 - REND SD I STP 38.5 ---------+--------+ 15 1 I 1. LT TAN SO I SIR ! ' 119 - +--------+--------+ 21 4 4 DRIVENY ENTERING 1 1 7.7 ------------------- 22 I 1 DRIVENY LEAVING 1 1.9 ------------------- 28 ! 3 G LT TRN OD 1 SIR ! ! 15.4 +--------+--------+ 40 2 2 RR HIT YEN ! 3.8 +--------+--------+ Coluen 25 27 52 Total 48.1 51,9 100.0 By SURFACE Number of Missing Observations - 0 5/10187 y t r? + i f 'i+? d r k 4 h?yl+ rr ti ?` r ? r+ , r+ , t i p4 {Se??JS?t' ?. a SR 12 MILEPOST 0.37 TO 0.62 JANUARY 1, 1994 TO DECEMBER 31, 1986 SORTED BY MILEPOST AND DATE 4 V VT VT VT MOST S E EY EY EY ALCOHOL DRIVER I DRIVER 2 AMOUNT OF E H HP HP HP IMPAIRED CONTRIBUTING CONTRIBUTING PROPERTY SR M.P. DATE TIME V S IE 2E 3E DRIVER CIRCUMSTANCES CIRCUMSTANCES COLLISION TYPE DAMAGE 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 i 12 12 ,38 04121/86 15:42 1 2 I 2 , 8480 INATTENTION NO VIOL SDSWIP ED Be, $850 .34 12!11!86 16:24 2 5 2 1 ! HNBD FOLLOW TOO CLOSE NO VIOL REND SD I ST $9,200 ,40 12113/ES 15:39 2 2 1 MINED FAIL YIELD P, 0 W NO VIOL SUSWIP 50 BM $600 .40 04125/86 19:41 1 2 1' 2 HAD BOB UNK FAIL YIELD R 0 B NO VIOL SOSWIP ED BM $750 .41 12!13/84 16:01 1 2 l 1 UNK IMP SIG NO VIOL ORIVEWY ENTERING $1,000 .41 07/03!86 14:19 1 2 1 1 HNBD OPER DEF EQUIP NO VIOL SDSWIP SD BM $2,300 .4i 01111185 12:30 2 2 6 1 UNIT NO VIOL NO VIOL REND SD BM $25 .49 1012586 06:50 1 2 1 1 UNI' )'A VIOL NO VTOL DRI'VENY LEAVING 511,200 ,51 C6/1886 11:58 l 2 1 1 HNBD FOLLOW TOO CLOSE NO VIOL ORIVENY ENTERING :1,500 .52 0711984 16;48 2 2 1 2 HNBD FOLLOW TOO CLOSE NO VIOL REND ED 1 ST $1,400 .53. 01/11125 11:59 2 1 1 HOED NO VIOL NO VIOL VER HIT PED $150 ,53 051030 09:05 1 2 1 l F,,NBO FOLLOW TOO CLOSE NO VIOL RENO ED i ST $1,300 53. 10104/86 15:45 2 2 2 2 UNK NO VIOL NO VIOL REND ED I ST $1,100 .54 061"9/8+ 09:41 1 1 BD DIS STOP GO LT 110 VIOL RR MIT VEX $1,500 ;. 06/26184 17;35 2 2 HIBD FAIL YIELD R 9 N NO VIOL LT TEN OD 1 STR, $8,500 .54 07/18/64 08:50 1 2 1 2 HNBD DIE BTOP SO LT NO VIOL ENT AT ANGLE $2,400 .54 07/27;84 13:14 2 HNBD FAIL YIELD R 0 N NO VIOL ENT AT ANGLE $550 .5; 11/10/84 18:11 2 2 t 2 HNBD FAIL YIELD R O U NO VIOL DP,IVEWY ENTEP,TNS $5,500 :2123184 12:59 1 2 1 HNBD FAIL YIELD R 0 N NO VIOL LT TRH 00 1 STR $2,400 ,54 01f14l85 15:35 2 2 2 1 X`)89 IMPROFER PASS `O1 VIOL LT TRN DO 1 SIR $3,000 .54 02110/E5 18:25 l 2 2 l F21SD EX SAFE SPEED NO VIOL REND SD I ST $1,000 .54 02126/85 08:23 2 1 l HNB2 FAIL YIELD R 0 W NO 'VIOL LT TRN OD 1 SIR $4,100 .54 03103/E5 13;30 I l 1 UNK NO VIOL NO VIOL REND SD BM $440 .S4 03125/85 12:56 I 2 1 1 UNK NO VIOL DIS STOP GO LT ENT AT ANGLE $5,200 .54 03127/85 12:15 1 2 2 1 HNPD NO VIOL FAIL YIELD R 0 N LT TRN OD 1 SIR $3,300 .54 06/2485 16:30 1 2 1 1 UNK NO VIOL NO ''VIOL REND ED I ST $499 .54 08109165 16:11 1 2 2 2 UNI: FAIL YIELD P. 0 N DIS STOP GO LT LT TRN OD I SIR $700 .54 09110!85 11:02 2 2 l l HHRD 119 VIOL DIS STOP GO LT ENT AT ANGLE $4,000 .54 09116/E5 17:37 1 2 2 l HNED EX SAFE SPEED NO VIOL LT TRN ED 1 SIR 41,800 .S4 10/3' /85 12:30 1 2 1 2 UNK NO VIOL NO VIOL DP,IVEWY ENTERING $600 .54 11118/85 19:10 2 2 1 1 HNED FAIL YIELD R 0 W INATTENTION LT TRN OD 1 SIR $1,400 .54 03/IB/86 09:40 I 2 1 1 HNBD DIS STOP 60 LT NO VIOL ENT AT ANGLE $6,000 .54 06/1886 15:20 2 2 6 1 HNED FOLLOW TOO CLOSE NO VIOL RENO SD 1 ST $700 .54 07103/Eb 16:56 2 2 1 1 HN90 FOLLOW TOO CLOSE NO VIOL REND SD I ST $900 .54 10126/B6 17:24 I 2 1 2 . HNED NO VIOL FOLLOW TOO CLOSE REND ED I ST $1,600 .SS 03/17/84 11:20 ! 1 1 , HNBD 1NAT TENT 10:1 NO VIOL REND SD I ST $1,150 .55 05115/E6 17:15 1 1 2 1 HNBD FOLLOW TOO CLOSE NO VIOL REND 50 1 ST $3,200 .59 06121.'@5 17:30 1 I I 0 UNd: NO VIOL NO VIOL REND SD I ET $300 .59 03128/84 11:38 2 4 2 2 1 L'NK, NO VIOL NO VIOL REND SD I ST $3,227 .59 08/16/84 17:19 1 2 1 1 , HNED INATTENTION INATTENTION REND ED 1 ST $700 .59 07111/85 1703 2 3 . I 1 HNBO INATTENTION 110 VIOL REND ED 1 ST 51,700 SEVERITY CODES - (1)PP.OFERTY DAMAGE ONLY (2)INJURY (31FATAL VEHICLE TYPE CODES - (00)HOT STATED (01)PASSENGER CAR (02)TRUCK ',10,000 LBS. 103)FLATBED TRUCK OR VAN (04)TRUCK AND TRAILER (05)TRUCK TRACTOR (06)TRUCK TRACTOR AND SEMITRAILER (07)OTHER TRUCK COMBINATIONS 10S)FARM TRACTOR AND/OR EOUIFMENT (09)TAXI (10)BUS (II)CCHOOL DL'S (12)MOTORCYCLE I131S000TER BIKE (14)OTHER (15)HOPED Y; SR !2 MI LEPOST 0.37 TO 0.62 I JANUARY I, 1 984 TO DECEMBER 31, 1986 SOR1Ep BY MILEPOST AND DATE ? I. e 'J VT VT VT MOST . S E E EY EY EY ALCOHOL H HP HP HIP IMPAIRED DRIVER 1 DRIiER 2 i SR „t. DATE TIME V 8 lE 2E 3E DRTVER CONTRIBUTING CONTRIBUTING C OVTRONTR CIRCUM IBUTING STANCES C IB COLLISION TYPE 12 .59 09105/86 18:15 1 2 1 2 12 I -60 01/08/84 11:43 1 NNBD 2 1 1 H iBD NO 'VIOL FOLLOW TOO CLOS E REND BO 1 ST 12 12 .60 12/06/84 08:06 1 ? 2 2 1 NNBD FAIL YIELD R O W NO VIOL LT T OD 1 57R ' 12 i .b0 03/Yi5/85 09:01 ! .60 07130/85 15:43 1 1 2- HNBD IMP TURN NO VIOL FAIL YIELD F. O N NO VIOL ENT AT AT ANGLE 12 j 60 09113/85 16;06 1 2 2 1 HN5D 2 b L PNED RR HIT VEH NO VIOL FOLLOW TOO CLOSE REND SO 1 Si 12 .60 11111185 75:25 1 1 1 Nun FOLLOW TOO CLOSE NO VIOL REND Sp 1 Si 12 ,60 04101/86 17:25 1 UNK NO 'VIOL FAIL YIELD R D W ENT AT ANGLE 12 12 ,60 05/10/96 17:55 2 ,60 05/19/86 16:10 1 2 12 HN.A NO VIOL NO 'VIOL INATTENTION , 0 JOL RENO SO 1 Si 12 .60 05/28186 13:17 1 1 1 H!IBO 2 1 6 HNBO FAIL YIELD R O W 4 O V'.OL REND SO 1 ST ENT AT ANGLE I TOTAL PR i OPERTY DAMAGE FAIL YIELD R O W NO VIOL ENT AT ANGLE LTOTAL ACCIDENTS 52 AMOUNT OF PROPERTY DAMAGE .950 !3,400 $Boo $800 $2,700 $1,100 $800 $1,200 $1,100 $1,700 $1,400 $!04,190 SEVERITY CODES - (I)PROPERTY DAMAGE ONLY (2)INJURY 131FATAL VEHICLE TYPE CODES - (OOINOT STATED (O1)PASSENGER CAR (02)TRUCK (10,000 LBS, 1031FLATBED TRUCK OR VAN (06)TRUCK TRACTOR AND SEMI1-TRAILERN((0710THER TRUCKTCOMBINATIONS 108)FARM TRACTOR AND/OR EOVIPMENT 109)TAII (10)BUS !I1)ECHCCL BUS 112)MOTORCYCLE (13)S000TER BIKE (14)OTHER (IS)MOPED r3 „ ?ti A 1 iC53`Y7F t1&dtbP? :'6rt?PDJ?4 ??K ifFCd'G3?i '"?' Y$e4 d6nTh"`"?'?mil'?4?}'?i tY7J?lAR11?P F N` i ° .. 1. {u A T' s $e SR 12 MP 0.37 TO 0,62 S, CHEHALIS ST, TO S. FLEET ST. JANUARY I, 1964 TO DECEMBER 31, 1986 SORTED BY COLLISION TYPE, MILEPOST AND DATE TYPE OF MOST COLLISION A S SEVERE LIGHT SR M. P. DATE TIME 1NJS FATALS INJURY SURFACE CONDITIONS WEATHER VEH HIT FED 12 .53 0I/11/65 11:59 1 EVIDENT INJURY DRY DAYLIGHT CLEAR CLOUDY NUMBER, OF ACCIDENTS 1 INJURIES & FATALITIES 1 ENT AT ANGLE 12 .54 07116184 08:50 NO IM1SUR'f DRY DAYLIGHT CLEAR CLOUDY 12 ,54 07/27/84 17:14 NO INJURY DRY DAYLIGHT CLEAR CLOUDY 12 ,54 03125/65 12:56 NO 1NJL'P,Y WET DAYLIGHT CLEAR CLOUDY 12 ,54 09/10/85 11:02 1 POSSIBLE INJURY WET DAYLIGHT RAINING 12 .54 03118186 09:40 NO INJURY NET DAYLIGHT RAINING ?. 12 ,60 12106184 08:06 !10 INJURY DRY DAYLIGHT CLEAR CLOUDY { 12 .60 11/11/65 15:25 NO INJURY DRY DAYLIGHT CLEAR CLOUDY { 12 .60 05119/86 16:10 NO INJURY WET DAYLIGHT RAINING 12 .60 05/28/86 13:17 NO INJURY DRY DAYLIGHT CLEAR CLOUDY NUMBER OF ACCIDENTS 9 , INJURIES 6 FATALITIES 1 SOSNIP SD BM 12 ,38 04/21/86 15:42 NO INJURY DRY DAYLIGHT CLEAR CLOUDY 12 .40 12/13/85 15:38 1 POSSIBLE INJURY DRY DAYLIGHT CLEAR CLOUDY 999 12 .40 04125/86 19:41 NO INJURY NET DARK ST LT RAINING 12 ,41 07/03/86 14:19 NO INJURY DRY DAYLIGHT CLEAR CLOUDY NUMBER OF ACCIDENTS 4 INJURIES L FATALITIES `REND SO BM 12 ,44 01/11185 12;10 1 DISASLG INJURY DRY DAYLIGHT CLEAR CLOUDY :.: 12 .54 03/03;85 13:30 NO INJURY NET DAYLIGHT CLEAR CLOUDY NUMBER OF ACCIDENTS 2 INJURIES S FATALITIES 1 RENO SO I ST 12 .39 12111/86 16:29 3 POSSIBLE INJURY WET DUSK RAINING 12 ,52 07119/84 16:48 2 EVIDENT INJURY DRY DAYLIGHT CLEAR CLOUDY 12 .53 05103/S5 06:05 110 INJURY NET DAYLIGHT CLEAR CLOUDY 12 .53 10104/86 15:45 1 POSSIBLE INJURY DRY DAYLIGHT CLEAR CLOUDY 12 ,54 02110/55 18:25 NO INJURY NET DARK ST LT RAINING 12 ,54 06124/BS 16;30 NO INJURY DRY DAYLIGHT CLEAR CLOUDY 12 54 06116/86 15:29 1 POSSIBLE INJURY DRY DAYLIGHT CLEAR CLOUDY ??Tj",?TfH?I; : 0.Zr?"; > ?;' SW ?453flk7AG ?,. / ?, r tr r 34Y,FF,?+X14 v?. 1 S - , i ' ap ? A3: r r, t 1 s xr,, a ?Fn'?' t ? rT.w REND SO 1 ST ?., 12 ,54 07103186 16:5E 1 POSSIBLE INJURY WET DAYLIGHT PAINING t 12 .54 10/26/86 17:24 NO INJURY NET DARK ST LT RAINING 12 .55 03/17;84 11:20 NO INJURY DRY DAYL184T CLEAR CLOUDY 12 ,55 05115/86 17:!6 NO INJURY DRY DAYLIGHT CLEAR CLOUDY 12 .58 06/21/85 17:;0 !,D INJURY DRY DAYLIGHT CLEAR CLOUDY 12 .59 03128/84 11.32 1 POSSIBLE INJURY NET DAYLIGHT RAINING 12 .59 08/16,94 17.19 ND INJURY DR'I DAYLIGHT CLEAR CLOUDY 12 .59 07/II/85 17:13 POSSIBLE INJURY DRY DAYLIGHT CLEAR CLOUDY _ 12 ,59 09105186 19:15 NO INJURY DRY DAYLIGHT CLEAR CLOUDY 12 ,60 07/30!85 15:43 NO INJURY NET DAYLIGHT RAINING 12 ,60 09/13:85 16:06 NO :AJURY WET DAYLIGHT RAINING 4 12 .60 04101/86 I7:C5 NO INJURY DRY DAYLIGHT CLEAR CLOUDY ^.? 12 ,60 OS/!0/B6 i,...., t POSSIBLE INJURY DRY DAYLIGHT CLEAR CLOUDY _ ?.y a NUMBER OF ACCIDENTS 20 V .., 1• INJURIES G FATALITIES I1 h T 1 t 4 i LT TAN SD I SIR 12 ,54 09/16185 17:37 110 INJURY WET DAYLIGHT RAINING NUMBER OF ACCIDENTS I INJURIES E FATALITIES r DRIVENY ENTERING NO, INJURY NET DAYLIGHT ;I. 4l 12/!3/E4 16:01 RAINING 4 12 ,51 0,5/18/86 11:50 NO, INJURY NET DAYL16HT CLEAR CLOUDY + 12 ,54 1!/!0/84 18:17 1 EVIDENT INJURY NET DARK, ST LT RAINING 12 .54 10!31/85 12::0' NO INJURY WET DAYLIGHT RAINING r NUMBER OF ACCIDENTS 4 °t } INJURIES B FATALITIES 1 n ° 1 ? • i DRIVEWY LEAVING 12 ,48 10/25!06 06:50 r MD INJURY NET DARY, ST LT RAINING i NUMBER OF ACCIDENTS I INJURIES 5 FATALITIES 1 ? , ,Sirt11 ,? PY4 MY WWI dr1w, i ?Y f t'- rr (? 1 ry? :Lw k,Yt r (• ?-f i?1'{af ???? BSI j 0 f SR 12 MP 0.37 TO 0,62 S. CHEHALIS ST, TO S. FLEET ST. JANUARY 1, 1984 TO DECEMBER 31, 19B6 SORTED BY COLLISION TYFE, MILEPOST AND DATE TYPE OF MOST k COLLISION I SEVERE LIGHT SR M.P. DATE TIME INJS FATALS INJURY SURFACE CONDITIONS WEATHER t r LT TRN OD 1 STR 12 .54 06126/84 17:35 3 DISABLG INJURY DRY DAYLIGHT CLEAR CLOUDY 12 .54 12/23/84 12:59 NO INJURY NET DAYLIGHT CLEAR CLOUDY { s -. 12 .54 01114/85 15:35 1 POSSIBLE INJURY NET DAYLIGHT RAINING 12 .54 02126/E5 08:23 1 EVIDENT INJURY WET DAYLIGHT CLEAR CLOUDY ' 12. .54 03127/85 12:15 NO INJURY WET DAYLIGHT RAINING 4 12 .54 08/09/85 16:11 NO INJURY DRY DAYLIGHT CLEAR CLOUDY 1 12 .54 1!/IB/B5 19:10 1 POSSIBLE INJURY WET DARK ST LT CLEAR CLOUDY 12 .60 01100184 11:43 MO INJURY DRY DAYLIGHT RAINING - y r NUMBER OF ACCIDENTS 8 INJURIES 9 FATALITIES 6 F ?- fl ? I I { RR HIT YEN 12 ,54 06104/84 08:41 NO INJURY NET DAYLIGHT CLEAR CLOUDY ? ?- 12 ,60 03105/85 09:01 NO INJURY WET DAYLIGHT CLEAR CLOUDY NUMBER OF ACCIDENTS 2 INARIES &. FATALITIES yy ?y+M1 I 1?i{PiA? ?Q61 M1A1?111f11 ?d Y •. 1 Y 1. f 1 r . • r r ? % 1 ??1 ? 4 ? ' ?R7,1'?r} ! t ? ? h ' v ? f J ? r r n • 1 S v A rv /s ,j E l l f I 1 ? l ) e v t k y ? !y y r, •? r 1, t?h i y HT r ? h 1 1 r1{, ? f ! -dry ? r NS?'"? 5 ! 3 :?Q? S f ? 1 tS er t?` i 1 ? iJ ? r4? f Mr _ Trafpi? Sa Crisham Na ti oval fetY AePa rt 444 N Safe ment orth i Cou Chicago Illi ogsan ""e".- 6161, 3. Report Forms 11 and 12 should be completed by each school district in the Jurisdiction. Also, Report Form 15 shol•'d be completed by each ambulance and first-aid vehicle service organization in the ,p n jurisdiction. Additional sets of these forms have been provided for this purpose. 4. The completed set of 15 questionnaires that will be provided to the National Safety Council need not be typed. Pencil or pen entry of answers is suitable. 5. DO NOT MAIL THE COMPLETED FORMS TO THE NATIONAL SAFETY COUNCIL. In a few days, a National Safety Council representative will tele- phone you to determine progress made and problems encountered, and to discuss a date when a visit can be made to your office %r to review and pick up the completed report forms. ' 6.. You should schedule collection of the completed report forms so that they are all back in your office no later than January 18. ?r 7. You should review each completed report form as it is returned to you to ensure that each question is answered as fully and as accu- rately as possible. If there appear to be errors in the reports, l' they should be checked with the responsible.official. You should h,,y then affix your signature and date'in the space alloted on the first page of each report form. 8. The information requested in the report forms is for the use of the Washington Traffic Safety Commission and the National Safety Council in determining the present level of activity in the state as to highway safety. It will be strictly confidential. Infor- mation gathered will be used only for statistical and evaluation i. r purposes and will not be used in any way to discredit the parti- cipating jurisdictions. , ° If questions arise concerning the questionnaires that require I immediate answer, contact:' James Grisham Traffic Safety Department National Safety Council :r 444 North Michigan Avenue Chicago, Illinois 60611 Telephone (312) 527-4600 EXT. 462 8 ?t?tr r ? a£ ,.t E ? fs + fi n. t V ? 5 w. .? J4 .Yl t - y v t Wt i '. S ?j ?? { ? I \T.1A. T N 4l,.ry,.Y.14t lk f '4S'i 1r rmh aV r , r ?M:. + t y zy ` 1 s ?i? 5 e tr° ,v ., a l l y P + ? 1r .'1t F i{ %1 +F h' + r ?? k ? hru t1'I?v, i r ti + '? rt ?1 I ! j ItVI 5Y f? ?. ?? 4 ? t 1 l ( r? + {? S p3 ?? 1t` "? +1 ,? ?? .1+ r t ?km, t1 iI ?? ?r ? r ?, z?• STATE WASHINGTON TRAFFIC SAFETY COMMISSION P. O. [lox I799, Olympia, W:ssF.inyton 7456: 2Py9535197 , Dixy Lee Ray Waher E. Black, Di-- 3 ??'- GOVefROf September 17, 1979 ,,a g A. M. O'Meara, Commissioner !T Jr r .? Jefferson County Commission !0iarl?e rr Port Townsend, WA 98368 Dear Commissioner O'Meara: I am pleased to inform you that your county has been selected to participate in the Highway Safety Program Analysis to be conducted by the National Safety Council. This service will be provided at no cost to you. Your obligation will be to see that the questionnaires provided are completed by the various concerned agencies of your jurisdiction. Also, to justify the expendi- ture of traffic safety funds, each participating jurisdiction will report on the status of recommendations made in the analysis at the end of 6 months and again at the end of 12 months after you have been a't presented with the analysis report. I am pleased that you saw fit to take advantage of this offer of service. The final document that will be presented to you should provide guidance for several years in selecting projects on a priority basis, which will improve the traffic safety record of your community. Again, thank you for your immediate response to this offer. You will be notified concerning the schedule as soon as contractual arrangements with the National Safety Council have been completed. Sincerely, Walter E. Black Director WEB:ca T?N7 dN, lINCIbC 31' N" ?( }+? h [ d H" yy'. V j ? A ? Aayp?, p ti iU{ ?fitehc .?1'S ? [p 1 r 1 ?? 1 b A ?? r i e =.t ' V,,+ h a _ ?u' 4? j t J 1 Vttf?" I V11, rdl?94 t Y l' ' L To: Walter E. B ack, Director Washington Traffic Safety Commission P. 0. Box 1399 Olympia, Washington 98504 -?%Zvm 1 S;.) 1 * 1979 cl r+Oli ki•ftilMM'`I. STATEMENT OF AGREEMENT If selected to participate in the Highway Safety Program Analysis (HSPA) to be conducted by the National Safety Council under contract to the Washington Traffic Safety Commission, our City/County will cooperate in the program and will complete the questionnaires to be provided for each program area to the best of our ability. It is underst-)od that the entire cost of this analysis will be paid by funds administered by the Washington Traffic Safety Commission. i am naming- T d !' /Name ?1?? ` l (r'j!.'f'.?1'' l J •?FJ!i { as Title Task Director who will serve as contact person and who will distribu...s and collect the questionnaires and work with personnel of the National Safety Council and the Washington Traffic Safety Commission on this project if our jurisdiction is selected to participate. i 1 ?1A I: re Signed amn "?? Jurisdiction (city or county) it c Date i R STATE OF ? WASHINGTON TRAFFIC SAFETY COMMISSION WASHINGTON P. o, Box 1399, Olympia, Wmhlnyton 98504 2W7536197 r Dixy Lee Hay Walter E. Black, Dhelo: Go-nor September 4, 1979 StF Chairman of the Board Jefferson County Commission Port Townsend, Wa. 98368 Dear Commissioner: During the past three years, 13 cities and 7 counties in Washington have participated in a Highway Safety Program Analysis (HSPA) spon- sored by the Washington Traffic Safety Commission and conducted by personnel from the National Safety Council, Chicago, Illinois. The purpose of this letter is to inform you that this "service" is available to your jurisdiction at no cost to you. The expense ($2300) will be paid for by the Washington Traffic Safety Commission. The Commission has sufficient funds this year to provide Highway Safety Program Analysis in ten local jurisdictions. If you desire to participate in the program, please complete the Statement of Agreement and we will notify you if your jurisdiction is to be selected. Since I am sending a similar letter to 31 counties and 30 cities, I anticipate getting a positive response from a majority of the jurisdictions; therefore, selection of the ten jurisdictions will consist of selecting the first ten requests received. k I have included in this letter a brief on the Highway' Safety Program Analysis. If you need additional information, please contact me directly, or Mr. Delwyn Wilde, of my office at (206) 753-6197. Sincerely, Walter E. Black Director WEB:ca Attachments ?, vw iiwY fSacM ?$ti n•'? p { y gvs y,^ y ??. 1 _ p 4 '?,i 1 y? 11 ? TTi ?' t f1 Il ?./ t ?? by Y , ?° y i t ISM a ?? ? ? ? 5 I 1 f tt 5 h ?? 9 % 31 ? d` a? I ?? 1 t t? i s ., 7 ' F r 1l?y Traffic Accident Data Analysis Organization for Traffic Safety Administration Traffic Codes and Laws Traffic Courts Traffic Records Identification and Surveillance of Accident Locations Traffic Engineering Services Highway Design, Construction and Maintenance Police Traffic Services Traffic Safety Education Emergency Medical Services HOW THE HSPA WORKS Questionnaires covering each of the sections are prepared, approved and then furnished to the local officials. When the questionnaires are completed, a National Safety Council representative collects them, reviews their content with the local officials concerned, makes sure that they are complete. and returns them to the National Safety Council for evaluation and for program recommendations. DATA CLOSELY ANALYZED .The data submitted is critically analyzed--including the use of the Council's extensive electronic data processing facilities--and compared with the requirements of state and national Highway Safety Program Standards and standards recommended by other recognized professional organizations. RECOMMENDATIONS MADE Suggested programs and other recommendations are compiled and included in a single volume, several copies of which are furnished to the local jurisdiction. Each analysis becomes the sole property of the particular jurisdiction and the state. Recommendations provide a bona fide basis for requesting federal funds to augment existing traffic safety programs or to implement new ones. PRESENTATIONS Upon completion of the analysis a National Safety Council representative will make a formal presentation before the city or county officials highlighting the findings and recommendations of the HSPA. I ?y' {? ( r MI 4 14 F A T A ) w 'D' T5; .. ? I l'.Y f ni - ? b 6 li ? y? ? tF? y u ?{s i ist I ?:.4I nR Sul f t ?' ,r ?r r i L t 4 1 n: )fj. J t I rt,'- t 1 +,?a ? t f 1y I I 1 `:? 4 t 1 J ?1 r a?.'LO i r I ?y' •ry. f ? I t '.a 1 i Al p ? r a 4 4 h { I P '4 a K z x f .- To: Walter E. Black, Director Washington Traffic Safety Commission P. 0. Box 1399 r Olympia, Washington 98504 _ STATEMENT OF AGREEMENT If selected to participate in the Highway Safety Program Analysis i (HSPA) to be conducted by the National Safety Council under contract to the Washington Traffic Safety Commission, our City/County will t cooperate in the program and will complete the questionnaires to be provided for each program area to the best of our ability. It is understood that the entire cost of this analysis will be paid -, ?Yr by funds administered by the Washington Traffic Safety Commission. I am nami ng• _( ?r d {°V_ (t ?`_^ as ,u /Name Title ' y Task Director who will serve as contact person and who will distribucos and collect the questionnaires and work with personnel of the National Safety Council and the Washington -Traffic Safety Commission on this ' project if our jurisdiction is selected to participate. Jurisdiction (city or county) Signed Name Tit e Date/j 1 - - ® ITEM II I National WASHINGTON 's4sery `(- COUnC/I HIGH14AY. SAFETY PROGRAM ANALYSIS - - SUGGESTED DISTRIBUTION OF REPORT FORMS FOR COUNTIES `' Some of the report forms will. require information from several sourcesr` The county's traffic safety coordinator should ensure that information is obtained from all applicable agencies. Depart- ment names in some counties may vary. The agencies listed below can, 2 i be translated to fit the comparable agencies in your county. s; 1 - REPORT FORM SUGGESTED COUNTY OFFICIAL OR NUMBER AND TITLE AGENCY TO RECEIVE REPORT FORM f. r 1. Organization for Traffic Chairperson County Board of Safety Administration -- - Commissioners t Official Organization + Report - 2. Organization for Traffic Citizen Safety b_ganization Safety Administration -- JJocs Boa n,.:.f Citizen Safety Organization 3. Organization for Traffic Chairperson County Board of T; Safety Administration -- Commissioners or individual Public Information county agencies sews ?6.tnv?J £?C7i?n am4 sAx?F _ . 4. Traffic Codes and Laws County Attorney, District or State Attorney 5. Traffic Records Traffic Records Unit of a Sheriff's Department . ' 6. Identification and Sur- Sheriff's Department, Traffic veillance of Accident Engineer, or County Engineer Locations 7. Traffic Engineering Traffic Engineer, County Engineer n i Services or other person responsible for [ traffic engineering function 8. Highway Design, Construe- County Engineer, Department of ` tion and Maintenance Public Works or Highway Department `-fir . IflYMf i 4 ; t'fS2'?dtK }' - 6 !1 rA ?I wrv .._. u - .Jw..L. ?......uw....,_?r,1wv....,..._...Ya..-..1ta..?.urL.,W •F. ,S:v.Y .:.'.-.?b.a. '.uV ... ti G' .l ! 9: Police Traffic Services Sheriff's Department 10. Traffic Courts County Traffic Court Judge or - County Prosecutor ` 11: Traffic Safety' Education Superintendent of Schools or person - -- School responsible for safety education '. NOTE: FORM 11 SHOULD BE. COMPLETED - FOR EACH SCHOOL DISTRICT IN THE COUNTY. € 12. Traffic Safety Education Superintendent of Schools or person - High School braver - responsible for driver education - NOTE: FORM 12 SHOULD BE COMPLETED - 5. FOR EACH SCHOOL DISTRICT IN THE COUNTY. 13. Traffic,Safety Education Defensive Driving or special -- Adult Driver Education - adult driver training program instructor 14. Emergency Medical Service Chairperson of County Board of 4 - Governmental Report - - Commissioners or Chairperson of County EMS Council' 15 E n . merge cy Medical Service Commercial ambulance and first-' -- Ambulance and First Aid aid vehicle service operators; ' Vehicle Service Report municipal ambulance and first- aid vehicle services and volunteer services. NOTE: FORM 15 SHOULD BE COMPLETED F 34. BY ALL ORGANIZATIONS IN THE COUNTY THAT PROVIDE AMBULANCE AND FIRST- g;P, AID VEHICLE SERVICE " P . ?h 9':? a 3 2? g ? a Y 'N 1 X.:w?t:h : 5 C..'t.... gin.. i ' 9M . WRY - mRr1H??E,, w. •? .i'' . .`''!P ., . , . .7A1 i ot" - • ;2i1 nz 4 4.-..?..r- ITEM III E - 6 National WASHINGTON Safety Council HIGHWAY SAFETY PROGRAM ANALYSIS " NATIONAL HIGHWAY SAFETY ACT OF 1966 rµ r The National Highway Safety Act was signed into law on September 9, ?. . 1966. Under the Act, the Secretary of the U. S. Department of Transportation was charged with the responsibility for setting traffic safety program standards for states. The Act held each governor responsible for statewide programs and for the programs °- of.local jurisdictions. The Act authorized the appropriation of federal mone fo i t ' i y r ass s ance to states, in most instances on a matching basis, in fulfilling the national standards. It requires t, that 40 percent of the appropriated money must be used by the state to support the programs of local jurisdictions. ' The Washi t n T ffi yw ng o ra c Safety Commission has been given respon- sibility for administering the Highway Safety Program in Washington. NATIONAL HIGHWAY SAFETY PROGRAM STANDARDS f .' k Eighteen standards have currently been set by the National Highway k Traffic Safety Administration. These are: ppp 1 - Periodic Motor Vehicle Inspection +k 2 - Motor Vehicle Registration G 3 - Motorcycle Safety 4 - Driver Education (including adult driver education) 5 - Driver Licensing 9 6 - Codes and Laws ??n1; 7 - Traffic Courts ' ?•.? 8 - Alcohol in Relation to Highway Safety 9 - Identification and Sur ill f A id ve ance o cc ent Locations [ 10 - Traffic Records b { ' l 11 - Emergency Medical Services 0 12 - Highway Design, Construction and Maintenance 13 - Traffi E i i ' c ng neer ng Services a w 14 - Pedestrian Safety Ir o 15 - Police Traffic Services , 16 - Debris Hazard Control and Cleanup i 17 - Pupil Transportation 18 - Accident Investigation + ?? HIGHWAY SAFETY PROGRAM ANALYSIS + p7 ; 4 ? '- 'a• ?1 ®r i HSPA Objective. The objective of the HSPA is to help the State ., of Washington, through the Washington Traffic Safety Commission ' develop the traffic safety and management efforts of the state's wy cities and counties into a total, model statewide system. The HSPA "S. is an uncomplicated measuring device for determining the status and tl p a ttY' ?. ./fr. ';..1"fT?i'?d?,llii..FY.x4s.jx,71+????.,/Wb°a'. ;YX?-YaTQT:41• ?$ 1? qq needs of a state's selected city and county highway safety is programs and for isolating problem areas where programs are " needed. It will also reveal and focus attention on those areas where further study is warranted. cr How the HSPA works. Fifteen report forms have been prepared in cooperation with the Washington's Traffic Safety Commission. These forms encompass all of the applicable National Highway x Safety Program Standards. Those officials or others in the city v' most knowledgeable about the subject area will be asked to fill out the report forms, thus providing information concerning local highway safety program activities. When the forms are F completed, a National Safety Council representative will make on-site visits to review the completed forms to make sure nothing "^+ is missing. The NSC representative will then take the forms bac k to the Council for evaluation. 1 - ? Data analyzed. The data submitted will be analyzed and compared with State and National Highway Safety Program Standards. R o ., ep rt Prepared. A printed report of each jurisdiction's current highway safety program status and needs will be prepared and pro- vided to local officials. p Formal presentation. A representative of the National Safety Council will make a formal presentation of the completed analysis C to each participating jurisdiction. ?r 1a ? N rr ,, y??4 5 y n ' bb ? ' p rtg yR l ? I` January 15, 1981 Gentlemen, Six montha ago the National Safety Council presented Jefferson County -with their Highway Safety Program Analysis. Their findings included recommendations for improvements in reporting, organization, training, .etc. They have requested to know what activity your organization has done toward implementing the recommendations outlined. Included is a report form listing the recommendations. Notice that following each recommendation on the report form is a page num- ber where a full description of the recommendation can be found in the Highway Safety Program Analysis document. Use the white space following each recommendation for a report on any activity on that recommendation. If no activity, please so state. If insufficient white. space is available, attach a separate sheet with numbers corresponding to the numbered recommendation. If you do not have a copy of the analysis, please contact Carter Breskin at this office and,she will forward one to you. Thank you for your cooperation. Very truly yours, Gary A. Rowe Traffic Safety Representative y t?. x?u ? ? v s? • ?? i? .??, T a wr J?11t? Y? , .. h 2, r, iy t o j 4Ai y? ? i ! t ? ?.yl 1 ,' IW 4 I. 1 . l ?f 1 1 t. 1 t r ? ;'711 ilk . r yYy' .If., Ai ?TA ti r Caw ,?i ti l` ; ?,•, *!?? STATE OF r f WASHINGTON WASHINGTON TRAFFIC SAFETY COMMISSION c i ao$ ?? 1 Ditty Lee Ray 1000 s cherry St., obmo a, Wa,nin9 on 9&504 Pho- 206/7516197 teen Governor Walter E. Black, Director - .T December 15, 1980 MEMORANDUM ILIn?J?CJ J DEC i G 1980 TO: Traffic Safety Representatives JEFFERSON COUNTY BOARD OF COMMISSIONERS FROM: Walter E. Black Director SUBJECT: Highway Safety Program Analysis Six-Month Report Attached are the ten section report forms listing the recommendations in your Highway Safety Program Analysis which was conducted at your request by the National Safety Council. These forms should be completed by someone knowledgeable in the ten sections of the Analysis and returned to the Washington Traffic Safety Commission by January 15, 1981. Notice that following each recommendation on the report form is a page number where a full description of the recommendation can be found in the HSPA document, Use the white space following each recommendation for a report on any activity on that recommendation. If no activity, please so state. If insufficient white space is available, attach a separate sheet with numbers corresponding to the numbered recommendation. You may want to have your traffic safety committee review the completed forms and also retain copies for further planning. A twelve-month report on similar forms will be due in July, 1981. Thank you for your cooperation. It is hoped that this reporting procedure will give you an indication of where traffic safety activities should be directed and incentive for proceeding on these activities. WEB:vb Attachment ..a3, e t T t i(fhW a K?is? yv??tujr,?r"y,1, I?iy. .yy,,.p a. j ? ? 19 n i? of { ? ?S t? t ??!? ?Y_ Y? ? n I •? 1 / jiY)u t t r r? t ? r P T 17. t r` 'lf??i ?f ? i ? I tr{r?t"w y? d ', Y y t ark ? ",hN1t??tl T ? ]r ? t 1 ?+grptl?e 0 Jefferson County H.S.P.A. 0 Section N2---Traffic Safety Organization. Recommendations: I. APPOINT A TRAFFIC SAFETY COORDINATOR. (p 2-4) 2. ESTABLISH AN OFFICIAL TRAFFIC SAFETY ORGANIZATION. (p 2-4) 3. ESTABLISH OFFICIAL TRAFFIC SAFETY PROGRAM PRIORITIES. (p 2-4) 4. DEVELOP AND IMPLEMENT TRAFFIC SAFETY COUNTERMEASURE PROGRAMS. (p 2-5) 5. ESTABLISH WRITTEN PROGRAM GOALS AND OBJECTIVES. (p 2-5) 71 6. ESTABLISH A COMPREHENSIVE PUBLIC INFORMATION PROGRAM FOR TRAFFIC SAFETY. (p 2-5) 7. CONDUCT PERIODIC EVALUATION OF THE TRAFFIC SAFETY PROGRAM. (p 2-6) D ? rn `c i r , r ? ?, J l' y l s ' .ma ] t µ j l? - ti!R ^a ?? kv, y'*??tz?? t f .? k sj JEFFERSON COUNTY, H.S.P.A. Section #r3---Traffic Codes and Laws. Recommendations: 1. ASSIGN-RESPONSIBILITY FOR CONFORMANCE WITH THE MODEL TRAFFIC ORDINANCE. (p 3-4) • 1 k 2. USE THE MODEL TRAFFIC ORDINANCE AS REFERENCE FOR CODIFICATION. (p 3-4) 3. INITIATE PROGRAM OF PERIODIC REVIEW OF TRAFFIC LAWS. (p 3-4) , 4. DEVELOP A PUBLIC INFORMATION PROGRAM. (p 3-5) s ?? Swy V ? 4 1xr ; d, ` d3 bG?'-tt6d^ r r4 'dip ??+? ?µ e? v IL It 7t ? '? r, ? , r Naf 1 1 a? ? , ,kxF , , _ y 1 r ' Rt, ??r j ? ` 3 l yYht? r+,? r I r . 11 r !.) 1 l ? 1 ? ya ?5 ! ?N4 y ' 1f '.C 1 t -Y 1 r hF ;?SS r,?} 1 L t ti Z! ?'i3 ? 1T r f _ t ? S I 1 1 f O ? J c 1, t ? r, Y J ] ?Z ?( t Ykt =d 1 . Y F - ? r? 'r ? r r ?f ??{ ? r ?? lt: V _ Yli ?I I JEFFERSON COUNTY, H.S.P.A. Section #5---Traffic Records. Recommendations: 1. OBTAIN PERTINENT INFORMATION ON ALL REPORTED TRAFFIC ACCIDENTS. (p 5-4) 2. DEVELOP AN EFFECTIVE RAODWAY DATA BASE. (p 5-4) 3. DEVELOP A CENTRAL RECORDS FILE ON MOVING VIOLATIONS. (p 5-5) 4. ESTABLISH EFFECTIVE DATA RETRIEVAL SYSTEM. (p 5-6) 5. USE THE NATIONAL SAFETY COUNCIL MANUAL ON CLASSIFICATION OF MOTOR VEHICLE AND TRAFFIC ACCIDENTS. (p 5-6) 6. INCREASE THE USE OF STATE-GENERATED SUMMARIES. (p 5-6) 7. INCREASE DISTRIBUTION OF LOCAL ACCIDENT SUMMARIES. (p 5-6) B. PROVIDE TRAINING FOR RECORDS PERSONNEL. (p 5-7) t 7. P I r C at`y Section N5 - continued 9. INITIATE PRODUCTION OF STATISTICAL DISPLAYS. (p 5-7) 10. DEVELOP ENFORCEMENT SUMMARIES, SPOT MAPS AND LOCATION FILES. (p 5-7) 11. COMPUTE ENFORCI IENT INDICES. (p 5-9) 12. CONDUCT ANALYT1t:AL COMPARISON OF ACCIDENT AND ENFORCEMENT SUMMARIES. (p 5-9) 13. BEGIN ASSOCIA' ON OF ACCIDENT EXPERIENCE WITH ROADWAY FEATURES. (p 5-10) R "[C? d!i'' Mla 96 ? '1 CS "`dw7`"ik i R'F ?"Ar. y,' i ? ? •a ??:, '1 1 t r 1'mK y5 ?:tY 3'? ? ? ! ? I r r JEFFERSON COUNTY, H.S.P.A. Section N6---Identification and Surveillance of Accident Locations. Recommendations: 1. DEVELOP SYSTEM CAPABILITY FOR PRODUCTION OF REQUIRED INVENTORIES. (p 6-3) 2. INITIATE AND MAINTAIN FULL SURVEILLANCE ACTIVITIES. (p 6-3) 3. INITIATE AND CCNDUCT SURVEILLANCE TRAINING. (p 6-4) ' b f ° 11 y t ?? o f 1 ?' - f ?.4d T 1 A + 3 tit rq? a "0k??'1? V :irk ? e }f. I r ti? 1 ,11M i .? . ti._ v 1 1 , i i Z 7 S ? 11 ?1 1 ? 5 ?M¢v1 1 ?1 `i v o {?r 1f i ti 1 Kur sk"?° '? ?htr ? ?' i t 1 ?w ti a r ? 1 4 'r ? r?4? _ ? 1 sl ? ? { 1? ? ? 4 k3 1 1 ? ? `? •y} }?{ ? 1Is 1 ? ' ` Ir y? x l k I Y l??T? 1 ?v 1 ?BL P? a? .? ? ?t1?tJ•IF ? r ?' ', hl ? 1 1 -' 1 .l 1 ? '`tsa t ! ry i X ,'+t 1 '1r r 41 1 ' 1 ,iti .. .. ... . ... ... .. _.• .. .??.. ?..r ? .a ... c .. ..n.. .. ..r.f .. _. ,. M, w.a• I.1.1 a.w, a?._.. a. a.,......?.. ''6 ?:J:.' JEFFERSON COUNTY, H.S.P.A. Section N8---Highway Design, Construction and Maintenance. Recommendations: 1. UPGRADE EXISTING DESIGN STANDARDS. (p 8-6) 2. ENACT A ZONING ORDINANCE. (p 8-6) 3. DEVELOP ROADWAY LIGHTING STANDARDS. (p 8-7) 4. DEVELOP A SKID'-RESISTANCE INVENTORY. (p 8-7) Ie4Y 'NIle M: to .nn r ?: r r ~,y ? o J J R .10 r?'a 1 ` r 1? ? ?'? 1 ! J ? r 7 Y T! f M :j - JEFFERSON COUNTY, H.S.P.A. Section #9---Police Traffic Services. Recommendations: 1. ASSIGN A TRAFFIC OFFICER TO PERFORM SPECIAL ENFORCEMENT AND ACCIDENT INVESTIGATION FUNCTIONS. (p 9-6) 2. ASSIGN SAFETY I'%UCATION RESPONSIBILITIES. (p 9-7) 3. PROVIDE IN-SER ';CE POLICE TRAFFIC TRAINING. (p 9-7) lip 4. EXPAND ADVANCE' TRAINING. (P 9-7) 5. INCREASE OUTS` E TRAINING OPPORTUNITIES. (p 9-7) 6. PROVIDE POLICI SUPERVISORY TRAINING. (p 9-8) 7. INCREASE TRAINING OFFICER QUALIFICATIONS. (p 9-8) I a • i1? I c i ? ? ;t ati Iti 1 L ,t , I'?'?.' I I ? v ?I i k c 1 r ?t 1 Y? ?' I? ? ? ?? _ t 4s 4 ? ? f ?SI l[ pM l L ., Section N9 - continued. 8. PRODUCE QUALITY ENFORCEMENY SUMMARIES. (p 9-8) 9. DEVELOP SELECTI'i TRAFFIC LAW ENFORCEMENT PROCDEURES. (p 9-8). , ,r 10. DEVELOP A WRITi 4 POLICE FOR INVESTIGATION OF ALL TRAFFIC ACCIDENTS. (p 9-9) 11. DEVELOP SPECIFIC PROCEDURES TO BE FOLLOWED BY LAW ENFORCEMENT OFFICERS RESPONDING TO THE SCENE OF AN ACCIDENT. (p 9-9) F w ° r 12. DEVELOP SPECIFIC PROCEDURES FOR TRAFFIC CONTROL AT THE SCENE OF AN ACCIDENT. (P 9-9) 13. PREPARE POLICIES AND PROCEDURES FOR CONTROL OF HAZARDOUS MATERIALS. (p 9-10) 14. ESTABLISH PROCEDURES FOR HAZARDOUS DRIVER CONDITION REPORTING. (p 9-10) 15. EXPAND PROCEDURES FOR REPORTING VEHICLE DEFECTS. (p 9-10) Section N9 - continued. 16. ESTABLISH PROCEDURES FOR REPORTING HAZARDOUS CONDITIONS. (p 9-10) ?i M+.4i" t f !r r i ?? ?? 1+ 2- 1' ! t _ 1 ,k?' Jy t! p h r r ? c 9 ?Y JEFFERSON COUNTY, H.S.P.A. Section #10---Traffic Safety Education. Recommendations: 1. ESTABLISH TRAFFIC SAFETY EDUCATION SUPERVISION. (p 10-5) 2. PROVIDE PEDESI IAN SAFETY INSTRUCTION. (p 10-5) 3. PROVIDE BICYCL." SAFETY INSTRUCTION. (p 10-5) 4. ESTABLISH AN ALCOHOL EDUCATION PROGRAM. (p 10-6) 5. UTILIZE LOCAL TRAFFIC ACCIDENT DATA FOR PROGRAM EMPHASIS. (p 10-6) 6. UPGRADE HIGH SCHOOL DRIVER EDUCATION. (p 10-6) 7. LIMIT DRIVER EDUCATION INSTRUCTORS TO SIX HOURS OF INSTRUCTION PER DAY. (p 10-6) 8. INCLUDE MOTORCYCLE SAFETY EDUCATION AS PART OF EXPANDED DRIVER EDUCATION. (p 10-6) n2 '1 n ? ? "'°7`r A F iy ? f `} J i' 1 ? ` 71 1 ' ? ? A f ?.•' 4 7 7J' ? ?{ v r J R? l4 ?, r ??M ?S ?lr? t??d+S t . t i ? ? ? C I 6 f %? ? r t d ? f i?i. r 1 r I r"? ?y a ?` JEFFERSON COUNTY, H.S.P.A. Section N11---Emergency Medical Services. Recommendations: 1. DEVELOP A WRITTEN EMERGENCY MEDICAL SERVICES PLAN. (p 11-7) 1 2. PROVIDE EMERGE'';Y MEDICAL SERVICES PUBLIC INFORMATION AND TRAINING. (p 11-8) 3. PROVIDE SPECIP IZED DRIVER TRAINING FOR AMBULANCE AND FIRST-AID VEHICLE DRIVERS. (p li-8) 4. ESTABLISH A C: TRAL DISPATCH SYSTEM. (p 11-8) 5. EVALUATE THE :AILABILITY OF EMERGENCY DEPARTMENT FACILITIES. (p 11-8) fL f 'fir L`??rM `o- ` ? z t i i is r ? t L Y .) 'r -r? ? h r ? h n ?? a 4 i ?? ht? ? th e < < r i ? 4y}??II pat -.. r t J 1^ J 1 ?, 1 y t r 4 t ? I ? R t 4 yl{??L ?t Y, I f t r ?y: ab lr -1` ? r h t t ??,? ? MEMO JEFFERSON COUNTY SHERIFF'S OFFICE COUNTY COURTHOUSE 3853831, AREA CODE 206 PORT TOWNSEND, WASHINGTON 98368 ?A ' PROM !? SUBJECT ,q ? MESSAGES LLv? Co 1W ??ewcS oAi (c?. ?A %T 2 CJ o Abu R. - ORIOI N.?TOR DO NOT WRITE BELOW THIS LINE -NE_ i• REPLY: „i in ? 4 ? f? J ? 1M J ? r ' a Mgt ! .+?rf TY?i?yi1 V1(`A r«. 1'.?8 ?a u? O 4s{riti?tr??s r 1 `{ ? V r { ,1 r ? tCt 4? 'ra??, tt 1 ?, ?? S +N ? 3 •J f i S f f, +r ++ x_I A I 1 s rl ? ? ` ? r;?l 7q?f ? ??tt y1 l px JEFFERSON COUNTY COMMISSIONERS Q A.M. O'Meara B.G. Brown Carroll M. Mortar § CHAIRMAN MEMBER MEMBER Jefferson County Department of Public Works . COURTHOUSE i ' ,c. PORT TOWNSEND, WASHINGTON 98368 Mllt.n L. Sunstrom, DIRECTOR OF PUBLIC WORKS September 9, 1980 e G ntlemen: RE: WASHINGTON HIGHWAY SAFETY . PROGRAM ANALYSIS On August 22, 1980, representatives of the. Washington Traffic Safety Commission. and the National Safety Council presented their analysis of highway safety in this county. Enclosed is a copy of their report. I trust that you will find it useful where, it pertains to your particular services. The Washington Traffic Safety Commission provides funding for implementation of safety-related programs. Early next year the Jefferson County Commissioners will be receiving the necessary information to put together requests for funding. If you have questions regarding this program please call the Jefferson County Commissioners at 385-2161. Very truly yours, Gary A. Rowe . Task Director for Jefferson County- GAR:cb 9g i , a,,, (ju 1 ^?Tasir a i 1) 'i.,? ! JEFFERSON COUNTY COMMISSIONERS V JEFFERSON C'u"U!r), A.M. O'Meara B.G. Brown HARD pFCP!rP.II:M Mercers CHAIRMAN MEMBER MEMBER II Jefferson County Department of Public Works COURTHOUSE PORT TOWNSEND, WASHINGTON 98368. }?1 E Milton L. Somfrom, DIRECTOR OF PUBLIC WORKS a..s,. r January 15, 1981 w Board of Jefferson County Commf.ssioners .Courthouse Port Townsend, `.2A, - 98368 Gentlemen; Six months ago the National Safety Council presented Jefferson County with. their. Highway Safety. Program Analysis. Their findings included recommendations for improvements in reporting, organization, training, etc. They have requested to know what activity your organization has done toward implementing the recommendations. outlined. - Included isa report form listing the recommendations., Notice that following each recommendation on the report form is a page num- ber where a full description of the recommendation can be found in the Highway 'Safety Program Analysis document. Use the white space following each recommendation for a report on any activity on that recommendation. If no activity, please so state. If insufficient white space is available, attach a separate sheet with numbers corresponding to the numbered recommendation. If you do not have a copy of the analysis, please contact Carter Brenkin at this office and.she will forward one to you. Thank you for your cooperation. Very truly yours, Gary A. Rowe Trnffic Safety Representative x 'I h r ti_ 1 ? S er 1?1i'A }I? 1 4 :1 1 .• ? 1 ? 1 ! 5 y } I 1 .75? J ' I !t r ) t 1y( JEFFERSON COUNTY COMMISSIONERS A.M. O'Meara B.G. Brown g Carroll M. Mercer CHAIRMAN , MEMBER MEMBER Jefferson County Department of Public Works COURTHOUSE N ' PORT TOWNSEND, WASHINGTON 98368 'Y Milton L. Sansfrom, DIRECTOR OF PUBLIC WORKS' January 15, 1981 fM ?s? Gentlemen, _ Six months ago the National Safety. Council presented Jefferson - C.ounty,with their Highway Safety Program Analysis. Their findings ?,. - included recommendations for improvements in reporting,-organization, training, etc... They have requested to knowwhat -activity -your - " organization has done toward implementing the recommendations - - outlined. Included is areport form listing the recommendations. Notice ?.` that following each recommendation on the report form is a page num- ber where afull description of the recommendation can be found in the Highway Safety Program Analysis document. Use the white space following each recommendation for a report on any activity on that S recommendation. If no activity, please so state. If insufficient white space is available, attach a separate sheet with numbers corresponding to the numbered recommendation. If you do not have a copy of the analysis, please contact Carter Ureskin at this office and,she will forward one to you. Thank you for your cooperation. Very truly yours, Gary A. Rowe Traffic Safety Representative 2 STATE OF WASHINGTON TRAFFIC SAFETY COMMISSION WASHINGTON 1000 S. Cherry St.. Olympia, Washinyl0n 98504 Phone: 205/7536197 Dixy Lee Ray Governor Walter E. Black. Director December 15, 1980 -1 -+r, -?-?? aneMoRaaausw u? Ul:, i G 'U3U U:D TO: Traffic Safety Representatives BOARD OF RD OF SON PAISSI Y COi'dPdIS$IOfdEf;S FROM: Walter E. Black Director SUBJECT: Highway Safety Program Analysis Six-Month Report Attached are the ten section report forms listing the recommendations in your Highway Safety Program Analysis which was conducted at your request by the National Safety Council. These forms should be completed by someone knowledgeable in the ten sections of the Analysis and returned to the Washington Traffic Safety Commission by January 15, 1981. Notice that following each recommendation on the report form is a page number where a full description of the recommendation can be found in the HSPA document. Use the white space following each recommendation for a report on any activity on that recommendation. If no activity, please so'state. If insufficient white space is available, attach a separate sheet with numbers corresponding to the numbered recommendation. You may want to have your traffic safety committee review the completed forms and also retain copies for further planning. A twelve-month report on similar forms will be due in July, 1981. Thank you for your cooperation. It is hoped that this reporting procedure will give you an indication of where traffic safety activities should be directed and incentive for proceeding on these activities. WEB:vb Attachment REM, 1iV?9dika fx" ;; C ' J `?? ,y? r Y y i 7Yr •JJ+ ti t {` I •i 7 U F y ?k I t,6r?? t §<51 t I. r?t ?? t 7? qty 7 ?. 1 ? ? f i, ? ? t i = _ { 1 1 1 1?(?} r r t N j' F t ?t y .( i 5 'S ,dU J j{ r 1 ? y t t ? { J Jefferson County H.S.P.A. Section #2---Traffic Safety Organization. Recommendations: 1. APPOINT A TRAFFIC SAFETY COORDINATOR. (p 2-4) 2. ESTABLISH AIV OFFICIAL TRAFFIC SAFETY ORGANIZATION. (p 2-4) fa , "Pi 3. ESTABLISH OFFICIAL TRAFFIC SAFETY PROGRAM PRIORITIES. (p 2-4) 4. DEVELOP AND IMPLEMENT TRAFFIC SAFETY COUNTERMEASURE PROGRAMS. (p 2-5) 5. ESTABLISH WRITTEN PROGRAM GOALS AND OBJECTIVES. (p 2-5) 6. ESTABLISH A COMPREHENSIVE PUBLIC INFORMATION PROGRAM FOR TRAFFIC SAFETY. (p 2-5) 7. CONDUCT PERIODIC EVALUATION OF THE TRAFFIC SAFETY PROGRAM. (p 2-6) JEFFERSON COUNTY, H.S.P.A. Section #3---Traffic Codes and Laws. Recommendations: 1. ASSIGN-RESPONSIBILITY FOR CONFORMANCE WITH THE MODEL TRAFFIC ORDINANCE. (p 3-4) 2. USE THE MODEL TRAFFIC ORDINANCE AS REFERENCE FOR CODIFICATION. (p 3-4) 3. INITIATE PROGRAM OF PERIODIC REVIEW OF TRAFFIC LAWS. (p 3-4) 4. DEVELOP A PUBLIC INFORMATION PROGRAM. (p 3-5) 4 r 1 'T, C+ r I lti ? ? ?w r 3 ? ?, ? .a1 y?.?,? r'1 ,? 1 ;4 ? I:V JEFFERSON COUNTY, H.S.P.A. Section ¥4---TRAFFIC COURTS. Recommendations: I. DEVELOP•A SEPARA'E BUDGET FOR THE COURT. (p 4-4) 2. DEVELOP A SYSTEF FOR PROMPT SERVICE OF TRAFFIC WARRANTS (p 4-5) %j ?,? ? ? y ???? ? .,.`? + r?inar ? ? '???ti?9?.''?? I -z"4 r? ;54???a l ? 1 ? ' arc Fay?%? ? t i ,l 1 'Y JEFFERSON COUNTY, H.S.P.A. Section #5---Traffic Records. Recommendations: I. OBTAIN PERTINENT INFORMATION ON ALL REPORTED TRAFFIC ACCIDENTS. (p 5-4) 2. DEVELOP AN EFFECTIVE RAODWAY DATA BASE. (p 5-4) 3. DEVELOP A CENTRAL RECORDS FILE ON MOVING VIOLATIONS. (p 5-5) 4. ESTABLISH EFFECTIVE DATA RETRIEVAL SYSTEM. (p 5-6) 5. USE THE NATIONAL SAFETY COUNCIL MANUAL ON CLASSIFICATION OF MOTOR VEHICLE AND TRAFFIC ACCIDENTS. (p 5-6) 6. INCREASE THE USE OF STATE-GENERATED SUMMARIES. (p 5-6) 7. INCREASE DISTRIBUTION OF LOCAL ACCIDENT SUMMARIES. (p 5-6) 8. PROVIDE TRAINING FOR RECORDS PERSONNEL. (p 5-7) L . 25/}Y c r du eYa r Sy r H+°il?. 9 Ml j F'+;?'l??f,tt? ld J, r?, - ?N .waG' r kr ! 1 • r t?fiJ ry Si tiq i? r? ,1 t i ! I r ?.r ?? 77??? ?r N ? / t li ? aa$p ,? r . ! d 1d ,? n'ie4 _ F 4• t e 2 t t a ?. r,, S y r ? . I i . Section N5 - continued 9. INITIATE PRODUCTION OF STATISTICAL DISPLAYS. (p 5-7) a 10. DEVELOP ENFORCEMENT SUMMARIES, SPOT MAPS AND LOCATION FILES. (p 5-7) 11. COMPUTE ENFORCC•iENT INDICES. (p 5-9) 12. CONDUCT ANALYT'•:AL COMPARISON OF ACCIDENT AND ENFORCEMENT SUMMARIES. (p 5-9) t 13. BEGIN ASSOCIA' ON OF ACCIDENT EXPERIENCE WITH ROADWAY FEATURES. (p 5-10) f I? .. I ?1 t t- Y 1 J l r 1 r ]t I I G? J. Y v, JEFFERSON COUNTY, H.S.P.A. Section #6---Identification and Surveillance of Accident Locations. Recommendations: 1. DEVELOP SYSTEM CAPABILITY FOR PRODUCTION OF REQUIRED INVENTORIES. (p 6-3) ?r 2. INITIATE AND MAINTAIN FULL SURVEILLANCE ACTIVITIES. (p 6-3) 3. INITIATE AND CCNDUCT SURVEILLANCE TRAINING. (p 6-4) ? f a 1 V ` 1. 7 f ??Y v "f ` 4 l ?. fi, 0 JEFFERSON COUNTY, H.S.P.A. Section #7---Traffic Engineerirt Services. Recomnendat'ions: 1. CONDUCT TRAFFIC ENFINEERING REVIEWS. (p 7-6) 2. UTILIZE TRAFFIC ENGINEERING EXPERTISE FOR SCHOOL BUS OPERATION. (p 7-6) V j? !? 0 { ? 3 1 f! P - ? I' ? !d ? _ 4 Sl.{Y f t '. Nl! f J 1'f C 1, 1 7Y "?L4 11.E 1 l ? t ? C t }? I' t } r t ??. JEFFERSON COUNTY H.S.P.A t Section N8---Highway Design Construction and Maintenance. Recomnendations: 1. UPGRADE EXISTING DESIGN STANDARDS. (p 8-6) 2. ENACT A ZONING ORDINANCE. (p 8-6) 3. DEVELOP ROADWAY LIGHTING STANDARDS. (p 8-7) 4. DEVELOP A SKID-RESISTANCE INVENTORY. (p 8-7) ? ? l ! u JEFFERSON COUNTY, H.S.P.A. l of Section N9---Police Traffic Services. Recommendations: 1. ASSIGN A TRAFFIC OFFICER TO PERFORM SPECIAL ENFORCEMENT AND ACCIDENT INVESTIGATION FUNCTIONS. (p 9-6) 2. ASSIGN SAFETY i %UCATION RESPONSIBILITIES. (p 9-7) ( 3. PROVIDE IN-SER.'CE POLICE TRAFFIC TRAINING. (p 9-7) 4. EXPAND ADVANCE' TRAINING. (p 9-7) 5. INCREASE OUTS' 7- TRAINING OPPORTUNITIES. (p 9-7) 6. PROVIDE POLICE SUPERVISORY TRAINING. (p 9-8) 7. INCREASE TRA]'•-ING OFFICER QUALIFICATIONS. (p 9-8) ? t f f ? ' f ? 7t S r f f ? t t, t t y t ?? Section 09 - continued. 8. PRODUCE QUALITY ENFORCEMENY SUMMARIES. (p 9-8) 9. -DEVELOP SELECTI':: TRAFFIC LAW ENFORCEMENT PROCDEURES. (p 9-8). , 10. DEVELOP A WRITT" J POLICE FOR INVESTIGATION OF ALL, TRAFFIC ACCIDENTS. (p 9-9) 11. DEVELOP SPECIFIC PROCEDURES TO BE FOLLOWED BY LAW ENFORCEMENT OFFICERS RESPONDING TO THE SCENE OF AN ACCIDENT. (p 9-9) 12. DEVELOP SPECIFIC PROCEDURES FOR TRAFFIC CONTROL AT THE SCENE OF AN ACCIDENT. (P .9-9) 13. PREPARE POLICIES AND PROCEDURES FOR CONTROL OF HAZARDOUS MATERIALS. (p 9-10) 14. ESTABLISH PROCEDURES FOR HAZARDOUS DRIVER CONDITION REPORTING. ('p 9-10) .15. EXPAND PROCEDURES FOR REPORTING VEHICLE DEFECTS. (p 9-10) ? k li '? d ,? '4p ? ., ?? ?? i ?t f t i 6?2'?q?? ? '?, '9' i ? ?, a49 .''? i' ? ? ?, , ? ' ? " ? tir`r, t??? `?4 ?d L i ? r1 ? "NN (? 7 ,? ?xn M1?? 4? ? r ;? a s'iCL?VJ,'9f ????r ??f r t ?. 1 ? ? f ?61 JEFFERSON COUNTY, H.S.P.A. Section #10---Traffic Safety Education. Recommendations: 1. ESTABLISH TRAFFIC SAFETY EDUCATION SUPERVISION. (p 10-5) 2. PROVIDE PEDES! IAN SAFETY INSTRUCTION. (p 10-5) 3. PROVIDE BICYCL,' SAFETY INSTRUCTION. (p 10-5) 4. ESTABLISH AN ALCOHOL EDUCATION PROGRAM. (p 10-6) 5. UTILIZE LOCAL TRAFFIC ACCIDENT DATA FOR PROGRAM EMPHASIS. (p 10-6) 6. UPGRADE HIGH SCHOOL DRIVER EDUCATION. (p 10-6) 7. LIMIT DRIVER EDUCATION INSTRUCTORS TO SIX HOURS OF INSTRUCTION PER DAY. (p 10-6) 8. INCLUDE MOTORCYCLE SAFETY EDUCATION AS PART OF EXPANDED DRIVER EDUCATION. (p 10-6) ?S ?} y ,.Ml„ an ?V S x k. S?$ ? ? Ja& f I? A"(, yw 1..?7'"?'7' X + ?e.f A1? 5 ? C VS , J4 + ii, i 1 l e w '? y4 Ju ? t x JEFFERSON COUNTY, H.S P A • .x t r Section x/11---Emergency Medical Services. Recommendations: 1. DEVELOP A WRITTEN EMERGENCY MEDICAL SERVICES PLAN. (p 11-7) ti 4. ESTABLISH A C TRAL DISPATCH SYSTEM. (p 11-8) 5. EVALUATE THE AILABILITY OF EMERGENCY DEPARTMENT FACILITIES. (p 11-8) 1 1 1: ?P, 1 I I IN repared by:Ir'20 Berasaeel for 1.M.0'Mcara.or Rowe Name Department 385-3505 7e a hone 4/30/80 p Date 1 SAFETY STANDARD AREA heck appropriate standard - use only ecessary one standard per sheet - use additional s heets if ] l-Periodic- MV Inspection [] 2-Motor Veh. R [] 3-Motorcycle 0 4-Driver E] 5-Driver r 6-Traffic Laws egis. 7_ ? Traffic Safety F] 8-Al h l Education Licensing Rules d Reg. co o [] Countenneas 10-Traffic ? 11-Emergency ] 14-Pedestrian Safety-NHTSA [] 15-Polio Traf. . [] 16-Debris Haz. [] Records Medical Svc 17-Pupil []18-Accident Services Control Transport. Investigation iWA Standard Areas ] 9-ID/SurviI lance Accident Loc [] 12-Highway 13-Traffic Engr. 14-Pedestrian & . Design Services Safety WJECT GOALS: iSCUSSION Of PROJECT: (relate your present status) Describe the problems you have icountered and what has been done in an attempt to alleviate the problem. Use local, .ate and/or national data to substantiate your justification. Jefferson County with an area of 1805 square miles and a population of 13,600 has experienced 483 highway accidents resulting 4n 271 injuries during 1979. During. FY 1980 ig Emergency MhdIcal Technicians have been trained or recertified. M effective means of summoning first response personnel has been established via pocket pagers. Field ;operational medical communications via two-way radios has been established. •oposed Objectives of this project for first year FY 1981 (10/1/80 to 9 30 81) - List ;tivities to meet your objectives. 1. To continue EMT manpower levels: train 40 emergency medical technicians and recertify 40. 2. To summon first response personnel: provide 2 pocket pagers to Marrowstone Island, 4 to Cape Ccorge. 3. To provide EMS communications in the filed: provide 3 two-way radios to Marrowstone Island, 2 to Cape Ccorge. 4. To provide adequate first response capabilities: provide medical equipment for Brinnon area. ntinuation of proposed objectives for second year in FY 1982 and beyond - Explain.FY82-FY85 1. To continue EMI manpower levels: train and recertify 80 EMTs per year. 2. To move toward implementation of central communications system. 3. To provide field communications. 4. To provide medical equipment for first responses. 5. To provide public education., 6. To upgrade rescue capabilities. 7. To reply 2 nmbu- 's 003 (2180) it.1pORTA.NT! Complete funding requirements ona cos Ie?S. side i0ll{lON COSTS - Firs Ash t ear Local TSC funding endi y "Other Total :FT 1981 - 10 1/80 ng to 9 /'30 /RA Fed Funding _Es*._Cos starting ending . Salaries and wages ............................ $ $ a Employee Title No. of Wage Persons Rate 5 ` a. $. b. a <- d. $ Employee Benefits ............................. a. b b. $ C. $ d. t Travel and Subsistence ........................ $ Rate per mile Subsistence rate 40 Basic EMT's @ $45, 40 re- Contraceual•Services certifications.@.512...... $ Indirect Costs (only federal agency nego- tiated rate is an eligible cost) S gtheckDirect Costs 5 xplain) P t pagers @ $3 0, 5 two-way radios @ $1,00(r.- medical equipment @ $1,050 TOTAL PROJECT COSTS FY 1981 ditional Costs for Long Range Planning Years for additional years, list year and amount) 1982 - 1985 40 Basic ENT's @ $45 and 40 recertifications @ $12, annually 4,075 elashington Traffic Safety Commission/Federal Highway Traffic Safety Funds 3ther Federal Funds, I.F., LEAH, HEW, FHWA, FASP iTRIBUTION: Original - Washington Traffic Safety Commission, 1000 So. Cherry, Olympia, WA 98504 Copy - Local Traffic Safety Representative Copy File 9 • v 2,280 8,150 r 10.430 ?,+? /PS,..: YAS,'r .D//2E17a2.TOrE ?-N,V P/zoseer/ :? e?iti' SE.?`/B ! .4r ccw>9eT" A A .BUri.v6 9A/O : GOLGCGl'/N6 ljvKCS1/a.VN?V/.?GJ yC BE- L!J'Eb } - r.Y/ ouACjars f u E - IE NGGOtEd /s }? I. y7KGS7/o,v,t/A/.2E' u,?//c// N6ED.r 7? 6E...i°iGC`A!' 6y A.u - ?' ' ? ', ? OfP/c/.9L: O/ yOll/L. D61A.¢TNIf.Vl'..ivlii7L?f? ..BEST (/TC[NG/F/E/? y//e_pclEdf/tw<[ A>J/6.r/E/) f? ,Go?cEnoy of ?T?/1'; ?ePoKT Fa>?.. Syout/) 1?0 .so /a¢a/ry/+Tty?.ea/ratET?-u6 . ? r ?? EAU/ I/1uES>/a.u aR j /,f/FOKmA'r/av ';e/.t/G'" ,C9 .cutcy .swD 9GCCl.?.WCCy n11.Rr11%816. r _ ? 4 > I 1?.rHE /.uLO,eAV/,vT/O,d /r NOT A!!.A/tAFdGE? 7-iYiJf9CT 'SiYO acGO BE ,?/07C'A ON .' !; ? , 74 .Q?`PO,e1' fc?yJ THE N<??G?E.et NEED niaT dc` T?/P?? PE?/4??02 PEti_„ .. T/1E„ nvFC.CiIiA?/a•? .?EQu6.TrE0 /.v 1 ?PCPo.?r T :?l?c`EtTioa u,IJ.vP? /J fo - Y r T.YE KSE.: Of .THE.; G+A'SAiw anw ; 5797E . s'9FETf?. COMNi'iSriou/; /JN? 7w-- N?y7iD/eWt, i..- ?? ? , ' ' S.4fE7/'/ G[!uNG/?, . . ' ?T wiec CB ,. S>•c'icTGy Co.uF/pE.Vfi9t ; • j',ti/cp,C,/PAI/Q+l 6/1TN?D • L ST/y>/J7/e9e x"/) /?/G[ 69 eet6D eW Lj/ ,t0, ?f '- _ .. yoe< 'SN6/eLDNA,!%G. TNE. CoiaPG CTZ'O ?Ww?BlfitEJ'Tiotiw?.+r/.2CI _ r rz - . ,QElt(,PrVEO TO ?.. fN/S OiF/Gd ENO GIDTG'/e 7N?N MO.??.9y ??..TI?N 17, /Y80... 71 , r? . ? ' ? I GAS ,? ,2orvG ? ! ? !.? -. ? ' ?._ : TAS.i' 1)/.ectCT6/C Tale .TCTfEK?C.?/Cau.un, - ! ?, ? w,c?,??.s%d?wgy ?9f6Ty ree6,e,v..? .yvAGf/J/J' ? ? . r Send k .CH/0/t!Tnar, LYilvNiyAnaED a/Gtwvw?sriev6er - eeNaKrFO/rio+ vo. / 3: " ? r .+ ? .>d'fF6aC?fD.u eouu'y r/?teJGUR= .P1TaKT,¢?rwr .?o, 5, 3, iG, 9 v? ! f v , ?? ?, , Jff/aafo.n'ur?rj, P?m?eurat Via. 4 ... ? ? ; ' ?,? ¢ ,. r G?t.dy euas?ser do 7. ej d, . /O ? ,?i g/JneK7 [eINCT JuD 6E No. r ,1 / . l// Aeu,rr ECsdot t7/1h'.eT ,f/o. /? /Z, ! '% ' 4!y . ?` ? ? ? ? .. ?,^ ` ' ? • t Yr ' ?! PoRf>ow.vsavo anK(.•ac p/s7/zcT ,f/i, //, /t / , ~ 4 ? 4 r^ 9 . , ?,? ?? / i ?,/?. gU/tRfnlE S[Naoc T.Ya7?cicT' ,f a. ////L _ I ,? ' , t,, t t ,? t }} ,y ' ?' nerds T ? ' ;! ?,i 62iA?NOM s[.vtat La'1ic+cr No. H /L <ove?l t ? ?` ?i i. ? ? '. ? t1 fi?It7 ?p'??3+7?py '?s?)a• ??d? ?y?v'?1,9srx ?' g ?5 ?'d, n Y ??? ,,'ieA R ; h n t r? ?A?' ? 1 fl i1??r Y X54 ?? 4! = r ? ? 1? aAri. on w S ? -..r/Q4CETf ' ' r ? s r ?t9c>zraa .' CF.ca?cv I OKAJC/L ry Arr ? . er I ?i .. / _V _ .O/y!/.9LlGH.e!(,t : q ?? Q 3 ?r r '>! b ?_ . J LULF 4 Y _ i , ?l Cl n. (T ?, - .s!$JN? , Ai1??!!l.?rRs?E',,' ?: iF ?S A/020LiJ N7? _ , MS?`"'? y, F ?. '? -. ., _ .. /',42T tu0eauti„ci?c,a?'PT:;, • ; - 1 ? `J . 7t 1? ) µk v { - 1 1a ? ' Y • ^ ` ' `mo= ? ? M F ??}1?,, ' 1 .-41 YL'a ?.w'3 \ '..1? ! \?. ? 1 I f I / I ' •1 . 1V.' ti X'3., , i i r ? I a • Apr r' Ai bllgA \ ? ? ? 1 r+ r t V ,F ?? ? lfl t, i I ? a Ir ??, 1 P ' yd 'r - ? P , A o - - January 11, 1980. . Re: 'Washington Highway Safety Program Analysis - Jefferson County has been -selected, to participate in the Highway Safety Program am hnalyals to be conducted by the National Dafety Council. As Task Director for this' `y +ro,iect, I. will serve as contact person and-am distributing and collecting question- a"?> Y? aires to be used in obtaining data for this, analysis. Eceloaed is a questionnaire which needs to be filled out by an official o£ your .? ?.. r'apart+mcntbest qualified to. answer the questions contained. The official assigned k ' ?. responsibility for completion of this report form shoulddHo ao:promptly, completing nch question:or information line as fully and accurately as possible. ;`If the in- 1 Eorr.?tion iiinnot available, this fact should be noted on the report form. The need not be typed. Pencil or penentry -ls suitable. The information requested in this 'report '(Questionnaire) is for the use of, the a 6n::h!nrzton.State Safety Commission and the Natioanl Safety Council. It will be ,trIctTv confidential. Information gathered will be used only for statistical and ev:iluarion purposes. $ you should have the completed questionnaire returned to this office no later than Monday, January 17, 1980. Thank-You: Very truly yours, CnryA. Rowe dwkA#"+d. Task Director for Jefferson County CAR-al i I r - S !,` 1 ! l :1 t,f iC :7nA9e .a,.•eiANN. Ik?u l'N81 is?"St ?wt?Lt-L rw.=. "' M k + ? r r t rr ( t vv -- 4t"uFOrf/sE Fi«-G JEFFERSON COUNTY EMERGENCY MEDICAL SERVICES COUNCIL 607 Water Street Port Townsend, WA 98368 January 23, 1981 Mr. Gary A. Rowe Traffic Safety Representative Jefferson County Department of Public Works Port Townsend, WA 98368 Dear Gary; In response to your letter of January 15, 1981, attached is information on activities of-the"Council as they relate to the points mentioned in the Traffic Safety program material. It is noted with interest that many of the recommendations in the publication, as they`.relate-to EMS activities, begin with, "Officials of Jefferson' County' should contact... Our Council has promoted, public education in CPR classes, continuing education -for'EMT's,`and has made many attempts at getting central"dispatch/9-1-1 `implemented. Our only notable activity has been to act,as a funnel for HHS and Traffic Safety funding for participating agencies... when they find out funding is available. Otherwise, we just plunk along. Pleasant dreams. Respectfully, Terry J. DeLeo Chairman attachments cc: Irene 13ergsagel RECEIVED JAN 2 6 1981 JEFFERSON COUNTY ENGINEERS OFFICE " q?, i ryy ?_ ?, t r 4 :tAJk 1.; n a 4Yt ?? . JE FFC K.SO.t! Goue+ry ;Figs ?S6 G6GTE? 7'D PARTf4 pR TL?`iN 77FE??t1p?*'/t{jGNp1Ay- .. ' tS,vjF?. _ ? /?206KVh9 ?NAG'/JIJ' To 8t LoN4ucrE4 .By yY{E. /?9//otit9L ` r?A.V'-ry ?o?i.uc/G .. _. ,.....'? • « . ?cwrivcr ir2rwu _.:__ _.: ' /as .-.T.4SA' A/rrEL•so.G.foa rn?.cr..?P?eosreY/. S .wiGC...SE,euE .vr :9 ., t_.. DiJ>?4$csri•V6._yN0_ GOGGtrCr/id6 ,. JnUGSricwivAieGS y0 BE /LrEb. •;_?._ fin. iw/,;08rs??N?N6 DMr/9. jOA ry/s; /s2tlAefif%r.; _ „_ . oar .._.. _'ENGLOJEd _/s.__?7 i_IjfdESfia.v.LAs¢a. irN/cH N6f_/J-Y.>u dE FiLCea Y. Bfr. Nu. _.:_ Of/=/e/.GL,...OP- yoK2.;D6PA.eTr/E.VT" BEST?yTUIyG/F/PA. ;. .:_. . 7D:_.-aKSUJG.?,:y//E PUC°df/a?. ?CCw>•Ain/ED... ;.Tis/P. _.OFi/MFG f1rJ/6.?6').; ..LEs'NOwiSrBiu? _ '.''. ,: FOIL. _, Go?LET/O.eI ,.dF. TH/1; 2'CPORT-folu?. 6?Vei[L4_: d0 .SC .PRoiy/°7Ly/ ca/ralL'T/.u6! .: ..:.. 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'F?j? { ? ml# i _ \ I .. e htpy .IIV h 97 MI f?' zf f ,? 1 -.r f J y L Y , STATE OF _ s WASHINGTON WASHINGTON TRAFFIC SAF'ETY COMMISSION e 10DD S. Cherry St., Olympia, Washin9lon 9350.7 Phone: 105!7536197 Dixy Lee Ray +t 1° Governor Waller E. Black, Director December 15, 1980 r r --- MEMORANDUM U 11; 1930 JEFFERSON COUNN TO: Traffic Safety Representatives BOARD OF COMMISSIONERS FROM: Walter E. Black Director SUBJECT: Highway Safety Program Analysis Six-Month Report Attached are the ten section report forms listing the recommendations in your Highway Safety Program Analysis which was conducted at your request by the National Safety Council. These forms should be completed by someone knowledgeable in the ten sections of the Analysis and returned to the Washington Traffic Safety Commission by January 15, 1981. Notice that following each recommendation on the report form is a page number where a full description of the recommendation can be found in the HSPA document. Use the white space following each recommendation for a report on any activity on that recommendation. If no activity, please so state. If insufficient white space is available, attach a separate sheet with numbers corresponding to the numbered recommendation. You may want to have your traffic safety committee review the completed forms and also retain copies for further planning. A twelve-month report on similar forms will be due in July, 1981. Thank you for your cooperation. It is hoped that this reporting procedure will give you an indication of where traffic safety activities should be directed and incentive for proceeding on these activities. WEB:vb Attachment r { .r..n s q r' `vI a s, t 17 r??I' I r 1' 1 ~ Sy `Y?Y ??{i t a t Ftt N t I? ' ry' I s t'I-,-. ?ty? v 'I ? + t ?r r t f s JEFFERSON COUNTY COMMISSIONERS f A.M. O'Meara • W CHAIRMAN B.G. Brown MEMBER Carroll M. Mercer MEMBER ", _ -• , 1 Jefferson Count De artment of Public Works • y p COURTHOUSE PORT TOWNSEND, WASHINGTON 98368 Milton L. Sonsirom, DIRECTOR OF PUBLIC WORKS I t ?bk G? Y i January 15, 1981"" Gentlemen, Six months ago the National Safety Council presented Jefferson. County with their Highway Safety Program Analysis. Their findings included recommendations for improvements in reporting, organization, 94 R ? training, etc. They have requested to know what activity your organization has done toward implementing the recommendations ' outlined. Included isa report form listing the recommendations. Notice that following each recommendation on the report form is a page num- ber where a full description of the recommendation can be found in theHighway Safety.Program Analysis document. Use the white space following each recommendation for a report on any activity on that recommendation. If no activity, please so state. If insufficient white space is available, attach a separate sheet with numbers' corresponding to the numbered recommendation. If you do not have a copy of the analysis, please contact Carter Breskin at this office and,she will forward one to you. Thank you for your cooperation. Verytruly yours, Gary A. Rowe - Traffic Safety Representative ??. 44 Nlllf F q iy o ah M 'f wt F r k' 9f? X Pr?! w NSi S+ t e t W. C i i }t j a v ?k ,?? vC ?? v? rho ? ?w?xlv'Ir{a' {,• Ir'l 1?! t ?, v`x tin ? ? tiJ + r '? I ? y ey L'It I .nti 1 I 4 v i" } k 4 ?t i d { i Y CV. 3. Jefferson County H.S.P.A. Section k2---Traffic Safety Organization. Recommendations: 1. APPOINT A TRAFFIC SAFETY COORDINATOR. (p 2-4) 2. ESTABLISH AN OFFICIAL TRAFFIC SAFETY ORGANIZATION. (p 2-4) S" 3. ESTABLISH OFFICIAL TRAFFIC SAFETY PROGRAM PRIORITIES. (p 2-4) 4. DEVELOP AND IMPLEMENT TRAFFIC SAFETY COUNTERMEASURE PROGRAMS. (p 2-5) 'L. 5. ESTABLISH WRITTEN PROGRAM GOALS AND OBJECTIVES. (p 2-5) 6. ESTABLISH A COMPREHENSIVE PUBLIC INFORMATION PROGRAM FOR TRAFFIC SAFETY. (p 2-5) 7. CONDUCT PERIODIC EVALUATION OF THE TRAFFIC SAFETY PROGRAM. (p 2-6) N?,1.? 1 ti t t k r 44a?[Y11 ? ? 1 ?? tl SLY ??[ .fl r 11 s ?k?. [ rl Iti ..9 'i? .Cy, FF JEFFERSON COUNTY, H.S.P.A. Section X13---Traffic Codes and Laws. ti JEFFERSON COUNTY, H.S.P.A. .tilr Section N4---TRAFFIC COURTS. Recommendations: 1. DEVELOPA SEPARA''E BUDGET FOR THE COURT. (p 4-4) 2. DEVELOP A SYSTEF FOR PROMPT SERVICE OF TRAFFIC WARRANTS (P 4-5) i r? t ?? A .?: r - r 4i r Yet j o- ?} ) 3 5 f?1 l 5 ', fI } A f? 1 I t it ? ? `4 u ? ?N ?f JEFFERSON COUNTY, H.S.P.A. Section N5---Traffic Records. Recommendations: 1. OBTAIN PERTINENT INFORMATION ON ALL REPORTED TRAFFIC ACCIDENTS. (p 5-4) 2. DEVELOP AN EFFECTIVE RAODWAY DATA BASE. (p 5-4) 3. DEVELOP A CENTRAL RECORDS FILE ON MOVING VIOLATIONS. (p 5-5) 4. ESTABLISH EFFECTIVE DATA RETRIEVAL SYSTEM. (p 5-6) 5. USE THE NATIONAL SAFETY COUNCIL MANUAL ON CLASSIFICATION OF MOTOR VEHICLE AND TRAFFIC ACCIDENTS. (p 5-6) 6. INCREASE THE USE OF STATE-GENERATED SUMMARIES. (p 5-6) 7. INCREASE DISTRIBUTION OF LOCAL ACCIDENT SUMMARIES. (p 5-6) 8. PROVIDE TRAINING FOR RECORDS PERSONNEL. (p 5-7) ..,.E ?? ?. ? 3 1 t s +E a w txr 1 1! 1 I.Tf(' 1 Section N5 - continued J 9. INITIATE PRODUCTION OF STATISTICAL DISPLAYS. (p 5-7) 10. DEVELOP ENFORCEMENT SUMMARIES, SPOT MAPS AND LOCATION FILES. (p 5-7) 11. COMPUTE ENFORCEMENT INDICES. (p 5-9) 12. CONDUCT ANALYT :AL COMPARISON OF ACCIDENT-AND ENFORCEMENT SUMMARIES. (p 5-9) 13. BEGIN ASSOCIA' ?N OF ACCIDENT EXPERIENCE WITH ROADWAY FEATURES. (p 5-10) t r - ? K4 ? I ' a ? ) y l 1 y y ?= r 1 [ 1wr U i y 1 L rr }I C. Ji?g q ?1 ?? t ' ' .. 1 I g g r `? 5 , t ° 1 ?lkf 1 41 t ? p y [ JEFFERSON COUNTY, H.S.P.A. Section N6---Identification and Surveillance of Accident Locations. Recommendations: 1. DEVELOP SYSTEM CAPABILITY FOR PRODUCTION OF REQUIRED INVENTORIES. (p 6-3) 2. INITIATE AND MAWAIN FULL SURVEILLANCE ACTIVITIES. (p 6-3) 3. INITIATE AND CONDUCT SURVEILLANCE TRAINING. (p 6-4) ,y Z,. ? A ?" r ?w l? augre?'f:.,n wpA m?..c . 1 F ? ra, ur ?tw?N? yw ,? asss 41? ?ca? ,*^F?/4?? A ui?*?..+? a? b ? .. ?. _ 1y43 y?,"h f 7 ? I ! ?d ?, jll ly,r? { l r ?t } ] A ? 5 ? 1 r ?h - tl 1 it ?? rt1? ? I?. JEFFERSON COUNTY, H.S.P.A. Section N7---Traffic Engineering Services. Recommendations: 1. CONDUCT TRAFFIC ENFINEERING REVIEWS. (p 7-6) 2. UTILIZE TRAFFIC ENGINEERING EXPERTISE FOR SCHOOL BUS OPERATION. (p 7-6) JEFFERSON COUNTY, H.S.P.A. ,yr Section N8---Highway Design, Construction and Maintenance. Recommendations: 1. UPGRADE EXISTING DESIGN STANDARDS. (p 8-6) 2. ENACT A ZONING ORDINANCE. (p 8-6) 3. DEVELOP ROADWAY LIGHTING STANDARDS. (p 8-7) 4. bEVELOP A SKID-RESISTANCE INVENTORY. (p 8-7) f r r f? r ti, ' s[ i? a ? 1 i !f ???? 1, rl? a Evil \ JEFFERSON COUNTY, H.S.P.A. t .yr( Section ,Y9---Police Traffic Services. Recommendations: 1. ASSIGN A TRAFFIC OFFICER TO PERFORM SPECIAL ENFORCEMENT AND ACCIDENT INVESTIGATION (UNCTIONS. (p 9-6) r 2. ASSIGN SAFETY I%UCATION RESPONSIBILITIES. (p 9-7) 3. PROVIDE IN-SEP. CE POLICE TRAFFIC TRAINING. (p 9-7) 4. EXPAND ADVANCE TRAINING. (p 9-7) 5. INCREASE OUTS.` ? TRAINING OPPORTUNITIES. (p 9-7) + 6. PROVIDE POLICE SUPERVISORY TRAINING. (p 9-8) 7. INCREASE TRAU ING OFFICER QUALIFICATIONS. (p 9-8) v r r r r ? V f ? ` I Y: ? ? d j w I ay ?"k +? t 6Fk? t ti ? ti ara,6,Wp r ?),? f ?m1 ? 1 > ? ? ? 2L a r 7 w I y? ,? +v 2Vd??d4 + 'F i t s2 Y fi.l ? 1 t t " "v ? t 4+Y h {{ Section #9 - continued 8. PRODUCE QUALITY ENFORCEMENY SUMMARIES. (P 9-8) 11. DEVELOP SPECIFIC PROCEDURES TO BE FOLLOWED BY LAW ENFORCEMENT OFFICERS RESPONDING TO THE SCENE OF AN ACCIDENT. (p 9-9) 12. DEVELOP SPECIFIC PROCEDURES FOR TRAFFIC CONTROL AT THE SCENE OF AN ACCIDENT. (p 9-9) 13. PREPARE POLICIES AND PROCEDURES FOR CONTROL OF HAZARDOUS MATERIALS. (P 9-10) 14. ESTABLISH PROCEDURES FOR HAZARDOUS DRIVER CONDITION REPORTING. ('P 9-10) 15. EXPAND PROCEDURES FOR REPORTING VEHICLE DEFECTS. (p 9-10) i ? ? ? ?`? ? y F z + h rY t1 gYti ? ?" r ' ? F . r ? ? n T n?;,rc 4 ? ?1F 1 1yJ?a. Pyw i 1 x ti ti is *?' 1? 1 1 i III I ? rk 'k t x 1 r'.rl ?,? 1 x+wdfWt ? «+ ?,( r } { I'? o .?tj -1 r. , . r ap F 1 1 1 L at r 1 t " ?" 1 ?' < r? 7 tier f' a 1 , ? 1 , r , ? ? Y x t f + JEFFERSON COUNTY, H.S.P.A. Section #10---Traffic Safety Education. Recommendations: 1 1. ESTABLISH TRAFFIC SAFETY EDUCATION SUPERVISION. (p 10-5) V: { 2. PROVIDE PEDESI IAN SAFETY INSTRUCTION. (p 10-5) 3. PROVIDE BICYCL SAFETY INSTRUCTION. (p 10-5) 4. ESTABLISH AN ALCOHOL EDUCATION PROGRAM. (p 10-6) ./ ` r 5. UTILIZE LOCAL TRAFFIC ACCIDENT DATA FOR PROGRAM EMPHASIS. (p 10-6) 6. UPGRADE HIGH SCHOOL DRIVER EDUCATION. (p 10-6) µ I ^ 7. LIMIT DRIVER EDUCATION INSTRUCTORS TO SIX HOURS OF INSTRUCTION PER DAY. (p 10-6) a 8. INCLUDE MOTORCYCLE SAFETY EDUCATION AS PART OF EXPANDED DRIVER EDUCATION. (p 10-6) v 1i } ^diy??'J},?} ?1j?`pT r ? '? ? ?• ` l f "1"i??µy? , ?Yr j 1 l 1 1 1 f IWS+1 ( rt g .?`1 1 l 3 1 ? J 1 f :'? 1 ^ ZYll? '' 11 ? 19 / r ? °JI1h K? 1 V ' J 1 ;/ 7 ?, ` L it1 f. Y- ? l ?? ?r:. ? l• f I ? 1 w {, ' iIrt ' r ?4N r»' 1i1 ! ? ?' ? { l \ ? v iak r 1 r ?yY , j ?? .. ? . 4r,r . ...., ..?li-...I. r.r.In1.. r.. .. .,r t .... t..-..?....... • .•1mt .. ....i,.. n._.... _ .. n.... ... AM ANk lti.F, Section #TO -.continued. •tir 9. ESTABLISH A BEGINNING ADULT DRIVER EDUCATION COURSE. (p 10-6) 10. PROVIDE AN ADVANCED OR REFRESHER COURSE FOR LICENSED DRIVERS. (p 10-7) r? emu! s?? ?+ I r ? ? + !'?? ?? rrq: I yy I L I r., r ? { C I S h r .rlf I ? 1 JEFFERSON COUNTY, H.S.P.A. Section rill---Emergency Medical Services. Recommendations: 1. DEVELOP A WRITTEN EMERGENCY MEDICAL SERVICES PLAN. (p 11-7) 2. PROVIDE EMERGE-.,Y MEDICAL SERVICES PUBLIC INFORMATION AND TRAINING. (p 11-8) 3. PROVIDE SPECIk. IZED DRIVER TRAINING FOR AMBULANCE AND FIRST-AID VEHICLE DRIVERS. (p 1•-8) _ p :{ z r ? ? a 4. ESTABLISH A Ct'TRAL DISPATCH SYSTEM. (p 11-8) ,mfr f ' 5. EVALUATE THE •AILABILITY OF EMERGENCY DEPARTMENT FACILITIES. (p 11-8) r '' 1 1 1 r 1 L v ?.? r'r ???yrr ? 5 4 ?? r I J? NL ???Ya t rv r? ? "h?? i? C - _ 1 r ri f 1 *t s ??.??V l I I I _ 1 r? l?tf 4?1 ?? M k'+ . '01 L t ? EARL F. CAMPBELL, DIRECTOR GOVERNOR DANIEL J. EVANS. CHAIRMA y rn F - ? o° r qy 21 WASH INCTG J TRAFFIC SAFETY COMMISSION ;,+ - GENERAL ADMINISTRATION BUILDING 4 { W OLYMPIA, WASHINGTON 98501 'i October 9, 1967 K x c?. Dear Sir: { To obtain the advantages offered under the Highway Safety Act of 1966, the Legislature established the Washington Traffic Safety Con miaaion. The Aesocia- tion of County Comnissioners has representation on the commission. This is a proper recognition of the indispensable role that county government must play in an effective traffic safety program. To participate in federal matching funds under the Highway Safety Act of 1966, a traffic safety program deaigned to meet the standards established by the law must be developed. The act provides that forty per cent of the federal matching funds must be expended at the local leveZ. The opportunity is present to ob- tain resources to strengthen and enlarge present programs and to develop new ones. The Washington Traffic Safety Commmission is charged with the responsibility of reporting to the National Highway Safety Bureau by November 1, 1967 what the state and local governments are presently spending on all traffic safety activi- ties, and estimating what should be spent, from all sources, in the next ten years in the development of an ultimate program. The report will be presented to the Congress and may well be the basis upon which funds are appropriated, w q ?. and. in turn allocated to the several states. To obtain the information re- quired for this report we would appreciate your cooperation in answering the =dr enclosed questionnaire and mailing it to this office by October 20, 1967, ' Your constant work in this area gives you the experience and ability to evaluate workin d t l k i i g s forwar o on oo ss the needs. The Washington Traffic Safety Comm with you in the development and implementation of an effective traffic safety program. , i . ,., .. Sincerely, EXarrL F. oil, rector BFC/kac enclosure 71, TI COUNTY: ,• QUESTIONNAIRE ACCIDENT ANALYSIS" What-was-your - lump sum oxpenditur for accident alis d uring each fiscal year,LSGS, 1966and 1967? na ys 2• y' How msn staff .-,.; Y pe ersonnel-daya* by approximate pay-categories are•utilized annually to ann lyze accidents? Accid t ` en s analysis inc Ludes idea[ ifica[lon of ha zsrdouslocations,-.preparation Of collision .' and locati fi diagr ld on e ams, engineering investigg'ation and special accident. studies. -, i 3. Is your present staff Adequateto perform the necessary, tanks? If not, how many..and whatkinds of additional s s per onnel by - needed? approximate pay category are, 4. How many traffic engineer positions are there in your table of organizations? 5. How many of these positions are filled? 6.?.` How many of y0ur itra£fie'.engineers have completed professional training in traffic engineer ng ? ''Indicate wher d e an how tong: r ? ?a ? 1 ? f by l? 4aa.r T??d 1 9. ^r 1 e ??..?.v? l ,rni:,tiS¢ r ^ r"',?,:c^v--^ m ? r t 'r n q* ?? Z WZ7 ,.a.N: CciCA•.:1hW?{ J 1 I I - QUESTIONNAIRE :./PF1`.1on ' COUNTY - - SAFETY MPROVEMENrs 5--- 1. How much waa,'spent'during each fiscal year, 1965, 1966"and 1967, ;on resurfacing '(fSr?c pavements primarily to im(lprove friction and increase safety? " - s -a11 re:scjr lCt nq 52['V QS q 4 l. pe,t ['jo03e .?_ 1 ? ?t 2.. How much was :spent during each fiscal year, 1965; 1966 and.1967,.,to install-street i? lighting at ha Zardous. locations? i' 3. How much wasspent during each fiscal year, 1965, 1966 and 1967, to install ? other safetyimprovements --exc luaive of the above two items? Such improvements' - - include chnnnelization, guardrail installation, removal of obstacles from right- ? of-way_; etc.', but exclude traffic control devices. . ° Ir{GS ?17-U0 196- ?oCx1 ?` '' ? 14ro?6- 1500: ' .. '.- - . i ."peraonneI-day*.by approximate pay categories are utilized h. How many staff a: ;% ! "annually to design',the safety. improvements covered under the. first three questions? ' y 2 Clo S 35 ? this estimate that the following programs, We are assuming for the purposes,"of { _ - ?' will.: be undetaken by all local, governments. V (a) 'Deslicki6g.hazardous locations (b) , Lighting all street and road locations where crossing' pedestrians are e ithernumerous or endangered..- (e) Installation of minor street and road improvements such assigne, bridge - '?. Assume, that widening, guardrail, etc.' for the purpose of increasing safety. e .,, /out entire system will have had all haiardous locations remedied by 1972. ', • Ars,your present staff"and annual budgot•adequata to,oporate those programs? - " ;If not;,how-many gdditional'.personnel by. approximate pay categoriesand how. much • capital expenditure are needed. add itions I annunl ¢3 One? person,for.one,day equals-one peraonp'l-day ('7 f N, ,n x4{d7 a Y?F?YY'?S1?.a,Ftk Y1. WM1S`Vailtlfl `6G fP I'M ` ,atop i .w=?., can ? a r t _ f 3 ?S. 1u ? Q F t ? Y? t f s. {i 3 1 3 ? r. 1 . I f 4 ; i Y ' u+ 1, la ?: ' o ',..o N ). 3 G f ? '' ? Cl u r 1 r `Y d: 1??aN7h y '-17 Mss ?lyrlii? 1! f1 1 y t?'t 1/r7 g,r R r. A S 5 t AvNKt r .:?MJ??(yY .., _ _ w J .+ p ? T i Y Lt G t < ? Y Q } Y RRR } O 1 ? J ° G f O ? O I O ? O C O o O G C C Q O O O O O D eI a? I > } Y ? } > ? ) Y } Y JIFTyj c s ? > o ? h ?. aI T Ka0? ? OI D D G IOI D Q O D 0 0 0 ? O D r P O Y ° ? D O ? O ? P ti ° .j. G ° O y MOI ? 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Of An f? 3 1 f I '.1 r, 1 iN . f I w f l LN. r 1 , \?' n i m qyi Per ?s ?v STATE OF WASHINGTON SUMMARY OF MOTOR VEHICLE TRA FFI C COLLISIONS i CITY COUNTY JEFFERSON pOR PERIOD OF (RURAL I 01/0 1-09/30,1987 •' TYPE OF N UMBER OF ACCIDENTS NUMBEfl OF PERSON S SA4EP EPoOp W TY MOTOR VEHICLE ACCIOEM TOTAL FATAL FATAL 'PERTY DAMAGE TOTAL KILLED TOTAL TYPE OFIW UR Y NON ? TOTAL 11 PER HE tONO J OVERTURNING 2 1 5 6 1 IWURED 19 pMWN 2 1 6 IWURY 24 ACCIDENTS 0 IULLEO D IWURED 0 -ER oMEq NON DOLE. 3 0 2 1 0 2 1 0 I 3 0 0 : 0, _ 0 0 0 0 0 0 0 0 0 0 0 . 0 . C O E N.V.'" TRANSPORT M 78 0 28 50 0 44 2 21 21 16L 0.. .V. ON OTHER ROAD PARKED M V O C 0 0 0 0 0 O 0 C 0 0 C . . R 1 0 0 1 0 0 0 0 0 1 0 -0 O• - AILWAY TRAIN PEDALCYCUST 0 0 0 0 0 O p p 0 0 0 0 0 ANIMAL 1 1 0 0 1 0 0 0 O 1 0 '.0 :p IX 22 0 3 19 0 4 3 O 1 22 0 0 0 ' F ED OBJECT oTHEn o14Em 95 4 39 52 4 55 9 30 16 71 0 0 0 l ??: TOTAL ` 1 0 O 1 O O D 1 1 O D 1 D 0 O I?, '? . ,. .233 6 37 140 6 124 17 62 45 284 0 -0 0 _ INTERSTATE SYSTEM. 2 0 0 OTHER FULL CONTROL C 0 0 2 0 D 0 0 0 0 0 0 0 0 0 2 0 0 0 0 8 ROVfE NO. 79 2 30 47 2 37 4 15 l6 100 0 0 0 0 0 0 SS STATE ROUTE NO. COUNTY ROAD 37 0 13 24 0 22 2 9 11 74 0 0 0 E CITY STREET 106 4 41 61 4 61 11 36 14 102 0 0 0 T, 0 0 O 0 O 0 0 O 0 0 O 0 0 - OTHER-FIC 9 0 3 6 0 4 0 2 2 6 -- 0 0 p TAL5 , OE OF CABVALTY TDTAL KILLED PER90N3 IWUREO PEDE MLLED STRIANS IWUPEO PEDAL MLLE. CYCLISTS -RED MANNER OF TWO M.V. COLLISION TOTAL ACCIDENTS FATAL ACC. CONDITION OF DRIVER SOBRIETVP IN TOTAL ACCIDENTS IN FATAL ACC. - ?y SO TO O• p O O O O C HEAD ON 4 0 HAD BEEN GRINNING I w1o. O TO O 3 O 0 0 0 REAREND $0 0 ABILITY IMPAIRED 34 3 ?. f M 1 4 0 0 1 0 ANGLE 11 0 HAD BEEN DR KIND 1 ISTO 1P J OION 1 O -24 0 0 O 0 BIDeERV.-MEETING 16 0 ABILITY NOT IMPAIREp 10 I? 2570. 3 15 24 D 0 0 O 0 0 0 SIDESWIPE-PASSING -OTHERS 1 27 0 0 HAD LEEN DRINKING 60 UNKNOWN tt l2 1 1 ?' >s 011 0 25 0 0 0 0 NOT STATED 0 O HAD AO NOT BEEN 'AS mu I 15 0 0 0 D DPoNIUNG 203 ?1 t .To. 0 7 0 0 0 0 TOTALS 79 p DRINFL. NOT _ ae TO TJ 0 4 0 0 0 0 STATED 11 0 111 OLDER 0 2 D 0 D O BALKING ] HmsrATED 0 1 0 0 0 0 TOTAL DRIVERS 270 6 TOTALS 6 124 0 0 1 O „7.., r l ?lO GAT ID ORCL. TiONNIVEB ACCTDENIB MI.SG fN UNDER INFLUENCE OF ALCOHOL 34 3 UNDER INIWENCE 01 OnW 0 0 EX IEOINO STATED SPEED LIMIT 19 2 EKLEEDINOREASONAIRSU1E11PEED 64 D L 0 0 0 O _ 0 0 0 DID NOT YIELD TO VEHICLE 15 -'°O DID HOT YIELD TO PEDESTRIAN OR ewwOLBIT D 0. IMPROPER PASSING 4 0 FCLAOWINO TOO CLMELY 15 O OVER CENTER UIIE is p FAIUNOTOSIONAL GAIMPROPEASIONAL 2 D IMPROPER IDPNIND 3 -0 IuPROPlAu RPN 4 0 o"AEOARDINO STOP AND GO LIGHT 0 0 OgK0AR01NO STOP WN M 1,AAHINO RED 6 .. 0 OISAEOAROINO WARNING SIGNAL 0 0 APPARENTLY'ASLn1 14 :.0 IMPROPER PAFKINO LOCATION 0 0 oMMTINO OErECTW3 SCAR-ENT 9 INATTFNNON 26 l ALLDTNERWOIATN)NS 2 0. TOTALS 273 6 A, FIGURES REFLECT INVESTIGATED ACCIDENTS ONLY PREPARED DY. RECORDS UNIT WASHINGTON STATE PATROL • hO ?, Ri E: O A SUMMAR Y OF MOTOR VEHICLE TRA FFIC COLLI,, < ) ,. 1 CITY COUNTY JEFFERSON I RURAL FORPERIODOF F I 01X0 1,06/30,19. l ` NUMBEROFACGDENTS NUMEEROFPER SONB ` l SAMEPElEOOLASTYEVI Y C " ' TYPE OF TOR VEHICLE Y TYPEOF IN R Y FE LEOM `? O ACdOENT Jl NON PMPETItt TOTAL TOTAL TOTAL FATAL FATAL DAMAGE KILLED INJURE. OIU x0 PU J 9.? NON• TOTAL ' INJURY ACCIDENTS NLLED IWUREp 5 z? OVERTURNING 20 0 9 ll 0 11 2 5 4 it 0 0 ^,(. 0 . amER NONCOLL 0 O O O 0 0 O O 0 O r , 7L 0- ?,:q PEDESTRIAN p p 0 0 0 0 0 0 0 0 0 0 Lq• '- Y.v.IN TRANSPORT 45 0 17 28 0 25 - -2 14 9 84 b ' 0 0 s M.V. ON OTHER ROAD 0 0 Q Q 0 Q 0 0 0 0 0 0 0 PARKED Y.Y. 1 O 0 1 O O 0 0 0 1 0 : 0 s? RAILWAYTRAIN 0 0 0 0 0 0 0 0 0 0 0 0 0 $ PEDALCrCUST 0 0 0 0 0 0 0 0 0 0 0 0 ?0 ANIMAL 9 0 2 3 0 3 2 0 1 4 0 0 0 FIJGDOSJECT 5 1 30 28 1 40 7 21 12 37 O 0 - 0 OTHER OBJECT' 1 0 0 1 O 0 0 0 0 1 0 O 0 TOTALS 131 1 58 72 1 79 13 401 26 138 0.. 0 p INTERSTATE SYSTEM. p 0 0 0 0 0 0 0 0 0 0 0 0 OTHER FULL CONTROL 0 0 0 0 0 0 0 0 0 0 0 0 0 a -ROUTE No. 46 0 19 27 0 21 3 7 it 4R 0 0 0 STATE ROUTE NO. 17 0 6 11 0 9 2 3 3 25 0 0 0 x CQUNTY ROAD 65 1 32 32 1 48 8 211 12 62 0 0 0 CITY STREET 0 0 0 0 0 0 0 0 0 0 0 0 0 OTHER TRAFFIC WAYS 3 0 1 2 0 2 0 2 0 3 0 0 0 TOTALS AGE OF TOTALPEWONS FEOFSTRIANS PEDALCYCuSTB MANNER OF TWO TOT AL FATAL CONDITION OF OR ER IN TO TAL IN FATAL CASUALTY KILLED INJ URED KILLED INJURED KILLED IWURED M.V. COWSION ACGD ENTS ACC. SOBPoETY A ACGDENTS ACC. ODTOOA 0 0 0 0 0 0 HEAD ON 2 D HAD BEEN DRINKING GS TOa 2 0 0 0 0 REAREND 13 Q BRRY IMPAIRED 25 1 f0 TO 1K 0 1 0 0 0 ANGLE 8 0 HAD BEEN DRINKING 1. TO 1P 0 13 0 0 0 0 YOEB•A•,PE-MEETNG R ABILITY NOT IMPAIRED 4 0 ATO3A 9 Q Q Q SIDESWIPE-PASSING Q 0 HAD BEEN DRINKING EB ION. 1S 0 0 0 ALL OTHERS 15 SOBRIETY UNKNOWN 9 0 - Dy TO JA 18 0 0 D NOT STATE. p HADNOTSEEN AS TGIM 1 12 0 0 0 DRINKING 112 0 SST.. l 0 0 0 TOTALS 46 ORIDNG NOT PSTOFA 2 0 0 0 STATED 6 0 n E OLDER 2 0 Q Q BALKING I 11 n TAm srATm - 1 0 0 0 [ TOTAL DRIVERS 156 1 TOTALS 1 79 0 0 0 r CONTRISURNG CIRCUMSTANCES UNDER INFLUENCE OF ALCOHOL UNDER INFLUENCE OF DRUG EXCEEDING STATED SPEED LIMIT EXCEEDNG REASONABLE SAFE SPEED DID NOT YIELD TO VEHICLE GD NOT YIELD TO PEp[tTPIAN OA SICYCuITY IMPROPER PASSING POLLGWND TOO CLMELY OVER CENTER LINE FAILING TO YONAL OA IMPROPER YONAL IMPROPER TURNING IYPRIDIlRUIURN DISREGARDING STOP AND DO LIGHT DLEREMIIGw EEO, mom OR,LASWNG RED DISAEGARGND WARNING SIGNAL AMARENRy III IMPROPER PARKING LOCATION OPERATING DdECTIVF EQUIPMENT IN."-ION 25 1 0 p 11 0 41 Q 1 0 0 0 0 0 0 0 9 .;. 0 0 0 2 0 8 0 6 0 I '0 2 0 0 0 0 0 " . 6'. 0 0, 0 9 L0 0 S 0 l5 0 +-. LtiG lJ.'2 IH' ?AIT'i Y 'V'{'N LTI ! r .•f" 5 I 1 '- 1/?S l C .1 A7'A1{ /? I t T .IL d V) • Ep G 1, 1- I Vi• i l 11a MA ?{j j ,? 4' J. 7 7 ? ? f l Tip K :, I P Il ! I ? f S Y 9?1 1 i T } Y N 1't f L1 ? i Rti' _ Y NI ( L ? 1 ? ` 3 t A 77 ' i4 r ?J ' 1 l' A?fiK p 1. } ? ? yk ? I . R} ? I S yy e ( t J • ?? r T ! 4 1 ? I 1 ` ? H ? Jti ? TI I ;, ( I Y . II "J I s ? ? ? ? c y?,° E X % ! l l? 1 I 111 { r 1 Y ' Iii! m f ? ? ,I J?1ii1. R .? L l I {?" I 1 r?4} •? I ( ti{ 1f? {5 1 N 1 ? ? 4 11r?`K??? ` Q 'W?1 1 I f p * FIGURES REFLECT INVESTIGATED ACCIDENTS ONLY PREPARE. By RECORDS UNIT WASHINGTON STATE PATROL NC •P I_ • W ? L 2 W I W ~ ? W LL I J fI 1 I ? I I > > J J W J ? W J NI 1 11 I 11 ~ ~ W 1-• ~ ..il J 1 I JI I r . . 1 r l ) ? Y ? J 6 C -A > Z Y „ -? • . C ? . .? ? .. O G? ° C O ? Z V . . .• O O Z C O Z 2 .. < Y > ? C Y Q I C Y YI ) Q Y ' C p q G C I p C C CI G ? G C G, O °? C O G' C ° C C O O C > Y N > Y fI Y > ); Y Y Y I a Y, T I- > > > > y oI ) y ) e i O O O O O C C 5, Z O; ? 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P J ( ° o ° ,, ? ?? 0 °I ° g ° ° ° e o s o ? 0 0 o o o o o , r 'ss o e d N o o ,o? e o 0 0 b ? N NI ? yh1 N N O. ? D ? O?{ O P OI ? P P P P Y S 4 ? 1 r N ° r z Q Q Y ° p V G Y r r 6 ? Z . R r'. a ?? rs u v p s W O ? i N ? > z p 2 s ? a ` w w x w ° u _ I t ? -'? o Q o. s r s r s ? > < r _ r y a Z ' r Z J w Z ? x W I 2 `??J:: 5 N ? a ? W t G ? V h O .' 7 _: ? LL • Z • C W N N + N N Y I - ? O Y • J ?] C J' ..? Oz Q 6 C r .. .. y r r i .i V O N C ? Z ? t : ?P O 1Q1 ? - m YU ?jC O ? 1 ?,` K LL O Q 1`ti ? V LL n ." W I Q Y / ?- F SM?? W ? ? O VI P W m N O • w O U M 'L ? t ?. • _? y ; ' W N .p A ?[J N N] '.L 2 p ? ? u] A4,.. I ] I I?C:ti RI pa o o° ? ° ° o o ; N 1 . z 1 a ? ? ?Vf •J ? ` ? v LL a n o u V a ;. 'i`ron!' I? n cl, tl STATE OF WASHINGTON y,. J SUMMARY OF MOTOR VEHICLE TRAFFIC COLLISIONS h , I..j CITY COUNTY !J JEFFERSON (RURAL OR PERIOQOF O1/C1-03/31 198 I' TYPE OF NUMBEROFACCIDENT9 NUMOEROF PEP90H5 MOTOR VEHICLE $AME PEADD LASTYEAH ACCIDENT TOTAL FATAL NON pPOPERTY TOTAL T01 L TYPEOFRUvFY NON ? }OTPL PERSONS >! OVEfliURNINb FATAL DAMAGE KILLED INJURED p1S.1pL1np ?IK JIY INJUflY ALCIOEIR9 NILLCD INJVflEO ' ' % OTHER NON COIL 9 O S 4 0 G 0 _ ..5 O 0 •± 1 5 PEDESTRIAN '...0 0 0 ... O 0 .. 0 .0 ..,'.. 0 O M.V. IN TRANSPORT 0 0 O O O O O O 0 Q O O 0 1 •. M.V.ON OTHER ROAD 1B O '7 11 O 14 -:. 3 ?..'•4 7 x_31 ..;;` 0 0 0 I . ?• PARKED M.V. .. 0 O 0 .... ^ O 0 0 ... 0 0 0 RAILWAY TRAIN ...0 00 U O 0.. 0 .0 .0 0 .::.0 .-..:cO p 0 ,1 A A PEDALGYCLIST O O 0 0 0 O 3 ANIMAL 0 0 ..0 0 0 .0 .. p 0 ::.0 ?::.0 0 0 I. i` FIXt0OBJECT 1 0 O 1 0 0 O 0 0 0 0 0 O' /.? OTHEROBJECr '37 0 18 19 0 0 0 .20 ..3 .'.12 5 ;,26 ....,i0 0 0 f ' C _. 0 0 0 0 0 . '.. ... TOTALS , .. .... 65 0 30 0 .. 35 0 .. 40 b 201 1 0 3 0 0 '.62 •. ^0 „ 0 j INTERSTATE SYSTEM. O .U 0 O OTNELI, ULL CO TROL O .. O O O O r:.O ',O O Q H. O O Q 0 0 O 1' 1 0 O O 0 E NO b.R O 9 ,`. 9 0 11 0 6 5 ,lb O 44? STATE ROUTE NO 30 0 O 2 0 10 2 5 30 O L 0 S couett ROAD :. ,:35 0 13...`.22 0 19 .: 4 10 ,.5 i,o43 f...0 p 0 CITY STREET `? - OTHER TRAFFIC WAYS ' 2 O f O O O O 0 O _ O _ Q O O TOTALS ES 0 ?2 0 -O 0-. 0 0 ....1 ""0 0 O I: 5 6 AGE OP ----------- ME PEDESTRIANS PEOALCYCLISTS _ CA6UALTY IULLEO INJURED KILLED INJURED KILLED INJURED M.V?CALL 610N0 .-MENTS ACC CON SOBRIETY ,RIVER AIN OTAL I AATAL ao }oa 'OSTOOB Q 1 O Q O O HFAp ON 1 O HAD BEEN DRINKING 1D}o iJ 3 O O 0 0 REARENa : 1 0 ABILITY IMPAIRED _ 7 O 15TOTY 0 3 0 0 O ANGLE 2 O HAD BEEN DRINKING 0 0 SIDESWIPE-MEETING )0 TO )t S O O ?O O ABILITY NOT IMPAIRED _ O O SIDESWIPE-PASSING 1 0 _ e 43 TO SJ 11 O 1 O HAD BEEN DRINKING OS TO EA 0 0 - 0 ALL OTHERS 7 O SOBRIETY UNKNOWN 11 J 0 0 0 NOT STATED 9 0 yy?'r• AST061 0 ,-O O 0 O O HAD NOT BEEN SSTOU - DRINKING g mTo)A 0 O 0 0 0 0 TOTALS 18 0 DWN1VNONoT 40 0 > TJa OLDER STATED _I 5 O NOTSTATED 1 O O O O BACKING TOTALS 0 40 O 0 0 p TOTAL DRIVERS 67 -, 0 s ?..rF FIGURES REFLECT INVESTIGATED ACCIDENTS ONLY PREPATIEDDY: NECOIIDSUNIT RAND 11 511) WASHINGTON STA14&70L 1IN 3TKI:T[ A 0ViBi ONCE. -AIN TOEAL ACOOENIB , UNDER INFLUENCE OF ALCOHOL 7 O UNDER INFLUENCE OF DRUG 1 I, O 0 ! 1 EXCEEDING STATED SPEED LIMIT 5 , 0 ' l EXCEEDING REASONABLE SAFE SPEED `.1 17 ' K - O , ..._ _.,,.w,?.E .. 0 . 0 i ,. 0 0 a 010 NOT YIELD IOVEHICLE 1 Q 010 NOT YIELD TO PEDESTRIAN OR BICYCLIST Q O IMPROPER PASSING S O FOLLOWING TOO CLOSELY I ',V .2 O M OVER CENTER LINE O FAILING TO SIGNAL OR IMPROPER SIGNAL 0 IMPROPER TURNING 2 0 IMPROPER U TURN ... O C D DISREGARDING STOP AND OO LIGHT • 0 0 DISREGARDING STOP SIGN OR FLASHINO RED "'..' 1'- 0 ; OISFEGARDINGWARNINO SIGNAL -O 0 APPARENTLY ASLEEP 4 1 : 0 IMPROPER PARKING LOCATION" O 0 >} OPEMTIDEFECTIVE EOUIPMENT " 1 w , 0 •. INAT 7 0 ' ALL OTHER VIOLATIONS .,. ... "r, .:., ..0 0 TOTALS 55 0 h ;? ~ w i i .~. •.. ? J JU Y IJ ? 1' ? Z J II } N ' la 1 .y Y J N T ?J^ , .~.• Fi J Y T II .y. J J ? 0 JL Y 1 Y J o 7 Y I r J Y w ? J> Y J !? i T 1 IW- .v W ? 1 `- rrp i ? M ? Y ??? . 6 a' N 4 p 00 0 0 ? ? u o a IY O LL Y 4 o ? ? s o > > N Y ° > o ¢ N O ¢ ° o ? Y s a v o S S Q ? ? o G Y H o x i N p ' S S 4 ° w -s v¢i ¢ Y o 0 Y Y a o LL ° 1 O 0 H i N 1¢ Y 0° [ } G o w x h- 4 0 Y o ° S 4 ¢ 0 H s ° w _C j 0 Y a F I ? o Y H z w a Z 4 T ¢ ° T o N 1 T ? ¢ p Y ?b?' 0 Y "'{{{ ¢ ¢ ° c Y Y 0 0 o z N ? 4 _ .JT •t-". N IN O NI ? O N G O ti w , O N N O ? O O n0) O O .? O ? ? N Fl ? N ) m ? H ? ? S f- v ? v t°L. O y U /? W\ w N m N d H m a m p N d d W ..• m .-, O a G dm .r ? m .-, w ? '1 d W .-, d m N d .? ' w p .y d ? I r+ G _, ItD ,p W L O ¢ ? ? O S IO I N ? N .P-• O iN J V Iv 4r 'M S ti J V .., •v V N O d ? 1 U w d p 'N I d O r N u u a G c o 0 I- 0 } 0 0 0 0 .. 0 o p ? bI^ u y 0 MO O U M U > p N N ?u u w G w z w ? W c y rm ° K N z f• O W K W w o O r 1¢- N O W o `p? w X11 J IIJ 2 J Z p •Z-• w Ix- ? ? ?o N J r _ r ? 2 ° O o O O .L.. J 4 a N ?. ? W 2 I W ? n K O r N C x LL' m 4 r. z V r S W 0. - N 6' z z 7 I° K W y ¢ `z o 4 Y Q S I9 y ¢ 4 Z > 0 O W O 0 W H ¢ 2r_ i ¢ N S L h- ¢ N a' u ? z ? W K z O 1E IK ? ¢ w 0. z s 7 N ? x 'N 1- Q Ix O Q z w o Iz x w o 0 x x IF w z ? 1- w ~ m o ? x w ' ° z w o ? to w ¢ ? o S Io > x w w ? I) K ° ° w 2 QJ w ?? m ? ti ° w i r N ° Ix > Fv., i > o ;a W z u zi Q i ? u °- c z- h- mo I o w z. m > > z ~ w w °C w ?p? 'l O M LL 1 O Y O w N' z Ji O •-• O Z Y w .., O O w O N w O p .• N O O N O .+ .? O O ..• O H .-• O O .. O .• O O •.• O .-, N O O N O .-, O O rv N O ? O L G V 1 IJ d ? U? O < O I Y O O S M Q 6 .• N O O O O M P .+ O O O N O .+ O O O O O O •} .-, O O 10 O N O O O P •-, IN .+ O O O O O O O O O O O O •-, O O S O C N O N N V O O O O O O p O M •r O I °m .-, N O O ,!°• .} N N N I O I N i M O ..• n O l<1 O N O }+ M O ,O O M ° N N 1 -' O u 1 ?Q> Cl N K O 6' m N h x O } a : V) .u.. NI LL . U V M 4 F Y? Q V' O O O O O O O O ? H N O r d ? m J J P O 1 O O O O N ?O P ?I ? J N H J J J I? J J ? ul N m O N h O P O N N N N P P N m N M N a P d N d ? d IN m O ? d P w } ° wl a j P o a p P m N n ?+ d N o n N P P N o d N M o O N a m r w ? d N I ' O[ O ' ? W N LL P •+ W P O ti P O P O P p P O O O P M O O O • N O O O O O O 10 O O O O O O O O O O O O p O O • t• O O O P P P P O O O O O • C M ^• O O O N . O O ? L O M O O P O 1? i0 O O ,O O ^ O O O O O O O O O O O O r m Y u N, ¢I u ? 11, ? , j e 'I V Irc n o h- ? I ° o, ^ ?' p J o 0 0 P I o c) 0 ?d ^ 0 ? o v. o P o n P o O 0 o 1 u w ' ° p ~ . o r n a f ,o 0 N ° M nn N, ? 1 M M M c n ) I ? I N ? I?l ` 0 N N , P Ids N N ? J V N . i , d .°p d N J, d d N -0 n . - W W I? ? "? W f J V 2 rri O .r.. w .. 1 r I I rr. W j AA-- J w O ° J N J N O Z J J z Z Z I? G .~. ???++ ? ? `" 1 - 1 ?j 1 M J U 4 Y Q Q 6 X G Y Y Q ) Y Q 1 j, U In C Z Z I° z O O O O O O O D O O O O O O Q O x } Q Y Y Y Y < Q a y ) ° ° p p K? r r>?} )> n vl a " ° r ° w ? r p z ... b ° ° p o } ° 3 x x° ? ?? vai u ° w N ?Y a _° plz ° z z Q W c o Q* W N V1 O m o ?p?y 3 in y?j " x .'[ LL ? N Iµ? 10- 3 Q 4 C 0 r O "'. N O O .vi ? O O v ti ? ° ry Q N N ry ° N O •W W: W Rdi m Qm m -? I- .? r n U •.di V r G P r Im m - An ? O P N w tQp m m 'n ? w V ?O U N m m «? x w ° w p o 0 0 'w v v u p ?"] j mo ? iry ? ° a n J ° ° p o ? p ? w > u ,emu 'u ? ? J v " " S W µ+ W K K O ? D ? Iw Q a r W u w ?c .. Iz ° = a_ a I! z ? J Iii w ;, I? r r r Z W W Q? ? W W ?F x K? p G p IK U „z, ? m ? z w I'pz' m w } w G y ;° } p ? ? m Q lu p Q jc ? u u !w u °C > v ° I? w ? ?z ? "' a. „r>, ? w w z > x K w m i. °. Ix w z ?rr? z o x Q p i .J, ?' .J. "' W J ° W K µµa?? ? ;c a .. ? r" a w u Su u ° w z w r ?° r w ? w •' L L- a ? w x p x "> a > LL p LL ? C1 > i °> ry N III"J? I z Y O 10 O O O O O O p ? O O p O O O p K . ,,,? I I? ? I ° P O O O O O O U r O 2 O O O p II'Ip .. U L ... O .y N O O O O w .a O w '? •• O O O O O O I? ? O O P x? S O m ? G (. m IO ? O O O D I" O O ? O O O O O O a s ? o o .o m m 'O o° m° I° o m ° °m o 0 Q p ry O G Q K O m a } u " S W c " K LL O U K Q r U q LL ° Z G U W O O O N p r 10 ? ? N N b O ,°., O O O C p " !? 1` m ? N ? L yAy Q ° N ? M ?.Ol O ° O O fpi O O .. T O u d .p d P ? .D ?p 111 h ? h N N N d ? N m r N N N v N U O: 1'?11 ? IIIIM m P Igo P .G ? .D a ? .Np d ? Y~1 •Y+ `~ O W 41 m P M " ? I`N > O O K N W .{ P • O• ? ? w ? ? O IO w M m P N J O N r ? O ° O P OO O O O O D a o P o !n p n° b° °o o ° ° o° 'O o °D ? ° ° P ° o° o° o o to o D O O U O p O } X } U n' LL r ? , Y R • ¢ r ° O Om ,°p 'O n .-i N o " N O h " Ir01 ° ° ° ° N O N O Fm I d d t' .?q r ^ N P N p m' m M m p M m T O ? NP I' 'g,. ? 1 w A;' ??. "E?V'9E. ' T, J l ti 9Y.`C ? ? .'E..?..,,._... YPU +:LfNAAE6Jk31; d. ? _?-H. %91'e•4fAi: r"s?'14L= r ML Cd ?.11'JFY .?., e_ _ _ Ip r I I I ® I I ® I I I I ® I I 0 1 1 ® I t ® I 0 • FIGURES REFLECT INVESTIGATED ACCIDENTS ONLY PREPARES BY; REGARDS UNIT WASNINGloN STATE PATROL M T10. IE EIEt STATE OF WASHINGTON SUMMARY OF MOTOR VEHICLE TRAFFIC COLLISIONS CITY COUNTY JEFFERSON (RURALfORPERIODOF 01/01-06/30,1906 TYPE OF N UAIDEROF ACCIDENTS fIUMOER OF PERSONS SAME PE RIOD LACT YEAR MOT VENICLE ACCIDENT ACC TOTAL FATAL NON PROPERTY TOTAL TOTAL T YPE ""INJU - RY - NON TOTAL PER SONS FATAL DAMAGE KILLED INJURED M.7 eeu ' PL:;ILL? INJURY ACCIDENTS KILLED INJURED z- ovfnTURNINa 23 1 13 9 1 20 3 14 3 22 0 0 0 .g OTHER NON COLT:',; ..: O 0 0 0 o 0 0 0 0 0 0 0 0 PEDESTRIAN 0 0 0 0 0 0 0 - 0 0 0 0 0 O O ? M.V. IN TRANSPORT, " -' 37 0 17 20 0 33 10 10 13 60 O 0 0 M.V.ON OTHER ROAD 0 0 0 0 0 0 0 0 0 0 Q D 0 n 3 PARKED U.V.. - RAILWAYTINaN 0 0 0 0 0 0 0 0 0 0 0 0 : 0 ": ' 0 0 0 0 0 0 0 0 0 0 0 0 0 o PEOAwrcu.r., : 0 0 . 0 0 0 0 0 0 0 0 0 0 0 3 ANIMAL 0 0 3 5 0 3 1 1 1 0 0 0 0 s 74 ' 37 36 2 42 9 21, '. 9 45 0 0 0 OTHEROBJECT OTHER 2 0 0 0 0 0 0 0 0 0 0 0 0 TOTALS 14 70 70 3 90 23 .. 49 26 127 0 .. 0 0 INTERSTATE SYSTEM. O 0 . 0 O O O O 0 O OTNEn FULLCONTnOI 0 0 . 0 0 0 Q 0 0 0 0 0 0 0 0 0 :.O O 0 us: MUTE No: ,.; ".43 1 23 19 1 35 0 10 9 . 27 .. 0 0 .0 F STATE ROUTE NO oilN 19 1 13 5 2 20 4 9 7 13 0 0 0 c nRDAO„._ 75 0 31 44 0 40 l1 21 0 .,. O1 ,. 0 0 '..0 C STREET 0 0 0 0 0 0 0 0 0 0 0 0 0 OTHERTRAFFIC WAYS 5 0 3 2 0 3 0 1 2 6 0 0 : 0 TOTALS . AGE OF -TOTALPERSONS PEDESTRIANS PEDALLYCLISTS MANNER OF -1 TOTAL FATAL CONDITION OF DRIVER IN TOTAL IN FATAL CASUALTY KILLED INJURED KILLED INJUREO KILLED INJURED MN. COLLISION ACCIDENTS ACC. SOBRIETY A ACCIDENTS ACC. W TO 0 0 0 0 0 0 HEADON 1 O NADBEEN DPRIKING 0 OSTOO.._? 0 2 Q Q Q Q FEATS _ 13 0 ABILITY IMPATRfO 15 Q 10 TO 11 D 5 Q 0 0 0 ANGLE LO O AD BEEN DRINKING ,STD IE_ 3 - :. 17 - Q ?. O O O SIDESWIPE-MEETING 2 0 ABILITY IMPAIRED 2 Q ]O TO 31 0 14 0 0 0 0 51"ESVJIFE-PASSINO I 0 HAD BEEN EN DRINKING G _ 15TON 0 ?-23 .0 0 0 0 ALLOTHEfl3 10 0 SOBRIETY UNKNOWN 16 0 SS TO 11 0 16 0 0 0 0 NOr STATED 0 0 HADNOTBEEN , Is To E1 .,' 0 6 0 0 0 0 _ ., . .. DRINKING ;. 103 2 SS TON Q 7 - 0 0 0 0 TOTALS 37 0 DRINKING NOT u TG n . O . 3 0 O 0 .. 0 .. STATED 10 0 TS A OLDER 0 4 Q 0 0 0 BACKING . ' NOT STATED 0 -'. 1 0 0 0 0 TOTAL DRIVERS 146 2 TOTALS 3 9R 0 0 0 0 , " TIME IIOVR MON.-THURS. FRIDAY SATU RDAY SUN DAY COtITRI011iIN0 CIRCUMSTANCES IN TOTAL IN TATAL PfFOflTING ALL FATAL ALL FATAL ALL. FATAL _ ALL FATAL OPINVFATIOATLD ACCI0LNT5OxLY • ACCIDENT9 ALCIDlN14 O. MIDNIGHT 6 1 1 0 0 0 3 0 UNDER INFLUENCE OF ALCOHOL 15 0 0 '. 0 0 ?..1 0 1 0 UNDER INFLUENCEOFDnUO ?. .. 0 0 L 3.00 3 ' O 1 O 3 O 1 0 EXC[FOINO STATED SPEED LIMIT 13 0 3., , 300 . ` O .. .. 0 0 0 2 0 0 0 EXCEEDING REASONABLE CAFE SPEED . 40 1 100 1 0 0 0 0 0 0 0 , .. ... 0 0 l .00 3 O 2 O O 0 1 O DID NOT YIELD TO VENICLE. 4 Q .00 ..., 1 O '. O ,..._ O 0 0 1 D LAID NOT YIELD TO PEDESTRIAN DR BICYCLIST ?. Q Q 0. 1000 4 0 2 0 4 0 3 0 IMPROPER PASSING ... •..• 7 0 11.'. .11.00 .•.. ',5 :. 0 1 ..:,.. O ;.3 ':. O 0 O FOLLOVIINGT00 CLOCELY. ,'.3 O IL It.GO 4 0 5 0 2 0 0 0 OVER CENTER LwE 2 0 {].w.. 1300 4 ,.. 0 1 0 „ 3 0 2 0 FAILING TO MOIIAL On IMPROPER.IGNAL :. 2 0 11. I'm 3 0 1 0 3 0 1 0 1IAPO PEn TUnNINa .. - ... ••." 3 0 1. ?. 1100 ,.;. 2 0 0 0 1 0 5 0 IMPROPER UNRN •.'.0 0 ' 11. \EDO 1 0 0 0 1 0 0 0 DISNEOARDING STOP AIID GO UGHl' 0 0 11:."'113+0' ." 5 0 '- 0 0 1 0 2 ` 0 DISADOARDING STOP BIBN On FLASHING RED '.-4 0 IA 1400 3 0 2 0 1 0 2 0 DISPEOAMINQ WARNING SIGNAL 0 0 1E,'? IMO .. '. 3 0 2 O 1 0 0 0 APPARENTLY ASLEEP ... 13 1 M GOOD 3 0 1 0 0 0 0 0 IMPROPER PARKING LOCATION _... •-. Q () tl•i, I'm -' 1 •" 0 2 0 0 0 0 O OPERATING DEFECTIVC EQUIPMENT' - r 4 0 00. 0'00 1 0 1 0 2 O O 0 RIATTENTION 1 5 0 a'IP300 4 . 0 O . 1 0 1 0 ALLOTNERVIOLATION. " •.•1 0 3.anunc '. TOTALS 37 2 2Z 0 30 0 23, 0 TOTALS 126, 2 5 i 1 f ' I I'. I f ' I N is t 0 ? o :'Z w O •O-. Z O 2 N Y ^ N C1 u O r J ' v i J U. 1 1 Y Y ? I p 0 p J } Y . Q 4 0 0 2 1 I Y Y 0 o L I < T 1 Y Q Y n o o p W 1 I O 2' 1 O ' O a. a } ! } i ?o a V G O O? I r z N S }'. a N O W ? r u u'. i r Z N ? O al N = LL H ¢ N H _ LL ¢ Z r ^ u N f I y I \ l a o I F - ! ? q IN ?? ( I N IN ~1 f ti ,N ml o to i~ o? 0 N O N) ni OI V I 'n 0 0? o O OI .m.• O N? IN rl v O O u O a °I uI ?, } l O I = I O u w ?c W N 'V O ! O? O ?I z °i I N ? O! O 1} . rJ,.l a al r e a ? of N 'z 'o ui w o . m 4 I z . °. J? o ? ? Iz zl j o W? al O • J Q ul W 2 Q J W !a ` U E r r .. Z ZI J , al 6 al I V a I . Y. a ' z a r r°- al z '.o a ° IL i rl v Iz x z .z n '?' LL ? • S a (? a ?4 I m N is W i0i1 I O w ? 'O wl a > ',r O I 0 I C W w ml LL P.. 0. r' 2 S r Z I> W S 'a > W w a a w ... p w ' I W SI I ? rl I C O N H I I ? I? I ! ..• .• I ti w N .+ i tiI I^ O m } OI J Z y O 'O O O ,O Oi O O OI O 10 a Oi lo O, O ~ l l N M, •? G o o N ?? N O J; i "• b o to O N iN ? o' n O' ? o o? n o O S: 0 O N Ni N ?m I O ? S? i i 4 I I!f 1 ? 1 q n? I } U' I I I W W HI ! r N, i uw I c a `• O? LL i ? Q ? 1 J i I I u I u ? r .+ 41 I I i i 1 ?." i W ? N °m Io h o? ? n of o f r b I u • I I WI j A P If ti O J N ( O D J: N N N N? N ,O I y I ^ u ! I OWP •'P P I N I • I J Ni ? > I • a P 'P P r YI ti C P' N . V P? P ,O A l I •+w P '.P P O a P P P nO O O, O O O O o' o ,o O Oi o 0 ? l ? ? I I I i f F' v t W a n o ;b p' o o o Io w M u o n pn, u P I J N ? (ff?. ( ? ? O jH f} A -J . n . JI N . -. yoy .?e??yr?? P. P ®N' N ,p r O J Z J Q Y Q O p O r !Y ul •+, S O z' o 0 O I j O O ? NI of I N o u io a z _o r u zl 'o al x 'Z rl ? a al ? ,r u w Z? a w :'o I r w ?W ZI Fa- > Oi O IO of o to o. o 0 .? tv m I I I i of o N' N di d I O N O O oI q o I .+ N r a; ? la z W N O J .r., T I T Q Y a O: O u J I N U]IQ?IW I r .r. O 1 ! ) Y Q 6 O O O .. f j h I ^ O T ? a Y O ? J 1 O Zj Y O , I w f .r. N j Q 4 O O = ¢ p W 1 w, u u Si ?+ o N LL of o 'N r Y} a a S O O a N = N o o YI T a O O o r N N? r T ° N to O; T z' rc ? a : LL N ! o O N .pI n P .+ O O I N ? N w v I r ? ' N N ? ? IN f P. ^ O m NI n O ?I V 'O O V O ? Nr' w. O U N OI I o U a I I F i la I .. a? a ?? ¢ rl W Iw ? IN ? uI x r 61 ` IJ ?' O IH Ji n J yZji G t] F; W IU n? IN r r ~ ¢i Z O O Z Y I!: H o 1' vl I :¢ C J !F z a o C ? K i >>z ?? O ?I a S ?j w! > w ? a? r '6 ? •-.? ., ?.,1 w x ? W i > > N .-? I ^ x W a! > .n c ?W W O O M t f Ir I O I O O i I O! O IO I O I O I O C I O O N n' N Io N• N M II .+ O n o jo Om O r O 1 I I I .-? I N 0 0 N O: I i jN 0 O O t ? m O 0? o OO O, U mI I I IN n o c O G O IN I ! 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ID ol, I 1 i 2 Z' K W I W W"? _? = I I 1 wC '.l. nI o 'U C IJ Ji ° i I ' W ? •W I W z ? o O. f? ? 1 I ' I I Y m r> ° °, N I I I I W ; • O W .+ N N, N I I ° 1° O O O ° 2 Y I I '? . O. I I U i U NI ? i O' O O O ?? m.. r° °O c =. f ? ? I ? ? ' I j • I T ?? 'IY I I I= ? I I ? 1 O 'I ? I I ?': I I I I I i. ? J •' V ?I I N i C Z ' ` N i m ? <? I I I I iI . N = ^ N I I I I I Emm Y K I ! i I I a ?e ! i ?[ a l? .. z ? 1^ I I LL ? c I I I I ?I I I. ?1 ? 1 "? ul I d 'P P O I I I I I I i I I uI 1 O W „?, N r P I I ? 1 ? 1 r W O O ? ? I I 5 '' ? 4 i N ?? r l ro N' ?,,, I f ? N N. N .? 1I I IV CI f I ? ? I 1 I t 1.- i ? -. ' +`? I ' ? ? ???, h x y '. b i •W 1 x.r ? {??il ?, A p?q? d'??r4?' ?P 1 } 1 ? +.l 1N+? J'?7 ? ))fi4 ? ? j ya rt ????F? ? y? f ? n l _ - F' .f d p? . , k , } 1 s k C I < i r• I 1( t7 ? h 4?ry f r 1 f I Y i? f ti ? l . 1 l - 1 I5 l 14 ?? ! if 7? t I A ? ???? ? ? hl r ? / l4t.F TI4 k ? 1 r 1 I ti ? t? in ?' d I I ® I ® I ® .I v ' STATE OF WASHINGTON ® SUMMARY OF M TOR VEHICLE YRAFF COLLISIONS CITY COUNTY JEFFERSON (RJRALrfORPERIODOF 01/01-03/3111985 ??AA ACCIDENT TOTAL FATAL FATAL POAMAGE KILLED INJURED o OI uSIAC INJURY ACCIDENTS KILLLO Il1JVIIEO yY h NUMBER OF PERSON S SAIAE PE RIOD LAST YEAR TYPE OF NU MBER O FACCIOEII15 ' PER I SOlIS MOOR VEHICLE NOf1 OPERtt TOTAL TOTAL I-U- E OF 111JU 1 RY ON TOTAL i? OVEfliIIRl11NG 16 0 9 7 0 10 5 4 11 C 0 0 °=$ on1En NON COLL 1 0 L 0 0 1 1 O O 0 _ O O 0 PEDESTRIAN O O O O O O O 0 0 0 C 0 0 M.V. IN TRANSPORT 23 0 14 9 O 34 9 9 16 26 ,.... 0 0 0 O d ON OTHER ROAD MS 0 O D O D 0 0 O O 0 0 O 0 g . PARKED M.V.- L 0 0 1 0 0 0 0 0 3 D O 0 'z RAILWAY TRAIN 0 0 0 0 0 0 0 0 0 0 0 0 0 o PEDn[crcusT 0 0 0 0 0 0 0 0 0 0 ,'.. 0 0 0 . ANIMAL 6 O 0 6 0 0 O O 0 3 C O 0 FIXED OBJECT" 38 1 19 18 1 26 5 14 7 24 0 0 0 CRIS...ECT O 0 0 O 0 0 O O O 0 O 0 O $ c J ."..,. TOTAL INTERSTATE SYSTEM OTHER FULL CONTRO U.S. HOWE NO. STATE ROUTE 11, COUNTY ROAD cITY STREET OTHER TRAFFIC WAY TOTAL S 85 O L 0 33 19 31 O S 2 S RR 0 1 43 0 0 0 0 16 0 11 1 15 0 O 0 1 1 43 41 O 0 11 8 15 0 1 41 1 O 0 0 0 1 0 0 1 71 O 0 24 21 25 O 1 71 l6 0 D 8 3 5 0 0 16 28 O 0 4 11 12 O 1 28 27 _ O O 12 7 8 O 0 27 67 O O 26 16 23 O 2 67 _:.. C O C .,. 0 0 C O 0 0 0 0 0 0 0 0 O 0 O 0 : 0 0 0 0 0 0 0 0 AGE OF TOTALPERSONS PEDESTRIANS PEDALCYCLISTS MAN ERDF TWO TOTAL FATAL CONDITION OF DRIVER RETY IN TOTAL ACCIDENTS IN FATAL ACC CASUALTY KILLCD INJURE. KILLED INJURED KILLED INJURED M,V.COLLISION ? ACCIDENTS C4 SOB . .TOOT O O 0 0 0 0 HEADON O O HAD BEEN DRINKING 7 0 .low 0 0 0 0 0 O HEAREN. 4 0 AD_ IMPAIRED 10 To" 0 2 0 0 0 0 ANGLE 3 0 HA..EEN GRIFFIN. 15 To 10 0 6 0 O 0 0 SIOESIN PE-MEETING 5 0 ABILITY NOT IMPAIRED 2 0 40T041 0 15 0 0 0 0 SIDESWIPE-PASBIHG 2 0 HAD BEEN DRINKING 4S TO SI O 20 O : 0 O 0 ALLOTHERS 10 O SOBRIETY UNKNOWN 2 O SS TO II 0 10 - 0 0 0 0 NOT STATED 0 0 HAD NOT BEEN IsTOs1 0 9 , 0 0 0 0 .. .. WHNKIND R1 1 ss To al 1 .. 4 0 0 0 0 TOTALS 24 0 DRNKING NIT .Ton 0 4 : 11 0 D , STATED 3 0 Tsa oLOER 0 _ .. 0 0 0 0 .. 0 DncKwG ,. NoTaTATED 0 1 0 , 0 0 0 TOTAL DRIVERS 95 1 TOTALS 1 71 0 0 O 0 TIME MO.- THURS. FRIOA Y SATUR DAY _ SUND AY I-.STANCES NTRIBUTINGC CO IN TOTAL T FATAL ACODENTS IOuR ALL FATAL ALL FATAL ALL FATAL ALL FATAL . AT N I ACCIDEN S REPORTING MIDNIGHT 0 O O O 0 O 0 1 0 UNDEH INFLUENCE OF ALCOHOL 7 0 . tID 1 0 0 0 0 1 0 0 O UNDER INFLUENCE OF DRUG O O . 300 t 1 0 0 0 2 0 0 0 EACC CDING STATED SPEED LIMIT 4 0 . 1100 ' ` 1 0 '0 D 2 0 0 O EXCEEDING REASONABLE SAFE SPEED 34 1 ASo 1 . . 0 0 0 0 0 0 0 0 D 0 , a" ea " 0 ' 0 0 0 0 0 0 0 ..... .. ._ .. _d .. 0 0 . a am . 0 0 3 0 0 0 0 0 0 0 O 0 0 0 0 DID NOT YIELD TO VEHICLE 0 4 0 0 /. a- 0. •• a0D 1 .:- 1 0 0 2 3 1 1 0 1 0 DID NOT YIELD TO PEDESTRIAN OR DICYCLJST. -„ 0 0 lo. To. 1 0 2 0 0 0 0 0 IMPROPER PASSING 1 , 0 11:' ILOo 6 0 0 0 0 0 1 0 FOLLOWING TOO CLOSELY 1 0 . 11 1100 3 0 1 0 2 0 0 0 OVER CENTER LINa 5 0 11, 1300 ,... 5 (1 2 0 0 0 0 0 FAILING TO SIGNAL On IMPROPCR SIGNAL 2 0 . 11 1100 5 0 O O 1 0 O 0 MPRO-ER TURNING 1 O . 15 - ISGo 2 - 0 0 0 0 0 2 0 IMPROPERUTURN . 10 Ia00 4 O O 0 1 0 1 0 IOR[OARO No STOP AND GO LIGHT 11 1FO0 5 0 1 O 0 0 0 0 DIbREGARD NO STOP SIGII OR FLASHING RED . 11 1000 1 0 1 0 2 0 1 0 OSRLGAR.NG WARNING SIGNAL . 10:' Tom 3 •• 0 0 '0 1 0 0 0 APPARENTLY ASLEEP ,. ,. ,.. t0. ]000 0 0 0 0 1 0 1 0 IMPROPER PARKINn LOCATION L ]100 l1 0 0 0 0 0 0 0 0 OPERATING DEFECTIVE EQUIPMENT ... 44 Do E4 0 0 0 0 2 0 0 0 INA1T NIION [ . 03 "m 0 0 1 0 0 0 0 0 ALL OTHER VTwTIONS ... .. .111An/ TOTALS 9 1 TOTALS 47 0 1 R 1 16 1 8 0 • FIGURES REFLECT INVESTIGATED ACCIDENTS ONLY ? PREPAnEODY; RECORDS UNIT WASHINGTON STATE PATROL ® AR N0. 101101 rw......,..... I .. . ". • Y• -.L.-- 1'1't'• A 77 1 tii f 5?j T } II ??? wJ'••µ • . • tf ?? f11 t AY "I P ICY 1' T1F 1 " , ST NT I, 4 Y t!• T L ? I L 1 ? Y 1 4 A 1 l J? 1? ? k?1 L - ?`r v r 1 w? J + I +? I I r N r r. zA n , d r r 4 I r.t { 1 Lx ff? I I l ?? ~ J U Z Z J 2 - 2 Y J Y J ~ r Y Y I 1 I > 1 I 1 Y Y .;.?! y? O O O p O O O p O O O O O O O O O O O O F ' O Y > > Y r > > > Y y1u? Y Y r 1-• r r > Y Y o• C V O S O O i S D O C 3 O ° S S O Z S O O O - N Y ¢ C O 2 2 - - - _ - ?; O F=• r N S r 2 ? ./°1 LL H 2 H N r LL H i V1 N C Z. y? O ? ? O O p 100+1 m O O - - - - - - - - - - - - Y U ? 9 m m ? m OJ mmp m m m m m ?" ?.. C N a 0 O N N ? N N .d+ ,Pi n p U °? N r ? .. N m G O O O O O ? O O V O O O N U O O O p O •' z m i z z ? o - u u ? i u ? u u N x m ° o z o ° o i s i v u I i u z 1 I 'd o u ° z u z z J I- z N i d O Q Z D Z - F i O nO 2 z C H - i O U 2 S - Z 1 Z i Z N Y n J m O Y Y Q W 0 1°- Z a 2 r w ? H •Z- 6 W U ° K m 2 Z X m m z x u Y s r x o o x m x x ° a x s oa I' I" i a a o e ?' ao 1 ? i m a x o x x o > z z o i i z o '> > z z w o m w z a o 0 o N o `x > u o o> N o o .z ow N N ... ,. .. m N N _ ? za o o m J Y o ciY o 0 0 o D o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ?, p z e a.F ?z o o e o 0 o N -? D o o _ v . D D D D D D O p D 0o D D O o w C N ° .pi N ? 0 10.1 0 ° u0i 0 N QO. r ° N °o o d o u1 n .o .JJ.. a ? z O Y O.y O $' P 2 1 S1? t f _ m 6 sW m H v N F uN r. `r N w0 N N uu C LL .? V ti W ? V O O 0 m L N 0 N M P d N 00 N O N O O O P 2 ") 1 /.wn S N n x O O 1m'1 t J N d N N .p N P J P O d d d ?1G J O °W O N N P O Om m T N O ? m J O P N ?k' ?? C _NLL O ' • N N m P m • O O • P N d D m F ti 6 ? m s O O O O O O P O O O O O O O O O O O O O ` a`a o e o o o o 0 0 0 0 0 0 0 0 0 0 0 0 o T s . o F d o N N? h T N N M? n n a p ? p ..+ ? ? y1 y? ,p O po 8 b m i •I N d d d P P P P P P P , 1 C I 1 1 1M), yA? 1 iii r d I 1 i 4 ? "? g !l r? 2? r [ I ? r ? ? } e p' ?? 7c ?S ti / a 1 i ,? 1 ? F t1 - 1 ?? I '1 1 / L? STATE OF WASHINGTON SUMMA RY OF MOTOR VE HICLE TRAFFIC COLLISIONS CITY COUNTY JEFFERSON (OUR BOOR PERIOD OF 01/01-03/31, 1984 I E OF N UMBERO FACCIDENT S NUMBEROFPE 0.40N3 SAME P ERIOD IASTYEA R MO^CCIUENir TOTAL FATAL F1"AL ' Ea TOL I UTAL TYPE O FINJ URY PERSONS - DYFR1tIRNING 10 0 7 G A. A E 3 A ED O I pED 7 01 N SAeuO O 5 •2 N?URY I AG CIDENi6 KILL ED INJU RED =3 OTHER HON COIL I 0 0 1 0 0 0 0 0 3 3 ' j PEDESTRIAN 1 1 0 ? O l O O O p t 1 0 0 = .. IN TRA"1111' 16 0 7 1 9 0 13 5 5 3 j 25 2 0 2 ON OTHER ROAD p p Q 0 Q Q p O C I D 12 PARKED M.V. l 0 0 1 0 0 0 0 D 0 0 - R ILWAY TRAIN 0 0 1 1 0 0 D PEDALCYCUST ANIMAL 0 0 0 0 0 0 0 0 0 0 0 0 0 C rIx[D O.BCr 3 23 0 0 0 11 3 0 0 0 p p 2 1 j p U OTHER OBJECT 0 p p 12 0 O 19 3 13 3 14 2 1 20 TOTALS 55 1 25 29 I p p 0 0 0 0 p Q D I 39 8 23 81 4 45 1 35 INTERSTATE SrsrzM OT ER ULL CONTROL p p 0 0 0 0 0 0 D OI 0 0 0 o - U B. ROUTE NO. 61ATE ROUTE N0 2 D l 2 p 1 0 9I 0 10 0 1 0 141 0 2 0 10 0 2I : 0 151 01 1' 0 L p 16 S a . couNTV ROAD 2 0 0 5 7 0 1 3 I 3. R R 0 7 CITY STREET 0 0 0 9 1 I 0 16 3 10 31 2 31 181 0 12 OTHER TRAFFIC WAYS 3 OI O 2I 0 I 0 0 0 2I O O 2 O 0 0 ? O f OI 0 0 GE OF I TALPERBONS PEDESTRIANS N Oi DPIVER TOTAL IN FATAL INJURED I KILLED INJURED KILLED INJURED .fAWSION ALCIDEHTS JCL.L IETY • ACCIDENTS ACC. W TO O HEAD ON I 0 NDRINKING W611AlTY KILLED PEDALCYCLISTS MM ?NER OF mO OTAL CO7DRIVERS 0l100O 0 0 O RARE ND $ Q AIMPAIRED 3 p IoTl O 0 0 0 O 0 ANGLE 4 o AGRINNING 'S TD O 4 O 0 o O SIDESWIPE-MEETING Q O ABILTIMPARRED I -Q TO 1, O 9 0 O 0 0 SIDESWIPE-PASSING O 0 HADPI N., G iGW B I O o 0 ALL OTHERS 7 SOUNKNOWN 4 p O 2 O O O 0 OT STATED 0 T BEEN ro0 5 0 O 0 0 NING 50 1 0 4 0 O 0 0 TOTALS 1 7 NG NoI O O 0 0 0 0 TED OLDER o 4 o o 0 O BACKING 3 O 57A ED AD O 0 O p 0 TORIVERS 61 1 NOT I 39 1 0 0 0 E worvdNV rMURS. FRIDAY SATURGAr SUNDAY CONTRIBUTING CIRCUMSTANCES PEronNO ALL FATAL ALL FATAL ALL i"lAL L FATAL ACCIpENi9 ACNITAL o MIDNIGHTI 0 o 0 o o o 1 0 UNDER INFLUENCE OF ALCOHOL I t. a0 0 0 0 0 0 0 0 I 3 0 1 1aG 0 UNDER INFLUENCE OF ORtq 0 0 O 0 0 O 0 0 0 0 ExCEEDINO STATED SPEED LIMIT 1 0 D. eao I I 0 0 0 I 0 0 0 EKLFEOING REASONABLE DAfL SPEED to 0 a0 0 0 2 0 j 1 0 0 p o B. 8 Go 00 O o O p 0 O 0 o o O O e. a 2 0 0 0 OI 0 O o o T. Tm I 0 0 0 0 OI OI p ( 0 0 e eao 21 0 0 o' I o) 0 0 GID 2 0 NOT HELD TO vFH¢LE I. EGo l 0 0 OI 0 OI 0 p o 0 to tole 3 0 0 0 0 0 0 0 3 D ' m 1 D 0 OI 0 0? 0 p 2 0 FOLLOWING TOO CLOSELY n 12x0 0 pI I 0 0 0' 0 0 o o ta. um I 0 01 I 0l 0 OI 2 0 2 D "G o o? t 01 1 0, z o 1 0 u 3 0 1 0 I 0 1 0 L 0 ? IS o0 4 0? 1 0 OI 1 0 gaQOA 0 0 '/. nm 1 pl 1 0 0 0 L 0 2 0 I. teoo l 0 0 2 0 0 0 2 0 0 0 'EBO 2 0 1 0 0 o I 0 3 0 1 to >a. 10^0 2 0 2 0 0 0 0 0 A I 0 u n. aJC 2 0 o 0 0 0 0 0 o 6 0 am PS 00 o 0 0 0 l 0 0 0 INATi[ ION 11 0 # ALL ontER vlourtowe 1. Wt PAIRS 0 0 0 0 0 0 0 1 0 7OTAL0 6 0 0 TOTALS 0 Rx of 1?* SC +r*?7n 1 ?r t Y ,r,14B irr ? L ? ? 1'?'r! k E i° I : RA ? rl 6? '1P'(>r+ v 1 l? J???4!7r9 ^?' 11t o»? vT rfF?ry?l?iS?h v?+E13 ]? °'?I ?YY y, r (u' s s '4 fa' l Kr'? ? F R?-0 L 'r - i LC Yl?? r'f S?wY r ? ?? ?+? 1 I, J 1 J r ?I 4{ r S A a r I I r lo- ?. g % i I ?? I r r7 L ? 1 J ?t ? 1' 1 ° J l 41', J . ?r rT b, ? r j z \E r l at?.. b t 1 f ,` t L r tit Li,+l?F R7 J I r7 + r r ? M1 r ?? ? ,? ? ins I t L ?4? 4 1 s ? t, f1317pI11- ail ?{d 'r'r 1 r r It FIGURES REFLECT INVESTIGATED ACCIDENTS ONLY PREPARIO BY RECORDS UNIT DID NOT rlf[D ro PEDESTRIAN OR BICYCLIST IMPROPER PASSING OV[R CENTER LINE FAILING TO SIGNAL On INPROPfR SIGNAL IMPROPEP TURNING mPrpnea u runty OIeREGARDINO STOP AND DO LIGHT AdNO R01 aION OP ilA8HIN0 R[0 D16Rf0ARWN0 WARNING BIDN.L nuLNnvASUv I IN)IEp PARKING LOCATION peRAnFIO DrreemE eowwexT NT .. No a '_ WASHINGTON STATE PArnoL x J m Y a n H C c w a LL w ' i 0 li Z C C `u u z LL < :' LL Y V I r I J Y O a o v U ?a w o ? I i rv O I I O N cl i1 -q~ -_ ° o - Y IY 0 0 0 ° iw ~ o ?a z 1 O „w H o N . s r 1 o Io o r rv Iv F iN O O K1 O ?U 1 V w 1 o u z m u c? wl la r e ?o n I :s S IQ o 0 m m 1 IU O • c IF u ? In c IF ?. Iw w r a >. ? Iw w o x c. w a 0 m ti U °w x O O Y Y R Y 4 Y Y 0 o c. n n o o ? r r r 3 > O Y w O S 1- I i F o I ° c I LL °w r c v, o s n m x o i r i t o m O I U i °r ?2 ? Q? U 0 v. N N m ? U o m O m m ar •? O W I z w c x i I o O o? co 1`1- J I u ? z ? s ' a m? u s w w } w o m O O rv a O hI ? 1 Y ? o y i e z 0 O m J UI fir ` ? q ?. -' H LLj O O O Q O v0 O OOi O i0 N r J OY m ?t } O N O' O m .! O IO 0 ? 'N h 0 0 0 .. 0 0 d U 1 i. 4 w O C U N. O J N Y. ? N ? Y 2 'F U J I V F 10 ? a Y1 ? ? u?t r H m ? ° N O f N .L' N rNV' fNr1 I1J'1 b In Jr !.1 I P J L M M N rf? N N P , ' ! J M I I I I I ? . ? 1/ .:-fF ?? SS I r Vr W ( n'lr } • I NLL v 1 O O O N V • J_.`. ti M 0 .f O O o l J Jf ?. a o N N n ? M •-?I ? o o' N '?I) N `? ; , M 6 o ja o ? I • r I O O ? 0 P .i P. O PI O O m O ? m T A ?.+ M 0 O 0 o c o O O I O o ?O .. L !- ti J S J) • o m O d O O O 0 ' ' I .r 9 ? .. ? ? nn 0 in n? c o n o n c o 0 n 0 o a? 0 0 , 0 0 of . n o a ? ! n n n n o {?.. , ?t } ` I" ? I u rI ° ?'n? ? ?o °1 w ! n r w ?.o •ooj ~ m o, w u• ?. 'r n ' ? 1 U ~ n r n n o ? , N N m f ? I 'h1 0+? ? I (? n O ' I O N? J N N r r') J 1 d; a a' N N , . N' O P '.p ?G O d ? J b iT R I rM P HI rvl P P 1 ?,yi I t ? K I. ? ? I ' } s t b F e . r t 1 ' ? h r ? ?! F y n ' i 4 4 I +? ?. 4 r M rt. ? ,li p ? i f 1 a r ,I rv y i } S' s 4 ?t _ lyi v Tea,, N x 1 k i 4 ? ? J ¢ hr 4?? ?3?+'t7 Y i rn a 4 k (' i Q Ir ? ?f ? ? Y Y + Z 4? + ? i 4 t • . ?. [ ,? 1 thf?'tii? _ al?? 'Ix 7 ar: u a Y n 6 C Y L u R sn O ? O J? o ? al a I 0 o n c? a o s of x a z s o' ? 0 1- u xx, vl 0 o u.l o m, N f N _' ~ V w ,?i ry o y u l c .o u u o > ? w 'L LY S w a O ? O Z C C U ? L r w o I Is I' J ° I W S H ? li r 4 Z U ?J 7 H O O OI O 1 I Z •y ? 1I IO nl O a 0 ° 0 0 1 F ?w i• r s o io ? Ir 0 t to P m 1 O .. ? ¢r m iy I O a c ! Ic_ i? In o z !> 1 'a I = 1 Y N 4 'r W m 1 i K ,O O ? O 1 o m id a 1 of t O m O m I o w J a 0 Y > n to n I.. LL LL O O + O m m 0 0 2 O K a 2 U J } y ro N t w ? 0 i u a W i M `s t } U I ? suy I I u `1 a I ? i I o i I w , ° ? a o ?c Iln c it v ? v . l , . n n m i O O O O J d? O M 1 S h FLL ^a ? to n o Io o . ? 's ? a .o n 'n 0 0 o ? n i n ° a, 7 o n ;o } LL 7. I C D. O ,O U O ? O O O ?U ~? ? N ? N H rr H w j y r y P Ila V ! 1 P IP PI ?? w Z h o I S I I O O m I 0 I s z w C O ,Z 4 _ U .Z.. > w w W rv O O O O N I fnt rl o , ? o N c n d z i d P N PI J v>I O O P O d O id q, 0 ?o n o P' 0 n O , O (? O p n P o O'I I n o , o n 'o' n ?. I ri .' .. N i N 'J• y P?, P. rn N P P ?1K r? ` vi wn ? ? '? 3 , I t r y 77dd?? v 1 ? 1 ' I V _ 41 1 {. 4t STATE OF WASHINGTON SUMMARY OF MOTOR VEHICLE TRAFFIC COLLISIONS CITY COUNTY OF.FFF.RSON 1RNR AI.IFOR PERIOD OF 01/01-06/30.19114 TYPE OF MOACNDENIT LIENT N TOTAL UMBER OF FATAL -DENTS ON P ROPER IY tO A' TOTAL UMII[II --? 1 OF PknSOIIS YPEOf1HILI GY IIOI SAMC PE ^iOtAL RIOD LASt P[N YFAN SOIiSJ FAV IL GA-BE L ED IN UREG DI II r.O .D 1'Ol? 1 LIN"?0 ?'DiLml II URY ACCIDENTS KILL f G INJURED n. ovEnruRNlNa l L> 1 1 3 " - 6 0 15 2 STA 9 JLLLIf_ 11 13 . 0 -5 =3 OTHER NON COLL L O 0 1 O O O O 0 1 2 O O PEDESTRIAN 1 1 0 0 1 1) 0 0 0 1 3 0 3 O M.V. III TRANSPORT 33 0 15 1N O 30 to a l2 52 40 0 24 _ M.V. ON OTHER ROAD 0 0 0 0 O 0 0 O O O O O 0 o PARKED M.V. 1 0 0 1 o o a 0 0 1 O 'z RAILWAY TRAIN 0 0 0 0 0 O O o 0 0 1 0 0 0 0 o r6nALCrcusr 0 0 0 0 0 o 0 0 0 0 0 0 0 ANIMAL 8 0 0 R o o o 0 0 6 11 0 2 o " FDIED OBJECT OTHER OWE T 49 0 2.3 26 0 35 7 20 8 32 47 1 37 C O O O O 0 0 O O O O O O 0 L-i TOTALS ll2 1 51 60 I 80 19 37 24 l04 117 1 71 INTERSTATE SYSTEM 0 O 0 0 O 0 O O O O O O O OTHER FULL CONTROL O 0 0 0 0 O 0 0 O 0 0 0 0 U.S. ROUTE NO. 40 1 l7 22 1 29 9 15 5 35 47 1 25 ?- STATE no.. NO. 22 0 8 14 0 12 11 2 6 17 22 0 I5 $ COUNTY ROAD 44 0 22 22 0 35 6 16 l3 49 46 0 31 CITY STREET O 0 o 0 0 o 0 0 0 0 o 0 o OTHER TRAFFIC WAYS 6 O 4 7 O O 4 O 3 2 O 0 TOTALS 117 1 51 6') RO 19 37 24 104 117 L 71 OE OF TOTALPERSONS PEDESTRIANS PEDALCYCLSTL NNER OF IY O A IOi L F T C SUALTY MLLED INJURED KILLED INJURED KILLED IN CD N M.V COLLIS O ACCIDENTS A AL CC. CONDITION OF DRIVER SOBRIETY . pG TOTAL ACCIDENTS IN CC. FATAL ACC. GO TO 01 0 1 0 0 D 0 HEAD ON 2 0 HAD BEEN DRINKING OS TOm 0 3 0 0 0 0 REAR END 11 0 ABILITY IMPAIRED 12 0 10 TO 11 0 1 0 0 9 0 ANGLE 9 0 HAD BEEN DRINKING IST010 0 8 0 0 0 0 SIDESWIPE-MEETING 1 0 ABILITY Plot IMPAIRED 3 0 10 To x1 0 15 0 0 i) 0 SIDESWIPE-PASSIND 0 0 HAD SECT: DRINKING xl TO 01 1 18 1 0 0 0 ALL OTHERS I1 0 SOBRIETY UNKNOWN 7 0 SS TO AA 0 8 0 0 0 0 NOT STATE. 0 0 HAD NOT SEEN 15 TO 54 0 8 0 0 0 0 DRINKING 98 1 IS To. 0 5 0 0 0 0 TOTALS 34 0 DRINKING NOT .STO,A 0 6 0 0 0 o STATED 6 0 ,S a OLDER 0 0 0 0 0 BACKING 2 0 NOT STATE. 0 2 0 0 0 0 TOTAL DRIVERS 126 1 TOTALS ) Po 1 D () 9 LIME NOuG MON. IM V THUDS. FRID AY -' SATU RDAY - SUN -- DAY [0 CIRCUMSTANCES O.xv[eGO?i IN TOTAL TIAL RCPOGTING ALL FATAL ALL FATAL ALL FATAL ALL FATAL T L ACCIDENTS ACODLUIS O MIDNIGHT 1 0 0 0 0 0 2 0 UNDERINFLUENCE OF ALCOHOL 12 0 Ito 1 0 0 0 1 0 0 D LINGER INFLUENCE OFORUD 0 0 x. x.GO 1 0 0 0 1 0 0 0 EXCEEDING STATED SPEED LIMIT 5 0 !. 1m 1 0 0 0 2 0 0 0 EXCEEDING REASONADLE SAFE SPEED 21 0 Am 0 0 2 0 1 1 1 0 0 0 S. Sm 2 0 0 0 0 0 0 0 0 0 e. am 2 0 0 .0 l 0 o 0 0 0 ,. T:Go 1 0 1 0 0 0 0 0 0 0 B em 2 0 1 1) 3 0 0 0 DID NOT YIELD TO VCHICLE 7 0 o. Sm 2 0 0 D D 0 1 0 DID NOT YIELD TO PEDESTRIAN On BICYCLIST 0 0 IS moo 9 0 0 0 0 D D 0 IMPROPER PASSING 3 0 IT. ILm 5 0 l 0 0 0 0 0 FOLLOW No Too CLOSELY 3 0 Iz um 1 0 2 0 1 0 0 0 OVER-10 LINE 1 0 I! mm 5 0 1 0 1 0 2 0 FAILING TO 6IGIIAL On IMPnorEn SIGNAL 3 0 11, 1100 0 O 1 0 2 0 O PROPEr1 RIIINO lU 2 0 IS, : 5 GO 4 0 1 0 3 0 1 0 IMPROrEn' U TARN 1 0 . I6. 16Go 9 0 1 0 1 0 2 0 G"-AR01N. SLOP ANDOO LIGHT 0 0 1/. ItM 3 0 1 0 1 0 1 0 DISREOAGOING STOP elriN OR FLASHING RED 3 0 le. Lem 5 0 2 R 1 0 2 0 mnitIANDINO WARNING SIGNAL 0 0 IS. wm 2 0 2 0 0 0 0 0 APPARENTLY AS IIP 7 0 20. mm 2 0 2 0 0 o t 0 IMFnorrn PUKING LOCATION 1 0 xl. 2100 2 0 0 O 0 0 0 1) OPERATING DtFrCTIVE EQUIPMENT IO 0 x). nm l 0 0 0 1 0 0 0 114AnlnnoH 25 0 tx. xlm I O 0 0 O 0 0 0 Al L OT.;RY"IOLATIOW5 ) 0 N WI SUN. TOTALS Fi7 R I N 0 20 1 1 7 0 TOTALS l05 0 • FIGURES REFLECT INVESTIGATED ACCIDENTS ONLY rnr.PAn[D BY. nrcononu"T WAlNII:DtON iTAfC PATROL .? AR HO IS !IA! Y` x r l;r I T T ' t r ?rY??????NN¢?? N .: T +rn L 1 _ { T p 'VI f t +,? r Af ? ? r; 1 ` A ?7.,. j? 11 {. I f Y ?? l t r ? ,r i }t? 1? NT 1 ??ty 5 1 fi i I ?. 'g l1 ) 1N I 7 1) i lLlr to ? ) Y' 1 Ir 1 N L t 1 ? ?f I P ) I? 1 11 N -. 1 +?? l 1 y? T}?It It + Y ?7 i' '??1 f q 4??u11,,yy1 ci l '. ? r 1 t ? . , T - '.. .... ....... .__ ... _..... _ .._...... ACCT tJ?.-,vT ;. STATE OF WASHINGTON /9?,? Ta Ta L,f 4 SUMMARY OF MOTOR VEHICLE TRAFFIC COLLISIONS 4 CITY COUNTY JEFFERSON (RIIRAL50RPERIODOF 01/01-09/30.1984 NUMUEfl OF ACCIDENTS PERIOD LAST YEAR I TYPE OF NUTAOE .__ _ POF PERSUNS SAME MOTOR VEHICLE ICLE TOTAL FATAL PROPAN TOTAL TOTAL TYPEOFINJURY IIIJ PERSONS C' FATAL OAMA..6 KILLED I.-E. ND = iCR•EE DIURY J A ACC TOTAL DENTS KILLED -INJURED ?- OVERTURNING 2 8 1 19 0 1 28 L 3 14 l l L S Q =O OTHER NON LOLL 3 0 1 2 0 L 1 0 0 3 ® PEDESTRIAN 0 0 2 l 1 0 1 I 1 O 0 2 0 2 D M. V. IN TRANSPORT 66 27 37 3 61 24 LB 19 103 O 0 H'-?- Q _ M.V. ON OTHER ROAD 0 0 O O O 0 0 O 0 0 0 0 p PARKED M.V. 'z RAILWAY TRAIN 0 0 0 0 0 0 0 0 0 0 0 0 0 ('g o PEDALCrttlsr, 1 1 0 O I 0 t 0 1 O O I''y ANIMAL 0 81 0 12 0 FIKEDOBJECT 84 0 O 40 43 O1 60 10 3B 12 63 0 0 0 _ M EITHER OBJECT Q O O O O O n O O O TOTALS 204 5 90 109 6 155 39 73 43 202 0 0 .?s Q INTERSTATE SYSTEM 0 0 0 Q 0 0! OTHER FULL CONTROL 0 0 0 0 0 0 0 JO O 0 C O 0 UB. POUTE NO. 71 4 25 Ail 5 46 6 27 67 0 0 0 STATE ROUTE 36 0 12 24 0 18 5 7 39 0 0 D or+TYROAO 7 1 48 38 1 86 17 429 9 0 RV STRE0 0 0 0 O Q 0 0 OTHEI, TRAFFIC WAYS IO 0 5 5 0 5 1 O TOTALS 204 5 90 I09 6 155 39 7; 4; 207 n 0 0 rye' AGE OF TOTAL PFPSONS PEOESLPIANS PEDALLYLUSiS [ OF TWO TOTAL LLE CASUALTY FATAL CONDITION OF DRIVER TOTAL IN FATAL S l KILLED INJURED KILLED INJURED KI D INJURED M.V.COLUSION ACGOENTS CC. GOOPIETY • AG CIDENtS ACC. mT1, Q 3 O O O Q HEAD ON 2 O HAD BEEN DRINKING t i OS TO% O 6 Q O 0 0 REARENO 21 O ABILITY IMPAIRED 23 3 4> y +BIG +A D 5 0 O O O ANGLE 7 1 ® 16 O HAD BEEN DRINKING a S IS 1010 0 1$ 0 0 0 0 SIDESWIPE-MEETING 6 1 ABILITY NOT IMPAIRED 7 1'"A f $? 1 _ ® SDTOrA Q 29 0 Q 0 1 SDESWIPE-PASSING 0 0 HAD BEEN DRINKING r 1 rS Tou 1 31 t 0 0 0 ALLOTHERS 23 1 SOBRIETY UNKNOWN l 9 0 4 N -044 3 16 0 0 0 0 NOT STATED O Q HAD NOT BEEN ASTOSE 1 9 0 0 D 0 DRINKING 106 4 L:. ?•.,:. ® 53 TO eA 0 13 0 1 0 0 TOTALS 68 2 DRINKING NOT x 4 15AO 0 16 O 0 0 0 STATED .. 11 0 43' ® 15A OLDER t 7 0 0 O 0 k-CK.NBACKINGi NOTsTATED 0 5 0 0 0 0 TOTAL DRIVERS 236 8 rl S TOTALS 6 159 I 1 0 1 K A k ,IME MON Inru TNUfl3. FRIDAY GATURDAY SUNDAY L WR DL'F-EHaTIDDACRCIJMST N'ED IN TOTAL IN FA NR REPORi1N0 ALL FATAL ALL FATAL ALL FATAL ALL FATAL NI ! A C ACCIDENTS AWDEL f< ® QMIOMOHT 1 0 D 0 1 O 3 0 UNDER INFLUENCE OF ALCOHOL 23 3 0 1 0 1 Q O O UNDER INFLUENCE OF ON- 1 0 f ?„ E 1 TD) 3 0 0 0 3 D 1 0 EXCEEDING STATED SPEED LIMIT 9 Q 4k. AI 'Li ® 1 300 I Q 0 0 2 O D 0 EXCEEDING REASONABLE SAFE SPEED 39 0 a AGO 0 0 2 0 1 ! 1 0 Q 0. 4"` ! 1 5= 2 0 0 0 0 0 0 0 0 D ,T l Em 3 0 0 0 I 0 0 0 0 0 o r• r:m 3 0 I 0 0 0 ! 0 - 0 0 A S. am 4 0 1 0 4 D 1 0 DID NOT YIELD TO VEHICLE I am _ 6 0 l 0 0 0 7. 0 DID NOT YIELD IO PEDESTRIAN OR GIMIIT ?i p rJ?y I ® +0. N). 11 O 1 O t O O O IMPROPER PASSING 6 0 n. :'m 11 0 2 0 2 0 I O FOLLOWING TOO CLOSELY 0 11 1100 3 0 2 0 3 0 1 n ovER CENTER LINE -- 6 0 +1 1300 9 1 2 0 1 0 4 0 FAILING TO SIGNAL OR IMPROPER SIGNAL - 4 +A 'ED 7 1 1 0 7 0 4 0 IMPPOPER TURNING 3 9, J u ISGO T 0 I 3 0? 2 O IMPROPER U MAN 7 D ® u +Em 6 0 7. 0 1 0 4 0 DISq[GAROING STOP AND GO LIGHT 1 0 I. tTOO h OI 3 0 1 0 4 0 D 30(UAPDING STOP SIGN OR FLASHING RED 3 0 IuN ® +E um 9 W 2 1 0 3 0 DISDEGADO IJG WARNING SIGNAL Q 0 "'Sa +3 nm 5 7. 0 I 0 1 C APPARENTLY ASLEEP 11 0 . •j is »m 3 0 2 0 0 0 1 0 IMPROPER PARKING LOCATION ; de' n. 3100 4 1 1 1 1 0 0 OPERATING DEFECTIVE EQUIPMENT 2 0 ( Y a. nm 5 0 1 0 I 0 IN YTENt- 46 0 n nm t 0 0 I 0 0 0 ALL OTHER VIOLATIONS - rAADTfIAnp 7 0 ?h ffHHa1r A`ri pY ":7 ^Ay.J • S i0TAl9 110 1 27 0 37 7 ;9 n TOTALS 197 6 FIGURES REFLECT INVESTIGATED ACCIDENTS ONLY PREPARED By: RECORDS UNIT Jlr 'r WA3HH4GTON STATE PATROL ( Y ? MNO rt sln y??., Wit, ? ?r ? f YJ 1 ?u?nuI^c YNx1 J 13?? A ?{ ?'Z''?' ' I+. 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' ? - ] 1 ? 1?? ?? ,1A 1??, .1 t 1 } Y + RECEIVED MAY " 1984 JEFFERSON COUNTY ENGINEERS OFFICE Y SUMMARY OF MOTOR VEHICLE TRAFFIC ACCIDENTS **1983** ################################## URBAN RURAL STATEWIDE TOTAL NUMBER OF REPORTED MOTOR VEHICLE ACCIDENTS 62,618 43,979 106,597 Property Damage Accidents ................. 40,636 252053 65,689 Injury Accidents .......................... 21,806 18,467 40,273 Persons Injured. .......................... 30,652 27,665 58,317 Fatal Accidents ........................... 176 459 635 i_ Persons Killed ............................ 180 525 705 STATUS OF PERSONS KILLED ,' 1• Drivers ................................... 72 271 343 Passengers ................................ 29 153 182 Pedestrians ............................... 5 44 89 Bicyclists......... 4 10 14 Motorcycle Drivers ........................ 30 42 72 Motorcycle Passengers ..................... 0 5 5 HELMET INFORMATION: Worn: 30 Not Worn: 46 Not Stated: 1 RECAP OF TOTALS - PAST YEARS TOTAL REPORTED TOTAL MOTORCYCLIST ACCIDENTS DEATHS DEATHS 1983 106,597 705 77 1982 100,644 757 108 1981 111,993 872 101 1980 '113,751 985 120 1979 118,686 1,034 119 1978 116,923 1,006 114 1977 119,058 927 75 1976 120,864 825 61 1975 120,635 771 51 1974 106,242 761 58 1973 105,515 776 35 1972 101,002 855 43 1971 98,956 876 51 1970 97,486 875 45'rt t ¢ r, r 1 ,r 4 ti cr + . ?7 9 t ? 1 l aLu 0.v1 , ? Ar>h l ? i ' 'M' - ? a , '?" ' [ ks ? ? J Y 1 gNN 'I ?A? r.? p ?y 11 li 1 ? „y. FV?, CIF A., * !?? } 1 a-?4'?C J Cliv i? _ .1 ?,li_V \ P COMPARISON OF MOTOR VEHICLE TRAFFIC ACCIDENTS ECONOMIC LOSS, MOTOR VEHICLE TRAVEL & VEHICLE REGISTRATIONS r'j"1ltCr:J i^::?c:ri'_l=tt=•1?1, **1983** The following data are based on motor vehicle collision reports received by the Records Section, Washington State Patrol, Olympia, Washington. [Ir There were 106,597 reportable motor vehicle traffic accidents in the State of Washington during the year 1983. This compares to 100,644 for the year 1982, an increase of 5,953 or 5.9%. Fatal accidents decreased to 635, 6.5% below 1982's total of 679. Injury acci- dents increased to 40,273 or 6.6% above 1982's total of 37,790. Property damage accidents increased to 65,689 or 5.7% above 1982's total of 62,175. Persons killed decreased to 705, 6.9% below 1982's total of 757. Persons injured in- creased to 58,317 or 6.4% above 1982's total of 54,789. The economic loss attributed to the 106,597 reportable motor vehicle traffic accidents in the State of Washington totalled an estimated $505 million, which represents an increase of 1.0% as compared to 1982. Motor vehicles travelled 32.275 billion miles in the state during 1983, an in- crease of 6.3% in contrast to the 1982 total of 30.353 billion miles. The motor vehicle death rate for 1983 was 2.18 deaths per every one hundred mil- lion vehicle miles, which represents a decrease of 12.4% compared to 1982's rate of 2.49. There were 3.445 million motor vehicles registered in the state during the year 1983, an increase of 4.0% compared to 1982's total of 3.317 million. The regis- tered vehicles exclude trailers and recreational vehicles. The accident ratio statewide was 1 fatal accident for each 63 injury accidents and for each '103 property damage accidents. The ratio for rural areas was 1-40-55. The ratio for urban areas was 1-124-231. One person was killed every 12 hours and 26 minutes in motor vehicle traffic accidents. Injuries per day averaged 160. The population in the state increased 0.5% in 1983 for a total of 4.285 million. The number of licensed drivers in Washington increased 3.3% in 1983 to a total of 2.867 million. i q r ? r .r ? ?' ?? t !v K t: t? ! t z,t 1 "?'?p ti 3' Jl d t?l 5 + F A ?'?? r STATEWIDE TOTALS - 1983 DRIVER VIOLATIONS (Top 10) ** Inattention Failure to Yield Right of Way to Veh/Ped Exceeding Reasonable Safe Speed Under Influence of Alcohol Disregarding Stop Sign/Signal Following Too Closely Operating Defective Equipment Exceeding Stated Speed Limit Over Centerline Improper Passing CONDITION OF DRIVER (Sobriety) ** Had Been Drinking Ability Impaired Had Been Drinking Ability Not Impaired Had Been Drinking Sobriety Unknown Had Not Been Drinking Not Stated SEX OF DRIVER Name Female Not Stated RESIDENCE OF DRIVER Local Resident Residing Elsewhere in State Non-Resident of State Not Stated 'AGE OF DRIVER Under 16 16 - 19 Years 20 - 29 Years 30 - 39 Years 40- 49 Years 50 - 59 Years 60 - 69 Years 70 Years and Over Not Stated **Drivers in investigated accidents only DRIVERS DRIVERS DRIVERS IN ALL IN FATAL IN INJURY ACCIDENTS ACCIDENTS ACCIDENTS 20,756 64 7,435 20,457 68 8,141 15,410 114 6,821 9,267 260 4,874 6,401 41 3,001 5,775 2 2,550 4,573 38 1,927 3,645 106 1,897 2,174 64 1,037 1,698 12 613 9,267 260 4,874 3,571 37 1,758 4,471 31 2,180 106,917 502 45,485 14,005 62 4,134 112,046 704 42,642 61,610 180 24,893 10,436 9 1,931 156,341 692 60,741 10,415 143 4,144 6,445 46 2,475 10,891 12 2,106 700 3 329 24,405 93 9,582 53,807 333 21,882 34,806 163 14,124 18,385 98 7,375 13,421 66 5,235 9,930 63 3,737 6,482 56 2,418 22,156 18 4,784 v rxa?, ro ?r? x to 'k ra??')ral'ww"V, N v k ,1? 4e Via{ daa iA ?' k ? ? 5 1 i!? l ? ? r F tl `? r 1 y, i l ! L f'?p 1 r F?' STATEWIDE TOTALS - 1983 WEATHER CONDITIONS Clear Raining' Snowing Fog SURFACE CONDITIONS .Dry Wet Snow Ice LIGHT CONDITIONS Daylight Dawn Dusk Darkness Street Lights On Darkness Street Lights Off Darkness No Street Lights ACCIDENT LOCATION Interstate System Other Limited Access U. S. Routes State Routes County Roads City Streets Other-' TIME PERIODS 3AM-7AM 7 AM = 11 AM 11 AM - 3 PM 3 PM -7 PM 7PM'-11 PM 11; PM - 3 AM 0 TOTAL FATAL INJURY ACCIDENTS ACCIDENTS ACCIDENTS 78,084 525 30,091 25,103 93 9,132 2,093 10 550 1,317 7 500 64,542 468 25,301 34,859 130 12,842 2,839 14 707 4,357 23 1,423 66,845 284 24,706 . 1,546 16 561 3,657 12 1,385 21,450 114 8,010 849 7 338 12,250 202 5,273 8,267 70 3,239 1,861 18 723 3,890 41 1,629 14,966 160 6,414 24,168 220 10,124 52,684 114 17,862 761 12 282 5,142 53 16,155 58 24,694 103 31,817 130 16,155 127 12,634 164 ? Yrv q' ?I M Y;1 4 ] l 1 2 t r ,f ?1 p7J 7 r; + ?. J. yf 'i ? l 1 Waal ? ?' ?z !?l?+ Lt 4 t- t r. '' t t'? 5 f v . Y t y,{ ?r r.7UC °xa.a am?z F Fo?? O C 1 ?aW M N N x x 3 y W W > 6 O N F. S 14 a, Q, N M O a O J a ,O J tl1 O O co O ,- N a, J L N co ,p J a O h 0 ,0 ^ ,O N l h M 10 1 M l 0 , ill N co N M O a 0, N l 1 N N LO Z O a O ,0 O D\ a O, a ,0 M ul J co M N J ,0 N O $ M ,0 M M ? M M N h J M CO Q\ a N N al a U W 4 c4 J M 1 M J G C 0? M1 O 0, N N O O O ,O N a h ,0 h J W ? J N N J M O N ? J N ,p 0, ? ,- m ? ,0 N a _ ? M M O O 10 O 0, N O O O ,0 J M N M O F N N ,0 N a u1 N V, M N h J O J N O J ,0 ?I1 U, M a J 0, ,0 a M a M1 J N V1 N ro N h N N U1 J ,O a a, N N O M h v, J M1 D\ J D\ ?' N a, ,0 a J ,a M ill M M ?l1 ,D O J N O J ,a O N J ,0 0, N N J J ? M 0, ? J z a, M u, 10 O N O O a O M1 J O a ,O 0, ? M ?? co M1 N ,O T M 10 J O N M 10 W N a ,0 N M a M ,0 y ~ h 0\ M M O, h M J ill N a ,0 h O 0, h h a f y C a J O, ,0 J J M ,0 h a M i11 V, _ J a ,0 z a M M ,D M1 N M ? M Q ^ n - W H i 1 H ' ~ N N J M ?l, N a M J ill M1 a h Q\ O ,O N J ,0 J N O M N ? N Q` M N N N M O z N N M ? a N a ' ? ,o ? ,a M ? Y, o h a N N M m o ,0 0 o v. a o m O a m J m N V, o M J J a N H ?l1 ,0 J N 0, J ? ? " ? Q\ 0, J ul O N h 0, ,a a N O a D\ M N ,p h u ? N 1 y F W H N v, O N N D` ,O N N h J O, M N ,0 N H N N F W O T O O O ill O co M O M J O O a a O O ? N M ~ ? 0, a CO N M N h N a a a M V, ,l, v, V1 F N M N z W F O ?? U W a O O a N a M1 N N ,O J a M a ? h u1 u, a ? a F ro O a O O O ? O O N O N J O O h a O O W N N ? N !? N V, J ?, N J N M F 0 M N N co N J N N O M O co co M J V, a, a, M1 ,0 D` ,D 0, ,D 10 M M n M N T M z CC) ~ M J J a, ,0 J a co 0, N - - M1 N n w CD ^ V1 J O O M1 J M V, J M1 co a % V co J a a rr ^ N N ,a ,0 N ,O J N V, N N O N M1 N ? L. ,0 ,p M1 Y? a M a M a N M ?- M O V, O O a N O N M1 J M J J N a V, J J M ?- N M .O M1 O J N N 10 M co _ N 4 p a N P?. z ? V H ? 1 6 H Z ? y 0 . ? yyy ? ~ F < ...t ? y P ?t7 ? 06 W O ? H ? ? ? 777 w W f:! d y t H F p ? C . 7 y ? ? V V p C) ? q ...H... ti ~6 ? 7 < ? ?L '. '+4 X n M yZ R Y? f 1? V Ink A91k aw': y E-M F P7 W F 6 W Z H O Q 1 i..? 43 '?} y? pWH7 Q 6 D O N ? o N F F ? m n m m M o ? 7 o M n M Qz L 7 N m m a , o l a U W V 7 ? ? N M .^- a. d W ? P M M ? m ?p O d . h V p F O m N m .7 N M N N ° rp r h N C p Q n M m O? M m ul ?Wj ? N co O M ? m N 1? N O? N M O O m M I? M O I? N O m ? m N r0 ?j z z a l M M N m M ?O r N Q N ~ ? ? 5 N N O n N N N O O M M p O ? O ?O ? I? r m N m ? M ? M m F z L O u1 u? U1 m O? N r .7 N M ?0 M I? N 0? N N m ?D N m r0 M ?O O? N A F N M M_ O ~ U N O l t/? m N O? ? N r O? V1 ? d M m d O N m ?p C' ? I l N N '- b N M n N d t? r N ?D .Y m ? O O .Y m ? O r0 O 1? O m N M N M O ?L H p H a !? m r/1 N m N m M N N O. d01 O, O?0? m N N ~ y?j F N ? O N Q? I? N 1? M O ? O? M M O n n N M N O ? ?Wj F ? y Q? N .Y O N 1? N N ? M N ? m N !? m ? n n M fj 'J N N Vl F 6 W C N LAi P N O O O co co N N O O m O - N O ul O m F u N O? M O N ?Y ? N 1? N Q? O n M M N O M ^ M N M ? H N N N M O N N N N V H ? ? N M n m N n N O? M a a W C M N O O O co O N N O O CO O ?0 O N O Un ?p F yj r^1 I? .°Y riM1 M N N ° p O 1? .7 ?D N .7 0 O 10 b A F m co M Q O U V ad ?y H N m N ?7 M .D m_ 1 N N m O N Oh rn M m N N f? M h ?0 , M O Vl M a ?e n p, M H 4 O r, n -:r m c ? N !? M M co N \0 M N ?p N b O ? M O WW F d N HNH y 'yo ? ? N U .'L' O W M U 7q U a w ? C~.7 F x O ?L F {O? [..? ~ cd aW a N . 'n N FFF * ? f4? L i? ? tu?yYF?N ?'}a_n 4 ? J'? PR R ?? •-: Fls?,r t, t.". ?x At t r`J "p - 7 7 all, 3 so"'j? JOHN SPELLMAN N Governof UUANE RERENTSON Secretary STATE OF WASHINGTON DEPARTMENT OF TRANSPORTATION KFO1 Highway Administration Building • Olympia, Washington 98504 • (206)753-6005 June 13, 1983 Mr. Gary A. Rowe, Construction Engineer Jefferson County Department of Public Works Jefferson County Court House Port Townsend, Washington Re: Accident Diagrams Dear Mr. Rowe: Enclosed you will find the accident diagrams that State Aid approved and asked us to complete for you. Although we had no problem with this, in the future, requests should be chan- neled directly through: E. R. (Skip) Burch State Aid Engineer District 3 Olympia, Washington 98504 Telephone: (206) 753-7266 Sincerely, ROBERT S. NIELSEN Assistant Secretary Planning, Research and Public Transportation By: H. K. GUPTA, Manager Transportation Data Office r v RSN:Ich HKG Enclosures REC0? a JUN 1 A 1983 JEFFERSON COUNTY ` ENGINEERS OFFICE tf l3 ;r t+r +?t? ?IAti?' t ?f`+s pit 'i ?il^jr+{ r'y ?„A t ? ? f w? R vti ? i x - h t t 7 c t r 1 t t V f ??r 3?) ii p ? ,I A ? tiI 1 ? r ?1 r i i j r I r? t y J '? I ,t t i t? 'r r •, "li t 7 r ? I? ? 1'? ? j fA?? t e r ? Mtt 1r ti a h? w:?d t b ro['i? i R • ri t ? to ? '???? F ? ?• ?^ (r, Y ? ?. LP t l? YS t CC 1 0 a, 31 1, JOHN SPELLMAN y,, Nr 1RnV NJ?. WILLIAM R. LATHROP Governor Director STATE OF WASHINGTON WASHINGTON TRAFFIC SAFETY COMMISSION 1000 5. Cherry SL • Olympia, Washington 98504 • (206) 753-6197 May 13, 1983 M E M O R A N D U M TO: Traffic Safety Representatives FROM: William Lathrop, Director^ iv''e SUBJECT: A Review of Traffic Collisions in Washington - 1982 We are enclosing for your information a copy of "A Review of Traffic Collisions in Washington for 1982. This document was prepared to assist the traffic safety community in the planning and evaluation of traffic safety programs. While the majority of the information is on a statewide basis, there are some breakdowns of collision data by city and county. The state- wide data can be used to compare your own jurisdiction data. Several additional reports which were prepared after the manual was printed are also included for your information and guidance. WL:sd Enclosures RECV_ I V E D tAg 1 G 1983 ,EIyGINEEP.SG? FACE -,' t{ .v , ? I " '- S ?1 7 71 8 t i t ? I ? ? r .: '? 11 tr Mr i t I .? r `Xp ,n ' ry { :h a ? ?r I ? , r W« >!6 > n. r F 1 r ? ? ? 1 ; 4 I u r. i f + '•`-t r ?a lT7E r ?l r t..'? 1 -, y ti ?`, i t> 71 rt '. Y ?` . y I' f { f1 r { t ? t t 4 . 4 ?Y' TRAFFIC COLLISIONS PROBLEM AREAS BY COUNTY PRIORITY 1982 Collisions Collisions Drinking Collisions Total on on Driver Involving Rank Collisions State Routes County Roads Collisions Youthful Drivers Rank 1 Pierce Kitsap King Kitsap Pierce 1 2 King King Pierce Pierce King 2 3 Snohomish Pierce Kitsap Snohomish Snohomish 3 4 Kitsap Snohomish Clark Yakima Kitsap 4 5 Yakima Grays Harbor Snohomish King Yakima 5 6 Clark Spokane Thurston Island Clark 6 7 Spokane Clark Island Whatcom Whatcom 7 8 Whatcom Clallam Cowlitz Grays Harbor Spokane 8 9 Chelan Island Skagit Skagit Benton 9 10 Walla Walla Skagit Spokane Mason Walla Walla 10 11 Benton Whatcom Whatcom Thurston Mason 11 12 Thurston Jefferson San Juan Clark Thurston 12 13 Okanogan Yakima Chelan Okanogan Chelan 13 14 Grays Harbor Mason Mason Clallam Skagit 14 15 Franklin Asotin Yakima Benton Franklin 15 16 Skagit Chelan Lewis Walla Walla Island 16 17 San Juan Okanogan Okanogan Spokane Cowlitz 17 18 Cowlitz Kittitas Benton Chelan Grays Harbor 18 19 Island Ferry Grays Harbor Ferry San Juan 19 20 Clallam Benton Asotin San Juan Asotin 20 21 Mason Pacific Pacific Asotin Lewis 21 22 Asotin Stevens Clallam Cowlitz Okanogan 22 23 Lewis Cowlitz Douglas Pacific Clallam ` 23 24 Jefferson Lewis Ferry Franklin Whitman 24 25 Kittitas Thurston Stevens Lewis Kittitas 25 26 Ferry Wahkiakum Columbia Stevens Douglas 26 27 Stevens Whitman Klickitat Grant Stevens 27 28 Pacific Skamania Grant Skamania Columbia 28 29 Whitman Grant Walla Walla Jefferson Grant 29 30 Skamania Walla Walla Jefferson Klickitat Jefferson 30 31 Grant Douglas Kittitas Whitman Pacific 31 32 Douglas Pend Oreille Pend Oreille Kittitas Ferry 32 33 Columbia Klickitat Franklin Wahkiakum Adams 33 34 Pend Oreille Franklin Whitman Douglas Pend Oreille 34 35 Klickitat Adams Garfield Pend Oreille Skamania 35 36 Adams Columbia Skamania Adams Klickitat 36 37 Wahkiakum Garfield Adams Columbia Lincoln 37 38 Lincoln Lincoln Lincoln Garfield Wahkiakum 38 39 Garfield Wahkiakum Lincoln Garfield 39 FOOTNOTE: The counties are ranked from 1 to 39 for total countywide experience for: colli- sions on state routes; collisions on county roads; drinking driver collisions and youthful driver collisions. Total collisions, miles of roadway and travel were considered for each county in the ranking. Number 1 indicates the worst problem and 39 the least. v an as as as as as n! as ae ax as ae as as as as aR an an a as 24 as a¢ as - a3 M N O ON OI I? I- C9 V.?01r Olh 1? m 01 Ul m19 Ol tp m d't[/I?NNIA?nm.O ttI OIO.?^mmmr m ?mmmmmmmmmrnrnmmmm ? N m co 10 oo m m ? m m r? r M m N m t ;`t - r IO I?I c i 1.1 L MNI?MO\ONml?r-MOI 0 ?O O d' N m I? m 1/1 d "Olmm 0l t00 IONNO\OI Nf?O1?ct t?ln? WWC) -a 01 'C'Ot In tsa ? N 1? M n M ' O .' - ? E r Vla7 LLl V?etM?MSt V? .--• V' 10 Itt t['! V tD ^ M b N ct Z v e xc ae as e as ae as ae ae a¢ ae a¢ ae ae a¢ ae as ae a¢ ax ae as as x an N p C IO N C t{ MMN?001 .?Ot r-Ot tOM1ONr-?<N m Q Il N O? t? - O I OI -t O ---N •liY d'Nl?ti'V'C'N ?Md OOIm V m N N N 1? _ ? - C m ? •• c L m1l1m V'Ol OIm10 ,O mtO d'1?011?tombto? T OI t0 M 01 I? m m n.'j ?' d I?m10'V'OIO t0101fi t0 tOml0 t?M1?OlV Om mb^n? -CC N ? OI q: M In - W c7 a0+ O E ?N•_^^ ? ! N M O 1 .- N r y 7 V O N C m r- O1 tD00000000000000 O O O O v 1 i t ?N ?N I Ip i? 7 w a+. U Mr• H C R W d ?tOMl?m Nm CD ct lCl??%0 mmr-N CD N 10 N co 10 - ' j ? m sOL? c MmmNN.? MNNMMM MMNMmco`O') t`m'1 m 1 ? ?' Q A O ml ? ? In .?I {+J J t ^ ? 1 k N N P N m m ?? LY N 1 :r NNNMtO0 r 1? m n N N . f I mm l<N ? Mt rm- N n ? ? N 9 V N d O\m100M0\IA?00?01MmIl1NCTN Mm N OO M MI? O ? M M ? 10 m \ V ?m I?m1?m1?M?tMM MM ? M P '1 M t 0 m ? 0= 1, ?• O ,f L d v y N N 10 O 4 INmVV'110 r?a0010.-^M^^10^m010 1 1 1 ?0 C O r ^ ^ N N N M W 7 O N ??t?1 'i pp??? i !? F tl, r? h 11i ?1y ??" ?f Fah 1 ?? 6 j 1?, ?`t 47 ttynE i r ) ?. • r e,y 1 +"Ct e J k). J ' `Ww j fi ? ? ? ?' ? ' 1 It ? yy DWI ARRESTS Compared to Percent of Alcohol Involved Collisions By Age & Sex - 1982 DWI ARRESTS * Percent of All Age Male Percent Female Total of Total Alcohol Involved Collisions ** ,. Under 16 31 15 46 0.12% 0,3% 16-17 473 108 581 1.56% 4.1% 18 890 114 1,004 2.69% 4.6% 19 1,118 179 1,297 3.48% 5.1% 20 1,253 185 1,438 3.86% 5.0% 21 1,732 267 1,999 5.36% 6.4% 22-24 4,515 737 5,252 14.09% 15.1% 25-34 10,710 1,793 12,503 33.55% 32.2% 35-44 5,823 1,102 6,925 18.58% 13.8% 45-54 3,182 519 3,701 9.93% 7.1% 55-64 1,681 232 1,913 5.13% 4.P% 65 & Over 566 50 616 1.65% 2.1% Total 31,974 5,301 37,275 100% 100% Male Female Percent of Total Arrests 85.8% 14.2% Percent of Total Collisions 81.2% 18.8% * Source: Uniform Crime Report - Association of Sheriffs & Police Chiefs -hoes not include DWI Arrests in cities of Arlington, Bellevue, Edmonds, Ferndale, Monroe, Prosser, Seattle, Snohomish, Soap Lake, Tacoma (first 6 months) , Toppenish r Warden (last 6 months ); and counties of Douglas, Mason, Pierce (first 6 , months). Does n ot include Juvenile Arrests in Chelan County, Colville Indian Reservation, Grays Harbor County, Kitsap County, Olympia, Okanogan County, Walla Walla County. ** Washingt on State Patrol - Accident Records Section. y r?4s?j'4 ?( t + i ( ?'! ' 0 1?? rr1 ?' 5 4 r? ?.: r r n u COMPARISON OF ALCOHOL RELATED COLLISIONS BY MOTOR VEHICLE TRAVEL BY COUNTY - 1982 Alcohol Related Collisions By Percent of Over/ Roadway Class % of Motor Veh. Under State ounty Count Collisions Total Travel Rep. Cities Routes Roads Other Adams 57 0.31 0.99 -3.19 20 28 9 0 Asotin 66 0.35 0.30 +1.17 37 10 19 0 Benton 479 2.57 2.84 -1.11 310 67 101 1 Chelan 215 1.15 1.17 -1.02 94 48 69 4 Clallam 244 1.31 1.31 1.00 105 80 53 6 Clark 734 3.93 4.33 -1.10 251 138 344 1 Columbia 14 0.07 0.16 -2.29 2 5 5 2 Cowlitz 354 1.90 2.56 -1.35 207 65 81 1 Douglas' 62 0.33 0.58 -1.76 14 28 20 0 Ferry 54 0.29 0.17 +1.71 1 25 26 2 Franklin 169 0.91 1.15 -1.26 132 8 29 0 - Garfield 6 0.03 0.14 -4.67 0 3 3 0 Grant 192 1.03 2.02 -1.96 91 50 51 0 Grays Harbor 377 2.02 1.98 +1.02 192 100 80 5 Island 186 1.00 0.67 +1.49 21 46 118 1 Jefferson 75 0.40 0.51 -1.28 20 25 28 2 14 King' 5,374 28.79 29.01 -1.01 3,507 658 1•,195 Kitsap 838 4.49 2.59 +1.73 299 161 373 5 Kittitas 145 0.78 2.02 -2.59 37 77 27 4 Klickitat 76 0.41 0.60 -1.46 11 44 21 0 Lewis 239 1.28 2.05 -1.60 94 72 68 5 Lincoln 23 0.12 0.62 -5.17 2 17 4 6 0 3 Mason 181 0.97 0.82 +1,18 34 76 8 Okanogan 157 0.84 0.62 +1.35 39 52 61 5 2 Pacific 107 0.57 0.56 +1.02 35 50 20 Pend Oreille 33 0.18 0.27 -1.50 1 17 14 1 Pierce 2,608 13.97 9.77 +1.43 1,303 480 817 8 San Juan 38 0.20 0.05 +4.00 4 0 33 ,1 2 Skagit 401 2.15 2.13 +1.01 141 135 123 Skamania 42 0.23 0.24 -1.04 4 22 8 8 B Snohomish 1,735 9.29 6.87 +1.35 736 334 657 3 Spokane 1,058 5.67 8.10 -1.43 512 219 324 5 Stevens 120 0.64 0.70 -1.09 17 56 42 2 .Thurston 639 3.42 3.64 -1.06 269 82 286 0 Wahkiakum 23 0.12 0.15 -1.25 3 18 2 44 0 Walla Walla 172 0.92 0.83 +1.11 100 28 65 4 Whatcom 449 2.41 2.29 +1.05 200 80 1 0 Whitman 128 0.69 1.12 -1.62 50 41 4 37 265 10 Yakima 798 4.27 3.74 +1.14 389 13 Totals i 18,668 9,284 3,579 5,690 115 a a a + u ti pi' offo 1 p.'SCrfir awl A4 e v ? ?y e ){J y F< ? ? ? i ly r ? ? t1 a- r? 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C4J rNa MOM a 0 20 YYY.IY 20 KKK K .-• :c ,• O D 0 JU coo d p' w ?.2.r 2 KKK N 0 YW F- JJJ_Id I- W W KF- .3. UUU K Z K 0 ' F- OQO KKw w R 2Z wmr 00383 U p ?1 W 1 CMC4 F-0 }K Q N -WU 02 MI- W O 11 DU KUNN0 N K N tJ 7 W Y Qm F-J c^Zi.Z.Z r K. F-F F- Ir r ,. 44d 4 w au??notn Y:,. E OMN(((ttt??? M ,,,? M 0 p„ NW111??? M p F- NN•+?N, W Y Na0 [9 [O F- Y. ? ,/1 O O 6 Q O IO^-iN ti 7, O O MMO z w4F- mmOa O.O ?OOo ff 00.., Z J W J J K p r w 'a Y W y O I U N 11 A I I Q L W O N1:17 MNN N 0 O. Y co J N Q K F Jon. z d2A a a F- N 4QQ d l OlU T.. d0<S 0 ' H1 F. . 'j,'; W QNQ 40Q O ?N KYI- MOM O .h•? ZPy K U' J4. ?aM a "+ ?w M. o M-+ M J 9r . F- 7 dd4 Q z pa ppoggqp C(r.•+ 201W •-iTN ?t I 'e u?di?l aG i}?? oom .rulN r.r J fy}?? =`ii? . ?q M Tl "1 Y\ Vd]. OnJN`.M to I f Ify PlJld? ?r . lll? IUWO ONP I ' rlr t ,? ? ? ? hy?T; J dKZ 0:70^ ? - d j '? ?' QO Ku1N I l:r - 7 } wco r d mct cG n1 t t e >? ( ?[ mmuo ar d tt ?SF Sd? S, o00 0 ? ? r ^ P d r1;5 V .,TO 0 YD At N 0 d. F- 1 a ?IW ?l. ? I 1? ? : ? ? I ? t'?.?' 1?lgp??+• r.? A .- t. Sa ?/',' f {h } 1? ?' t h' "r' Flff? -;v... JSvn a y w., Fi ,jtl{rU f l^?1 rY t }{ r 1 t+?? ,l,r.y,, .e.f tl+r +Lrr. t i r u? .? i S Sir vj : r •?F'^i o u" ? v 1 !I 1 a"4 i d? ?n 7 1 ? ?I ? sr+, .t ! .rev ANU i 1 F` ACCIDENT REPORT SNOW AND ICE RELATED 1979-1981 RD # MP ACC. DESC. PROP INJ FAT DMG SURF LITE COND . . COND TIME DATE 29050 44760 00906 ONE VEH PARKED- ONE MOVING 00 00 001100 00000 GUIDE POST ICE DARK 2210 020681 3 60610 00 00 001200 00005 OVER EMBANKMENT-NO GRDRAIL 01 00 001500 ICE IC DARK 2100 112581 ) 62530 00064 VEHICLE OVERTURNED 00 00 001500 E DARK 2245 011581 sn 94150 00751 OVER EMBANKMENT-NO GRDRAI L 00 00 002000 ICE ICE DUSK 1615 DAY 122961 ' rs 95170 95270 01106 00146 ROADWAY DITCH VEHICLE OVERTURNED 00 00 001000 00 00 00 LT 0615 SNOW DARK 1725 123181 123181 95270 00368 VEHICLE OVERTURNED 2500 O1 00 001975 ICE ICE DAWN 0655 DAYL 011491 10750 00000 UTILITY POLE (POWER 8 ETC) 00 00 001000 SNOW T 0905 121281 29050 00000 ENTERING AT ANGLE 00 00 000300 SNOW DAYLT 1630 011080 32750 00092 UTILITY POLE (POWER & ETC) 01 02 004500 ICE DAYLT 1000 DARK 010880 40390 00040 EARTH BANK OR LEDGE 00 00 000600 ICE 0110 D 120660 42890 52340 00189 00262 O.DTR - BOTH MOVE- HEAD ON OVE 00 00 002000 SNOW AYLT 0805 DAYLT 1630 012280 021580 1ix 9 R EMBANKMENT-NO GRDRAIL 01 00 002000 SNOW DARK 020 3150 93150 00743 00875 TREE OR STUMP (STATIONARY) 00 00 002500 SNOW 0 DAYLT 1045 011280 02128 DOM.ANIMAL (HORSE,COW,ETC) 01 00 000600 SNOW WD 0 94150 00163 ROADWAY DITCH 02 00 003000 SNOW ARK 2045 010980 ' 94150 00697 VEHICLE OVERTURNED 00 00 001800 I DARK 0545 120480 94150 94150 00991 012 8 ROADWAY DITCH O1 00 002733 CE ICE DAYLT 0700 DARK 0030 022180 9 ONE VEH LEAVING DRIVEWAY 02 00 000650 SNOW D 020180 {s. 94150 01406 OTHER OBJECTS OS 00 001000 AYLT 1440 010880 95170 00901 ROADWAY DITCH 00 00 001000 ICE ICE DARK 0045 120780 95170 01066 1EARTH BANK OR LEDGE O1 00 000300 ICE DAYLT 1140 120680 95170 01158 VEHICLE OVERTURNED 00 00 003000 ICE DAYLT 1115 012068 95270 0941 00125 EARTH BANK OR LEDGE 00 00 000500 ICE ST.LT 0210 DAYLT 1 011380 yy C § 5 00002 O.DIR - BOTH STRAIGHT - SS 00 00 000600 300 120680 09404 00165 UTILITY POLE (POWER 8 ETC) 00 00 001000 ICE ICE DAYLT 0820 DAYL 020379 22740 00200 O.DIR - ALL OTHERS 00 00 002100 ICE T 1115 020579 i ' 25000 00500 ROADWAY DITCH 00 00 001500 SNOW DAYLT 1415 010179 38860 00006 PEDESTRIAN- VEH BACKING 01 00 000000 DAYLT 1345 010279 45170 00080 VEHICLE OVERTURNED 02 00 004500 ICE ICE DAYLT 0900 020379 f 45170 00090 OVER EMBANKMENT-NO GRDRAIL 00 00 003000 ICE DAYLT 0940 010979 56990 00586 S.DDIR-BOTH STR-ONE STOPP- 00 00 000800 DAYLT 1330 012879 56990 00588 O,DIR - ALL OTHERS 00 00 002000 SNOW SNOW DARK 1835 020279 56990 00629 OTHER OBJECTS 00 00 001500 ICE DARK 1730 020279 60120 00141 CULV/OTHER APPURT IN DITCH 00 00 000606 DAYLT 0830 011379 60120 00536 TREE OR STUMP (STATIONARY) 00 00 001000 ICE ICE DARK 1750 012679 61750 00102 VEHICLE OVERTURNED O1 00 004625 SNOW DARK 1930 012679 63300 00062 EARTH BANK OR LEDGE 00 00 000700 DAYLT 1145 012779 63300 00085 FENCE 01 00 002350 SNOW DUSK 1615 020279 93150 00527 ROADWAY DITCH O1 00 003000 ICE ICE DAYLT 0800 011679 94150 00060 VEHICLE OVERTURNED 00 00 002000 ICE DAYLT 1000 012779 94150 95 00072 EARTH BANK OR LEDGE 00 00 001200 ICE DAYLT 0715 020479 DARK 270 00374 TREE OR STUMP (STATIONARY) 01 00 002000 ICE 1840 010779 7 DARK 1810 010879 l ?I r ? ry?E?.? du ? ?V'1!'+",p?a4r'?"nun011(?ArYArfiSI x1?15ik?1'k?Gi"` ?n)F?)"A' W+? ? { A, I Y 7? ?a? r }4N,{ aY r r yht}?fi wY (r, r k "Of ?l d i§ C 1 'fi't F i i rs - `11? U d ? W ,lA .11 M l }SNa'?0,4 b I I,. ?' 1 fiF( hf 31 h, ? I z ? t1 I 3'?' ?'°QE r t 49 f . I ® f ACCI DENT kEPDft7 ' q 3s i FRIDAY NIGHT ACCIDENTS ® 1 979-1981 PRO SURF LITE RD # MP ACC. DESC. INJ FAT DMGF COND COND TIME DATE 10750 00085 00 01 005000 WET DARK 2245 091881 29050 00906 ONE VEH PARKED- ONE MOVING 00 00 001100 ICE DARK 2210 020681 ® 32750 00049 FENCE 00 00 004000 WET DARK 2120 120481 51050 00002 RETAINING WALL 02 00 002000 DRY DARK 0345 110781 •-' 0 60120 60120 00255 0 2 TREE OR STUMP (STATIONARY) 01 00 001000 WET DARK 2213 111381 60120 0 91 00391 EARTH BANK OR LEDGE VEHICLE OVERTURNED 00 00 00 00 000600 000500 DRY WET DARK DARK 0300 0200 050981 062081 66890 00012 ONE VEH PARKED- ONE MOVING 00 00 002000 WET DARK 2030 100981 0 95170 00181 CULV/OTHER APPURT IN DITCH 01 00 002625 WET DARK 0235 050981 ,i. 96130 .00032 ONE VEH ENTERING DRIVEWAY 00 00 002500 WET DARK 0020 101781 32750 00092 UTILITY POLE (POWER & ETC) Of 02 004500 ICE DARK 0110 120680 ® 41870 00260 VEHICLE OVERTURNED 02 00 005000 DRY DARK 0110 071280 45170 00241 TREE OR STUMP (STATIONARY) 01 00 003300 DRY DARK 2350 050980 51410 00075 DOM.ANIMAL (HORSE,COW,ETC) 00 00 000500 DRY DARK 2350 100380 ® 52340 00262 OVER EMBANKMENT-NO GRDRAIL 01 00 002000 SNOW DARK 0200 011280 54290 00003 ONE VEH PARKED- ONE MOVING 00 00 000300 DRY DARK 0215 070580 63300 00064 EARTH BANK OR LEDGE 01 00 000700 DRY ST.LT 2300 051680 j 69360 00099 O.DIR - BOTH MOVE- HEAD ON 01 00 000700 DRY DAYLT 2000 061380 93150 00346 OVER EMBANKMENT-NOO GRDRAI 01 00 000750 DRY DARK 0130 070580 ® 94150 01012 ROADWAY DITCH 01 00 000050 DRY DARK 0200 111580 94150 01345 UTILITY POLE (POWER 8 ETC) 00 00 003300 DRY DARK 2107 022980 i 94150 01406 UTILITY POLE (POWER 8 ETC) 01 00 004025 WET DARK 2015 091980 95170 00634 DOM.ANIMAL (HORSE,COW,ETC) 00 00 000600 DRY 'DARK 2335 101780 ® 95170 00811 UTILITY POLE (POWER I ETC) 00 01 004200 DRY ST.LT 2235 312180 95170 00976 OO.DIR - BOTH STRAIGHT - S 02 00 003700 DRY DARK 0120 121380 ,•, 95170 01106 TREE OR STUMP (STATIONARY) 01 00 004200 WET DARK 0345 110880 ® ! 95170 01158 ENTERING AT ANGLE 00 00 000700 DRY ST.LT 2210 012580 38000 00164 OVER EMBANKMENT-NO GRDRAIL 00 00 000500 DRY DARK 0330 033179 44760 00130 ONE VEH PARKED- ONE MOVING 00 00 002100 DRY DARK 2115 092879 ® 49950 00321 TREE OR STUMP (STATIONARY) 00 00 004400 WET DARK 0200 102779 a` 56990 00108 EARTH BANK OR LEDGE 02 00 000500 WET DARK 2235 083179 , l 56990 00500 UTILITY POLE (POWER 8 ETC) 00 00 001650 WET DARK 0315 061679 7 s L 56990 00698 S..DIR-ONE R.TURN - ONE ST 00 00 002000 DRY DARK 2330 060879 60610 00273 EARTH BANK OR LEDGE 02 00 000200 DRY DARK 0230 092979 68060 00052 TREE OR STUMP (STATIONARY) 01 00 001500 DRY DARK 0230 030379 ® 94150 00838 TREE OR STUMP (STATIONARY) 01 00 004000 DRY DARK 2100 042079 94150 01539 EARTH BANK OR LEDGE 00 00 005000 DRY ST.LT 2210 062979 95170 00676 GUARDRAIL,FACE OF-NOT THRU 03 00 006139 DRY DARK 2023 021679 !, ® 95170 01000 TREE OR STUMP (STATIONARY) 02 00 000500 DRY DARK 0300 081179 +F r 95170 01110 ROADWAY DITCH 00 00 001000 DRY DARK 0300 033179 ? d 1 v . Ty1i ?fX?. ? ' , + l 1 S ' pp 97 T d r k r V:., a ". 7 J tJ (w ` U I 'k7 ?? ra il r3+x£?7a. +:f G kq ? r r _;. u o ` cS •t ?n h •x _ _ tl ? ? %I?nY1C S?31DO ut -21 -P07 Sthi .0 W rroirtn°a" a G ? R 9oGf-L No?Sr77n? 2 - W a ? m c - o (3 O W " 0 ? o ?- S?jnDy rva11=¢rv°J - ~ 1 N `JS7' Q n z ? yt'?CNo? 11 h J /. e a j/91 ?y HNNJ ¢ - A V? 0- 610 b b k 4 ° ? drHSroilv»e ?-1 r. ? J.73SH31N5 .? s ? '?S3? 1(?362D7 ?? ot + ?l?H1vdM Q ?? a9 vwVQ .I /: 1 Had °vd ?] ?O ln?J°vi t F••' n ? Y ,P r ]Y ?- N C) C - - Ct I I f I N . ? T 1? ` ??(? •?J IC _ I - - N n sk a t?n?L Z "?' H 1 /1? nn7 J u cL (-I W y" ti Z W W? LL a W Yy-7 ? J H W ? (?? r? K F ? _ ? C, r i u ? rz . az u o I FO +AO'?b ¢W U0-On Y K 4 ul 4 N * r ** *f ._..C 0'U N T Y'?'ii 0 A 0 T Y P E L A YU. T +** * * * # # * * b * * R * * * * w * rv 2 COL.- A%N w * * # R # # k * * * DESCRIPTION 1-4 N 5503 - CARD CODE FOR "TYPE" FORMAT '-' 5-10 _'.N..__ . COUNTY RCAD NUMBER 16-20 N COUNTY ROAD MILEPOST NUMBER 24 A' URBAN/RURAL LOCATION 25-26 N - COUNTY NUMBER 43 _ N.-.. .-.-SEVER ITY: 1 = PROPERTY DAMAGE ONLY CPOO) 2 = INJURY ACCIDENT 3 = FATAL ACCIDENT 44-45 N... ... .NUMBER OF INJURIES FOR THE ACCIDENT 46-47 N NUMBER OF FATALITIES FOR THE ACCIDENT 42-53 N AMOUNT OF PROPERTY DAMAGE 54-57 A WEATHER DESCRIPTION: _ ----RAIN (RAINING, DRIZZLE) CLR (CLEAR, INCLUDES CLOUDY) FOG (FOGGY) SNOW (SNOWING) 5!-64 A... ..-..INTERSECTION RELATIONSHIP: NON-INT (NOT AT INTER. E NOT RELATED) AT INT. CAT TINTER. & RELATED) DRIVEWY CAT ORIV=WAY INTER.) INT.REL CNOT AT INTER. SOT .`RELATED) 55-63 A ROADWAY CHARACTER: STR (STRAIGHT) CURV (CURVE) 69-72 A ROADWAY SURFACE: DRY WET SNOW ICE 73-77 A LIGHT CONDITION: DAYLT (DAYLIGHT) DAWN DUSK DARK ST.LT (DARK, STREET LIGHTS ON) 78-81 N TIME OF DAY (2403 HR) 32-87 _ N _. .-.-DATE OF ACCIDENT CMO,OA,YR) 38 DAY O= WEEK: 1 = MONOAY 5 = FRIDAY 2 = TUESDAY 5 = SATURDAY 3 = WEDNESDAY 7 = SUNDAY 4 = THURSOAY 39-90 N COLLISION TYPE (SEE ATTACHMENT I) 91-93 N TOTAL NJM3ER OF COLLISIONS AT THIS LOCATION . _ ...(IF HORE,THAN 1, ONLY THE LAST RECORD WILL HAVE ; TOTAL, THE OTHERS WILL EE :ERO.) \ 94-95 N OBJECT STRUCK (SE= ATTACHMENT II) 96-98 N TOTAL NUMBER OF OBJECT STRUCK ACCIDENTS AT THIS LOC. (IF MORE THAN 1, ONLY THE LAST RECORD WILL HAVE TOTAL, THE OTHERS WILL BE ZERO.) 99124 A. ACCIDENT DESCRIPTION (WRITTEN DEFINITION OF NUMERIC COLLISION TYPE OR 03JECT STRUCK.) 125 N ON-OFF ROADWAY: 1 = ON ROADWAY 2 = OFF ROADWAY 3 = ON ANOTHER ROADWAY 155-160 N ACCIDENT REPORT NUMBER 'p"- X. 5 t r r n ,? iti +' Z ?`" k? ?r 1 % `1? ? r I 5 G? ,?I(i,W ., f 1 , 1 ??4, y f d c C v 1 rr+f? . `r a ? ? r T L4 J ?.. "?b??...v'e7 ?=b'PJJ P r n? ' k • - d ? ..Y J . __ y F1 If_??_ r _4 4 .-A ' i* *+ T A C H M E N T I ** _._ +* C L L I S I 0 N T Y P E p; * * * * R * R * * * • * # * * * * # * # * * R * * * * * * * * k A MOTOR VEHICLE" TRAFFIC ACCIDENT IN WHICH THERE IS MORE THAN ONE INJURY OR DAMAGE-PR000CING VENT IS CLASSIrIED BY TYPE ACCOROING 62vc- TO THE LOCATION AND NATURE OF TH2 FIRST" EVENT TO OCCUR. `•;?;,` PEDESTRIAN/VEHICLE ACCIDENT: 00 - VEHICLE GOING STRAIGHT 01 - VEHICLE TURNING RIGHT 02 - VEHICLE TURNING LEFT 03 -.VEHICLE BACKING 04 - ALL OTHERS 05 - NOT STATED COLLISION WITH OTHER VEHICLE: - 10 - ENTERING AT ANGLE _ 11 - SAME-DIRECTION--BOTH STRAIGHT--30TH MOVING--SIDESWIPE 12 SAME DIRECTION--BOTH STRAIGHT--ONE STOPPEO--SIDESWIPE 13 - SAME DIRECTION--80TH STRAIGHT--30TH MOVINS--REAR END 14 -.SAM=.DIRECTION--BOTH STRAIGHT--ON- STOPPED--REAR END 15 - SAME DIRECTION--ONE LEFT TURN--ONE STRAIGHT 16 - SAME O.RECT:ON--ONE RIGHT TURN--ONE STRAIGHT 17 - SAME DIRECTION--BOTH RIGHT TURN (SEE 71 THRU 74) , {Iak[: 18 - SAME DIRECTICN--BOTH LEFT TURN (SHE 81 THRU 24) ? 19 - ONE ENTERING PARKED POSITION .? 20 - ONE LEAVING PARKED POSITION 21 - ONE ENTERING DRIVEWAY 22 - ONE LAVING DRIVEWAY F" 23 - SAME DIRECTION --ALL "Tri=RS 24 - OPPOSITE 'IRE-TION-4 0Tf1 'LOVING--HEAD f, "J 25 - OPPOSITE DIRECTION--CND STOPPED--HEAO ON 26 - OPPOS:TE DIRECTION--30Th STRAIGHT--30TH MOVING--SIOzSW! PE 27 - OPPOSITE DIRECTION--BOTH STRAIGHT--ONE STOPPED--SIOHW IPE 28 - OPPOSITE DI.ZE_CTION--ONE LEFT TL'RN--ONE STRAIGHT ' 29 - OPPOSITE DIRECTION--ONE LEFT TURN--ONE E RIGHT TURN 30 OPPOSITE DIRECTION--ALL OTH_PS 31 - NOT STATED COLLISION WITH PARKED VEHICLE: 32 - ONE PARK=O--ONE MOVING COLLISION WITH RAILROAD TRAIN: 40 - TRAIN STRUCK MOVING VEHICLE 41 - TRAIN STRUCK STALLED OR STOPPED VEHICLE S 42 - VEHICLE STRUCK MOVING TRAIN 43 - VEHICLE STRUCK. STOPPED TRAIN COLLISION WITH PEDALCYCLIST: 44 - UNICYCLE - 45 - BICYCLE 46 - TRICYCLE i" COLLISION WITH ANIMAL: 47 - DOMESTIC AN:MAL (HORSe, COW, SHEE?, ETC.) 48 - DOMESTIC ANIMAL OTHER (CAT, DOG, ETC.) 49 - NON-DOMESTIC ANIMAL (OE-ER,SEAR, ELK, ECT.) COLLISION WITH 03JECT: (SEE ATTACHMENT It FOR 3REAKDOWN OF OBJECT) 50 - FIXED 03JECT 51 - OTHER 03J=CT NON-COLLISION: 52 - VEHICLE OVERTURNED 53 - FELL, JUMPED, OR PUSHED FROM VEHICLE 54 - FIRE STARTED IN VEHICCE 55 - ACCIDENTALLY OVERCOME BY CARBON MDNO%IOE POISONING r. k. 56 - BREAKAGE OF ANY PART OF THE VEHICLE RESULTING IN INJURY OR IN FURTHER PROPERTY DAMAGE 57 - ALL OTHER NON-COLLISION COLLISION WITH OTHER VEHICLE (CONTINUED): 71 - SAME DIRECTION--BOTH TURNING .RIGHT--EOTH MOVING--SIOESWIPE 72 - SAME 3IRECTION--30TH TURNIN., RIGHT--ONE STOPPE D--SIOESWIPE _ 73 - SAME OIRE'TION--BOTH TURNING RIGHT--BOTH MOVING--REAR END 74 - SAME DIRECTION--BOTH TURNING RIGHTONE STOPPED--REAR ENO 91 - SAME DIRECTION--BOTH TURNING LE?T--3OTH MOVING--SIDESWIPE 82 - SAME DIRECTION--BOTH TURNING LEFT--ONE STOPPED--SIDE-SWIPE ' 83 - SAME DIRECTION--50TH TURNING LEFT30TH MOVINGREAR END Z J 94 - SAME DIRECTION--BOTH TURNING LEFT--ONE STOPPED--REAR ENO yl v ,,5 -? 1d c ? ? M^a - , f, iY ' t l ? j i I ] - F- WIN n?9 I, ? w d 1ti;•'?- q FRZ "N6 Y %iA;:rJ r r * ** T A C H M E N T I I E J E C T 5 T R C K R« x f * * R # 4 * i * * * i * * # * * * * * } k k i * * 01 - BEAM GUARDRAIL. LcAJING END J2 - BEAM GUARDRAIL, FACE OF (DID NOT GO THRU, OVER, OR UNDER) 03 - BEAM GUARDRAIL, FACE OF (DID GO THRU, OVER. OR UNDER) **+ 04 THRU 06, AND 10--SEE 31 THRU 39 *•* 04 - CABLE GUARDRAIL. LEADING END 05 - CABLE GUARDRAIL. FACE OF (DID NOT GO THRU, OVER, OR UNDER) 06 - CABLE GUARDRAIL. FACE OF (DID GO THOU, OVER, OR UNDER) 37- CONCRETE MEDIAN BARRIER WALL 08 - RETAINING WALL (CONCRET=, .ROCK, BRICK, ETC.) 09 - CURB OR RAISED TRAFFIC ISLAND, RAISED MEOIAN CURB (CODE ONLY WH_N NO OTHER OBJECTS 3T4EK) '. 10 - BRIDGE RAILING, 11 - BRIDGE ABUTMENT 12 - BRIDGE COLUMN, PIER OR PILLAR 13 - WOOO...SIGN POST 14 - METAL SIGN POST 15 - GUIDE POST 16 - LUMINAIRES POLE OR BASE 17 - RAILWAY SIGNAL OR.POL= 13 - UTILITY POLE (T=LEPHONE, POWER, ETC.) 19 - TRAFFIC SIGNAL POLE AND/OR CONTROL -OUIPMENT 20 - CULVERT END OR OTHER APPURTENANCE IN DITCH 21 - ROADWAY DITCH (SEE 74) 22 - OVERHEAD SIGN S'JP$ORT 23 - TOLL BOOTH 24 TOOL BOOTH ISLA.NC '5 - CLOSED TOLL GATE 26 - RAILWAY CROSSING 27 - REVERSIBLE LANE CONTROL GAT= ?F _ UNDERSIDE OF 3R:DGE (:.E., OVERHEIGHT TRUCK 0.7 LOAD) 30 - ** 31 THRU 39--EFFECTIVE 1-1-?2 *.4 31 - GUARDRAIL, LEADING END 32 - GUARDRAIL, FACE OF (DID NOT GO THRU, IV-P, OR UNDER) 33 - GUARDRAIL, FACE OF (010 GO THRU, JVE', OR UNDER) 35 - CONCRTE 3ARRIER? FACEOF (DID NOT GO THRU, OVER, 03 UNDER) 36 - CONCRETE BARRIER, FACE OF (DIO GO THRU, OVER, OR UNDER) 37 BRIDGE RAIL, LEADING END 38 - BRIDGE RAIL, FACE 0- (OIO NOT G) THRU, OVER, OR UNDER) 39 - BRIDGE RAIL, FACE OF (DID GO THRU, VV?P, OR UNDER) 40 41 - 42 - 50 -TEMPORARY TRAFFIC SIGN OR BARRICADE: 51 - ROAD OR CONSTRUCTION MACHINERY 52 - CONSTRUCTION MATERIALS 53 - MISCELLANEOUS 03JECT OR DEBRIS ON ROAD SU.RFAC= 54 - FALLING ROCK OR TREE FELL ON VEHICL, 55 - FALLEN TREE OR 20CK 56 TREE OR STUMP (STATIONARY) 57 - BOULDER (STATIONARY) 58 - ROCK SANK OR LEDGE 39 - EARTH BANK OR LEDGE 00 - HUD OR LAND SLIDE 51 - SNOW BANK 52 - SNOW SLIDE n3 - BUILDING 54 - FIRE PLUG 65 - PARKING METER 67 - DOMESTIC ANIMAL (RIDDEN) 68 - ANIMAL DRAWN VEHICLE 69 - OVER -MBANKM_NT--NO GUARDRAIL PRESENT 70 - INTO RIVER, LAKE, SWAMP, ETC. 71 - OTHER CBJECT 72 - NOT STATED 73 74 - ROADWAAYY XOITCH «•• (=FFECT:VE 1-1-72) k•• ti y emu„ .. , .gyp ?r ? y . =. x 1 I 5 i ACCI DENT REPORT COLLISIO NS WITH ANIMALS 1 ' 1 979-1981 RD # MP ACC. DESC. INJ FAT PROP DMG. SURF COND LITE COND TIME DATE 41870 00072 NON-DOM.ANIMAL (DEER, ETC 01 00 001000 DRY DARK 0215 081381 44760 00095 NON-DOM.ANIMAL (DEER, ETC 00 00 000600 WET DARK 0230 101881 ° 95170 00758 NON-DOM.ANIMAL (DEER, ETC) 00 00 000400 DRY ST.LT 2250 081681 32750 00270 NON-DOM.ANIMAL (DEER, ETC) 00 00 000505 DRY DAYLT 1330 061880 w 45170 00290 NON-DOM.ANIMAL (DEER, ETC) 01 00 002200 WET DAYLT 0845 060680 ' 51430 00075 DOM.ANIMAL (HORSE,COW,ETC) 00 00 000500 DRY DARK 2350 100380 56990 00267 NON-DOM.ANIMAL (DEER, ETC) 00 00 000300 WET DAYLT 0821 022680 60120 00513 NON-DOM.ANIMAL (DEER, ETC) 00 00 000600 DRY DARK 2140 062180 93150 - 00875 DOM.ANIMAL (HORSE,COW,ETC) 01 00 000600 SNOW WDARK '2045 010980 94150 00751 DOM.ANIMAL (CAT, DOG, ETC) 00 00 000300 DRY DAYLT 1020 042580 955170 00410 DOM.ANIMAL (HORSE,COW,ETC) 00 00 001050 DRY DARK 0345 082980 ? 95170 00634 DOM.ANIMAL (HORSE,COW,ETC) 00 00 000600 DRY DARK 2335 101780 . 14020 01650 DOM.ANIMAL (HORSE,COW,ETC) 00 00 000500 DRY DAYLT 1445 091679 27590 00160 NON-DOM.ANIMAL (DEER, ETC) 00 00 000300 DRY DAYLT 1330 061179 40390 01280 NON-DOM.ANIMAL (DEER, ETC) 00 00 001000 DRY DARK 1830 010779 a 47740 00029 NON-DOM.ANIMAL (DEER, ETC) 00 00 000700 DRY DAYLT 1500 052579 60120 00455 NON-DOM.ANIMAL (DEER, ETC) 00 00 00150: DRY DAYLT 0900 071979 63980 00031 DOM.ANIMAL (CAT, DOG, ETC) 01 00 000100 DRY DAYLT 1315 102879 + 93150 01010 DOM.ANIMAL (HORSE,COW,ETC) 00 00 002300 DRY DARK 0100 110879 95170 00000 DOM.ANIMAL (HORSE,COW,ETC) 00 00 000650 DRYY DARK 2145 111779 pZ0 r r 14 f , thwp Ifhi>'"?1y'1 avx ?,? R ? ti ? S 1 1 j1 ? i. , T ` T "' 'W v , r r ACCIDENT REPORT X r DRIVEWAY RELATED s ra 1979-1981 RD # MP ACC. DESC. PROP SURF LITE INJ FAT DMG. COND COMB TIME DATE ti 00000 00310 ONE VEH ENTERING DRIVEWAY 00 00 001300 WET ST.LT 1739 121581 35750 00081 ONE VEH LEAVING DRIVEWAY 00 00 001500 DRY LAYLT 1725 072281 52200 00000 ONE VEH LEAVING DRIVEWAY 00 00 000733 VWET DAYLT 1545 062081 60120 00024 ONE VEH ENTERING DRIVEWAY 03 00 002300 DRY DAYLT 1500 091881 e 63300 00004 ONE VEH ENTERING DRIVEWAY 00 00 001100 WET DAYLT 1345 100681 y 93150 00051 ONE VEH ENTERING DRIVEWAY 00 OC 002100 WET DAYLT 1215 063081 94150 01135 ONE VEH ENTERING DRIVEWAY 00 00 000600 DRY DAYLT 1?,5 0 052981 q 94150 01308 OONE VEH LEAVING DRIVEWAY 00 00 000450 DRY DUSK 110 110288 94150 01447 ONE VEH ENTERING DRIVEWAY 00 00 002500 WET DAYLT 1600 010881 94150 01505 ONE VEH ENTERING DRIVEWAY 00 00 002600 DRY DAYLT 0900 060281 95170 00449 ONE VEH ENTERING DRIVEWAY 00 00 000600 DRY DAYLT 0750 062581 95170 00651 ONE VEH ENTERING DRIVEWAY 01 00 001300 DRY DAYLT 1000 042681 95170 00669 ONE VEH LEAVING DRIVEWAY 01 00 001510 WET DAYLT 1344 111981 95170 01102 ONE VEH ENTERING DRIVEWAY 01 00 0011200 DRY DAYLT 1511 503268 96130 00032 ONE VEH ENTERING DRIVEWAY 00 00 002500 WET DARK 0020 101781 _ 22740 00018 ONE VEH ENTERING DRIVEWAY 01 00 000325 DRY DAYLT 1525 070480 22740 00097 ONE VEH LEAVING DRIVEWAY 01 00 000100 DRY DAYLT 1220 072080 ` 25000 00076 ONE VEH ENTERING DRIVEWAY 01 00 000225 DRY DAYLT 1800 070480 56990 00311 ONE VEH ENTERING DRIVEWAY 00 00 001700 WET DAYLT 0930 101990 56990 00479 ONE VEH LEAVING DRIVEWAY 00 00 000349 DRY DAYLT 1440 021280 60120 00055 ONE VEH LEAVING DRIVEWAY 00 00 002500 DRY DAYLT 1945 071280 60120 00133 ONE VEH ENTERING DRIVEWAY 00 00 000694 DRY DAYLT 1620 072980 u . 94150 00174 ONE VEH ENTERING DRIVEWAY 00 00 001000 DRY GAYLT 1850 061280 94150 01248 ONE VEH ENTERING DRIVEWAY 00 00 000400 DRY DAYLT 1230 013180 ? 94150 01298 ONE VEH LEAVING DRIVEWAY 02 00 000850 SNOW DAYLT 1440 010880 94150 01447 ONE VEH ENTERING DRIVEWAY 02 00 001200 DRY DARK 0249 060280 95170 00696 ONE VEH LEAVING DRIVEWAY 00 00 000500 WET DAYLT 1520 022580 95170 00986 ONE VEH ENTERING DRIVEWAY 01 00 001150 DRY DAYLT 1000 090980 96130 00269 ONE VEH LEAVING DRIVEWAY 02 00 000900 WET DAYLT 0930 083080 29560 00003 ONE VEH LEAVING DRIVEWAY 00 00 002000 DRY DAYLT 1140 032079 56990 00250 ONE VEH ENTERING DRIVEWAY 03 00 000325 DRY DAYLT 1130 083179 56990 00663 ONE VEH ENTERING DRIVEWAY 01 00 001800 DRY DAYLT 1530 032479 56990 00753 ONE VEH LEAVING DRIVEWAY 00 00 000475 DRY DAYLT 1150 090479 63300 00062 ONE VEH ENTERING DRIVEWAY 02 00 000500 DRY DAYLT 1919 082479 .'r 63450 00020 ONE VEN ENTERING DRIVEWAY 00 00 000495 DRY DAYLT 1430 092079 63710 00002 ONE VEH ENTERING DRIVEWAY 00 00 001370 DRY DAYLT 1100 080679 94150 00326 ONE VEH ENTERING DRIVEWAY 03 00 002600 DRY DAYLT 1530 012279 94150 01315 ONE VEH ENTERING DRIVEWAY 00 00 002300 DRY DAYLT 1230 050279 94150 01385 ONE VEH LEAVING DRIVEWAY 00 '00 000980 DRY DARK 1740 012379 95170 00570 OVER EMBANKMENT-NO GRDRAIL 00 00 001400 DRY DAYLT 1600 042879 x... ? tv? __.: u, ? ._..?e...?:a_.£.*?it.i..?.L.. .?.+da:F...1•w?.'x*?_`0?...- ?a'L u._ ? ,... :Y ?:_J?' a js rcm ter; ? 6 i E f Y?? a v ? we x?° t ??... T.? . n ? te. •+!artnnrrwFxr vrz?p.p : ?t tl" pry i 1 ?? ?+t i Cyr"''?r7 r4?+ ??41 ? Li" V?, ? F'h 4S??F45 ? ?Fn x fei? I } Jf its, .' ACCIDENT REPORT INTERSECTION RELATED r T 1979-1981 { PROP SURF LITE , RD MP ACC. DESC. INJ FAT DMG. COND COND TIME DATE " 29450 00035 ENTERING AT ANGLE 00 00 001000 DRY DAYLT 1700 031781 ?s. 39100 00000 ENTERING AT ANGLE 00 00 000700 DRY DAYLT 1440 081381 60120 00255 TREE OR STUMP (STATIONARY) 20 10 001000 WWET DARK 2213 111381 61750 00103 ENTERING AT ANGLE 01 00 001250 DRY DAYLT 1515 051481 62280 00117 ENTERING AT ANGLE 01 00 000425 DRY DAYLT 1100 071381 62530 00008 ENTERING AT ANGLE 00 00 000300 DRY DAYLT 1110 030581 62530 00006 ENTERING AT ANGLE 01 00 003000 DRY DAYLT 1834 082681 t ' u 63300 00032 VEHICLE OVERTURNED 00 00 000600 DRY DARK 0415 050881 9. ; 68450 00044 UTILITY POLE (POWER 8 ETC) 02 00 000900 DRY ST.LT 0420 010181 94040 00215 ENTERING AT ANGLE 00 00 002200 DRY DAYLT 1600 092481 ?. .? 94150 00107 OVER EMBANKMENT-NO GRDRAIL 00 00 002000 DRY DAYLT 1245 022081 * 94150 00805 OO.DIR- ONE L.TURN- ONE ST 00 00 000300 DRY DAYLT 1050 030581 + 94150 01440 S.DIR-ONE R.TURN - ONE STR 00 00 000500 WET ST.LT 2320 012881 94150 01505 S.DIR - ALL OTHERS 00 00 000800 DRY DAYLT 0915 101981 i 95170 00171 VEHICLE OVERTURNED 01 00 001900 WET DARK 1700 112281 95170 00811 O.DIR- ONE L.TURN- ONE STR 00 00 001050 WET DAYLT 1515 083181 a 95170 00904 O.DIR- ONE L.TURN- ONE STR 02 00 003100 DRY DAYLT 1250 091181 W sc{ 95270 00086 EARTH BANK OR LEDGE 00 00 000617 WET DARK 0130 042781 29050 00000 ENTERING AT ANGLE 00 00 000300 SNOW DAYLT 1000 010880 29450 00000 COLLISION WITH BICYCLE 01 00 000375 DRY DAYLT 1600 022880 32130 00031 ENTERING AT ANGLE 00 00 002900 WET DAYLT 1210 010280 r¢ ' 32750 00049 S.DIR-ONE L.TURN - ONE STR 01 00 001350 DRY DAYLT 1720 052480 52340 00277 S.DIR-BOTH STR-ONE STOP-RE 02 00 001000 WET DARK 2140 110880 56990 00693 TEMP TRAFFIC SIGN-BARRICAD 00 00 000450 DRY DAYLT 1615 070880r 56990 00753 ENTERING AT ANGLE 00 00 000521 WET DAYLT 1600 111480 2 rvy 60120 00549 EARTH BANK OR LEDGE 00 00 000900 DRY DARK 2155 080980 60610 00273 VEHICLE OVERTURNED 00 00 000500 DRY ST.LT 0132 022480 61750 00208 EARTH BANK OR LEDGE 00 00 000800 DRY ST.LT 0130 080380 62530 00000 S.DIR - ALL OTHERS 00 00 000900 DRY DAYLT 1550 082880 1 63300 00000 S.DIR-BOTH STR-ONE STOP-RE 00 00 000300 DRY DAYLT 1130 091980 63300 00064 EARTH BANK OR LEDGE 01 00 000700 DRY ST.LT 2300 051680 ' 93150 00346 OVER EMBANKMENT-NO GRDRAIL 01 00 000750 DRY DARK 0130 070580 Apr 94150 00107 VEHICLE OVERTURNED 00 00 000700 DRY DAYLT 1430 113080 a '. 1 „ 94150 01155 S.DIR-BOTH STR-ONE STOP-RE 02 00 000500 WET DAYLT 1530 092080 94150 01312 S.DIR-BOTH STR-ONE STOP-RE 00 00 000450 DRY DAYLT 1805 071180 94150 01312 S.DIR - ALL OTHERS 00 00 001000 DRY ST.LT 2250 071980 95170 00171 O.DIR- ONE L.TURN- ONE STR 02 00 002500 DRY DAYLT 1340 063080 95170 00650 ENTERING AT ANGLE 00 00 000450 WET DAYLT 1657 041980 95170 00650 ENTERING AT ANGLE 00 00 001000 DRY DAYLT 1600 070780 95170 00650 ENTERING AT ANGLE 00 00 000750 DRY DUSK 1850 102280 95170 00904 ENTERING AT ANGLE 00 00 001000 DRY DAYLT 1615 070880 r 95170 00924 O.DIR- ONE L.TURN- ONE STR 02 00 001250 DRY DAYLT 1340 053180 95170 01158 VEHICLE OVERTURNED 00 00 003000 ICE ST.LT 0210 011380 p 95170 01150 ENTERING AT ANGLE 00 00 000700 DRY ST.LT 2210 012580 " 95170 01158 METAL SIGN POST 01 00 000700 DRY ST.LT 0300 013080 x 95270 00000 ENTERING AT ANGLE 01 00 001000 DRY DAYLT 1940 042980 95270 00106 S.DIR-ONE R.TURN - ONE STR 01 00 003400 WET DDAYL T095 012128 95270 00753 VEHICLE OVERTURNED 00 00 001200 DRY DAYLT 2010 080780 22050 00084 UTILITY POLE (POWER 8 ETC) 00 00 000700 WET DAYLT 1130 120279 49950 00252 ENTERING AT ANGLE 00 00 000663 DRY DAYLT 0755 031479 56990 00124 S.DIR-ONE L.TURN - ONE STR 10 00 0001100 WET DAYLT 1023 110379 r 56990 00474 INTO RIVER,LAKE,SWAMP,ETC. 01 00 007850 DRY DARK 1935 110879 ) ?• °r ?i( ? p?,.., fir ,{?. :' ?_ 4?" rsr,r rF ,?:, '? ,? ,, 'yl?k* h' 67 611 _7r? 4 { _ t ! hu , ? t y ,r, Jr r r F PORTLAND 947 S.E. MARKET ST. PORTLAND, OR 97214 238-1570 ° TACOMA SPOKANE 2111 PACIFIC AV E. 5609 E. BROADWAY TACOMA, WA 98402 SPOKANE, WA 99206 572-2700 535-1511 SEATTLE 5516 - 1ST. AVE. SO. SEATTLE, WA 98108 767-3283 NEWPORT 136 S.E. IST ST. NEWPORT, OR 97385 265-5391 r/Ci_o /NfG av .9cc pEVr F.cE _ . , !. oSouCcE CpnE 64-) o4 ¢t GaLG/51uU 7YOE (z) 2. 6cAUX (I) zg Y/ Of Gac uSi •.?S Tiiil?3/ d G'Ctlu7j' 7,'ef,p d(.f') LOC/J/O.? 54 ;25? OB?E e7 oST.Uc/c.r (2) S Ca. ,<'O. m?. C3) ?,f.;? C !/OFO©TFC7S Tytp toc G. .h'c?,w/,E• (3) ,3C ?' AcclOf.?? ,D6Sc,CLb) uev,0A/1Aa.,19LCI) ;:7 3G. OA.1 aF,f u/y(1) F UotcNSJ' ? C2) :-t7 ? ?n?t (291 y, ?t.n. ?6) 29 -,z8' f/cc/Oe f Rcnuer ?C6) /J? L1 /lJO ClNr O/'' /L.^O/'. l?A177N6f (G) /? t?EN7NC.? AE SC, C?l !S• i.1/7E.C=t/CTiU? ?PC.c. (7) /G A'?f?ntv/Ij b/lARlk7. C?? C4 p.; re GI ?? ,/7A O! Wf.CF ?t ? BEARINGS • BELTS • SHEAVES • CHAIN • SPROCKETS • COUPLINGS • SPEED REDUCERS is 9111 r R r Tw ?f i. t r t ?:+ t f r +4 r k"' ? r 4 rvS`??'?J ??, ? + ti ? + 5 ?l t 1)w %r { r r ? r )? - ti ??(?{,rJ +?t r ? ? ' rt ua+r7 ?_ ? I ? r (l ? t JOHN SPELLMAN DUANE RERENTSON Governor Secretary STATE OF WASHINGTON DEPARTMENT OF TRANSPORTATION Highway Administration Building a Olympia.Washington985o.; • (206)753-6005 September 8, 1982 Mr. Gary Rowe Dept. of Public Works Jefferson County Courthouse Jefferson and Cass Streets Port Townsend, WA 98368 Dear Mr. Rowe: Re: County Road Accident Data Reporting System Enclosed you will find the following pieces of information to assist you in using the reporting program for County Road Accident Data: 1. County Road TYPE format Record Layout 2. Record Layout Description 3. Collision TYPE and Object Struck Descriptions 4. RECSELCT 'AND/OR' select Instructions 5. RECSELCT Procedure 6. Highlighted program printout 7. Instructions on use of the program 8. Sample of the Report output The county road accident data is stored permanently on your user I.D. and is. called K16.TYPE7981.DATA. The program to access this data is also stored permanently on your user I.D. and is called K16.PROG56RS.DATA. Please feel free to contact Bob Engle at SCAN 234-6182 if you have any ques- tions or need further assistance. Sincerely, RECEIVED ROBERT S. NIELSEN Assistant Secretary Public Transportation and Planning S E P 13 1982 JEFFERSON COUNTY ENGINEERS OFFICE By: H. K. GUPTA, Manager RSN:Ich Transportation Data Office HKG/RME cc: Keith Eggen Enclosures Vil ter,,'. ?I Sal ` 707 s u f ? - tnol Si7 °a ?: a ? 3ds1 yol A - o ow 'T. r v r o ? s?noy U = d u r rvo11s¢NO; Q - -1 z u 9?fa'dVy5 - I. 0 w - / vroeW02G V ? - Q ? ? %i ?/917Wb NKJ ? C a ? s hNnebOLl 1U `? w r ? ? WNa 'oi ?'. n o '? V 1 aIIHSr+ ?* v? ?1' o ? 173Sd131N5 ' ? ?e ld Or/ S 1 N36YO7 ?$ lN?d oNd oil J ` JO ln'Y10w _ t = r? .ea : vq q ? /i1Nroo? ? N oc U O ` O yN J 14 ? 4 Ca I I I I 1 a o u o w ?o?qV Zwuo f r ACC IDENT REP ORT DRIVEWAY RELATED j 1979- 1981 PROP SURF LITE RD t__ -MP- __-_-- ACC. DESC.-_ -- INJ- FAT - DMO. COND COND TIME _DATE- 00000 00310 ON 00 00 001300 WET ST.LT 1739 2 35750 00081 ONE VEH LEAVING DRIVEWAY 00 00 001500 DRY DAYLT 1725 3 i 52200 00000 ONE VEH LEAVING DRIVEWAY 00 00 000733 VWET DAYLT 1545 6 60120 00024 ONE VEH ENTERING DRIVEWAY 03 00 002300 DRY DAYLT 1500 5 63300 00004 ONE VEH ENTERING DRIVEWAY 00 00 001100 WET DAYLT 1345 2 93150 00051 ONE VEH ENTERING DRIVEWAY 00 00 002100 WET DAYLT 1215 2 94150 ` 01135 ONE VEH ENTERING DRIVEWAY 00 00 000600 DRY DAYLT 1350 5 94150 01308 GONE VEH LEAVING DRIVEWAY 00 00 000450 DRY DUSK 1710 1 94150 01447 ONE VEH ENTERING DRIVEWAY 00 00 002500 WET DAYLT 1600 4 94150 01505 ONE VEH ENTERING DRIVEWAY 00 00 002600 DRY DAYLT 0900 2 95170 00449 DONE VEH ENTERING DRIVEWAY 00 00 000600 DRRY DAYLT 0750 4 95170 00651 ONE VEH ENTERING DRIVEWAY 01 00 001300 DRY DAYLT 1000 7 95170 00669 ONE VEH LEAVING DRIVEWAY 01 00 001510 WET DAYLT 1344 4 95170 01102 ONNE VEH ENTERING DRIVEEWAY 01 00 0011200 DRRY DAYLT 1511 1 96130 00032 ONE VEH ENTERING DRIVEWAY 00 00 002500 WET DARK 0020 6 22740 00018 ONE VEH ENTERING DRIVEWAY 01 00 000325 DRY DAYLT 1525 5 22740 00097 ONE VEH LEAVING DRIVEWAY 01 00 000100 DRY DAYLT 1220 7 25000 00076 ONE VEH ENTERING DRIVEWAY 01 00 000225 DRY DAYLT 1800 5 56990 00311 ONE VEH ENTERING DRIVEWAY 00 00 001700 WET DAYLT 0930 7 56990 00479 ONE VEH LEAVING DRIVEWAY 00 00 000349 DRY DAYLT 1440 2 60120 00055 ONE VEH LEAVING DRIVEWAY 00 00 002500 DRY DAYLT 1945 6 60120 00133 ONE VEH ENTERING DRIVEWAY 00 00 000694 DRY DAYLT 1620 2 94150 00174 ONE VEH ENTERING DRIVEWAY 00 00 001000 DRY DAYLT 1850 2 94150 01248 ONE VEH ENTERING DRIVEWAY 00 00 000400 DRY DAYLT 1230 0 94150 01298 ONE VEH LEAVING DRIVEWAY 02 00 000850 SNOW DAYLT 1440 2 94150 01447 ONE VEH ENTERING DRIVEWAY 02 00 001200 DRY DARK 0249 1 95170 00696 ONE VEH LEAVING DRIVEWAY 00 00 000500 WET DAYLT 1520 1 95170 00986 ONE VEH ENTERING DRIVEWAY 01 00 001150 DRY DAYLT 1000 2 96130 00269 ONE VEH LEAVING DRIVEWAY 02 00 000900 WET DAYLT 0930 6 295560 00003 ONE VEH LEAVING DRIVEWAY 00 00 002000 DRY DAYLT 1140 2 56990 00250 ONE VEH ENTERING DRIVEWAY 03 00 000325 DRY DAYLT 1130 5 56990 ' 00663 ONE VEH ENTERING DRIVEWAY 01 00 001800 DRY DAYLT 1530 6 56990 00753 ONE VEH LEAVING DRIVEWAY 00 00 000475 DRY DAYLT 1150 2 ,63300 00062 ONE VEH ENTERING DRIVEWAY 02 00 000500 DRY DAYLT 1919 5 63450 00020 ONE VEH ENTERING DRIVEWAY 00 00 000495 DRY DAYLT 1430 4 63710 00002 ONE VEH ENTERING DRIVEWAY 00 00 001370 DRY DAYLT 1100 1 ®. 94150 00326 ONE VEH ENTERING DRIVEWAY 03 00 002600 DRY DAYLT 1530 1 94150 01315 - ONE VEH ENTERING DRIVEWAY 00 00 002300 DRY DAYLT 1230 3 94150 01385 ONE VEH LEAVING DRIVEWAY 00 00 000980 DRY DARK 1740 2 95170 00570 OVER EMBANKMENT-NO ORDRAIL 00 00 001400 DRY DAYLT 1600 6 i x r._m "d 70AM FAI ACCIDENT REPORT a -" AP'A(s DRIVEWAY RELATED 1979-1981 00000 00310 ON 00 00 001300 WET ST.LT 1739 235750 00081 ONE VEH LEAVING DRIVEWAY 00 00 001500 DRY DAYLT 1725 352200 00000 ONE VEH LEAVING'DRIVEWAY 00 00 000733 VWET DAYLT 1545 660120 00024 ONE VEH ENTERING DRIVEWAY 03 00 002300 DRY DAYLT 1500 563300 00004 ONE VEH ENTERING DRIVEWAY 00 00 001100 WET DAYLT 1345 293150 00051 ONE VEH ENTERING DRIVEWAY 00 00 002100 WET DAYLT 1215 294150 01135 ONE VEH ENTERING DRIVEWAY 00 00 000600 DRY DAYLT 1350 594150 01308 GONE VEH LEAVING DRIVEWAY 00 00 000450 DRY DUSK 1710 194150 01447 ONE VEH ENTERING DRIVEWAY 00 00 002500 WET DAYLT 1600 494150 01505 ONE YEN ENTERING DRIVEWAY 00 00 002600 DRY DAYLT 0900 295170 00449 OONE VEH ENTERING DRIVEWAY 00 00 000600 DRRY DAYLT 0750 495170 00651 ONE VEH ENTERING DRIVEWAY 01 00 001300 DRY DAYLT 1000 795170 00669 ONE VEH LEAVING DRIVEWAY 01 00 001510 WET DAYLT 1344 495170 01102 ONNE VEH ENTERING DRIVEEWAY 01 00 0011200 DRRY DAYLT 1511 196130 00032 ONE VEH ENTERING DRIVEWAY 00 00 002500 WET DARK 0020 622740 00018 ONE VEH ENTERING DRIVEWAY OS 00 000325 DRY DAYLT 1525 522740 00097 ONE VEH LEAVING DRIVEWAY OS 00 000100 DRY DAYLT 1220 725000 00076 ONE YEN ENTERING DRIVEWAY 01 00 000225 DRY DAYLT 1800 556990 00311 ONE YEN ENTERING DRIVEWAY 00 00 001700 WET DAYLT 0930 756990 00479 ONE YEN LEAVING DRIVEWAY 00 00 000349 DRY DAYLT 1440 260120 00055 ONE YEN LEAVING DRIVEWAY 00 00 002500 DRY DAYLT 1945 660120 00133 ONE VEH ENTERING DRIVEWAY 00 00 000694 DRY DAYLT 1620 294150 00174 ONE YEN ENTERING DRIVEWAY 00 00 001000 DRY DAYLT 1850 294150 01248 ONE VEH ENTERING DRIVEWAY 00 00 000400 DRY DAYLT 1230 094150 01298 ONE VEH LEAVING DRIVEWAY 02 00 000850 SNOW DAYLT 1440 294150 01447 ONE VEH ENTERING DRIVEWAY 02 00 001200 DRY DARK 0249 195170 00696 ONE VEH LEAVING DRIVEWAY 00 00 000500 WET DAYLT 1520 195170 00986 ONE VEH ENTERING DRIVEWAY 01 00 001150 DRY DAYLT 1000 296130 00269 ONE YEN LEAVING DRIVEWAY 02 00 000900 WET DAYLT 0930 6295560 00003 ONE VEH LEAVING DRIVEWAY 00 00 002000 DRY DAYLT 1140 256990 00250 ONE VEH ENTERING DRIVEWAY 03 00 000325 DRY DAYLT 1130 556990 00663 ONE YEN ENTERING DRIVEWAY 01 00 001800 DRY DAYLT 1530 656990 00753 ONE VEH LEAVING DRIVEWAY 00 00 000475 DRY DAYLT 1150 263300 00062 ONE VEH ENTERING DRIVEWAY 02 00 000500 DRY DAYLT 1919 563450 00020 ONE YEN ENTERING DRIVEWAY 00 00 000495 DRY DAYLT 1430 463710 00002 ONE YEN ENTERING DRIVEWAY 00 00 001370 DRY DAYLT 1100 194150 00326 ONE VEH ENTERING DRIVEWAY 03 00 002600 DRY DAYLT 1530 194150 01315 ONE YEN ENTERING DRIVEWAY 00 00 002300 DRY DAYLT 1230 394150 01385 ONE YEN LEAVING DRIVEWAY 00 00 000980 DRY DARK 1740 295170 00570 OVER EMBANKMENT-NO GRDRAIL 00 00 001400 DRY DAYLT 1600 6 ®I a a. saF M . r IT " ? ? y I IA`ty4 ?V '? uJ L aq r r?r ?y ,y F .an L 1W? b t o r :a ? 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SURF LITE COND COND TIM E DATE as? a 10750 -00132 - - UTILITY POLE (POWER & ETC) 01 00 001400 DRY DARK 0001 110681 .=w 13430 00564 ROADWAY DITCH 00 00 001100 DRY DAYLT 0500 082381 Y. p. n N 14020 00209 UTILITY POLE ('POWER 8 ETC) 00 00 003000 WET DAYLT 0802 010581 32750 41870 00135 00298 ROADWAY DITCH ROADWAY DITCH 01 00 000600 WET DARK 2327 083181 h ,- 7 51050 00045 ROADWAY DITCH 01 00 00 00 000900 003500 DRY WET DARK DARK 0600 2350 102281 1 ? 60610 00005 OVER EMBANKMENT-NO GRDRAIL 01 00 001500 ICE DARK 2245 11481 011581 F .. 60610 00005 ROADWAY DITCH 00 00 002825 WET DARK 2150 091281 66890 00054 UTILITY POLE (POWER & ETC) 00 00 004500 DRY DAYLT 1830 051681 68450 00044 UTILITY POLE (POWER & ETC) 02 00 000900 DRY ST.LT 0420 010181 94040 00051 OVER EMBANKMENT-ND GRDRAIL 01 00 004000 WET DAYLT 1100 112181 6y? 94150 94150 00107 OVER EMBANKMENT-NO GRDRAIL 00 00 002000 DRY DAYLT 1245 022081 r p • 00233 UTILITY POLE ((POWER 8 ETT 01 00 002000 WET DARK 1930 022481 ? a ' ' 94150 00751 OVER EMBANKMENT-NO GRDRAIL 00 00 002000 ICE DAYLT 0815 123181 " 94150 01397 UTILITY POLE (POWER & ETC) 00 00 002500 DRY DARK 0015 062481 94150 01468 OVER EMBANKMENT-NO GRDRAIL 01 00 002000 DRY DARK 2325 032181 95170 00171 ROADWAY DITCH 02 00 001725 DRYY DAYLT 1500 072881 e 95170 9613 01106 ROADWAY DITCH 00 00 001000 SNOW DARK 1725 123181 0 00294 UTILITY POLE (POWER 8 ETC) 01 00 000800 DRY DARK 0130 013081 _ ' 10750 00000 UTILITY POLE (POWER & ETC) 00 00 001000 SNOW DAYLT 1630 011080 . _ _k) e 41 10750 00302 UTILITY POLE (POWER 8 ETC) 00 00 002300 DRY DARK 0445 091780 • aE " 14020 2 00186 ROADWAY DITCH 00 00 000450 DRY DAYLT 1600 080280 ; 4520 00000 UTILITY POLE (POWER & ETC) 01 00 002500 DRY ST.LT 2300 091880 ' 25000 00301 UTILITY POLE (POWER & ETC) 00 00 000700 DRY DAYLT 1100 041280 ~} t' 25000 00301 ROADWAY DITCH 00 00 002000 DRY DARK 0215 072780 ' 25000 32750 00681 00092 OVER EMBANKMENT-NO GRDRAIL UTILITY POLE (POWER 8 ETC) 03 01 00 02 001000 00 DRY DAYLT 1659 072280 . s° - 34370 4500 ICE DARK 0110 120680 ? 00098 1DVER EMBANKMENT-NO GRDRA 01 00 001000 DRY DAYLT 1215 082680 41870 00915 ROADWAY DITCH 00 00 000500 WET DAYLT 1300 103180 52340 00040 OVER EMBANKMENT-NO GRDRAIL 00 00 000300 DRY DARK 0100 090480 f 52340 00262 OVER EMBANKMENT-NO GRDRAIL 01 00 002000 SNOW DARK 0200 011280 -7 56990 00269 ROADWAY DITCH 01 00 001500 DRY DARK 0333 OB2280 56990 00311 ROADWAY DITCH 01 00 001500 DRY DAYLT 0650 080780 93150 00235 UTILITY POLE (POWER & ETC) 01 00 0000300 DRY DARK 0030 102780 93150 00346 OVER EMBANKMENT-NOO GRDRAI 01 00 000750 DRY DARK 0130 070580 94150 00163 ROADWAY DITCH 02 00 003000 SNOW DARK 0545 120480 Y ; 94150 00174 ROADWAY DITCH 01 00 000400 DRY DAYLT 1215 102580 94150 00991 ROADWAY DITCH 01 00 002733 ICE DARK 0030 020180 94150 01012 ROADWAY DITCH 01 00 000050 DRY DARK 0200 111580 94150 011248 UTILITY POLE (POWER & ETC) 00 00 005000 WET DUSK 1736 031080 , 2 .; 94150 01345 UTILITY POLE (POWER & ETC) 00 00 003300 DRY DARK 2107 022980 94150 01406 UTILITY POLE (POWER & ETC) 01 00 004025 WET DARK 2015 0919B0 47 ;: 95170 00000 ROADWAY DITCH 00 00 001000 DRY DARK 2300 020480 95170 00000 ROADWAY DITCH 00 00 003000 DRY DAYLT 1345 030180 a 95170 00410 OVER EMDANKMENT-NO GRDRAIL 01 00 003000 DRY DARK 2230 051580 95170 95170 00811 0090 UTILITY POLE (POWER & ETC) 00 01 004200 DRY ST.LT 2235 112180 y 4r 4 1 ROADWAY DITCH 00 00 001000 ICE DAYLT 1140 120680 ? g, 95270 00609 OVER EMBANKMENT-NO GRDRAIL 01 00 000400 DRY DAYLT 1525 091080 09404 00165 UTILITY POLE (POWER & ETC) 00 00 001000 ICE GAYLT 1115 020579 13430 5 00004 OVER EMDANKMENT-NO GRDRAIL 01 00 001000 DRY DAYLT 1115 112079 1 000 00145 OVER EMBANKMENT-NO GRDRAIL 00 00 011696 WET DAYLT 1400 090979 22050 00084 UTILITY POLE (POWER & ETC) 00 00 000700 WET DAYLT 1130 120279 't,1(# sw,A - rs ? x et t r 56990 56990 00582 00663 OVER EMBANKMENT-NO GRDRAIL WOOD SIGN POST 30 00 00 0 100150 DRY DARK 0030 030779 ?$ J ST O 00 0 00 003500 0 DRY LARK 0200 092379 56990 00698 CULV/DTHER APPURT IN DITCH 00 00 02000 002000 DRY WET DARK DARK 2330 21 06879 1 a 59390 00284 TREE OR STUMP (STATIONARY) 01 00 000600 DRY DARK 40 1950 12 279 ?.". 60610 61150 00273 00000 EARTH BANK OR LEDGE TREE OR 02 00 000200 DRY DARK 0230 031079 092979 63560 00000 STUMP (STATIONARY) UTILITY POLE (POWER 8 ETC) 10 00 000305 WET DARK 0300 110479 67770 00106 ENTERING AT ANGLE 00 01 00 0 000820 DRY DAYLT 1150 081179 91300 00455 S,DIR-BOTH STR-ONE STOP-RE 01 0 00 000500 001400 DRY DRY DAYLT ST LT 1030 23 102179 93150 00321 ROADWAY DITCH 00 00 000300 WET . DARK 00 0530 050379 120879 - 93150 93150 00527 00981 ROADWAY DITCH S.DIR-BOTH STR-ONE STOP-RE 01 00 003000 ICE DAYLT 1000 012779 r? , 93150 01010 DOM.ANIMAL (HORSE,COW,ETC) 00 00 00 00 000600 002300 WET D DAYLT 0830 102279 ?'- 93150 01012 OENTERING AT ANGLE 00 00 002200 RY DRY DARK DAYLT 0100 1224 110879 208097 94150 95170 00818 00696 S.DIR-ONE L.TURN - ONE STR S.DIR-ONE L TURN - 00 00 001200 DRY DAYLT 1450 081779 95170 01151 . ONE STR S,DIR-ONE L.TURN - ONE STR 00 00 00 00 001300 000623 DRY DAYLT 1800 041279 95270 00000 OS.DIR-BOTH STR-ONE STOP-R 02 00 003300 WET DRY DRYLT DARK 0 1055 145 011679 95270 00013 WOOD SIGN POST 02 00 000500 DRY DARK 1832 070379 013079. 's(l f. f. c :I i 1 4 r 3 ? R 1 1 ' l Y y ? h ? ? l - i ? g , , IJT " F 2 X 1 ' ?? d I I i 2 M 5000 38000 00500 00164 ROADWAY DITCH OVER EMBANKMENT-NO G 00 00 001500 SNOW DAYLT 1345 010279 ) 44760 00135 RDRAIL ROADWAY DITCH 00 00 00 00 000500 DRY DARK 0330 033179 45170 00090 OVER EMBANKMENT-NO GRDRAIL 00 00 001000 003000 WET ICE DAYLT 1510 041679 am ' : 46570 00572 OVER EMBANKMENT-NO GRDRAIL 01 00 006825 WET DAYLT DARK 1330 2330 012879 021179 56990 56990 00150 00324 UTILITY POLE (POWER & ETC) ROADWAY DITCH 02 01 00 00 000900 000300 WET WET DUSK DARK 1900 0120 081479 56990 00500 UTILITY POLE (POWER & ETC) 00 00 001650 WE 041579 56990 00582 OVER EMBANKMENT-NO GRDRAIL 30 00 100150 T DRY DARK DARK 0315 0030 061679 03 d 56990 00588 UTILITY POLE (POWER & ETC 00 01 002755 WET DARK 0605 0779 012079 56990 00629 OVER EMBANKMENT-NO GRDRAIL 01 00 000700 WET DAYLT 1500 112679 56990 63560 00744 00000 ROADWAY DITCH UTILITY POLE (POWER & ETC) 00 00 00 003000 DRY DAYLT 1802 042279 68060 00051 ROADWAY DITCH 00 00 00 000820 000300 DRY DRY DAYLT 1150 081179 93150 00321 ROADWAY DITCH 00 00 000300 WET DARK DARK 2300 0530 092279 120879 93150 00527 ROADWAY DITCH 01 00 003000 ICE DAYLT 1000 012779 ?$ 93150 00840 ROADWAY DITCH 00 00 001000 DRY DAYLT 0720 061579 93150 94150 00875 00233 ROADWAY DITCH OVER EMBANKMENT-NO GRDRAIL 00 02 00 00 001500 00 WET DARK 1615 121679 94150 01252 UTILITY POLE (POWER & ETC) 01 00 0500 001700 WET DRY DAYLT DUSK 1630 101379 94150 01482 UTILITY POLE (POWER & ETC) 00 00 003800 DRY , DARK 1644 0205 011979 051579 ?A 94150 01539 OVER EMBANKMENT-NO GRDRAIL 00 00 001500 DRY ST.LT 0040 051179 95170 00570 OVER EMBANKMENT-NO GRDRAIL 00 00 001400 DRY DAYLT 1600 042879 95170 95270 01110 00081 ROADWAY DITCH ROADWAY DITCH 00 0 00 001000 DRY DARK 0300 033179 95 0 00 000300 DRY DAYLT 1730 052079 270 00096 OVER EMBANKMENT-NO GRDRAIL 01 00 001500 DRY DAYLT 1800 071579 ' 95270 00365 OVER EMBANKMENT-NO GRDRAIL 01 00 000200 DRY DAYLT 1755 051079 . w? 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DESCRIPTION OF SELECT PAF ETFRS FOR 'RECSELCT'! " !' ALL THIS STATEMENT TELLS RECSELCT THAT ALL RECORDS ARE TO BE SELECTED. -?OR-J-AND-THESE--S-TAifMENTS- ARE USED:- (IN PLACE OF- ALL) --TO--TELL -RECSELCT-----•---- - . A SPECIFIC CONDITION (END) THAT YOU WANT ONLY THOSE RECORDS ME=TIN OR GROUP OF CONDITIONS). FOR EXAMPLE. IF YOU W4NTEO ONLY x • THOSE ACCIDENTS ON COUNTY ROAD k 00555 YOU WOULD REPLACE THE ? __. ALT--S-TATEME-NT?-WiTH ..._._.__ ___.. _.. .._-.__.._. ® OR 6 10 00555 00555 END - 1. OR - 15 A KEYWORD FOR A SELECT CONDITION 2. .6 - REPRESENTS THE COLUMN (OBTAINED FROM THE 'R-CORD ,,. ?,r, •-,....- FGRMAT--'--SHE_T)-iN--WHICH--THE-C-OUNT-Y--ROAD-k---BEGINS.--- ® 10 - REPRESENTS THE COLUMN IN WHICH THE COUNTY ROAD # - 3. , ENDS. 4. 00555 REPRESENTS THE LOWEST VALUE OF THE DATA FIELD S (COUNTY ROAD #) YOU WISH TO SELECT. .-00555---REPRE5 ENT-5-THE-HIGHEST--VALUE--OF THE-OATA-FIELD------- N YOU WISH TO SELECT. $ . NOTE: * IF 'LOW VALUE' EQUALS 'HIGH VALUE' YOU ONLY NEED - --TC,-CODE--'LO'W VALUE', _ --- --°--- °------- * FOR ITEMS 4 AND 5i YOU MUST ENTER EXACTLY AS MANY CHARACTERS AS THE FIELD IS LONG (AS DEFINED BY ITEMS ---2--AND--3).--._.___. . ? ITEMS 1 THRU 5 MUST BE SEPARATED BY A SPACE. 4 -6:-END----I-S-A-KEYWORD--'FOR A -5EL ECT-CONOI-TION-THAT--REPRE- SENTS THE END OF SELECT PARAMETERS. E ; CT ALL ACCIDENTS ON COUNTY ROAD 4 00555 IF YOU WANTED TO SEL AND-001 50 AND OCCURRING--IN--1980x--YOU -- - J WOULD CREATE THE FOLLOWING SELECT PARAMETERS: g OR 5 10 00555 123 00150 0 0 ' AND 86 3 , END . r i L ll i g Cal, s° 9 ? r I N m Y1 '? ..NZ _ujw - NW \c? } }NO O UJd' Yc a 1 z vll-u I "n 00. d Q >O W z zQ Ow oa d mo xo o M M1 ^' N N A 1 O OEW V WWS . -r a 2 O F WWr-L' WwrziW W Cd L ~ ? 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S •+ti0000.rVOO V.+.+w+pu?OV I W V Q W Q•" 0000000000000000000 ? X w r-Z-7 ..0.....oomU-,4-00..0000.+ .. I u a 'n o' a CD I I NW> N.+NN..yN.wNNN,..rtiN.r.-I.+?.aN I ' F W ' F¢ r, ' I I I ' I F ' d "? o a.ra.rra aoo`?r?.ra.r.r.r:rv LL 'fir ? ? . ? FFO[ ol^^+`oN?G.+`O.O?PMNrlnw+oOln OK ? , ? r W m IMNI11 1 F . or 01flNOOMUh 1 Y•1MPYI PY M11.r.t,.! ?1h1l1 20m M m?1+1 MNM1 i p m i \ NMM M UdT .,o--Lf.p ON.ONMW- UW7 PO.ON,frllfN-+.+P OCY mm asz : ! P S 0~0000.+00000 VOOV.+00 ? N v `4 +f+5 r : 6 hOUm,Gp"pm N N.u1 Y'Y10w+InmONMPP 7 MO pPMY1 Y) pO nLnhP PNN.oOG?O.+.+.-1NNNNMMMYIP ?" O OOOOOO r Z IL }i J 7 tv, f ??'? ? ? OOOOOOOOOOOOP ? d OOOCOOOOOOOOO p Y { ? ?w ' pO000P O j 01. ? h? OYNnln000000000000000 , K .dNNNf ?tdt J?fdJ`J?}vttdJ ! Q .?' r 1 r ?- r w¢ .r w p M1M1hM1hhhM1 M1M1hh hhM1hM1Pp v` U I ,?;.r. ? P PPPPPP PIJ`V'1I`1r1mvw PtJ`N J 4 V e cia N o.a V }S - O } ' 7Ib},. d N FVI K Zr `u -)-% S u 28 .aNl.ff Yl?Ohm PO.•rNMt Y?.OM1COP UX o rJ 1V VN KyY1u1Y\Y4f1Y 1Y1{/?Y IY% p a _ r F r SF? / `. {lY a uV ua. Q NN NNNNNNNNNNNNNN W. Aid h" 4 "P- 1 ? ? r w tt ' ?. A I k u R1 ? o 1 ?o ?a. ?L /}cc; Deivr- A.e?oIP5 -7-WA /0, 30,a/ TO: Statistical Printout Users DATE: February 26. 1988 FROM: Mr. Pete Petersen. Records Section TIME: RE: January through June statistical printouts?V? ?? .;'.,7.. &VtS j Cjq CSUtS O Enclosed is a copy of the revised semi-annual accident printouts for the period ' January 1, 1987 to June 30, 1987. Previous reports contained some errors and ;. should be discarded. Please accept our apologies for any inconvenience this may have caused. z c / &es RECEIVED MAR 8 1988 JEFFERSON COL)NTY mm , ? r. T, c 3i ZC t r A ? a l i t ? , c r y,- i i t I? v ? f 1. { F?? ? r ? it i ?? ? r r tl t t E r { ? i ? L 4 t ? 11 j ' ' w ! ?° w ?+O J J T C °2 Y C U O J w H H 11 H O w J YI J 2. T ? T 4 Y< O O, O O O O Y !( Y y O O: O O Sly O O 2 2 J j H I w p ? 2 Y QO Y O O y y > D O_ O O o O w w w w r w J J? w < 6? Y O 0 O T O O. C J J „ 1 1', 1 o 0 0 2 2; 2 1 I. 1 O O O w ?: ! Z O O ? J h 11 10 o J Z Z ) 1 1 O O O Y i=. w O O S J ? o w Y J Z > 1 D O O Y KI ) O O O ' J F H 1 w ..? 0 i J Z ) 1 C O O ) Y w O D 2 J ?Ji 1 '. II 0 0 = ??'' I 1( O OI y > G D T N O O= r ?O O -, Z O; O H N S N S S O N O M. C ? ni O 3 S S O O w T O, 2 N S S m ?. O O w 2 Zi LL °f O O m O W 2 w ° °( e.l D Z O Z S O O w 2 Z . N N O ° o°O• w T F y N' N d O 2 Q O O p ° I j n N N O N N N v m I N - J 2"t hP b 0 ,w., 1. f N N o ° z' o w w ?p o, 0 0 0 0 w o 0 0 0 I W 0 0 o w > o o y a I`- o a o o ol ° io o o s ( o 0 0; Y o ° w ? ? i w 4 Q x 2 D o F O LL N N I n Z ?o I w 2 Q R I= K K ' w w (Q N N 1 j Q 4 ?O Z' ? C IZ Z w Iw m m I> I> 1. I a o K K S O O IO W W I> O I N N N N rv u J O J K K O ? O D < ? Z O W m x >a x C Z > w OW ?O IS Z Ir ? a W w 0 >o o> ? Z Z I> 2 H v 4 w (_ ._ O N u K > w O K> a ° 2 W I s < Y Ow J U . K w w O ? w K Y W 0 0 ° J 2 K ? o l K 2 N IZ Y I2 2 2 4 H. m m O C W ° D w O ?2 O O w O W Iw W O I¢ ? 2 J 2 W ? x N ?w ° w x J 2 U Ip . F? O, O >I M o' 6. O, S K w O ZY O 1 ?o ? °z? 0 W o G O < 0 dl P N 0 ° OO O O 0 0' n -? -• o a d o 0 0 0 ° O O D •°D ° M ? I O O O w o,, .. 0 00 0 n ' 10 ° 0 0 O 0 0 I O 0 0 I wl 0 ? h e1 O O I 0 0 o I 01 0 O o O p .r .. 0 ° 1 0 o IO O, o' io w, 0 0 N O J ( D O? 0 0 O. NI 1 J ? O O r I u ae i i I 1 ? 1 u a o o T o O J •? KW 1 '? 0 0 o ? 1 ( T O A M ° 1 N n ? •• i P O? J ? o o. J ? 1 p o a P i ? J j i J w w O r q? o o; y w N N N ? .. o N P o ° a, ? N N :?P ? O pII P 0 i P w O O ° O ?? m y d O d ".O >. bW ? N O O O P N O O P ri ? N N q' , O n N i K N 0 0 O? O O P 0 000"'''' o o. O :111' O o p'' ° N A' P o d P d O o- d o 0 0 0 0 ° N- OI ? ° ° ? 0 0 ° 01 ° O ° • T r.. 0 0 0' 0 0 o P o q o o o P o o 0 0 0 o o a' o p o p : J Sy( LL S ? 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'" N Z, O F a p 1= y z c o u o w w O n 0 u oe w 2 D 0 a .°. H Z ti I ? IO F Z p 4 ? a IZ ? F O O Y a O O Y Y O Y I J r N > a J W O O 6 Q r O ?6 4 J W 1=- N O ° < w O O im Y S Z Z .O-i I N a•! N O « m u K Q J m Q w ? W Z Z Z m IO m S S S 1 W ? u > O > ¢ w . m S r ?+ S > • J O K w J m 0 C O W 7 S r > =? H I K G W ? w 0 S .? W 1a- u D K x w Iw r N I C O w N N ? N w ? O W W O O N Z W O N N I r Z p O r .• N " O ? O Z O In r N _ O °' 1-'. ° ZY O '?O O O i 0 O O O O' O O O O I O O O ? i O I O O O O 10 O O I 10 Z ? O I •? OZ O O O o O O? O .• O O O O ° O r O N w Ir D J Zr O 1-O 10 O O O n w O O O N O a O O 00 O O Om m O O O O n ?00 O O ( O O. • a S w .• '. N m r m N 1 r 1W=- u 1Wn ? i I i f I i o o ° o i o o d r o d o' ° 0 d ° I ? n o ° W ° m N O' m J n N n n m rv n .. . + w ' .0p a m nl O '' O NI N a ? N o d d c O , a ? p M N N J d P d P ? P N m m ml P P w 0 W N m N P W + N n N P N irl ?, N 1 m r .N+ O h NI' O N N N P P :. M t f W N LL r m h O O O J m a 00 O O O' • O d O J O O O O .+ O. O O O' O P O wi O O? • • 'h O O O N aM7 a O ? W O :O Y? O O O O O O O O O D O O O O O O O O U O O? O O [ i I I 1 I T ? i E O O d P P OI N N W N O N O O I N ti N 1011 n N 1°n W V01 N ud t a ? 1 .p 0 ° B N N ? ? r yl .p X 0 .O ? 0 O ?O' a a ?o P P P P P P P P? P P ? --r?. i _ I Z 2 J O W O O° J r J O J J Z Ju 1 Y. T > 1 1 O IO O O O Ci O •U °2 Y T.Y '? Y W n ? KU D 3 O O O ?+ Z z w = O N O ti (N S LL H ?- H O S ti O v O 2 O O O O? r Ir O r T W \ m N ¢ O ?.ri O IO D OS .°+ W J O O p < 1. K O Z S K K C O F ?0 0 m a z z z r z ?z z x x Ix s ? ? .x- a a a o > ¢ m Im °m w Is w z o o ° 'w ? ce v o tl ?F YoW !? W .) O ZY O 'U O i0 O Z O ; !T U In In O O 1-O ;O O O P S • P IP ¢ D N ?N •+ r IZ O F ly 1. IF O I I¢ N i O Y J? 2 Z 2 Y O O O Y 2: O i O; O O Z O S S S ZI O? N J O. N O' O O O ?p O x o ? 0 r m i a 0 a o ? o O O O1 O O O O N, P 1 ?O J O. ? a O I i ? ?m Yo ? Z I W O K LL O ? ' I i o u o o 0 0 0 ? ' ? N N N °a a° a a O : c W ! W d P N N h N ? O O N W y oz I I e 1 w > •W P n d O N ? n d O T I K h NLL P O O O O O .' n P O OC P O O O C O Z m p ? f H 1 I I r H Do 0 P r P P q O P p Oy O w °0 0 M 2 I d L P' J I J U O' S u i OI J N, ¢ O P I, ! i I I f I i .r STATE OF WASHIN GTON z .1 SUMMARY OF M OTOR VEHICL E TRAFFIC COLLISIONS 7 CITY. COUNTY JEFFERSON (RUR AJOR PERIODOF 01/01 -06/30 ,1987 TYPE OF FIL-ROFACCIDENTS NUMBEROFPERSOMS EAME P EIDOD-1. .. - d M0l0. VEHICLE ACCIDENT TOTAL FATAL NON PROPERTY TOTAL -TOT L FATAL DAMAGE KILLED INIUHED GY, YPEOfINUNY NON • roiAL PEREONB .0 INJURY ACCIDENTS KILLED fNJ11PE0 eY _ :? GvERruRNl.a 20 0 9 11 0 11 2 5 4 11 0 0 0 ' ° OTHERNONCOLL 0 0 0 0 0 0 0 0 0 0 O 0 0. Fi. ST.- 0 0 0 0 0 0 0 0 0 0 0 0 0 M1 . IN-NSPONT 46 0 17 29 0 25 2 14 9 86 0 0 0 ° _ M V ON OTHER ROAD 0 0 0 0 0 0 0 0 0 0 0 0 0 PARKED M.V. 1 0 0 1 O 0 0 0 0 1 0 0 0 AA-AY TRAIN 0 0 0 0 0 0 0 0 0 0 0 0 0 c PEOALCrcueT 0 0 0 0 0 0 0 0 0 0 0 O 0 _ 6 0 2 4 0 3 2 0 1 4 0 0 0 b FIXED OBJECT - 59 1 30 28 1 40 1 21 12 37 0 0 0 ° OTHER OBJECT 1 O 0 1 0 O O O 0 I O O 0 TOTALS 133 1 58 74 1 79 l3 40 26 140 0 0 0 INTERSTATE evaTEM. O 0 O O O O 0 C O O O O O y •- ER FULL CONTROL 0 O 0 O 0 0 0 0 0 0 0 0 0 u.s ROUTE No. 46 0 19 27 0 21 3 7 11 48 0 0 0 s*•TE RourE No. 19 0 5 l2 0 d 2 3 3 27 0 0 0 COUNTY -` 66 1 32 33 1 48 a 28 12 62 0 0 0 c i, STREET 0 0 0 0 C 0 o e D 0 0 0 I.E. OTRA"_wAYS 3 0 I 2 0 2 0 2 0 3 0 0 0 TOTALS 133 1 59 74 1 79 13 40 26 140 0 0 0 AGE OF TOTAL PEAEONS PEDESTRIANS PEDALCYWSIS MAH.E OF TWO TOTAL FATAL CONDITION OF DRIVER IN TOTAL IN PATAL CASUALTY KILLED INJURED KILLE D INJURED KLED INJURED .. COLLISION ACLTOENTS ACC. SC.FV Y , ACCIDENTS ACG S BoT- 0 0 0 O 0 O HEAD ON 2 0 HAD BEEN DRINKING DEToW 0 2 O O 0 0 REAREND 13 O ABIUTYIMPAIRED 25 1 _ - STOM 15.11 C 0 1 13 0 0 0 0 0 0 0 0 ANOLE &DSSWIPE-YEETINO 8 8 O 0 HAD BEEN DRINKING ABILITY NOT IMPAIRED 4 0 ? ATON O 9 0 0 0 0 SIDESWIPE-FASSINO O 0 HAD BEEN DRINKING ES TON 0 18 0 0 0 0 ALLOTHER9 16 0 SOBRIETY UNKNOWN 9 0 3310.. 0 1 B 0 0 0 0 NOT STATED O O HAD NOT BEEN - uTom 1 L2 0 0 0 0 DRINKING 114 0 L SSTOEK 0 1 0 0 0 0 TOTALS 47 0 DRINKING NOT tl m t. 0 2 0 0 0 0 STATED 6 0 TE L OLDER 0 2 0 0 0 0 e1cKIXa 3 NOT STATED 0 1 0 0 0 0 TOTAL DRIVERS 158 1 TOTALS l 79 0 0 0 0 E tlp,.IN NTMUp. iPoD AY E1IU RDAY SUN DAY CONTPoSUTING GRCWBTANYEB IN TOTAL BI F.I. y' A.. R ALL FATAL AL L FAT AL ALL FATAL ALL FATAL TKMTIO AmDENTS- . ACCIDENTS ADGOEKIE 0-YIDNIO. 3 0 !` 0 1 C O O UNDER INFLUENCE OF ALCOHOL 25 1 'T7 £ T. tm 1 '. 0 2 0 2 0 2 O UNDER INFLUENCE OF DRUG 0 0 E y TW 1 0 0 0 2 0 1 0 EXCEEDING STATED SPEED LIMIT 11 0 r`Y 1 im 2 0 1 0 0 0 2 0 GCEEo1NOnWONABLE SAFESPEm 41 0 11 ` ADD 3 0 0 0 0 0 0 0 1 0 ;h A eloo 0 0 0 0 0 0 0 0 0 0 ` - A SIX) 2 0 1 0 0 0 0 0 0 0 LIB 'T. TOO, 5 0 '0 0 0 0 0 0 0 ' 0 t E. Em ep'' Sm 4 1 0 0 0 0 0 0 1 1 0 0 0 0 '0 0 DID NOT YIELD TO VEHICLE ON) NOT WELD TO PEDEBTNAN OR NCYCWT 9 O D 0. r itt 10. 00 10 1 0 0 0 0 0 1 0 IMPROPER PASSINO 2 O ` ? YEjt "m 4 0 0 0 1 0 ,0 0 FOLLOWING TOO CIONLY 8 '.,0 / 17 It. 3 . 1 0 1 0 0 1 0 0 1 0 0 OVER CENTER ONE GN4 P R 6 1 . 0 ' D S ' .w SS .1 tl00 6 - 0 0 2 O 1 0 0 0 0 2 0 g FAIUNO ro MONAl011IYIItl [ IMPaofeRrvRNI.D 2 :0 _ tI 'J y n .,Lem 6 O '3 O 1 0 1 O IYFROnRUTwJ 1 0 Y l, ?.i . r. S 1Em 6 0 1 0 O 0 1 O pIEP[OAROINO STOP AND .0 LIGHT 0 0 x±12, ' ? gy. +,TTSp ? 6 0 3 0 I 0 1 0 DISMOAIIpAq STOP EIOM Gn I{A1111N0 Up GNAL 6 0 0 0 iV Y 1Etl 1S. i;eem 3 6 0 0 1 0 0 0 1 0 0 0 0 3 O 0 DIEAEGAno1.G WARNING SI AFFAmIT 1AEUEP 9 0 Lj E. GO 1 0 l 0 I 0 0 0 WPAOFER PAR KING LOCATION 0 0 ,A ro ,. ';•!Im 4 0 2 0 0 0 1 0 DFERATIra ovECTIVECGUPMENT 5 0 ? J n` am 1 0 4 0 2 0 0 0 1.1-X710. is 0 4 - W4 pac 3 O O O L O 0 O ALLotNt.V TN)Ns -2 _ 0 ti y E. PIT 111111D it .I( pTMTALD 79 22 I lb 0 16 0 TOTALe 144 1 A'?1' • FIGURE S REFLE CT INV ESTIGAT ED ACC IDENTS ONLY 4 PREPARED B Y'. RECO WASH RDS UNIT INGTON S TATE PAT ROL L`1 ND O F,I O ?A .'3 1 1 - TR A gyp, 30 CASE NUMBER _ AC NT INVESTIGATIO R WORT COMPANY 4L(( lO ADDRESS /101 AC 3t3 l DEPARTMENT _ OL t L 1/ O IQ&S LOCATION Of different from mailing address) AME of INJU RED 2. SOCIAL SECURITY NUMBER 3. SEX 4. AGE S. DATE of ACCIDENT oru;' S "O`p M ? F ..3 ?0 6. HOME ADDRESS ' 7. EMPLOYEE'S USUAL OCCUPATION B. OCCUPATION aI TIME of ACCIDENT fp0 C_ a;. Lot: 1 ( r A /cY33? _ 0. LENGTH of EMPLOYMENT 10. TIME in OCCUP. at TIME of ACCIDENT 11. EMPLOYMENT CATEGORY 0 Less than 1 mo. 0 6 mos. to 5 yrs. 0 Less than 1 mo. 0 6 mos. to 5 yrs Regular, full-time 0 Temporary 0 Nonemployee 1-5 mos. 0 More than 5 yrs. 1.5 mos. 0 More than 5 yrs 0 Regular, part-time 0 Seasonal 12. CASE NUMBERS and NAMES of OTHERS INJURED in SAME ACCIDENT 13. NATURE of INJURY and PART of BODY / I/)C_E1fPrTidN - o?of?b1C f?E 8 ------------ 14. NAME and ADDRESS of PHYSICIAN 16. TIME of INJURY 17. SEVERITY of INJURY . c 7 d I i - M ? Fatality a l O Lost workdays-days away from Work 15. NAME and ADDRESS of HOSPITAL B. Time Within shin 0 Lost workdays-days of restrkted activity ,, // ? ?') D ryfr^ 0 Medical treatment /Ud iYC-- T e of hift Pirst aid .. yp s v V f}•I 0 Other, specify .. 18. SPECIFIC LOCATION of ACCIDENT 18. PHASE OF EMPLOYEE's WORKDAY at TIME of INJURY ?/{7/?j 10-L) D • 0 During rest period 0 Entering or leaving plant _ 0 During meal period Performing work duties ON EMPLOYER'S PREMISES? Yes O No 0 Working overtime. Other 20. ESCRIBE HOW the ACCIDENT OCCURRED C • It r- r N , IJ o I,,( / C r C 21. ACCIDENT SEQUENCE. Describe In reverse order of occurrence events preceding the Injury and accident. Starting With the Injury and moving backward in bme, reconstruct the sequence of events that led to the Injury. A. Irrjury Event B. Accident Event C. Preceding Event a1 D. Preceding Event e2, e3, etc. r' f 1 k 5 ?S .a FTY P' w r k ` ° Wall, 'vaif ?''t 4 A 711 f 1 ? ??? J*{ 1 r C,I ? r I J ? ! t A h r ?AI r ? r ' ? k r r r ? r ? i i r ? ? 1r ? e ?7 -c ?r r 22. TASK and ACTIVITY at TIM?IE/`oI ACCIDENT A. General type of. task B. Specific activity 23. POSTU MPLOYEE C. Employee was working: ? Alone t Wiith crew or fellow worker I] Other, specify 24. SUPERVISION at TIME of ACCIDENT ,,.0 Directly supervised O Not supervised Indirectly supervised ? Supervision not feasible 25. CAUSAL FACTORS. Events and conditions that contributed to the accident. Include those Identified by use of the Guide for Identifying Causal Factors and Corrective Actions. -------------- ' 26. CORRECTIVE ACTIONS. Those that have been, Or will be, taken to prevent recurrence. Include those Indentiffed by use of the Guide for Identifying Causal Factors and CorrecWe Actions. PREPARED BV ?l APPROVE6 ' TITLE E' DEPARTMENT ' P 5 DATE,, bpeq by the Netlonel Safety Council TITLE APPROVED TITLE GATE DATE A tir f"'14 N 'aa?I .el. OF LAOOR c'nmuSTRIES THIS IS YOUR RECORD-KEEP IN. YOUR FILE-21 , DIV.-OF INDUSTRIAL SAFETY 4 HEALTH SAFETY EDUTA1I00. SECTION - - :.. ' -Am ervisor's 1 port of- Ali`Accident' Su - 0Lrna In NA. 98504 p Ij .. • l . ...... NamOOf ulju miloee, .. ... _ .. .. ..._, Date ,of Report I our ' LenCth r r nm nt DIPt 5rcllon lant 0. job On job - I i head hands wounds amputation death last time -? -. O.cyes ].legs strain k sprain 0 burns 11 first aid only -.Q trunk ? toes - : hernia 0 foreign body , D arms .. r] Internal 0 'fracture 0 skin (occupational) due to •deloyed. medical treatment Remarks ,.....:1. ......... ........ .. Remarks: ... ... ............ ................:........................................ Remarks:'::.. ....:.'.i - :..... ...................................................... ........ .......... ..................... .. 1 . .. -'.. j Dale otlnjury. It.., - M.A. - E-t locatlon Eyewitnesses........... .................... _.:......._.. ................_..._.. ..................._.._...........................:........:_..........:........ ::. Describe accident; include the machine, equip ment, object or substance involved '. '. .' all.details use back, space if necessary __._........ _................... _____ . .......... ............... ..... .............. .... ..._.... ........ _....... . ............... ....... .......... .................. ....._....... ._._... ......... . ... ...... ,_. CAUSC Mark basic cause a Mark contributing cause, if any ? UNSAFE CONDITIONS UNSAFE ACTS Inadequately guarded .. .. 1 0 operating without authority. i -• 2' []. unguarded, ` 2 0 operating at unsafe speed 3 (] detective tools, equipment; or substance 3 [] making safety devices Innprrativa ' 4 unsafe'design or' constructlon 4 using unsafe equipment or rquipnicnl onsafely. 5 ['] hazardous urrangemcnt 5 n unsafe loading, placing, mixing ' 6 0 unsafe illumination _ 6 taking unsafe position 7' uasn to ventilation 7 n working an moving or dnngt Inns cquipmrnt 0 0 unsafe clothing . ,`. 0 distraction, teasing, horse play `0 0 insufficient Instruction 0 r] failure to use personal pralectivL tkvlcls Whywas the unsafe act committed?... ....... ............. Why did the unsafe condition exist! ................... .. . Any physical disabilities?_ 1_ ............ ....- °_.... ... ._..._............ .........., .......... ................. ......... ........ ....... Number of previous disabling injuries?, ...... ... ....... ... ....:.. ..:... GUIDES TO CORRECTIVE ACTION nnnod on the cause checked above, I' am taking the following corrective notion: l1NSAFL ACr UNSAFE CONDITION 11 SuperldxI •C. n'1 Il uldlr, Tholl 'I stop thu worker' 2 stud the job i-] t Ramovo 5 Rouummand hu (n) uu•n WISH, ur - v cenuaillee (ir 2 G d (W) i- Raw y 3 ilirll•tatt (lei I-Shuw-try--c'he'ck) , ' uar 3 Warn _ te) 1.1 maintenance delft., nl• A fellow up . ,' .. . 0 4 Supervisory (d) L71 [.i 8 carurca training 6 follow up at I am actually doing to prevent similar Injuries.. W, , aL further recommendations?........ 1 1 _ :..'. i SICNATURIS J .. ImIneHlna?SUp rr IH ur F,., l.innn N.- by mImt Ft aiHirnr,Siml. . TI!'1M. wr. hn . ?n r, y t t, 5 4 I y. 4? r V APPENDIX If .IT. of noon c Iiousrates THIS IS YOUR ft ORD-I{CEI IN YOUR FILT 21 OIv.: OF INDUSTRIAL SAFETY L HEALTH SAFETY EOUCArioo SECTION s ? ?. OLYIip Iq, WA.' y8504 Supervisors Mport ofr Ali ?,?Accident J r . ,. S r -?. Nome Of injured em ile ee.... ,... .. Date of Report ' AUK Length of .mPtayment . i nonL Depl OnJob 5 4. 1 Ir Sl Ikon ., l Want 1 j C.1. head hands,. ? ? wounds ? amputation (-) death ? last Irmo' C:) eyes O legs ? strain & sprain burns ? (, first aid only,:., : { .i ? trunk ? foes ? hernia ? foreign body b ? arms .: 0 internal ?'fracture ? skin (occUPali(inul) ?j due ?to delayed medical treatment . Rem-Its ,...... ......, . Remarks: i ............................... Remarks: , . . r. y (.....:. ....... ............... ................................... Date of lnlury I flour De". Exact locollon i a Eyewitnesses...:.: ............. ..................... .................................. ........................... _......... ....... ..... ......... a ...... Describe accident; include the machine, equipment, object or substance involved all,dotalis use, .. j ' brick. space if necessary ..__................ ..... _.......... ........ _................ r CAUSE: Marls basic cause Mark contributing cause, if an UNSAFE CONDITIONS UNSAFE ACTS 1,0 Inadequately guarded I ? operating without authority 2 ["('unCunrded. _ 2 ? operating at unsafe peed [D - defective tools, equipment, or substance ' 3 making safety devices' innpvrltlvo? I' 11 4 C3 unsnfe design or construction 4 0 using unsafe equipment or 'quipnrcnt uns Ircly 8 '• 1 p 5 hazardous arrangement : - 5 ? unsafe loading, placing, mixing x U unsafe Illumination , placin 111 ? n ('( taking unsafe position 7' unsafe clothing ventilation B 0 unsafe dnl 7 (, working, on moving or ?dnngl roux cyulpment • . U ? distraction, leasing, horse play'. 0 Insuffl6Wnt Instruction - ? n ('] failure to use personal pmlcctive'Llav(rrs Whywas the unsafe act committed?....'. Why did lhu unsafe condition exist?.. Any physical disabilities?..... ........ ............ ................. _.............. _.......................... Number of previous disabling injuries?......... . GUIUES TO CORRECTIVE ACTION f IJnscd on the cause checked above, I' am taking the following currective fiction: UNSAFE ACir UNSAFE CONDITION I slap the -worker 11 SnprrlHNUr Cn n'f II uullr; TIn'n n 1 Remove 0 Itecummrnil to: (a) awn bnsx, ul 2 study the Job l? 2 Guard (b) I] Nnfel,v cuuunitlev, or V (j 7 Ir t'uet (loll-show- fry--check) . a Warn 4 falh w Pit U•) 1' ( maintennnlu dept., m• r..-) ('( 4 Supervisory (d) i.-) [.(it cnforcq -,a? trninlni( 0 follow up .. ........ What I n1n achially doing to prevent similnr injuries.. ... What further recommend if ifons?..... ..... . SIGNATURES x :. Imo-dlnlr SuPrrvvIrlfir t,,,,,,n .. .. .... ..... on In,.ln Plant t F7 1 .,Nvl orb pl _vr: of LABOR & INDUSTRIES THIS IS YOUR RECORD--IUE IN YOUR F1I E 1 X01 V: aF 'INDUSTRIAL SAFETY L HEALTH 2 ., , SAFETY EDUCAriorl SECTION ) OLYIIPIA; 4A, 98504 " Supervisors 1 port .of An' Accident NAmL of u)jurcfl em )lo ee.... Date of Report ,I Ae Length ofr mPloymonl?? coal . Srcllon At. plant I Oa Job head ? hunds' E] wounds C] ampulutnn death - ? eyes J:] legs ? strain & sprain ? (_I burns [- . ?.Inst time trunk toes ? first aid only 13 ? ? hernia ? [3 foreign body O arms i•J Internal O fracture ? skin (occupational) [] due to deloyod medical treat nee( Ilemnr45 ::. .... Remarks: ............................................................ Remarks: ....................................... .................................................. - ...,...: Dalo of injury hour _ DcPt. Exact loeatlon 'I Eyewitnesses.....:...:.:. ..::........:.._.......................................... ,. ....................................................-... ............ _ .................... Describe accident; include the machine, equipment, object or substance involved all dolajls tack. space if,necessary.--., use ........ ._-................. ......... . .................. ............ ......__ .......... _........... ... ... ....r.. .. CAUSE Mark basic cause Mark contributing cause, if any 0? i UNSAFE CONDITIONS UNSAFE ACTS I. Inadequately guarded 1 0 operating without authority, 2 n: unguarded 2 ? operating at . I 3 (J defective tools, equipment, or substance unsafe speed 3 (_J making solely' devices inojlcralW 4 ? unsafe design or construction 4 (, using unsafe equipment or equipment. unsarely J '. 5 t.:7 hazardous arrangement 5 unsafe loading, placing,' mixing G ? Unsafe Illumination - G f-I taking unsafe position 7' (J unsafe ventilation 7 working an moving or -long"MIN cquipmenl 0 ? unsafe clothing 0 D distraction, teasing, horse play 0 C1 insufficient instruction - 0 ('1 fnilure to use personal protective dovives Why.'wos the unsafe act committed? .... ....................... Why did the unsafe condition ex(st+ Any physical disabilities?.... ........... _..... .............. Number of previous disabling Injuries?....,...... . . GUIDES TO CORRECTIVE ACTION Based on the cause checked above, l am inking the following currective fiction: UNSAFE ACC UNSAFE CONI)ITION 11 Suprmis)r Cn u'f llnndlr, Thou •. I' 1 slip lhu' workrr 1 nemnvo 5 llocummond to: (n) 1"7 own boss'., r t:] 2 study the job'. ] 2 Guard (b) safely cunonitire. nt.. ra J it-14"u-1 ruct (tell-shu- try-cher4 1;.1 M 3 Wurn mninlonau•u dept., nr . ('j 4 fallow up n 4 Supervisory (Iq 1 LJ ............. 5 Ntforce lrnlalnll G follow up What f not actually doing to prevent similar injuries.. .... What further recommendations?.........._ .............. r SIGNATURES .4 ,. .man din6?s?PrrGI r rl•i .. ... _. .. .... nrmon ... Ili r, by Print M1tunmp, nrSupl. ?` t 5 L EoF rst u? t tN ' i J N? Y i n t. I d aKW' r t N/ ???? f it t M Ilk ?? tt ' t jj//,, rAi.r, ( ?+ d2N?? qq?i F ,, f ;?; 1 :?£,1 s ItV t}:5t p • u* „r 1 Ir. 1F:? t I N lI vt J \ G ??CI t 1 ?? ? ? ' I Y '1 ( t t ?t ttl j f 4rJ r ? ? 5 M I }Utt ?{ ? !'ft 1 f 5 g V?r III employee: .. Length of [alployme Al Mont Oa Jab !' APPENDIX it J THIS 1S YOUR IIORU-KEEP INYOUR FILE-Supervisors Report of Acciden__--- Date of Report Dept. C,1 head [] hands wounds ? ? Amputation ? eyes [] legs ? strain & sprain ? burns ? trunk ? toes - ? hernia ? foreign budy Na, Age i section death ? lost time - 1] first aid only ? arms [J internal Rcmnrks ..................................... ? fracture ? skin (occupaliunal) Remarks: ............................................................ ? due to delayed medical treatment -- Remarks: ... ? .......................................... ,•. ,. }• ??. r t-» „ DateofinJury Hour Dept. Exactlocallon Eyewitnesses ............................ . ........................... ........... _... . ............ .... . ............. .............. .................... _......................... .................. .:......._..................... ..... Describe accident; include the machine, equipment, object or substance involved all details use back space if necessary ................... .......... _............... _......................... _ ......................._.......... .. ..._. . . _ _._...... ......_..._............____ .................:. ........ . ..... ...... _...... .... _.................. _...._......_.................................._....................:......:.... . ..... CAUSE, Mark basic cause ® Mark contributing cause, if any UNSAFE CONDITIONS UNSAFE ACTS - 1 ? inadequately guarded 1 ? operating without authority " 2 [1 unguarded 2 ? operating at unsafe seed 1 f7 detective tools, equipment, or substance 3 [-J making sorely devices Inopcr rilva, ' 4 f 0 unsa e design or construction 417 using unsafe equipment or rquipn,ent unvirely 5 [] hazardous arrangement d 5 n unsafe loa ing, ploeing, mixing G 0 unsafe Illumination G n taking unsafe position 7 unsafe ventilation 7 (-1 wnrkinR on moving or dangerous oquipment 8 17 unsafe clothing 8 n distraction, tensing, horse play 9 ? Insufflu enl Instruction 1) [?1 failure to use personal rote tiv • d i 1f p c rr e ev s Why was the unsafe act committed....... .... Why did the unsafe condition exist?. . I .......... .......... ......... Any physical disabilities? ............... .... r.l :' ::r. J Number of previous disabling injuries? .. . _. GUIDES TO CORRECTIVE ACTION i hosed on the cause checked above, .1 am taking the following currective action: J. 'i l1NSAPli ACUNSAFE CONDITION IJ Suprrvlxor G'n u'1 Ilnndln, 'fla'n 1 slop tile worker ["1 I Remove 5 Re,:,, mill mill la: (a) own bass, ur 2 study the lob i 2 Guard instruct (ILI l-shuw- [] (b) Safety cuuunillrv, or • [.) 1 try--chcriq 1 Wurn n iv) mnlnlm.nuco dept n • ... ., 4 fuliuw up . , ( 1 ? 4 supervisory (d) ['1 .... ....... . 5 .. ..... ........ . . . . enfo co L.1 lrnlnhNJ G Julluw up What I ant aCtually doing to prevent similnr injuries.. . ' ............... ....................,... ,................ hill further recommendations?.,........ ............... ...,. ?; SIGNATURES •, 1--din u. Suffl 1 r4 ...nna ... .. ........ .... ? IIr,. I,r I'Innl hlun:iN,•r nY,8np1. ! ',: • ? ?'? [IL }?ki ?- '?^Y e41f?E Y d+?M'k??yY'=?..? { ?I? ?'..I ??IA• t n "tn i? 4 ref rik? 2 C 1 ? 1 ?I ? ? ? x { a ! ? ( ? I 1," iH I ir1 1 F ` ? H ? ' y f ? d I , ?, t li M 5 f ? ) 4?tL ? 1A , ? 1 yl t I K-A A it 1 i ? o i.pa y, fh`;1 I y . _ I 'I? I 1 1t ? 8 /T /f. OF LAGOR 6 INDUSTRIES 01V. OF INDUSTRIAL SAFETY G IIEALTIf SAFETY EDUCATION SECTIO14 OLYliPIA, WA. 98504 ! Name Of 111•IIrC(I un ]lo ee: .... Date of Report Aye i Length of mploYm fit e Dept. Srciion ' At pinnl on lob ' i I l I head (hands ? wounds ? amputation ] depth _? Insl Ilme.' _ Cl eyes 1.3 legs C) strain & sprain ? burns l7 first aid only ? trunk ? toes ? hernia ? foreign body v ? arms (] internal ?'fraclure ? skin (occupaliunul) ?j due to dolayed medical treatment Remarks. ...::J ...................................... Remarks: ............................................................ Remarks .............................. ......... . . • Date of injury ]lour Dept. Exact location Eyewitnesses ........... .......... _........................................... Describe accident; include the machine, equipment, object or substance involved all details use( back, space if necessary._.--..-...., ......... ..... .... .................... ....... .......... ........... _........ _ ................... .._....................................... ..................................._._._... .. ... .. ..... a CAUSE: Mark basic cause F Mark contributing cause, if any p? UNSAFE CONDITIONS UNSAFE ACTS 1 Inadequately guarded 1 operating without authority, . 2 [?. unguarded, 2 ?J operating at unsafe speed 3 i] defective tools, equipment, or substance 3 [-J making safety 'devices Innpor•5tivo ' 4 ? unsafe design or construction 4 ? using unsafe equipment or uquipmmnt unsafely 5 hazardous arrangement 5 unsafe loading, ? placing, miring G unsafe Illumination ? G n taking unsafe position 7 [7 unsafe ventilation 7 M working on moving or dnngrrnus equipment 0 0 unsafe clothing G ? distraction, teasing, horse play .. 0 [l Insufficient instruction n n failure to use personal protective devices j Why was the unsafe act committed?_. ? ..................................... Wily did the unsafe condition exist?. :. .. .,... j Any physical disabilities? ............... ...... .................. .... ............................... .......... .............................. ....... .............................. .., ... . Number of previous disabling injuries? ............................................................ ......... ........... . k GUIDES TO CORRECTIVE ACTION Based on the cause checked above, l am taking the following Corrective action: UNSAFE AC'r UNSAFE CONDITION I! SuperoW,, Can't Ihnulle, '1'Prn l.j I slnti lhu worker 1 Remove 5 Recommend la; (a) uwn boss, ,w lJ 2 study the job 2 Guard i.7 (b) xnrcl,y vu milt W. ..I, ' (. J 3 insb•ucl (tell-show-lry__, cheek) 3 Wurn (1 ) i mnlnlrnanee deP.. or t .. follow u> 4 (?) I (_J 4 Supervisory (d (d) i'J ..... .... , G.J 5 enforce iminhg: G fulluw up r `y1 Wllat I aln netltall doing to prevent similnr injuries .. ......... ..... . ............. ..... What further rocommend ations?...... .... .... ._ ............ .. ... .. .. .. ... ..... .. ........ ........................... SIGNATURES ................... Inuordlnu: Su r 1 i ma v ! - ur pe , n Ih- br Nam hluntyt r nrSupt, F' 4 r t •??? ti'J lli? i' ni..lY, µ • .. , . . Al '.rT. OF LAM & INOUSTRIES ?01V. OF INOUSTRIAL SAFETY L, HEALTH Aft SAFETY EOUCArion SECTION OLYMPIA, WA, 98504 Name of injured employee: .. .. Aae Al plant L ength of I THIS IS YOUR RECORD-KEEP IN. YOUR FILE-21 _ Supervisor's Mort of 'Ail Accident' .... Date of Report '...' .. ......? Dept. Srctlon wounds ? smpululiun r] death ? last time.' ? strain & sprain C] burns n first aid only C] hernia ? foreign body [] arms 0 internal E fracture 0 skin (occupational) ? due to delayed medical trealmcnt flemarks : .....:........ ......... .............. :..... Remarks: ............. .... Remarks: " epic of inlurY "our Deal. Exact locollon Eyewitnesses ......................... _............ .................................. .......... ............................ ..... ......................... Describe accident; include the machine, equipment, object or substance involved '. . .' all details use back space if necessary__.._ .............................. ........._............_...._..........................................................................,...... .... ..... ._..:......... ........ ..... ...:...::......:.. ... .......... .... ................................ ............. ......... _...... CAUSE: Marls basic cause F Mark contributing cause, if any O UNSAFE CONDITIONS UNSAFE ACTS t 0 inadequately guarded 1 ? operating without authority 2 n unguarded 2 ? operating at unsafe speed 3 [] defective tools, equipment, or substance 3 [-J making safety devices Inoprrelive' 4 unsafe design or construction 4 O using unsafe equipment or rquipme t unsafcly i 5 ['] hazardous arrangement 5 n unsafe loading, placing, mixing 0 unsafe Illumination O n taking unsafe position T unsafe ventilation 17 7 ? wnrkini; on moving or dmlgarnus equ41mcnl 0 O unsufa clothing _ , 0 n distraction, tensing, horse play 0 0 Insufflclenl Instruction 1) n failure to use personal protective devices Why was the unsafe act committed?...... .................................. Why did the unsafe condition exist?. Any physical disabilities? ............... ..._................,. .,..................... ...... ......... .......... ......................... ............... Number of previous disabling injuries? . ............................................................ ......... ........... . GUIDES TO CORRECTIVE ACTION Based on the cause checked above, I' um taking the fallowing curreclive fiction: "UNSAFE Aar UNSAFE CONDITION If Supendxnr Can't 11 ille, 'flora . (_] I ship the worker n 1 Ilemove 5 iteeummmld to: (a) own bnxs, or Q 2 study the job [] 2 Guard (b) snret•v cuuunilice, m, 1 a i minwt (tel-slruw--by--chcek) 1.. ' [3 Warn uq "I mninletauea dcpl., or n 4 fuliuw up n 4 Supervisory (d) L'1 ....... ......................... [] '5 enforce lrnininll a follow up head [3 hands [J eyes I.] lags O trunk ? toes What I am actually lining to prevent similnr injuries.. ......... ............._,......................, .........................,................ What further recommendations?...._ ................................................ _ ..... .. ........ ..................._... .........................,:... SIGNATURES + ...... .......... ti" inuncalna•eunrrvbo, ur 1. ........... F...,rntnn 11,- 1., Mani I.tmUm.Sont. i " n r ' ' ^` it `? C7 l+aa _ rn S Yt )I ? , t,C, u1 I f ?tuy.A r ?? ,. t 'Y 3? A y ? ,? t k'; lr 'tV 1 ' 1 ? h I ! rt ?!. 4 t L t it J/i % a? ;A * s z A,x , fi Axw '' viY Y>,, N - " STATE *OF WASHINGTON °Tr'' ... '.'- -.... AL E L NTY ? Y .'MOTOR VEHICLE COLLISION NE POW ?Pw GU No H "0AM -W11 ' Nob 2 I 3 b 7 Im. ?E ?RI W.. !D^.,All1D N w.o iRlu an ++ N ?/ 0 . «I.,, wdi Is ?s ?w IW- 01 el DA.. .D N.",E.,ED f PI LATIN ,.RIFT. e IF o a ADAD?DAEND M,INNA.. DEN,r.NDIArvDM.^, .Dxlal. A OO ?l D °?' ElR BAD. B.4 8^. .°n rswwoA OBJECT STRUCK ad Oi cAl OWNER OF OGIECTS NAME AND ADDRESS DRIVER'S LAST NAME FIRST NAME - MIDDLE WERE IrJVDIVED OWNER'S LAST NAME FIRST NAME MIDDLE 1 _ uISDN cO ON F 0 ANTYD gE STREET ADDRESS; POLITE NO. AND BOX NO. iHE.ET;POORE iv?s ,„,.?;Vyrv,w.-„_,,; RS4U]E.NO.,AND BO%NO.,, _ n5oN5 wE UEFA ID •. fj.. ?. JUPFD U "EEPARA iE CITY STATE -.EIP.000E' DRWER3000UPATIGN -- Eo"FRDN CITY : STATE ZIP CODE DRIVERS OLLUPATION DRIVERSLICENSE 0. ., - STATE .S DATE OF OIPTH A E DRIVERS LICENSE NO. STATE SE% GATE OF BIRTH AGE rk w4 Mo. DAY VEHICL R. FIE CN . D DOE) 1 M EL ( 1 ( V HI L YR. MA(CHEV. DO DOE) MODEL INO ADAfl ) BOGY STYLE 12 OR.) -'- .LICENSE PLA ENO.. ,STATE. TRAILER PLATE NO, STATE NO . STATE TRAILER PLATE NO.' LICENSE PLATE STATE,: AH -7-2 s? WA L VEHICLE IDENTIFICATION NO. VEHICLE. IDENTIFICATION NO. IS ER O NER I •' T•M DOLE NAME) ,-,., gIVER'S LICEN9E,N0. RE G REGISTERED OWNER (LAST-FIRST•MIDOIE NAMEI DRIVER'S LICENSE NO. . A / W OWNEflTiA RESS .(STREET. CITY AND STAT I '. OAT F BIRTH OWNER'S ADDRESS. ISTREET. CITY AND STATE) DATE OF DIRTH A PAR OFVEHI LEDAMAOED '- . ARTSOFVEHICLE DAMAGED - I A[euav4R?€it LI ILITY INSURANCE INFORMATION-VEHICLE NO. 1- WAS THEREAUTOMonILE LIABILITY INSURANCE YES ?NO . COVERAGE IN EFFECT FOR THIS ACCIDENT ON YOUR CA. - NAM O LIABILITY INSURANCE COMPANY - - NAME AND ADDRESS 09 LIABILITY INSURANCE POLICY HOLDER - .. "AMEN ! y . TA E 7K*: l% Tn F11l ?AaG- ??d CNUM- RL.T e N M AND ADDRESS OF LIAGI YIN RAN GENT CRY TE .LIABILITY POLL Y NUMBER 9U E:EM - ow sc 4 X65' ?- 19TINJURY,_':, `... NAME ,. AGE NNREO }ND INJURY IVES SEPARATE PLPo lfoR ADOrt ONAL xNnIE91 NAME AGE. - DDAE9s' h1 F "' ADDRESS 9E% M F AN EXTENT 1 NJURIES ? ? rol EXTENT OF INJURIES ? ? .... AiION pVOA DOCTORI ©? NEME R S EXAM NAT ON E11 A IDOCTOA7 NAAME R ?: ,, 9T TU9 O INJURED MARK FIRST ONE THAT APP LIES. - STATUS OF INJURED. MARK FIP9T ONE THAT APPL IES ?? N I KILLED > rurionL ?P. I KILLED r3[[n rv __ O ° P ? ?I NO_ .. ° DI ? oDx ?. s? s? 7 O oo ? s? s? i? MOTORCYCLE SAFETY: ? HELMET USED ? HELMET NOT USED MOTORCYCLE SAFETY: ? HELMET USED ? HELMET NOT USED SNOW NORTH BY At.OW IN CIgCLE - DEBCAIBB BELOW WNAT HAPPENED. (REFER TO VEHICLES BY NIIMBOII . {bxdCwII ONTNia pADA AWxE11IMlA O _.. _- -11 1 . ..... .. ..... .. .... ... ..:. ... - ':'. r4 A,P W 7 I / L S POSITIONS BEFORE COLLISION ND D. urv1. Y.MDEI .....m».. INVI""GATED BY `YL AKd"D D" I VEHICLE [ YE.'Irl'aloct NUnD[D ?„l^a ? VMICLE N 9 E W ON STREET ORNIOHWAY NAME OR N nA D uN ru ,, . . n : , ? E Y ,?,. d" C ,,,r. . lJ ?.. r.?., ?.?? a .,I. .._ o_.. o . ?:aKE , cr-? o_Y.o ? I G,N^r o ? ? ? ? ? ? ? ? ?I.RK, FROM PEDESTRIAWPEDAL CYCLIST WAS USING: ?.,?„ r ?.N A ?I1dA . ? ua A ? c w I ?R ^ , ? w _'0 .D ?' PEDESTRIANIPEDAL CYCLIST CLOTHING COLOR; y?yN I?,, ,?M„ .?^rT r? °ewl u. A[[ ROAD 1UR1AC[i ,`. WCATM[R LIONT CONDITIONS TRAFIIC CONTROL TYPE! OF ROAD MIWCNIV[HItIC ACTIONS E. E t KN r l W11011 ?,l_ 1 ?rrlt?LNLIf WrwtL?r rCNd ONI vl"K1l I[M vINGI ICNE dH OA Wn[I y-?- I II KO 1 I KD 1 AO F' T WS ? L 0' ? MY 1 ? IME N ? 1 ? MGNAL! ? 1 ? GAY; WAY ' r n GOING ATFAIGHT AHEAD / ? nAlwlq ] ? WSK ? } ? !IW 4NIN [VI ? TW0 At ? 1 ? OVERTAKING AND PASSING firE ? } E] A. ! ? lNOWrNO A ? D g.."tT [1 ! [3 mat $4. C] ] ? 1X1080 TIME C] ) ? MARINO RIGHT TURN E3 ? t A. ? T00 ] ? IONtlO %R ? A [3 11ASHIN I TIED ? A ? WTOOPrRA4nrt E] A ? 4AKIN0LEFT TURN ? ? tea a t ? 16MIT S ? OFREE tqM! C] f [3 IIIBIKNG aYAEn ? 1 ? ALL" C] ! ? MAKING U•TURN WAY- ?.1 ? TAN, o?.,. E 4GN4 r ? 13 ? A [3 E ? LIFEAUrIN ? f [] l oVRfo ilha 1 r ? I ? OIIIClR1LA0lMN ? I ? DRIVEWAY ? T ? BTOMCD FOR TRAFFIC ' IR??'w??a'°K'I LJ IIJ ^^^R ? F ? DENEN, SPtC IY M.". I ..M.... ? E ? STOM[B AT SIGNAL wN.1u ?,0- O".TOP BION '•u r .r • + ? .m1 L7 y ? / ?dVK1E0 ? ) ?noM[D MnOADwAY ' "?•I'?+• ?4[I DnN. .. -...-.. ?'? s I ' Z: *" r -` ? EE ?? .Pr • ••• 'a reP 1 M..r.N t Jn u iT W i IG ] ? lMpVmtD ? NI ? jniiY'?uME oil, COIIISION Of,CVR IN A CONSTRUCTION YCS ? 11 ? MililD' POM1ITIM4 OII ROAD MAINTENANCE AREA? IR O RG INTCR.VG 4 i TNLt]NwME,• AOOR[te SEA AGE ? 1} ? inwrlCl (yt4 ? I/ ? R.C.RIG wto WAY I ? ? lYftIY - A Q I}I[CM (rl II YOU WERE pnVlllfe A co'"""""" IRCW UTIMI TION 01 A COMMIACMI VD.CI[ R ANY YEHIOIE IRt PNnCIPAI USE 01 WIIICI1 IR 1NE TRANS. VnftCIE AS AN EMPLOYtE Of ANOTIS[R POOTA1REIA Of COMWERTRIA. MIRCHAMNSI, PRODUCE. IPIIONT ANIMALS OR FAAM MIEnl 1011 HIREI , N t' d M,RSOII Comm TINA r T - A DA I, O R[POR x , r 10_; PQ s'0x_Ln -/_?rd /AL =L s • • 01l7AINUiION M1141[T ILO. 1 WAM1ISINGION [TAI[ FA L A)A} MARTIN WAY, OLYMPIA. WA MVH 814111 NO } TO LOCAL LAW FNI E T AO[NCY W;i[R[ OI CI]MI S RNI I T.0 ) TO D[PT OF LICINSFVO A,13,0N OP NNFW A TNL Af.CID1NT OCCUNRI O. 151OMrM1IUTY •OIYMMA, WA9NINGTON M]04 Slllff NOA OUR COPY $ a r.f a T .may. q4`x m ?s;7 a? rtol?N TYi qAl G'?fJJIhX1 r II ,3 ON I]t N CnOR,OwN O SiPtti OR«iO»w•r µ1E5 05 ow ?oI Po rLkaLofa ONff?}R p?c .? Cl5 RW,E 5 2 - INIERSEC,INOVn,» 51e[F fO-; NONINIERSEC11.1 " PIRfIA LI .? OF M1VF[N SIRFIr A 519FE1 MgsW-? ? DIS ANC[.-C IR et iA IF9INt. CROSSSiRfF, 09 NfA4f5, ml,f rOS IfES 5 F O PCCIpENi MILEAGE P //?+ /?'//•/ i E or r[n ola c cou sroNlNVOmD sfvfvu? I ED- SauAG1 ?«1aRUN O OKILLED _NO NJUR[DZ 0 I »/ f o .f «uR 5 _ /{G? N N b V[« CI[5 G veOH0110 1 ONLY - ? vtSm,tD ? v[aCIF ; ]17 OR,IC15T-.KWODIC, 519UCK N.D OWNERS Tc/f s 5PF-c UNIT NO.1 UNITNO.2 GVEHIC I5T 1.' Ivws N.Me Ua, nev ID DE DvN[as NAMe. wsr L le ?EwGS -1-00 9f 5 2 2 FER av £ S.£, 1qt, ADDPF55 2 G1v 51A,f P CODt PHONE NO II D S1Aif !IP< f NF =r of O W 9 ff G-?l-SG R t Z N uCE NO S,Ait F/rza.R o ?C fx A f oz 2.`t 1 I Iv 4 LICINSE NO 5 Aft ! IIIRI NO Xr,oa CRN,rr WC NAMFa P»pNt NO!/? . O wil-'V ON' ?NkLT Sa SM// f 9t0 C/O •oo E R -PANION MNAM[a RHONE NO EYES wFIO»1 HIG», ? ? CHECK IV) ' s:N mwor"rtA ANO1«[v A` w o G CHECK I? NrMnorn ar•u1»EaA' { CODES ?' 7 ?I,°s°s • 5 I e ,",° ' CODES * p c, 5 N 6 `i"O ss :: i° rcu S 6 Ee OT?aG ? u INIUIES N.9 .D. ?.mNAANCr G {f`r ? G FSm• G ?;KII C] _N' G,...Em..K, 11 34" ? ES.ile G A;! ? :°?s. . V!» ?tAP KE IDODOf C"fv.1 [9?Y MUf u IID•R1-NOVAI s1YU IRDe..C I GoKGi3•F 2 OR E » ?EAR x I F.C«tv 1 m 1.11 W."'NOVAf ITY11 1 V.1 _ m 3 uR nAn NO. of H w» I A - LCxy67 /- I M1 V["ICI I.NE.II T- NO. i9l he 9 (o z I q 1 71 71 1 1 1 ` Vt»IIf IDFNIIIG1 NN 1 1 1 1 I I r y< aeelsnrtoowrxe IAS, nos, mIDnE P»DNE NO F RoJT L' f1T6 ,2 8G w [ rtR w»eR Iws, rlRSr mIDDt! ADDRE5 1-I P lfSl 2' ;L3 ES Z T£r,14"eA) A¢v£ Sf p cr N E. T N EaADORtsa sr-lN a.Na S'U cy oa ACtnr O o C T FR C IT?VC /ryc Sfh}NtI/?0 B /1r}!? [ wu at ? '. . IN N O .. ' R bY0ri0Y vM,a N i11mD•M.441 IC--Of N III % W, RtmRNfQ I O * CHAR Of ?9IMMNlO ro., ? A= sO1DUA t AmAWO MEA , 5 .r : J O f . C w ? w AY aY i 1 _ , I N AI NDC Nov,» DIAGRAM F }I COLLISION: I r 1 - ly I ' 1 ? .. _ I_, i .? I ? .`? y? I _' .? L + ! } 1 DESCRIPTION OF COLLISION I.(5UPP1[EA[N s E[r If Nfct55•I YL/1/tLt ? I_ _w,r?t _I¢P/?Qa?rcHIAE?4 Ty-E _ l/V7?fs1 c?io.•! No?rrU/bu,?D oN !_NBR /N.'} V_/E w 0??. - 1 _._.} t(R _ rl } 1 J__ y JO?.. IM"R0.17r IO.M/H ON /}N N/C,KADE .OR{?E?_ TXyLN1. 7-0 06C1/0L wdfreN 7-0 w eA Z t. , - 1 rtN a{it}OBE i - !Fy.. 7 ( G?k/fltf??F+V?-f y P ? ' .. ? _ I I *44ECN o/NrrN? W .wLeL. EtcaurF 0F. .r/4 i 1..L -? ? L-...-}._ 1 !._1 } y._ I /!P IdeAVF, 4LfNTC?4..C CoSSED .N!r?Bo/S GRT ?E__ /tNR_-f!4ovT Ln/? __<dN?£D ?N./f_DLTCtI. __ __ la I I I . r•a NAME, ADDRESS & INJURIES OF PERSONS INVOLVED ' CODES I - 2 4 5 6 - OCCUPANTS/ WITNESSES «wS pIOONU ii 5 6EK •GI uR5 'v?" VO 7 i[uR na E mC, N,w R13 e/G Z* FIrz4LR Al No ?6. 2`E4'6 Z. 1 I "" No C MArv 4N OiC£ W7 No" cif:. zo z n ADOa>s 7 ! .?ANJYN RD N. £.? N wlwn al LAe } N wwfn lROm $•mR G?"1" Gi",{.r. G :: ? :° w ° s 11jt0 1 wi Z / 6 .EN'•nt / ?R G Y wt No L , Y . I s IMR "" 5i•me ?? "G",:?. G? O 1 • , r.c a.a .Duns w c.rf nn•.IC"IE K D D•1 J I rv v11VR, yy? D•II A w V,T •. _.r,_ _ A •,•• 'D •RJ IN<r ._ 13/h.I 7??S?.'L -. //lIl? w _ n J v n g.? I ??eE?. rfT1"} EfV 4« t ' ? 1 , v ? ,?t?} 's y, gg I I I ? 'hY ? `? ? f ?? f ??? 4wuscC t yyyy ??yy {. ? }Yf ' 4d ?? ' ' ? I5 Al J 3F 4`1 .Y2W' '!. ?{'??(„k?N t, . 4 ? ti 1.S J' , I f, ? , I J lA??? 9?? ' I S . 1. [t I , J j ?C A Q J 11 ; ? ..I , .? I 'I r I I r}y r r, cY'S t?? f r ?? r+I 1! l tx 1 f4jf` fI 'n?"? tt T I (tJ?.h J ?E f ` ? : is,. r f Jna ., µc1 ? ' . • ` , ? I .g 1 ? ¢fcw• Nr eE PRIVATE WAY ?k -, POLICE TRAFFIC COLLI9"JN REPORT ? TRAfJ3Cw"oN i .8: ,„R.„, I. ,., IZ3?a ?LFF£RSaN / _ r CQLL ,Imt couNn nNO. an NO. - HIwA ? //i Usf rW NODRI Yi.er?Y? 1 r xt:? ?; 71 I s L, ,t P STATE OF WASHINGTON oxx ADF DF POLICE TRAFFIC COON REPORT ®TRAFfICWAY w? I (RfV. I.Bp, No to Nip 1' ?yf;1 PRIVATE WAY F' f???22?ssC spet I p. _ IMf p Sl H ?F? IPt IVS[]vW MODRI w w+ ?wo w y COl1NtY COU! Y J CITY NO. EMVA QUR x?t '. ; I/ ? I- b Lam- F oF..S r•.f Y?'e YS?? O'N OIYOV10wN [N QE Avl[5 OS w ?OF oR WNSF N f6N0. SiRFF10R wOHwAV ON 4$11N C? AYR. W ROU/If O0.5i -rp 9io? , hd;.Y 9 -'?' i NIE45FCIING wI1H: 51RFf1 O4 GOAO NON INtfRSECiION 51-12 R by 4m,-, 6 I AL Pl. -111 P4Ffl% MIIF 4051 ? 7G ,^ ,F Y"y? gel IS1ANLf60 RfII MRttf4lnC .CROSS $1RffI OR NFAVtS MIIfPo ILLS 5 E I ACCIOENi MILEAGE R DM RIM (NIA ' 'N L??RFq 191, FELT Ll C) Or - \ R com IXIIOTA NVIXVLD NO R T0iM NO ,ILEO C5 NO. INIDR(D? ? S>II NOf ? H 16 RUN w 4p Ff IN ., % D IMEY Cl5 I R E ROAD RtifRf CROSSSiNFfIOR PoAO pD OFVFHCIES Q [3 PROPFRIYDAMAGE ONLY ?pESULiFD ?Vt01<"[ Y/ /IlV T. .?4,o 51-Sti-(NAME OF ORIECI ST-1 AND-I-'S-1) ` 151, DAMAGE SNCIAI CODING IbF , ? ? i ?Y ` SIA1E D? vL1C?ND wq 9P'3 G2 S.S N 9S ? wFR' D tNSE NO. Aif DAIF OI BIRTH -PA"ON NINE PHONE NO. FYES VRIGNi NIGHT I ?1 y i i r r ?5ii ? t E cy a n rt 5 ql.RAlitW'V _ STATE OF WASHINGTON i R A?IA AcE of POLICE T I EV I.RD, RAFFIC COLLISION REPORT ®TRAFFICIYAY PRIVATE WAy f!)VL"f COF-NTNUNpFa >3 wK ro rvn .m v'Jn 1 (us(zmHOVaI cwwr JC o84S 3?FFErLS / ? ? ? CR ?N ?( m,Ho. arv fN.,A 5 ??- ? , - ?IN Y pa tOWN ? ^ V 95 ?W ®OE FO^ K 6NO. pf 5i4Ff109 MGMVJAY ?WlAAI RVMl I: 51 ROAD NON INIF45fCIlON QN W EfTW[fN DIE_ Ge? RFfUI MIIf F051 (, y • , -UT ( .C405551RFE O4 NfARF51 MllF 6 L Q SiF[ii 5 S F W AC ? .UOT.57 Gp(/,?/Tf/?O CIDENT Of MO ? C ` MILEAGE ? pAIA a l4[D COLE NO © ??ND, INJUafO? ?SRLLUOE ?HIi6 RUN HlNOgaf RRO((4iY DAMA K. ? A w DE ONLY ? q[SUlIFO ?S1IXfN f Of (MJ[CI STRUCK ANDO H IMF4 CIS C4!#551RFFiOR aOM RfffRFNC( h cl, WN[R S NAM[I _ r.. IIMb}i&&8[5 >t? .use' , Qom,,; era k'a ' a , , , r': •-ohz?cazaaaw'rv,?,?.'{e;a?'F,ti" ,R",""' «vs- -,. fr, fir. 4a 4v l # ? r r r, t ? Yr rs r , ?r } I ; ter r'n s J E Jr Is _ r ?f r fix,, r % AYDiCO {. ,N tIME H0UR1 COUNtY IuH ` IUSE RVC O Y pY; T w +1 [OUNfY NO CIIYNO I C I u. O.J i 1 ?c? .S ?LFFG C?S Qn/ ??..' _ iHWq ?UR AN ?N ?t ?IN Ci OR TOWN N0.NE6 NO. OFSTREEIORHIGHWAY iCT CIS JA A URAL -ES ?5 ?W ?OF FJ40Zoc ON h AvL ROUIt ? 5[C I fl ING .- SiRfFr 04 RO NON INIfRSFCTION a Jo .l 4107oN PRff1X EO MIIf POST % / OEMJEEN DISiANCf 601Rf R REFRENC.CROSSSIR1-RNEARf51M f16 POI SFREEI ' MILfS MILES 5 f w, KA FEET o ACCIDENT MILEAGE RAMP DIAGRAM DATA . DF taus arvwvolvtD fvERlrn A-0 .t TOTAL NO NO.XIIIED_I" NO INJURED A CFVE C E ?SPLUGF ?HITR RUN woep H 1M RO NER FCIIN iRFFIORROADORREFERENCF- INLfR C4S f H L S PROP(RPV DAMAGE ONLY f E ST-N ?RESUlifO ? FNC CR0555TREFTORROAD ? OBJfCI51RlKX 1-- OF OB1ECr S-11 AND OWNER'S NAMEI v If pvr. E I SPECIAL CODING USE - , mss/ rr nAl?e QS $ /o od - a ? D R I V E R V C V L v V P V E Y"r Yle (ROR: eorvv.7 P. IXOR IICEN5fPU1EN SrAlf iRA1lER RAtf NO. SrpiF H VEH.COLOR !? CG yob 9 A.Ax I " AIMRI'LATEND. jSTATf- IICIt I.-II-ION NO. C VEHICIf IDENlIfI iZN Nom' L i I ? ' 151lRIDOWNiR: lASr IIR51 MDIXf PHnuF Un .?. I I f 6 N E R I_. _ 0. ROEI 5 s? a0f ®10 ,fD ?RfAWNFD CNAAWAYO ?AWAY ? f51.l0ANAGf I NxwvE 1U lw I \ ...._ ? ? R[MAINED 10lOITOiiR 5 OV' t : MA DIAGRAM OF COLLISION: saw!W Al INOICArFNORM DES CRIPTIONOFCOLL1510N: IUSE SUCVI[MENrAI SHarIF Nrc[ssr.Rr/ K UNECE S5MY1 YARROW J 1 ; Q. VF[-/(. A r3?NIQrKO Tp yen -- t? r ' c.?.zo gy- G?Rli ANn !d !T THE .K si/T. A_?o 2 Sv.. :. ! rp NOM-4-c' T I M ATx" 17? 0 0 ? 1 -A PARK xLt- , C,ENT1 ? % p? NAME, ADDRESS 8 INJURIES OF PERSONS INVOLVED + CODES I 2 3 4 5 6 OCCUPANTS /WITNESSES iuo:m^IfoMF1iN14iuFliii '- - - IAMC ??-0NNPO J. J.1$ 1,.1 NX AG( UIUS IN'H N 54!51.. Utp Drnlss N3 N„5? /.OfE7 AY[ PT W?- NO+ruREa 1 , ?AMe ??I`¢F ?? • ??i ?Nii. !E T X I y i RO r.. 1 r 1 T} f:? /! R ?; ... nw f p .. R NOV101RCVA M 1711 P 1 ' W'n^1'\? f ?. 'j xvR ?AMe ?c ? ?s b ,' J ^ 'IN ??1 .? ,.t_ I 7w R u ? ? 1 T { f K'.: f11..1 ?. Me nvy AY. M '? )f??? J l 1 ' J f IJ f t?ar6 ? 114 (? IIIf i ? t_ L ,1h ??, r?& A?. tlJS+1? l t ? { y`ra ? ? ? t li ?IJ} r 'f 11.- ?' ?r W , "_P M Z?J POLICE TRAFFIC COLLISION REPORT ,LTRAFFICWAY PoLICECOMPUININIJMBER I PRIVATE "Al 0 SIO E . OEC%I N , P L yl TIME COUNiv MD ?. -x.Iaax (USE )aMHOUR, .? ?' I?'.R I fI4Nl. f yhn -?,?r= COUNfT NO -'N O, iMWq 16 ?UReAN aDAI ?N ?E P'a CItY OR IOW NAME Of 51 Ff10gMOH AY r/. I .'IS $s ?WJk9 L ON rb i 1, 1r I' 1%OLS Alma FLEW gOUIf OH SIRE SECTION ? IN FRSECIINGWIIN SFRffTI AD NON NIFRSFCIION / `fur .?? -J r f C[- PREFIX EU MlE P051 a) ( 9EWEEN ( SrRfFfd STREET yar .4CS er.u Ty..{aLO. DISTANCE dON ?I ROI R pFNC ROS5SIRff1 gNEARFS MILE ACCIDENT S N W RM1P DIAGRAM DATA OF " MILEAGE r[E CODE - COLLISION INVOLVED; E-.1i1 ?JURf ?SPIIEGE ?HTd RUN ru"iu0 toms NO DL TOTAL NO. LED NO.IN .q 1 SR TOR UR RFFERENC INTENT CLS CAOSSSTREVOR- ')D qC a-Ic"S PgOPfPfY DAMAGE ONLY ? RESULTED ? VEN CIf OBI[CT 5IRUCKINAMFOF OBJ CI STRUCK ANOOWNER'S NAMEI ESI DAMAGE .. V/ ' SP / Is ECIAL CODNGLAE - UNITNO. 1 ?- I UNITNO.7 ` ? VEHICLE ? PEDESTRIAN ' ' ? PEDALCYCLIST S ORIVf4's NAWF: ESr FIRST MIDDLE , DR VFR'SNAME ESt MIDDLE - YL SIRt! A D ?" IATF' ZIPCODE P O • D TA - • ' - % H ,., 3 NE Y_ L; c? 97 t?ti !a' r R CIIY STALE ZIP CODE _ J - N NO. DRIV[N'SLCENSf NO SrAI % iM 1,7 I IV R' IICENIE NO. Af E% OAIEO FBIRIH i I d ? OCCUPATION NRM?7 EFL.ONENO EY W2 GNIHEGHT n.(%FrTi w4s' /^ it/c? D?.l,? F??i ^ •%1 : is E R OCCUPATION FIRM NAMEd PHONE NO. F IGNI GHr - . 0CHECK(,') ttIOARS aNEMn?rFExANO1HIanE + ?CHECK(,,) I Al vEN CIEA s A IMKMttor[EOFANOrHEe. F r a CODES ? Da,ii?? a s 5 1 e,",° ncr rFn rn a CODE$? Dn + .'LS's ` 5 Urcr N e yD? Rcrttl ) IN w IS INIIIIIII ; „; • M p -KY cE ? pS.?L. ? ?,„2, ? , .;,,. VEH.YFARO MAEIDODGF.CHEV.I IDPRt.NOVAI 5tYLEf)DR.CCHV) 1v ? ANEIAANCF ? °%" ? 76:I11 ? 2„$H ? HALL °ry^ /Ylyl l E MM ( Cr FV) MODII IDARI.NOVAI YI V.) a? ? Y R O DENS EIEN SIAIF fR I'I aq m J` r. /? ,/ ?R SLAY AIFNO.. I C Y EH COLOR L A N AIE Cl[ IXNI f CAI %q NO. 7"? 171//I 121q! 31 ! I RIG11RN[DOWNER -1 F R L VE-LE DENT N-1 N N l I I I I I I I I : I ST MIDDLE PNONF NO. O W P ISIFG[D WNEp: LAST 11- MIDDLE N D ADDRESS CI'OWNER A WNfR ?JI / N LPL E AME a ADDRESS OF INSUpANCE CO. OR AGENr??Je(`V U )) OAMA(:EO ARE ' p'M xp"D x' x :•" OSAdiNO gAMAGED AREA S V i ese puneee DNMG " Cluv« ?1oNA CE . FrD. as EUTtOTIO? ' ?^wSv ?RIMMNED ODRIVf AWAYN ?REMNN[D A [5 , - ® IOWED J / f ?1-iO AWAY BY: u AGRAMOFCCLUISION =Hi[T II IrtC[ssnN) eci,aRp°"yl DESCRIPTIONOFCO LLI ION IIJSISIII [NTASS.1111 [CFSSARYI S - y. I i _ i 1 - "? r / 1 ? ?G l) A 7 YI Y /i .?... /G?b . 0 mi l P 1 => I 1 .1 I '. 7 N??? r?i t To jlr?u? Z2 4SIAl GK.E'SWC:J an r ?u c ( I•I S-d al d r ir77; cJ, SOT h30 i n( r?' bcci V/2?5( 1 -Do -73 LnsG . R Y I C)kr o, ,oza , N NAME. ADDRESS 8 INJURIES OF PERSONS INVOLVED + CODES 1 - Z 9 4 5 6 ` OCCUPANTS/ I Oq ADOIIIONAI NA- ) w 111 AG[ 1.1 '" 13 i5 ..-. R[sn. uECI ? S ? ,?>RIS u4f pr Ej AM -Rq llp d. ?[ JLA' ? ? . ?v1 ?Nu'N ADIWI51 IMI OI U'r 4 ^IO I40M rO,KI ?i I AMd R' ? h ? rr0 b ?^1 rM , [4!Ht1 ,..•• T NAll?e; OF YHrl li? ? AME ? raw.l ? m , O?i ? ri0 - 4r.'I11cAlwcar.cL 1a4gnA e.nuw Acrr.cr PAInnD rcACF APR,WD DAII ' `jA IN, YR'M,IS?(F ' i 5 J R. ' ^T7R h r" 71 { ? f - P vHls .. N ? hL ?1 1 ? 1 77 1 ???y y ??IS'?la,gRdL, I ?JI ) 111 P r y I t I ) ,jti , I 1J?I?IL4 AE ?t ? ? { 1 L 3 .,,q t +? I y ! t ?F ki ....., L 1 .h ? ro,A '? :? f r ? i r Y f Oil Y ? I• ^?' ?W?W y?. 6 1 s ?'. r r i fn ai " (r'ShR 4. t1'tik?7} girl .>4? r STATE OF WASHINGTON Y MOTOR VEHICLE COLLISION REPORT .rr'uAL uYE unLr w w wLL>w sMl a °r?es w o`r",?""' r4EOa EwN oNrY NO. ?"' +{? 3'E s= Yy y SAi Fo nu ?NJ COUNTY NO CITY NO. /` Z I L'D' co o??['vs c.i ? B°"sMl ?. a wAni 16 ?N U. pI„ arY RME. Efla GwAr O. PRE.,. R? EDRSREETCO nraR?sYC?Nn YA,1s,REEr oR RO.o?N p°` /-Ovws ON If-f5-00 f55OO led, ?;'c. L { a + a, W PsESibrl V T / /J,1 !z! Yy PRErIX Sic o Y`. ©© r rWEE ` rrn?LM 4 SIA- P vnr?anvury RIE L] ?3 <r o l c r :kGd.Dcao;S.1s[<7• rpRlprRi 7rtl a» oAT. 2 p? O V 4,Tp Sloba-rE r oD1ECT?srRUCKO ?"Fc'L'[O ?YTHcii ?DrnRMo-eu?wX. BANM o0 ?^pO NL EMAO OrWR O N"r°EI a.. rERDCLafnosvsrO1Rin wROAO. INAYEaOBrFpt 9iPVCXI OWN fl F SIE TS NAME AND ADOflE59 T f? FP EROCOfl G sure coDE aE ORNEq'GLAST NAME MIOCLE wrLn aRCµ DNVE.SLASiNM L L MIDDLE r T (a tr. Ca Co`'T on 9F . SigEETA 53 ROUTE NO.AND BOx NO. GFh//7C.r1 G?/?/ J ?• Lfe- Y4 7/ S bIREETADpLESS / c• ROUTENO.ANDBO%NO. GTY STATE LP COpE DRBERSOCCUPATION a vU ?? nY^a 4 /Qu• x.?7H -L%/L/t G? L [PORT roR CITY STATE bP CODE DNVEfl'S OCCUPA Vfl1-ZLICENSE NO. TAT DATE Of BIgiH AGE 4 Pr74 / s L?oSL, 179 ? I/?(r 'C 1-17 4 r V rR ORWER S LICENSE NO. STATE SE% DAT BIR -BE VEHICLE YR. M?ARE ICHEV. --EI MODELINOVA O.TI BODY S,YLE 12 DR, Nv ?? n/OTSZ / vj r?/1 r 3 'LLY J 3y MENSE 3 /-V?? B/Y+N<Aa-LZ Z EHOLE Yfl. MAKE ICHIFY.-D000EI MODEL IAOVA0ARi) BOOYSinE 1208.1 A LICE PLATE NO. STATE TRAULEn PLATE NO. STATE G '. rr,cL( Q ( , S-7.3 /P TE NO, t'/?SLATE TRAILER RATE NO. STATE VENIo E1DENTIFICATIC NO. M1 7/.?3 A01A r Fm /3L'i ys !Elm s33 7 / VEHICLERIErITIFICAIION NO. nEOISIEREOOY.NER IIASTFIRST MIpOLE NAMEI OgIYER'S LICENSE NO. )C 7C 3510 30 REOISTEREO OWNER (LASi.FIRSTMI00LE NAMEI STJ;T< Or r/. /(, ?,( /?kn < S ` r r ?• OgIVER'S LICENSE NO O ER'SADDRE5 l 5. ISTREET, OTY µpSTATEI / /_ SC''r5 r c _ n DALE OF BIRTH OWNER'S ADDRESS ISiflEET.CITYANOSiAIEI f er /S Yi)G /,l7 $- F.. ?(.(S w. o,r Ix J? ,/ DATE OF&qM ? 1 PARTS OF VEHICLE DAM AGED /zi, b6%R'&k0I!t10 PARTSOFVEHICLEDAMAGED WY - - T i./?../ fly /Gir/?/5, ii Hn>/6' r cY sr,>.,nb,r Scr?o LIABILITY INSURANCE INFORMATION-VEHICLE NO. I- WAS THERE COVERAGE AurONDe?LEFORUABIUrY INSURANCE IN EPFECT 1. NAME/JID ADDRESS OF LIAWUTY INSURANCE POIICYLHpLpER THIS ACCIDENT ON YOUR CAR KVES ?NO N,u NAME OF UAN.TY INSURANCE COMPANY 11 ° -? 1 ' ? > to o•rrL/r _ 7/, Y? o - u,: ,u;: r. .tA,L ? :. ?" NAME ANO ADLYiESS OF UApIUTV WSUnANCE AGE1i I t' L` C,i //Y C?Br:as Sr•AL.., sr uASB,TY POLICY NUMMR , .$TWJlnr A'G-v( /?ic1....r s//? 6//•,rL?(n Ji. 5.:: i iz•y J// AOE 21D Nlunr .q rYU - r 1AML L A?aS I prat-.I,41rou,l euuru[• AOE 5Y rO,AP NAML (?lvr(/u [ 7- I L-. ? -vrYs ei4 sex IR,au 3.7 r EANO 4 M F A^DnYSS •O /? ?/ ExiENT AfINl.fl E9 C ( C T + , ?? tunE ANO `AE S /-•U///S (•/? ( SEN r IIIn Hrou Rr ?x:7uA .Oi?r1 ! ? ixrElr AMPIAII(tN UY AfNK1ON 'I[_?Y?L_C//'r5 r ? ' rD Ir uull DU nr. alAmspr vuun o - r- MAI 'flRSl p E1 r VL noNBYAI-100 1 hid E, moo NAMEns LS ?? ?r ?IX I VE p;lF SI i SOf vuUHEU MAHM1I HSI ONE I"' APPLIES 1 ,.1 r NO / n4.1:. Sc NVEHICLE .rl? n,r.n Wau,A U 5?n Q L71n.r (1 ra. UU,F NO / XILLLD ,n o;r:r .116. IC, MOTORCYCLE SAFETY. p rrtLMl] mEn ? N(LMLI NoI u;ED MOTORCYCLE SAFETY: p rnLMn usLD ? VIII ICY AMr1iOYY W C.i11C1! HElMf1 NOI USED rA,r n,4.,,r © BFSCnIDC BELOW MOAT IIAI•PLNC. 111(1111 IO n1141E5 By NUMRCRI , - r s r.7vv.rJ.O ri/a1-Iq /!i< ff_4Sc>o Y7 JI ?: •".° by//e. -:?u'?,vl?.- I i # f'l% (/[ <? er IG? TY?.: (? Cti. H/J//I/ ? 1? "rl ? n?fr /L4rv/uL. Ca rn ..' ? /iwr sd ? ,( ?? }??p .e/r Co../r/ y<•7 S« JP(iYS 'f r.'<4 ?/..e 7SL i, ? r ti rrJ [.y G'r?.. rn rc, v., 7i// y ...• lv:c L ?, FI' ?' N a..(7 /vc•. F:.r <r/,,,...7-. L' w<rs ';'?+ f'?.? /, '.u JANC 11.;.7?"l9 S- 1 //.../r . Iii GP•Y/ /. Y ! r L r it 7 ? . A5J• 7s !'. s 6. a ..., cs J3 e ?? /rY o N „r •Xr- VEHICLES POSITIONS OFF ORE COLLISION 1 4 n v [ v .L ?n ' plk? y I N > 1 .. IYI SIHECI ('W UrA,r r,AMt G! `R `P nN ,r,r, r,'.N r?,•. r'^ 1VEBiOAIrP IIY ? I ( L J 1 NO ? nn ?? ' 1 1 1 4 rf HI»Y?wn ? ? ? !_J AIDI,p ? rw ? MAIL ? ? ? 11.1.1 T D4 I'LOCSIHIANrrCOK CYCLIST WAS U;:VIO r[-j r,ly»y fL??? `? to PCDCSTY4AN PEDAL Cr'CUST CLO1HIr10 COLOR [j r,.A ^A , ('] L..II 1 p 4HD ^ r ? ";; °?„" ° ? `°'DW"Y A WOAD ;wMADE NcA,WR Llcnr CONOIIp1B ^?NNKI °? ?Ir»XAII ?m ? r irwrlD CO1`NOLA rI O/IIoADW .x•'^'cr:'ILiICN. .J IJKOwILPIr a>vurvrncLLACraND .`r1 t ??y?YII u?r ?rH.. 0 aL•1 (? ,Cr»FX an[tW LbRfI { ko., J r-T ` rM1 1 p UUSIN p p S W,, `-J?' ? CNr W r ? 1 rl 1 /? DOINr1 SIR- IT AHEAD !?i [ y C) J ?W[f J E?J n"M1NIM , ? D 1901`1 ('? rflO LfI K J K IWOW ? i ? OWATAMINOANOPMNND ? 'u ! I Ilf 1-- r 4 i 'F ? l n YII ? 'I lJ ? T /? ?l NN.vr41' T "All- 11111t IUflll p J8 , ?la[I a ?ir:.i on I ? . ?p.y..alrn mK:nwr,Y ? ? li tl ^? 4 ? • L?Ki S pOiWR A ?SIIrl Yll llnllT5 ? , Uj IIXJP IIAYPI MAUNn[IFT 1.111 M1 Y', r'l V IlO1W l1 1`N.CHY ? S ? / ALIM. A4111n ? , ? Il 77 LJ I.J Sr. 0A- C1, r ?nf1NR ? ! Y ? 6 ? MAX WnU r.n1 1 j[F(lFe ; 1. 1- At ' I C C) A ? :wNM ? B ? LLB %x1. p M1 p NoWYNO ? I •(`,t?? i. , JAW AI CHAIUCYIN r- ? ^ IIUADWAY StI ACL TYPE Y, (EJ' n A,?An ,1ti 1'a •}. L'rjryµ r ? UY KIR ft AN f?T L'? ryuN WAY ? r ? SIOM•CDFORTRAFFIC e ' { r ± r`1 I ?Y' ^y_O nl n o L7 I ` IJ ?[OAO SkPAMrgN p ? 9TDMYn Ar rrNWAI ?'d t f r77S :n II 1 T g 11 n o ?oll-B al vrAr mol ' . gg' w ??r Au ? 3 •? ? r J, n n Id a wI10Apwer I ?; r 'r?T?? fT r• ? Ir ,-??JSI 'TY. *7 ?.J'??i? .?? '?S. 111) . ? 1 "C Y t i I'. I r?7SAy irk u ? ;, 1 r F ?r jQjQ i,y y , ? ? ? ? • r ?" Xr ? e a !. N L >; yi N ?ro 'd 4 f•1 •.1 a •u ouv r?Q+? o ro N '> W •.1 ?m H .+ a 4 f ?•': B Siw '.E."n qfM? f ) p, /jam P DAIF OfCO I it, RIVATE WAY N 1,4 (USETxIp HOUR) COUNTY COUNTY . ;7 Wn xIRr ESYI )4b0 ?C/rGE.yOa NOj "y", . URLA URBA N ?j ?N ®E N r CIY OR TOWN Eb NO.OFElREETOq WGHWAY iCi ClS ADM 15p?MllFS Q?5 GW ?Oi FCIL. KS ROUTE 0431RfElt w NII45ECIING VAIN: SigfFIOR ROAD ON ?b? UA?NL,Ia? .3 - NONINIFRSE CIION Q RURAL SECTION N LU Ai P F )L+7 C ? " Z IA IT2. PREFIX . E=lN STFFfI EO. MITE PoSI j I feDINfTI [ f OM RESN E.C`O g STREET STREET Oq NEAREST MIIf i O ? 1 I• E 6 ACCIDENT RAMP DIAGRAM DAi F[Ei { Q) MILEAGE OD CwUSroNIN „ VOLV[D: VfRO , S TOTAL NO. NO.NIIIED--NO,IN1URf0? ?SPIIUGf N ND N Hu CI SiRFfi RROAp OF RFifYENCE IDM IN SFR CLS CROSSSIR O<V[NICIES p fFIOR RO AD ?pgppEF1Y DAMAGE ONLY ?4FSUlTED ?V[HICIf % OB 1 JECT 1rRIIC%INM1FOi OB)fCt StRUCK ANDOWNFq'S NPMFI ?-1! ESL DAMAGE SMCW CODING USE C E . ALA}r ?S?TITG DIV, ?? S _p- - UNIT NO. 1 UNIT NO. T ox vfR He M E; usr w E ? VEHICLE ? PEDESTRIAN ? PEDALCYCLIST DFIVEYSNAMI. , 1 S N ,r D^ IFINADDRE33 ?? s CLAQ?-?;e NSI IX - L 2 ,3D7`' ?t.K TJ CIIY ST. ADDRESS SIAM IIPCODE PHONE NO. D G2ArJ; S ss 2 9752(, 4- Ao R D4IVLY SIICf N.N . Y Ir STATE IP EN I , ` STATE E% ! BIRTH ( 2-00-722, O n ? r {M? OAv •v. v L IC M IV U fNSF AIE % _GA.. YBIRErx IG OCCUPATION iIkM NANf 6PHONF NO. EYES MIGHT HEIGHr E B) 2oo'r? . STOP [ A?I_ IJ V GC OJ? 170 (7'3 R OC UPAIION 11 NANEbppNFNO. EE S WEIGHT EIGMr W - I CHECK (,,j G i IH C E ASAN rMno CODES*. G n si v g i WrEE Oi ANS rHE C. I 6? - 2 iNI WIE1. ?/N erL CA1 n U A"q f C IS I r ? CODES CHECK ,.ss AN fmnovEEaA tHEa.AI HD t. A iv 5 [# B o b £ G M MM7 EUI,HCI D, .IV,n of.o ? G Eby[ O N C? : N EAR MAxE,OODCfdHEV.) E I IDA4I?NO VA I a I x11 1 D ? ? cE ,^bc' ? f?irz ? vi ? ?u H u ? f T ) STYLE I]DF•CONV.) ( V ?..'?.?. 173 NTI A C AIrS 2S)2 Hr E , I V.I EIFDM. VA, Y , :; G2 ?J N YS m Roo SIAt TRAILER HAlf NO. S 0 -E IAI H I " N ]e vw¢mDEHUncA1 roN NG. vfHlcluw A N IN N 9 22 7P- 3C { ) 744 I YlG131{RiD OWNIR. UlSr IYSI -GE PIIONf NO I I'IX 5 A .\ (]• Sl p wp 1 "I- 6-27do ,° WNIR: 1 HR" MID DRE33C1fR OWNcN Z N A WIN I o? . N 3) b WbG l }(?? L ?I . w%MEAADORESSaF INSU4ANCECG. of EHr " S E "- I tiI Cif ?I} gS R IN Ii A Imo. mac[ ]] ]DAMAfi.?] RI E'w[nOrD rS I L 41 • v ? - i4 III /ti l7• ? CI N;E NNC qy gNAAG [A ] IOOrtR ••??llFCO???JJ ()• ? G."YN 0 II MNNfD L ?W?vD ' DP QA4IVIH ?9[MAIN[O LSI.DAMA f B1.1 lowto WAY O 1 ti D BY L?+T TDr.p Iri L I ? AWAY BY• $ IAGRAM Of COLLISION: ION: ID N SH(1111 N[lSSAR °1" DESCRIPTI ev:ru " _ ON Of COLLISION US A 11 c ow FAO ?` : ( E SUPPLEMENTAISH(j? IFNICESSARY) ?IEN *L ;.- ?431? un;At;?lc ICLE I WAS TP?tilEui+JCT Ao2n)6'?Y?No r ? 1 G u lAiLJ C 4 1 ( k - _ ^E C31 . . N? !J CQUSS? T(tc' LL1 AIt -EFLn -- I? I t k7EV? b?'0G? Uc4?LClCy "Ll -iYFIj C)QifSFI? T+E Ca";T-FAIII S 1z IG n G 'THG CTo-mFnlr lA>'EA{?oeG- C6inLr bEENICCC? K? -fro ROLL AND rINMI1? @DATmIN(, To aGAT (N {? 7 NAME, ADDRESS 8 INJURIES OF PERSONS INVOLVED R ' S2 I SHIa OCCUPANTS /WITNESSES ;'SE SUP,, (y ADO'X CODES I - ? a a 5 6 U NAAA'S1 NAW RMf?. Ro& Cs 5?IiDE•?- u ' NcN ,tvwEis . Hr LS In ? +t r IE• o ' ? ' ' 31% AGI ?IAIUS Z ?N ? xl Sr4 I lRCI u ? ? -. .J. 3 ; A E =t q GAMB ?Fwt' G" [ G:ia IRIS` Amnss x McrvID rYO.f N, M ^ Yfv1SIU,IwIG CVFKEBI !]tlYl .('n.v*YY 4 =lie .;/ A6Y!._ul. J , r'or GAMB ??IIG.MiN N,i tb![I ? GI? ? I q?8) N - , EX o, .. K.'] ESL h J4:i+??n rb :?'S+vJ.'•-?i 5 ?,.)`fi:[ i l 3d ? , P4?:2$i.'tE ? , E ?r;;il rte li ' / I i> I T 1 L y s I 1 1 Ali rl' ?? d+ N wry a ry PRIVATE WAY ?a OW OF SE I N. NTERELOION FcA' b LET 0 F MILEAGE Ztll; 0 0 FIRE FEE UNIT NO. I 7_ UNIT N 2 0 VEHICLE 241 LAST IRW.DR E PHONE W. E a. 0 CHICK (,I U CHECK at .-I's 6 21 fix'' - j+x k 1 FIRST LAS R. '-7 IN ;r a r? +4.?arxr ?.' }i,.'_.'.{ ? a ??"?in=:S' 'r ,.n. ?sNm?wSiii A,•? ,?I.'.v?+r: YKrCU IIEi 77"T ?+ ?i ? 1 y p'1 i ?1` i .v?• I KJLICE I RAPNC COLLISION REPORT L;/D?I..,tnwr::r 4y? K.•ELOMYIgN Nunluln PRIVATE WAY Daforcow o c } ilmF COU tY wl9 ?) vl. ???Y1?1 t IROj I i I f HOUR) f F ON OE 01N C1 OR IOw N MIFSNO.Of SiRfftOR MGHWA T 0 5 ? W OF JAI ON C/L /8 INi fRSE CIING TH --' PoA NONINIFRSfCfION ?? N ? t-"/? ? ? 0f1WfEN SIRFFI 6 SiREEI SY DISTANCE BD F 1 N{Po E. CROSS SIREEIOR NFARE51 MIlEPo M lS N •5 f W ACCIDENT FEET ?] pF C r1 ?n L MILEAGE . ? CO1U510N INVOLVtU: SIVERIIYt l /ff / Y CODE - , TOTAL NO. NO. KIllF0??N0, IN1URf0_ ?SPIIIAGE N WEWiovIUmS Rj js - CPVEHICLES ppppERTY DAMAGE ONLY OB1FCi 51RNNAE O i OBJfCl$l-gJ,10 f) ? pESUIIfD Clf ' // - SOS E EST. DMIAG SiGao E fL/] f ' 5 UNIT NO.1 DRIV[R'S NAME: NSI iIR51 MIDDI UNIT N0. w R/jC SIRtEI ADD S DRIVER'S NAME: W3 - RE[ ADDRESS N •I 7 C." STATE ,PCODE PHONENO. D I Y SGd! DRNFWS IICENSFN ST TE l--/7pY R ry ? g CJa 5' ?vr72U A F% A AlA C lz ?%. t i I v IV ll fNSF NO. t - 9. ,2 OCCUPAION iIRM NANfAPHONF NO. EYES GMi HEIGHT SY H 3 E R CUPAIION CHECK (?1 EH Of AS:v VEF OF AN 1H1 a'u 0 CHECK (PI) • v? NODES P+ 7 n: 4 inn 5 t RN ss m ncno H cu 6 M D CODES P* G ' O :..M 0 0 A N N I 0piv rl mn._ 0 I-1 m I Vf TEAR MAAE IDDCGE{HEV.) Ell ARI.NOVq) STYLE I9DR CONV.I H fA9 10YO r.4 COZV,dr4 s W E /;7,'71,7Z; . REMMNED lAl T 7Y!j nEO crn?E, , y n/ X c NAME, ADDRESS B INJURIES OF PERSONS IN OCCUPANTS /WITNES`SE(S' l :pp1E,a,u ei Ml'. /. / f f n w ~ GJ/ G SJ x - , nu. iHWA /? '.'..' OURRAN CLS ?}9DRAl ROU1 IRE 5 C7 i°?iu?fe fy „ fl% O. MIO POST • W DIAGRAM DATA - RD N Clan S R E R OR REFfRfryCE i5 INIFR C45 CROSS S IRE FT OR ROAD.. fC9LL COD NG WE - -?. ? ? _ N VEHICLE 0 PEDESTRIAN : 0 PEDALCYCLIST,' -- .? I M-1 5 Ri kk 0 Y rv U. UUWWON (USESUPKIWNTAL5HEfl0.CESNRY)' mop- AG.4S f /S'24?C,/ _.lfSCarNE....caE/furc v-- ?+00ir VOLVED +CODES I - Z 3 4 5' 6 AM5 J Ro11 1P I ..? 0 R ^5 ?J VULICE TRAFFIC COLLISION REPORT lam""^rr"-`"M' wucE COMPi,3wrHwnuFx - I PRIVATE WAY 7 % I E OAI(OECOU- q I 0 _I ? wlE TIME COUMyr ,a??-ET.?•,y?? IUSF??1 ?1 N?`-'Y `_\S.J/` /7 COUNTYW. ?V CITY NO. - iHWA ,??u?RBAN- l E7KURA . l ?N ?E CNYOR TOWN AMFBNO.Of SERffTOR HIGH WAY OIN N Mllfs?5 p<! &91 ..?? ON «E.. 11? s ?. CIS R R iRf 111"11 "N' O<•'GS `3 Seer?ita:Pe+/. SE 1 N ]] ] INTERSECT NG W1tH: $ieffl OR ROAD NON INTERSECTION E-EN STRIFE 8 STRUT PRE{I% EO. MITE POST. r' 1 Il UI??E DIREC ON{R Efaf E. CPO$SSIREEIOR NfARFSIMILE P01 ACCIDENT N W.?/ MILEAGE Rf5 CODE i[RE ry of V?'R ??/ RNAP DIAGRAMMTA 1 COLLSwNINVOLVID: SEV[altY: l IOM NO. NO. KRL[Dr NO. INJURED- ?SIIfAPGE ?HI UN ENNDHDIH Hill I W1 IMFff %.RO I CL$ ? NT REEL RROMOR RfEER f gO555TREETOR ROM - CPVEHICTES RROG[RTY DAMAGEONIY ? RFSEULIEO E (/ •OI OBJECISTRUCKINMA OFOSAOSTRUCKANDOWNERSNAME) ESLDMAME SPfCMI COOING USE UNIT NO. 1 UNIT N0.2 ? VEHICLE : ? PEDESTRIAN [I PEDALCYCLIST ?2 S ONW''fT'NAMf: FIRST - I. V\ IT RIVER'S NAME: WSt 1 l J? SINEEE ADDRESS S 6 IDS ? REST MDRf55 •- Ir ? CI?` Si.rif 21PC2 H ENO. 83 ?-2 P R D IY STATE IY P NE A DRIVERS UCENSEN Alf E% 3527 LtJI? 1"I %zizo 6s I ? LI FN N0. STATE SEX DATE OfOR M MD J .I q OccU M EAPHONFNO. FYFS Q M E. CUPAt ON {IRM-1B 1HONE NO. EYES Wf GHI LEG I ;, f : g CHECK IV) vEH riF ASAN EMPIiovEEOf ANDIHEa. ? CHECK (,') NHiaE AS AN_.YFF DPANDTH?? b ' Y NI CODES ?' 7 n"AA+s + 5 ERc T O" 6 CODES ? ] c„ss + i+in "? 5 EAI D N 6 _ Z , " o. NJAIFS v s r ? AMMA ? r M ? Vs?T 15.a ? "w ? " ? x ? DM WE ? 896. ? „ KD ? g} t 1 r6 .??E . NH rt Ae MAKE (DODGtCHEV,I 7 TO/ L e.V El(U-NOVAI STYLE I]DR-V Gt 2-'- E H Y FAR HV.). MOLEIIDART- Al ISTYLE125R.-CONV.) >a ? CL. OR Sf PUTEN u 4 $inif TRAILER KATE tq SIAIF - E'I I V H ry STATE C IZ k ? C ? NNICLI IDENiRIGIwN NO. K 18: I i !/121 I l l L V NI l ID N I I I I I I I I I I I R[G151l PfDOWY.J(e; IASI IIRSI MIDOIE (NONE NO. O I WNER: IASI "ill I DlF N W I] AppR/E/SS?p OWN a /-D/} 2 S FAQ w N A N R nMl1ADOal Sf OIRNSURANCICO-1HE U R ]] r, OMnAGI AAG ?? ? ESAMMEO MEAD HA a c u 5 OIH:oc°, A j f? ? D ° llI. OAMAGI bIDWAY ?RIMMNID AWIN ?REAWNfO L. DAMAG I 11OP-- IT IO?OiTPO? eOYTOII A -AVDBY: ? TOWID S _ I AW AWAY BY: F DIAGRAMOF COLLISION: f u INn CANNpN' DESCRIPTIONOF COLLISION: (LSE SUPKIMINTAl SHEET IF NEC[ssARrIII ) AR S RLI If RY) _ .. _. 1 Q 1 GSyit'6ou L1 L _. Y ? ' I .. , .., c./? Q Lf?'J. ../N 11? Q'(.. IYJ • ' c- ' d LSE G v c ,ro1 E< S ?_ ? NAME, ADDRESS & INJURIES OF PERSONS T INVOLVED + CODES 1 2 3 4 5 6 r.+ I, . NN OCCUPANTS/WITNESSES liD?a :oailfpNU N 1 six •G[ u'us °• ' etsm afcT L A! -.?.. A-1. l nlwlp ^?? Da nr B ? 4 ' ? '' v L57wx ? V1?o F `C._ ) U\ ]6 1` .wE' Cn.CT raw C{ / F l Y " " A-ITS r nn MovlofR ?un1 ?Iw%E? oo.E p7' ?C. TR 1 I t ? ? J'A? , J - MDPIt{ '- NN??ip rM BY ?AM1 ? a: 13"c;t'. c 3tV ?iwM * f #' < '}? I L ? r SIgA1NO prK11't NAA 11AN[ V 1AOG[OR 0 HO ADEHCY I K DISPntGI<D ?Sf P+ (N1 NO Olt DAlIp IIPMt y A{nONl1Y OATI Ip Y W kRL iA t' . Y : tl, A ?.IO 740 Sa ? S.IID HE ?p vT SCI C i11??1?I YL 4 ? ? 1 ;r chI ? J i? a l l r1 t i r y?r I ? z?I ''M )?? 17 r -. E ? U t y ? E 1 RL ?I s l y d? r?? 71 77- J8 e ^°' E Itti. STATE OF WASHINGTON f WS"? R` y S PAGfOf No. ' O. " POLICE TRAFFIC COLLISION REPORT X IY TRAFFICWAY PoI COM%NNTNUMBER `75 :N h -1 ? PRIVATE WAY s nl A N_ _._- TAY COUNTY I WUNTY NO. .? CIiY NO k v I I r' - •. i"1ON • I .i sf nl. I3, (USEZbO HOVR) / DU BME .° „ ,.?N ?E WIN CIITOR rO N NAMES NO.Of 5t4ff10R WGMWAY iCT CIS R 1045 URAI Avus ? 5 - ? Of ON - .3 a € u IoN -. Nr RStCIING WIIN: RFEIO RawD ? y??a '?? ' ?. ? ?+ NON INTER fCTION PREFI% E MYPOST i I C110N{ 0EIWFEN -HT B 1 L / I IµOB MpfS N R S E'erSTREET -------OR NFNESIMILE ACCIDENT RAMP DIA RAM p1iw A - pf MILEAGE , •'. RET CODE b CIXl15gNINVIXVa FR irl RRti NCF ..fD •lorAtf)D. NO.KILLED? NO.INJUREO ?SPIIIAGF ?HI U rurvOV[orrv d M CLES ? INTER CR Cl3 OSSS1REE OB1EK:i SIi OR 1[OA/DR p IRIIKK PRORRfYDAMAGE ONIY ?gIISU IrFD C3 EHI INNAEO{09J[CT SIRUCK,WOOWNfRS NAM E) ' ? YS ESr.DaMAGF SKCIAL COOING IbE ""' ? ` UNIT NO.I. - UNITN0.2 - ?VEHICLE 0PEDESTRIAN ?PEDALCYCLIST /4 L ! DRNfR' NAME: IASi fIR i MIDDL DRIVER'S WANE: SI N " 1 G ?I? i6 6 cr- -- " TM? SIPffTAOOR[53 • ? Lo I, ?- Eft ADDRESS J b' =+ Y? .'[ - SiAIE ZIP WOE iNONF PA. SSA D. ?o? Swrf P E t C//, A 3Qtd I wfR'SV NSF NO. SrwiE f% A RM I AIR G-SSfN NE}. -- R L O I GC/LLyg1/ SrAIE X AIF BR'M° J L ?3 rI . V 7.z EAY y2 Q I/VJ J• ICU I. S 1R5 . B F?O ? {I "AMT SP'1p"!"O ETFS GHI HWNi E. OCCUPw110N fIRM NAMES PH01.E N0. EYES GHi 1fIG1(1 ' '. ¢ ? CHECK (°? vEHW1EAS wN fAwtirEfaANOrH? R ? CHECK (? u ?? 7 ? ? v CODES ?'+ G tlM°r , yUly, CODES ll? 3 VfHGIf ASAN fMPtOTEf RA NOT. ei°m r<u + 'NV. uv, nr I TcD i/ d ? w53 ?Sn 89115[°E%Cr di wKli RI aAss X svsrtM D IX<rroN B y"bVfO. Zi .D f, Y IN -111 SlIN AbM K3 ? ? Q „ VEN rFM M,KEL000Ct.cHw 1 l Dufl.nwA ? ru?s° "[?OIRDM Q M,NU,N[[ ? °GOyi[ ? (.binR ? v(H U ? .' g ( I SIYY IZUR. ONV.1 K I V.1 Mppfl (DMr. VA) c ( /4 ?, rn 1 In E 6 / CNcv /S .? D SrAE IMIIEP RArf NO I'I '? S^ ` 61 ETATE ?lolyv tic - cVEWROU SN A R VEH lF IXNrIIKA1gN N0. -_ ': A i ', ? ? ,?.? 5 RlG4RN(DGWNTP. IAfT NRSt Mlppt! PHOHt NO. I P WI fIRSI MI IXF ?1ir1°td / O 1 i5 ADDRESS O/OWNIR WNtR W 3 N NNAISADpR[SSdINSUPANCI CO. OR AGtNi E ?/ r 1 NSUARAI A,10 IJL { ' . { Y NMM.I M[A - d k DP [nwi w,i CHARD[ CHARC( / iw y I?AIAIGt3 AR[A 1 ++4 b l3f OMVWI AWAN t= TO ' IYionoii'S W Y ?REAWNto DRIVIN ?RO.WNfO E31'DC Dw{ R1OP y AwTOWED WAY r U? sN AruwcsswrF .I a AN ?ewmYDev IA ' IB OIAGR OFCOILISION: lu INDIsAIe NOVm DESCRIPTIONOF COLLISION: lusuurrum[N/Ats F[1NN[e[ssARr ? 7 t)?•. ..Q VEm 30. 2, Fn iC?? TU/EZ ?` ILL II : ?; T UG H / T coil _ l/ArlroRTRcal ,r . r 1"aD : fA, ?E, ADDRESS 8L, INJURIES OF PERSONS INVOLVED + OCCUPANTS/WITNESSES IuusurnE.wNrAtsNU CODES 1 2 4 y , }, 9 5 6 1 tt • /00 ADdig11.LL NAMt51 3[X AG/ IAIUy ? i t,t HAw.mE /???? A?1MJ L'"On/ r rv x,; ' nuR ixcT uK7v f•??r g r 9/2() No A t ? Y ,tsMlff C 1 ?.. I u r '...... _ ..._. Ir",AOruvfa -_`-.. NAr AMe ?"cflNi O ADm O RS ?n,rm ,. ) f }t 7 ri r R Movr {N AMe, Q rav ».I. » Nol o w X11 I Q tl'S I 11 AMe {1 E r' y L }f tf, ' f e 1 ar[t NAA.te / e Acf ? 1 c[m3 c»D calla Ali ND DAMe ? ' Q'c" . MTV ? 7211.1 wed 3 iT.. JJL vI dl n{., I h :u.f .[.,?I '....??1?.n.MAk.'? trlrAtt 1 ?? 1 Tr T??Rhy!'. 1(f ? ,ir nl 3`P 4 IF pfd v ? ? [ ; I [ _-r??? I ;E 'F r { f I ? ? .r 1)' } 1 11 r 1 l :,I q4 s F ?$A ?I ) I r1I,..?15 E,?I ;,. r s. „ ?,?? rr ? . t ?aa?3...si??.?'', ? ?'; Se?+::?Mt ?:' r. ? „ , ???&'? ?.;r??t?u . ?;?;' ?.c? z? ., ?;., _.? .',,'guy°" ;! _ ? ,.. ? '?t Y? 'v+?- .? ? lJ?? >Y.+?TE•, 7 f g?a !I r?klt ,,? p 7 ? ri 1 f I ,.-'u?s A:au,,,???rr4?"r S s1?L```=,...?._-`'-- ---. r?L .i?J:: __?....... ,- --._ •. ____'.•?4;.M r?4•,.J*€F.n??1 ra • -- > , a.. p? ' ; \?J MOTOR VEHICLE COLLISION HEPOHT f : DATE OFCOLUSION..e DAYOFOOLUSIONf. .:.. TIME OF COW910N......: _ CouYTY NO. CITY wo, o NO WY EM_ R Po SAt N NFS AM 1 r' Y uON NES WE nuP / llu2m A EET CGCE (L",• Put ..COLWIY .. CITY.TOYM.:. wT MILES.: N©' ...CITY TOWN :::. oM{L_S?VpE ?{ IE a'II ;ECTON I k OC?C JC•r-FlF.ih .? .•+J Y//? /Lr rv0 .n Cr ®OF/'? l?f / y Y7? T4? ,!? H ? ? M? D!, n w GIVE NAME OF STREET. ROAD ORM10HWAY,. ..:.....,:.,,:_WTERSECTNOYAT": STREEI.OR ROAD.- PREFIX To It ¢ STD C •J /r,/F i /C ?y NDN INTERSECTION LOCATIGN OF LJZLLI9ION Wwu OIACRAMCATA OEtWEEN STREET ANO TREET NOr ® © A-;oMeCPOSYYEF, EP09i ONe0ENi ivwOYl%WMtPPK u9Ea. WUpJE IqN % n0 ?/ N.IEaS[CrKN: F INTER EP CLB P< ESE ,w. iFET ©® -! //•i ,iG/<7/A ?'j"UC mil! .? ? _ II?E -SON-VE0 QW LE wctE ?vE iCE CLE ?0 UH-AIII - ?• SPEC CDDE m TOTALNO ?I??VEHCU 91ECi []1.' ETa I " OF V[eVClF9 •? ? En CE9TPoAN ? {OWSiO ? ' OBJECT SiflIKK JrMMR. _OOrEtT RTquCNI .:. ..:. OWNEROFOBJECTSHAMEANOAOOnE59 NLR?OADWAT _ . Q©Ip? ' EpY 5 E 'oOaI CT ` 12 1...' •a_u FEET ,. uOPE • • F DNYEITS LAST NAME .FlflSTNMAE MIDDLE E p DRIVERS LIST NAME FV59TNAME. .MIOOLE_.-.._:.- Fyy 1 ', ?rrr-l;n/ ?•Cc AVr rr!'/i 1 c I^/ R? ?i l'e tNl ?' ly. ..l .r?o.s '//CA? o "."'A?!- 9TPEETAODNE59 ROIRENO.AND BOI{NO _ ina+TrA 6THEEi.A0DRE99 ,,•,; P.4VTE NQ AN000%N9i.i, • .•• E BONS wEnE - st A H nw 14 vill ' e) r_io> a Ouse /?// / r »nrlT r CITY., STATE. ZIP CODE. DR.A(r OGCUFATNJ,N„__, ._I" CILY, QCCUP,ATIWN ( /!cl ZI e. 1 c9 /,T 3 3cf c c' 1 r ?c? EPGRTF J, I-~ '?w •I:?/'!G'? c! 9,j G•,? ??N N : '.ir. DR VERSLICENSE NUMBER STATE. &E%; .: OATEQF eImry, AGE OflIVFA9 LICENSE NUMBER:._ STATE SE%. DATEOFBIgTN AGE. / v 1 yr •/. i/ vVd F f! ?,l ? % D. C %T mil, i ? 'cd/ " F r- u S?^j r I VEHNAEYR. MAKEICHEWDODGE)- MODEL(NOVA-0ARTI.:.,. BOOYSTYLEI2DRI.. VEHICLEYR. MAKE ICHEV-DODGE), . MOD INOVADARTI__: BOD.STYLEPCIR. Gll1J Dory. S•1 ?' 6o(,? // v w ?'a7 ! i.:/C 11.7 "- LK:ENSEPUTENO ;;.._-STATE iPAILER PLATE NO.;. STATE ,.LICENSE PLgiE NO... ..- STATE ... ,'.:T1WLEfl,PLATENO.... STATE. - 6? VEHNAEIGENTIFICATIONNO.:... (I9WMOn&MEWrERI... OOOMETERIMILEAGE) VEHICLEIDENTIFICATIONNO 1I008MOOEL9d NEW PI :: '. DOMETER IMILEAOEI CSl d ?7 /a i 1 el ' "- REGISTEREDOWNEI( ,TLA$T ;ipiST MIDDLE NAMEI '„ „- .:,,•DRIV'cASl1CENSE NO REGISTERE00WNm„ ILA9TFIRSTMIDDIE NMIEI,::,_D(WEflS LICENSE NO. ?.• A* • / •` OWN-ADDRESS _ ISTREET CITYAND9TATE)„:; ?:..' ?ATEO?BIR7 [.?.n J OWNERS ADDRESS_ '..:.:.-ISTTIEET.CTTY ANDSTATEI.:.,..L::»:_. ?, a!TE OF&RTH..; L'V, . ?.' r?U?J?.!c; G/>,//oc%11r1/_rcF3>• ?r ai PARi90F VEMKLE DAMAGED - OOSi PAgTSOF VEMKYDAMAGED .._:;, - jORPWR L'F)IKLLEE LE _ _-..._._.... .. _-•-_. OPEPAhiPOVFi14LE:, i { /• S 4•rYJ.7O '1' G17 61 WAS THERE AUTOMOBILE UABIUTY INSURANCE LIAF31LITY INSURANCE INFORMATION-VEHICLE NO. I- 99XERAGE W EFFECT FOR THIS ACCIDENT ON YOUR CAR ?YES ?NO x EE NIDADDgE590F LIABILITY WSURMICEMUCAYYHHOOUG"R cli- S a I SE OFUMUTYWSURANCE COMPANYI r ti'!;IVltf? rte, /:ZV?Y-1?LY1 /•?- // /? / 2 ?4?`A ?'td?t' /'dirty AEL?!) 115' 1 yTxl "AAA EANDAOGIESSOF LIAdUTY WSURANCE AGENT O Y,.,. St E .. UABIUTY.POLKY NDMOER /T?lc: lir liv/•/Cl.<r? r i,•,L•PI SL .a•./ vuo °1f ?v ,g l7 ' l? e fE7H E'f 71?, ,,. A. 1ST WJUflY. ME 2ND INJURY: IusEREPAM ¢nWnT faRMpfgn wFSI 'ME NAME _ 4WD n[O NAME i _ 1 _ .fE • -pU AD E49 l?/(? GI G•_ 6E% ADDRESS _ I `• OI•? - - SEX ry?y -, IEFFNtOF HJUVF, __. __..?-___.._. _.- ? F r ?I [1tEHlOFMM1[S • ? ? VJ ?aav[a WVEHICLE mAaAq ruliv[ ? IN VEI[KLE olSUxal WOUpaA.O POSVgY ?PAL•fNOFa KILLED ??V['PEI M I P[COU ? Acs[ KILLED IaYtn[I IuiNMI ID pOU II ?W aRrN.W OF P.WECI ? NO ETt IIT C3 0 50 (30 7 GROW NORTH OY ANIOW W GRCLE DESCRIBE II WHAT HAPPENED (REFER TO VEHICLES BY NUMBER) '"'twiuin'.mN.+Ep.EO"'" O \\ 1/t/r /7'. /'`-/, ti'Yi/i/._:? c [,? /'r,!'/y?/f.. .l? • ' eIV '. I. truce T,K CUtIHE rrvMnREtT• ? % v;.• ra„caLaoN FAaNC MEr.,o .. \ \, [ + F/'Ce °N Porn; 9 \ l 1"., 2 N.uanFACN Ervor \\ ._L [' l/,/. ?T / [.ll "'r G V_? ? - owwtATNV ^ _// 1 1 L { ?E / x'/ .._ ___f??`y ?•• :? ( _..:Ze e v__e(lr _r <,T -!,1'2-4i C/_11!( ?.L'!S! 't i69S?F It", C r L''--C[ Q, e b l •ta nDI.QEq? e n VEHICLES POSITIONS BEFORE COLLISION' waI L,M LaN vF.vcl[ wrclE rFAn.m w.• wvesraME B -' r - ?7L VEHK E WoNF LrMUaNO uGUl.rnlo vnu[occuKO ?ETME ?oann 4 Y r ., 1Y }}jj``TT t1?H 9 E W ON EI n!ACT On HIGGRIWAY{'ME OR NO plucrga[ F[F NO /r!l? rA r[e u0 Mlna /?FMNC[ ?y y IF JA•,ly jr I `'- IrpFO. ? ?.? ? - ' • /I/.T L ? .L.U.. ? ?.. ?CIMKI ILIOa?tiOV[a[tl. }latlY M 1 Ih l ? jr??'?I-Y F S E KIrMN ? ? O ? ? ? ? ? ? ? ? INEMF ?i7Tl l ? h I J r+munw ? ? ? ?ALOra .. entAwD C) mom .[MDIRECTION....TO ...,DIRECTION. 8 '.?? 7y! .4 Y I {r,dc r ; t i MDE9TF•AI1WASUS+EO I LDEWALK 20 WALKWAr a iw0+nwuA f'?Tt L T IlOA06UFFKE. Y.EAi11U1 ?LgNICONGTI0N5 TRAFFKCOFA ? Ic R4G11 TYPE O[ROAD aO VE "WHKLE KTN)Nz OTHER C ',1 ( y t'R4? l?l.+S L ,Ji ? W?uc.wl Y v[.cl[ w"'aF 6;iuw?li a vH.+x? [ ierKCKOneaLanFl? 'S' ? J P ;}f + j 1 1 p [ I OHI¢ 1 I ? DAYLIGHT O I ? aXNALS ? 1 OT?1ONE WAY ?t I ? GOING STRAIGHT AHEAD 1 I fl I? 9iwut/`{kj I .% O1 ?Gr tgRANIO a?VA" ? 2 ?SIOPGDN ? 219 TWO WAY ? 2 ?OVEnTAKINGANDPASSING Jr / . { S ': ? 2 ?- ] 0SNOWnq 2 ??S DUSK ? 2 ? YI[LD SIGN ? 2 ? p se[e ? D ? MAKING RIGHT TURN 1 4 + ? ° ? SM0`Y A ? FW A C3 OX431CNET ? A ? Fub.WO REO ? • ? NTF,RCHANA' ? A ? IAAKWG LEFT MAN .. r 111', ? A ?KE E OHI[R a OMKatPCEf ? E ? IIwSINOAMRER ? S ?lALLEY ? S ? MAKWOU TURN I Y 1 > 1 1 r 0112. O lvacvvl 13 1ORT Ol• l O ? aP[cVY , C) etninMOLnNn ? , ? .R ROYAL ? , ? LEO WAY, ? a ? SLOWING TURN ,LI,+' I r i•. ?.aon[a.wruenODMac. SIGNAL ( 1 ! WapN,WbI aEIAACI%••, Ittl F ? anLQ1Y ? 1 ? OFFICE./RAOMNI Lµe, ? F ? STOPPED FOR TROPIC I C. T 1S ,,,,?"?IJ S 4 111 ? , ? OTHER, al'FCMY ? 1 ? 6EPMATED ? , ? OA T, OP SGNN /• r f ' 4(9 i I '\1 k ,7 .,r•• -""T°,m'jS'.?"'" "'°"nued.3"w""10n".'_ .vnram ,?rtWl.. Brm[rr.. ? a Q °N'°E„w n.. , ? STOPPED IN AOMWAY ' A J r," E n_ x_ x v,. s aai a° i aRkaE " 4r ,5i?rEOFVVr'ASH114GTON PGf 1 OF y' ?L? 1 No. POLICE TRAFFIC COLLISION REPORT ©TRAFFICWAY >k PoIICE COMPIAINt NU SIR 7 ' ' ' PRIVATE WAY " R - DAI[OfCOI N. J l LIME 1S { , $re1 pX R Iwl "" I' t. (USF 240 HOUR) COUNTY - COUNTY NO. CITY NO. iNWA 1719 Jefferson /!o ?u4BAN F'. ?N ?F N CI OR TOWN NAMFLNO. Oi SINEEt ON HIGHWAY fCT ClS RWTF 045TREE SE t?iOAL x lE a .. -n_. MILES ElS MW MOF !)-4--- rL Ae ... ___ .. - 7 ... .l (]Q Mlf5 ?4<_5???F c. V`y SaalRINaR NFARfSf MIlf P051 --- (? Pffr ? W O ? of RoErere Street _ M.vyr IOIAI NO. NO.KILUD-ENO INJURED ?SPIIAGE ?HI UN %IL INi 4 D 1 IN t9EEi RNOAD OR RffER NCE , ?rvD IRIH IWE ClIS CAUS5"REET O4 ROAD i?-? 6VfH CLFS © (]?' PROPERTY DAMAGE ONLY ? FIRE S 1 Z: _ ITED ? O lC OBIECi SfRUCK(NAMEOf OBJfCf STRUCK ANOOWNER'S NAMEI FSI DAMAGE SPfCIAlCODING USE '?" S UNITNO.I UNIT NO,2 ?VEHICLE ?PEDESTRIAN DRIVER'S NAME:- EASt IR 1 if DRIVEL'S NAME ? PEDALCYCLIST R' : St Walterscheidt Joe Li l l slRttrnpDRFU ??513?-BeFia-1?1-4Ff11#am R ?. Rt 1 Box 446E ) ,) Rt 2 Box 682A CITY C - SIAI IPCODE PHOrvf NO. D ,y Port Ludlow Z Washington 98 6 4 R 5 37- 24 Quilcene, Washington D9,YER.S 98376 N , UaNENO. STATE one L ( N f N . ATE E% DALE F09t H N WALTFJL616LB Wash M 6 2 ! 39 3 V KIRMADW61 RC Wash 3 ?39 OCCUPATION M 12 . .--'.' MELPNONENO. P 779-9111 EYES MIGNi HEIGHT E CUPATION fIRM NAMFL PHONE NO . EYES WEIGHT MGH Troo er Washington State Pat lb u 1 6 Logger Unem l d I. p oye Br?y 2p 5 '• ? CHECK (?) vFH nEA A O u fMROV[f fANOIHfq ? CHECK (,? y VfHIClF A3 AN FMHOYfF Of ANOTHER. . CODES?+ O ? " r +in '"t t ° 'C - , P ,e % S e e'1 M JeetwN ?n M „ CODES ?* D a A :ssr nl".N1 51x n H A,MDIDRCrcI_ RilR J ni Sf'I iev ? MvMnA ? c.?p' 4 ? aPlr. ? „ iirv vto fPpm ?AyPV,•vKt ?4?U ??li -YEAR M E ?veHC ?N?i O I ro R rt (DODGE{HEV) MOp"p.-NOVA) tiya ZD H FY NV. V) MODFl 0 9i _ I A .N VAI Y (Z ,1, l uth t = '? H ao9 Plymo Fury 4 door E 1960 Chevrolet g ton Picku v ` p LA N. SfAl iRAItER RAIf N. MAZE H VtH.CIXUR NO White SP0617 Wash. ( Lt gree T10 1 A 1?'1 , 3 7 Wash. VENICIE IpEMIfICAT10N NO. . C vEHIC ' v f? ., N IF DFNE f U I R-L 4 1 U18 A l 6' 16 6. , I I! L o 41 z'o I I I I R[G StER[DOWNER: 1/3t FIRST MIDD V Y LE PHONE NO. RFGIStF fDOWNfR: IAdt M fIRSt MIODIF N NO. _ 0 W s in t S e t O Same as driver L\ ADDRESSC[OWNI. A NtR L 42 a in WEE a W sh 8 0 E As above Lp "K NAMELApp4E5SOf INSURANCE CO. 09 AG[NI Ir N AN N Self insured R ' _ None , .? E AMAGED ARU p I N S • r MFAR iM CH•wo IDI%YlCi N- g ?fD CHARGE I DAM•YGf , 5 S ?REMNNtO ?L ` ? OnOw [SI.DAMAGF P yE AW'AFY ?RFMAINED ® D v I 1A '? ,? ' AONtD AWY LY IU _ ? BY' $100.0 6 DIAGRAM OFCOUISION. yawtH DESCRIPTION OPCOEIISION. IVSESUPNE I[ SHEET!EC YI AIII SH If NECr? e . + -/ of. I Vehicle in ' `- #l,* pursuit..of a motorcyc le,_was raveling south on the Clay Banks Road. Vehicl ' - w -, 2 was traveling north on the Clay Banks R d . oa ..... The vehicles ,collided.on_a sharp curve.-. Road_.. is 16, wide at point,of impact._ The lbft front ?i ^ .. . - _ --\ tire of vehicle #2 was 10e.from..east..side _of ro ,,,8 (at impact). I 1 v J - NAME; ADDRESS 8 INJURIES OF PERSONS I NVOLVED + CODES I OCCUPANTS / WITNESSES liouRibD" OEiniA L aa ii ; .. - 4 3 4 5 6 ?' ' • '?' I .A N AMe: y Y sex Au urue i R[SI4. (RR +:¢Y ANUU I N AM1: NATURE W .. NO a. I rNf r ? A.11, ? u1K' ? ? . ? LHix ? 113;.Y C}" J DRIES .. N t d - .... •.. R MOVIO IROM ?-5 ?IOIKI ? O'irt. ? v11T ? n11- N, 1 A D 1 l? f DRII{ / - .- ..... NN TU910f ... N • 21 l -• ' I '1 N ?/ RV IR.AIR ' S ? SADGIW S X % {f ? K AGENCY pfTip 0.K1D13fA1CM0 PO D.NO. u ?W ?I::ryD INIKY+ ?AMS ? 0 H I ICE A.R VED DAIEp RfroRl A D DArI P I PALTif 3,721s AE&6 10-05 8 Nd "M - - L SPi N' .I 4L. 5 •??dY.x'FSa I VEHICLES POSITIONS 13EFORE COLLISION w D.IAHLS Yns a TM RNLr F ON STREET 1.OIIWAY NAM NO 13 ? ?? ? ?M e"[nrr 1 y ". '.Tw ,?? I ;k I: LY LKSU,...KN ? ? ? ? "ONO cnoBLND InoM DIRECTION to DIRECTION I ASR , 41:,Y MDEYTRANw"AvS.G 10 SIOEWALx 4?WAL-AY 30 EL--DER .?c oiiwu• S? WlninwFlY a0OTEFER I puE e?v1 ?. NI1 I.'{, ROAD5UIIM:E WEAINER UQATCODIIION9 ;RAE[1000NIRq. ICIM1-l TYPEOFROAD DRIVERYVEHICLE ACTIONS ""L Jv13T„r ?' ?]' R3S'+ 1N?eLe rHeu YLHCIe a vlHCU IeHta DNe uIIASnN I' y'IJ CLI.A w I T N'J I w [ I+n"flw^n No > r "?,+,. ) A: r n i L 7t a; e 11 AO FAY 1 R" FI 1 DAYLNrt ? 1 0w'ALS Q 1 JON1W*Y 1 GOING $InAIGHTAHEAD I - ? ?J Z RMfarq E DAWN Q 4 QSTOPSIGN ! I- *Al "V Z oVEnrANINGANDPASSING Ii J A ) Sk. MpLYJ {?/yW?y-11 1,,,?b 14 ? .l14 til Y f-Y R u WET S ?6NOWl4l3 D Q DUS% Q l Q YIELD WIN REVERSIBLE 7 ROAD Q 3 ? MAKVIO ROW TURN ' S}v14., L b S1 lJ S IJ SW' L FOG A ? D.WK BTREEI ll ? FLASlINQ RLD A NTERCHMIOE Q P1' y?1 ? LOWSOI ? L QMIXING LEFT TURN ? A ?KE Oh.ERIYI ?EyNNlgHid STRE OFI IIT ILOOP.PAMPI F F I iR) f, .. { ( 1 S ? S ? S Q F49.rvND AuOlq ? 11 ! ? Q ALILr ? S ? MAKING U TURN !',( 7 I ? S ? OM(q I SP[G SRCUr S ? EAR 111.0,13 ? S ? NR aGNAI ? S ? Ll' TURN ? S Q SLOMND 1 '' ' t tl ^J n(+sDn Ton wr s(EwG OrNaln -? y? IraKLMpYVypv wn.crxna lrtr r?OOTNI. ? F ? OTIcfR,FLAGUAN L'"ES ? [ Q STOWITO FOR TRAFFIC L Q Oi FR WECLrr ? STOPPED AT tYONN. xxy 1 ? 1 QLFPMATLD ? S ?ORSTOPDGN ylti_, ? 7 QONOED ? S Q STOIMIDNIIOADWAY J I -.a •uur. v ;OLLISION REPORT - NO. - - _,SION OA E5 vEM MON YOFCOL NE9 WED USION .,TIME 070 WSON.: IN R iW 16. r wUIES AM PM 1 COUNTYNO. CITY NO. ?un ORD ' ? ?• ?" COUNTY. CITY. TOWN [O J .uuli - O µr row fAP :.. CITY. TOVM . ,... .. ,. MILES.", RQ?O _.:. •... lJ OF . ADM CLS, ' PREFI% xwrf Dnsr EE1eoDE SECTION 3. µ., ?? E DAa ON aVENAHF FSI EET,ROAIORHIGHWAY-... MTEPSECTwOWRN;STREETORROAD.... FREEx e 0 rn IEEOSi ¢" NON wTERSECTION LOCATIONOF COWSION fmMP - U?AG?AAI DATA 'I BETWEEN A STREETMD STREET - Nor N © srwrERSfc aRwENr fr NO UNpAMK RMiDOF. o aAOCE r05 - NON xI tER CL INTEfl I E„cfo? EEi0n P0A0 TT??••II AnIaa ?^? iNrfNSECrgN:?WiEE! l'J of C ?? :O. ? N aW6gN wVOLVED ?J-'? vENCLfNENgIE ?vEngLEBgrttE QOLnERIWR ifI ECBJE<! ?vEHCLE rn4N ? ?? SPEC.000EI?E E6 /?. Of Vfr,q - 0 11KOEV.. r]r,ON CDWeDN ?ni RUN • OWECTSTRUCK ... INAMEDf DWECTS OWNEROFOBIECTSNAMEMDADDRESS LOCAT IN ROA I`i :.. ION nEDnAOe E [v EDDOSei DWAY ?yQw? _ .. FEET p. - I e . . f MGIE MA N d: 13 OR IN a m R? ',•, DRIVERS LAST NAME ... ... 1-TNAME .: ..MIDDLE 7,vALT s giB, Tom L, wfRE wva rWq .vEo w G%M6Ew in9 DR : FWST NAME •:, N,U_:. DRIVER!ZIT NAME. .. ?n6A1 c. QoAc?Au? u? • :' •+? ,D STREE OORE$5 ROUTENO.MDBO%NO... - MORE I—- Pfn6CNS WERE ` .ROIJ(E NO;M0p0%NO:. STRE ?RE35 / ET/@'? ? J ?J ] A ? ? •TR? WVRED U6EA ' ( \ l , G ? G? 1!/Q I -? CITY ??/ /A1 G STATE 21P COO ? - DRIK OCCUPA ON - cO USCN EPaRIf CITY. STATE VE 2IP CLJDE. 1 DRNERS OCCUPATION. 4 mss I -`",J V'?'' '• WA - ' U I L` L l * 511 DATE OF aRTH AGE DnwERS IJCENSENUMBEfl. '"', . pRIVERSUCENSENUMBEfl - STATE SE% DATE OF BIRTH ME 1 WALT?7-La( Lb *A. 8" - I>vtBAoou 6(32 cvA L o3 " L(1 Sy VE E LE11.. MANpICHEV.•000GEI MODECTyOVA•OMTI... BODY YLEI2 OR1-..- _7 L 8 " L( ( VEH?DYR_ MAN ErCHEVV.•DOWEI; MO( N AAMT'; .- 0ODYSTYLE(2DR.) S I ' I/1=1H T T , . • nNLERPLATENO, , SITE_. 7 ...STATE T Ji'SE i O. TE TRAILER-TT ENO...:: STATE ST A UCENSEPLATENO.. . TI031' -w i - ' VENT EIDE TIRCATIONNO. .. (19GBM LSSNEWERI.., ODOMETER(MILEAOEI VEHICLEIDENTIFICATIONNO,-. IISGB MODELS& NEWER),,:.. OOMETER (MILEAGE) ,' L I U 8 AM -7 5065 I12oR 00 154 .. --' - _. REGISTERE00WNER ,(LAST-FIRST MIDDLE NAME) :..;. DRIVERSUCENSENO. .. - - REGISTEREDOVMER )LAST-FIPST-MIDDLENAMEI .. DRIVERSUCENBENO. . v ^ \ ' I d OWNERS ADDRESS . IST EE ,CITYA STATE) , ,..;.. OATEOF SflT F OWNERS MORE53 .... I .... _. (9TflEET,CRT AN STATE) _ ., .. TE OF BIRTH , P-OF V? L D .. .:... _. .: :.. Sr6RMArEacosN r. PMTSOFL AM GEO . SlonrnATtowsr - % LIABILITY INSURANCE INFORMATION-VEHICLE NO. 1- COVEF?aeu+e r?icTBFOH THIS ?ccRSENi _OUR CM YES ?NO NAME AND ADDRESS OF UABIUTY wSURMCE POLICY HOLDER NAME OF UABIUTY INSURMCECOM MY .... .. . NMLf ADDn[ L v/j IE . • NAME ANDADME590FUMNTY INSURANCE AGENT Gtr erME UABIUTY POLICY NUMBER - • ' 1STWJURV ME AIEnff011ifdiADdrq INJURiE61 - U 6E6E PM 2NOINJUflY: I ME NAME OAJ?. .. T ? 1 ?I Ia PEO NAME JON L- ... , ADDRESS _ . SEX E ADDRESS N 1-14. U SEX 1 OOC Ong A [ IOnf © 4xx 1 x.LME F.A4J qN DYAMECIOn• I dk' Auf ®? N 9tATUSOF WJUREO O INKNN;IE O NGE n gllEO MMKFPIST ? q ?I1 CNETIUITMPUE NOV d6Ae1 Iuwpr I 9 POBbo [OU+1 no STATUS OF INJURED. ? INVEHgIE OPE DIUD 9 ER NO ,1??,?yL (/ MMN flR5T ONE THATMPUE NDN UU9 gawa IMw0111 9 PD LE IIf Iw[tCl O p ... LLLJJJ B? 7? ?..r :µ ? 50 50 7? ; L STOW NOn111WMROW wGRCLE YmOMfaN RUYa JmM \ i WNANINN10 -.N,, _NZ AwUe In.IMNEDit ',, a5 ,EK,n awM]gn ?:? ??; N elntrr oR Nc, DR N wBLR6 DESCRIBE BELOW MAT NMPENED.(nEFER TO YEHKLE9 BY NUMBS ) - I --WASt}1 L7&MA) 74?E.?AT/LDL -.T1cHlec,r uex. u_ Pu RSU Run?Jt, 1, a? ? A L S .! >WMnrRtACn ;KLf M40?wbtlW I o-neclfwof IN -, -?? Q?-- . ._ fern o c ie .. t?k0K- ... -yIA 2c? .- . -. __. - _ ___" =.,t?07?0 ?kZ?PJeat 'i,vl.. Le( °1-rlE ? n r RA `MD (AT i_- `R9 ?7D?f }}f7 7tiE f A,5b EMt? T- 1a `(N E 1 Cc }fT-EDIE-O? AG?Ak Tt 1o2e-CFAs Jc o A i `fit - 5C+r IL' y v ?'' I ?'?'' y?i IS i r> D _.[v tA7?i_ to?.pG?Er_ = 1 7-1 Vk 71e-•-f?- 'E1? - -?'-..G?D?d.7E?.C._.._.... 'T 1.+`"L?•--` . ? :. I I C ? . ?, ? I t' 1 s p p -?/? ?riid?7y?b,?l f •,/ ? l?Y/N f / I_ CL? - T ?/` ?J`-- I'-'- 1 •?C! ` M A +I>? q ?' T F VEHICLES POSITIONS BEFORE COLLISION NO or ARee veNClt fNC M w INVESTIGATED BY few 4Lr Ir. Mr fLL v[NCLtA[D 't0 KIIICIE dI BIREET NOHWAY NAM OR Aq p40" S Ltat/ Ie r to w ? ::ina ? i „ r(5+*1 `:' , ? ? ? It RRAR "° rN° " ?ot1 3 ? Yf T ? ? ? ? ?e ?? W ? ? ? ? 4. Bra cnoM.a mom DIRECTION. -TD DIRECTION 1 r/S (IJ (. ' `[pES11YAN WA] USNO 1 ? SfKW ALN 20 WALKWAY 2 ? baULMn . ? Y•,%wuf D ? c'i=f w4f e Q OrHEn rgADA05L1RrACe WCAIr[n LJfYrtcdJarIDNS rnAIFICCONTIiDI IcucK O•.u IYP a1MnlEHICIE ACTWIES O/ROM FA Of r M1 { Y W,j '4 ` c? ?, ?) 1 IP ?S'jl A i ` 7 c .u.w Icnfcu?. ae vfxcLe Ic ,t fa1nNH E ttIM MJ M1 bf W 1 MVI N02 1 Ovl'iC ?? 1 OAriOHT Q 1 ?SoNks ? 1 ONE WAY 1 GOING OlAl-TNIEAD ? I ? CA, 7 r1AUEW0 E DAWN Q 2 ? StOP SIGN I TWO WAY QI 1 OKRTANUa AND PA9S110 1 +? l`?• 2 T 10.. ] Q DUSK Q 2 ? IIILDe D HOM SIDLE C-] 0 ? MANWO FIX1117 TURN 2 ?]WE N OW DARKStRCLT , '#1 t. 1 I . ROF ? % ?MAKING LEFT TURN %?!? %?LONTS ON C] t ?FLASIM RED ? . C] L VLNAMI l q l L ` " A oOO I )/OnET ? S C) "A9Nw0 AM/!R ? S Q ALLEY ? S C] MANwO U U TURN 13 t ? / ? O S ? IO • l N [J EGfYI OMlR ? S C3 SN-Y S ? DMK NO ? S Q M bS14 Q S ? TWO WAY. ? S Q Sl0VNE0 C3 OR IR M'[CIFY ? I ? ^ ? 910M•[0 AT SIGNAL ?• l zi i xP? Ir 4' 1 Y 1 ]IRElT LIGHTS )EFT "N 1, ! nCASpH IOgIQt E!(wOONgfR ?OtKR ? ? h fi ?, ARIYLnfe vHON MtA.O NR t el [ WL?, 5 R I O fq[nrtlAOMAN LN [9 ? i ? STOWED FOR TRAFFIC {L ?I 1 \ ! J ? ? ]EnMAreO OR]lorrxw vYp[D ? ] ? ]rororowROADWAY w v ?1 t" ? 1 ''' 71? as J 1'y L I,t II r ',` Or. n ? f'? 4 y ? n'a{fJ.CG ' ,? 'S" r x t? { fir! f C ti?ax,p ?,? t ? ' i a y t:: L } i 1 F 'i N ,41 ., O a a 4J m c es ? ' ?` 0 +o u v p,t 41 al ..4 ?; I y. rrr ? ? ? ? Y ? ti ?'4r d i i1Y t ? ^ { ?f 5Q , p ? ??f+F r? {? ^Vit, .a kN s rY? ?I • , .`? w+,` 9v,' ?p z. 'OAIEOFCOLUSM w - D zv An V 9 AY OFCOL D 9 USION : NAEOFCOUSWN R yr COUNt O Gi C y - T I n /? • U PM !?? >? { +.Ti• t t oT?? 5 W ¢ .•fA1JNTY '. ...?., CTY, TO .'. - 0 ?? M E i ' ML^E9'. ?m J-..... CDY,TOVM ...`... .. AD CL9 PPEFypE (y l I FOOT pT• EE, COOL} Y SECTION F ? M , tT. ©® OF C.( ?.. {.f"{ Y,T1 rRI??TC '... f nOie DN .. IVE NAMEOFSTREET,fiOM ORMIONWAY .'_..WTEgSECTWOwTIH; STREET OR ROAD, .r PgEF% EO MLEPOSE 4 OCCWPE D • '.'. ,?1?,..,. L`T' }t-??V' ti•?.i:.h )? P: Y"SS Y15S? NON INTERSECTION LOCATION OF COLLISION RA••}}M??yy{{,,ll \ OIAWAM DATA.. '$,I T Y " `I l K ( DEtVlEE11 STREET MO STREET W ? j I•[ if A.-^" :Y( §1nX't?,. ftf P N01 wA ®LJ `mil P.i[nOMCF'miwwPMLECOSrORmENivvuq lu•10?+.?w•tlfRexmOe. NON. XRD . r E[TORnwD Ct "' w,[naCCIOx' INTER . WT ER CLS ' FN Crbes PtETONAO OttL150N wvpvfO I ` CLEVE.- ?YEHCLE-0. ?OrHEAIw 1FI R I? DFVEr,GlF9 ?I SPEC.000E tGE. Y, 1 y ? OvfHKIl PEOF9TPoAN ONpvGOLD9UR OInrPUH 4,::r h .. F:.s1 OBJECTSTRUCK .. INA4E CFmERSrPYt ., .:,OWNER OFOBJECTSNAMEAROADORF59 LOCAT IN ROAO ' ION WAY?.., 0 TOPlvMi%W r fEET lOOI • .... -e_IASTNMAE ... ... RHSTNAME .: .,.'::. ,;, MIpOLE F MOPE 1HAN TWO CAns NfPE C ED • • . . - DRIVE RS LAST NAME FIRST NAME .. NICOLE _ / STREETADORESS .- VONE,RAn Tm SrREETADDRESS ; RWiE NO.ANDBO%NO •? E.7 / / P?sOH111E IIAE.L.A . c i ,I C. . SJ' v ELM 5 T C' GT - STATE -,, LPCOOE dL v cK iY7s/, . [MtrvEP9- 000UFAtION , o ^, 57 SLFAF- m510FI E Pw110F. CITY, -„ ...,: .. STATE ..,.,.D DE ? OA' DRIVE OCCUPATION ORIVERSLICENSENFJMBEq ?.?;. .,_ STATE SEX, ;, DATE TH E DRIVE119 NSE NUMfIE STATE DATE OF BIRTH ACE SEX W R_ -R 7 I 6Q5-bG MD ?? ?F? U! `` F W D AY p s?vJ VEHICLE YR•. MANEI EV.-00DOE1-. MOpELINOVA-0 RTI'.i WOYSTYLEI 23 I C. 20R.1. VENMAEVR. MMEICHEV:D000E). MOMLINOVA-0ART),.:. SOOYSTYLEL2DFL1??,<. 7,? Z5 LICENSE PIATEMQ•} :,.:,:STATE,.,,;;y :,I:aTPAILEf1fUTE NO?? -' St _TE:,:r -, LICENSE PIATENQ <•,S ATE. .: •'a.TPANFA PIATE ::•r ATE s/ Wash _ _ ,S` G i'As oN ? VENICLEIDERTIFICATMXLHQ.'.: ,V y. I1Bea MOCGISd EWEPI_t'::; OOOMElEfl IMILEADE) VEHICLE IOENRFIG1gNN0 .-., ,11988 MODELSe NEWERI.:OOMETEq IM%EAGEI T L s?oa _ ...•,IL•?4T RE STEPEDOWNER _F01Sf?MIDpLENAMEI,: RO „?„.., p - REGARTEREDOYMFA.?.;',: ILA9TFIRSf•MIOOLE NAMEI . .IXiIVEfiSUCEN3EN0.,. r- VV.//V 0Di H b OvmER9A0011E53. a15'TPtEET CR'(ARDSTA EI h' - S' OATEOFFYRDI.r ,. + OWNERSADORES9, ISTREMCRYANOSTATE) .G4TEOF&RTH ? Ydw}t7LQC MD D. M PMTS HICLE ACED:' „f_:r„ .Yba• •..a :. ? n... 4CYr PMTSOFVEHICIE DNAAOED ,.. 0psr . r?r?' Eslw rf0W& LIABILITY INSURANCE INFORhIAT10N-VEHICLE NO. 1- WASTHENECOVERACEWAUTOMEFFECTO&LEFORUASITHISUTYWACCIOERSORTMCE ON YOUR CM ? YES ? NO NAAIEMDADDRES3OFUASt1YWSU LILY HOLDER AM .:.r::.-: ?••-".. .... ',.. ;c- '. ;. '.. NEDFUASIU r?0e . Aoonfss // °`Y ?(JCJC 3J'_? - uE.tl.1^'V NAME DAOONESSO WSURM AGENT.;',' _ DrY' ...L. • -.: .: cr,,; U RILITY POIICYN MSER ..:. ?.,. .. PZ1.? S`IB' c u? (cs Pl8 sd % ?- 13TWJURY.:?:..?.:'Y,. 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AY FEET ?© Vic! r0 EPUnaa1 Ci I J + MORE ixNI E ORIVERB LASTNAME iIR9T NAME MIDDLE ?c?+ Ea NvEO OPIVER91A9T NAME FWSTNAME WORE ' U? L APY Px u/h /E E GDM=,_ U DD v?J'N SIREETADORE59 ROUTENO.ANDBOKNO. 550 L/?J ST, 0. ,•a;( 24 E-- NIB6"IOU": STREETAOQRE ROUTENO.ANO BO%NO: B6x 1i7 M,'rr ir',;,- GTV STATE LPCOOE -ERSOCCUPAMN - ;• % `'(?'FL .ice:. ?i?% F6'ca ATE EPO?RiFDRM 0", STATE. IWCOOE MNFRS OCCUPATNIN , >?p.C•?cir ?.vAsW . CRiY[0.9 L1CENSENUMBEq. .._.._.. STATE 9E% DATEOFW AGE' a. OfdVFA9UCEN9ENUMBER STATE 'Ex . DATEOFBIRM.., AOE , vEH I,EYP. MA (CNEV.-0000EI..- MOOFI.IN?YA% TI .'.. BODY SrYLE(2 OR.) /a 7? st/r ' % VEMICLE,YR.: M.ULEIG1EV: pODGE1 MOOELINOVA.DARn _:. BODYSTYLEIRDRj-. c•er r1 cp" e %$ GMC P. U. 2 DR LKENEEPUTENO... STATE STATE;, ,4CENSEPUTENQ.. :: STATE: ,TflNLEH PUTE N0. STATE tNN .57ti O!?F .. . ... ,..,. ::. ? ?:; X N 79st WASH VEHICLE IDENTIFICATgN N0.- „-...;,IIB6BMODELS6 NEWEAI ',',,. OOOMETFA IMILEAOE) VENILLEOENRFK:AttONNO,..::,_,;. (IOBBMOOFLS6 NElYERI ETER.IMKEAG P qn H25rD0$ / . ?/ . REG14fO1E00WNEA.,:'„?(LA.4TflR,9T{AYALENAAIEI} ;'„:.,:ORNER9lJCENSENO. ....?;, flEGISTEREDOWNEP i';.?. ILA31'_FIRST-MIOOIENNAEI-. .:: '-. ...::_: DWVERSl1CEN9EN0 ?wY y: us ns• ;mPeR eoNr / /S3 E' , ADZU" DD P7,VdO, O'.Yn1ER9AppRESS ET.CRYANOSTATEI :?r,,; -.:.•? ..';.DATED FBIRTN ...? 5d Lm ST 1 T fJNC? Ft 02 ?7 Sr '`s OWNEPSADOflESS ?;,; ". :.N;;n:19TREEl,CT•A[IOSTATE) .....::...: ._OATEOF.&RTN:w a O. 0 /17 h]AJS (IIFrr, BAyf?s. "° OY YE ESRN,rEOf_ PAPfSOF VEHKY.EDAMAOro .:-.w..:.i ..:1 :,::: I. `OA3F ?}:`'-?' LC T i(tPK De-.? •t cAlOeP. ?.•fa(r T"-*FFVEHX:LE Le T 1?eJ+? , s o LIABILITY INSURANCE INFORMATION•VEHICLE NO. 1 WASTMERE AWOMOBILEUAEILITYWSUPANCE • OOVERAGEWEFFECTFOR-SACODENTCNYOURCAR YES ?NO f_A nAMEINDADOgESSOFUA&UTY WSURANCE POLICY IIOLOE ... ?'.:.? .t' ....:.:NN.IEOFLIABIII{•(.WBUgHICECOMPIIlY DwNea Rp 0" . E 905. ;n?geR ??dr !lr f1n/e? ? ?, ORE. qu 0 rNs• co ? A NAMEAFIOADOgE9SOFlMRUTY WSURMICE AGENT, ,?.., ,,:.. _ y .^. ua t c?G (ul .? r 503? n Eo-.v R9'8• ,L S- 5 Lsr WrAnr .:.:.. . R L.•;,•:L '. T......J: r.. ... NAME W - __-•_--- iaE tO,K wnnEO 2NDIruuRV, '?.:f;.-.i IUUSev ePaarroaAaaaGN.LWanfsl - ...,,u:_i„ NAME LX?E.i . ADDRESS ,,,, F ADDRESS O ? ' ` m A aw ® I- awE DDCrons i°,"M"w I,"rElwlaeTAlncTDm ®®' N-A ?S 1190F WJlw VENIRE Ix AAKI-TGNER1ATARRr ES _. NWW?,a "O ? AbtNOFa WLIEO 13FKa11 P.wOa a r O M SrATW OF W11NiE0 ". .. .: ,.n.'-A eKM3TONET,UrAPPUE9.. •L3 AES%NOFA VEHK7E. KILLED 1- WR w N ;m ol P , EIDI ?KOE _ 1 1l C AW I p An OF PI.E.) ? nwnnE.ix .,1 ? 50 ep 70 ? rIFR wFriEiN ? 6080 7? SNOW NORTH BY AAPOW MGRCLE WDK,?eaNK.6?AM1 :.: O ?E,Ne TU IR.;ari;l' a ., ,;DE9GIIBEBELOW WHAT KiAPPENED:(PEfEq TO VEIIIRE98YM1MSERI:^':5;., MI M f? .Z_W R NS ? i VJ??-?G /I ?C?L° ? / tL•?.D_t%D_D? 1Nq V .s sd? F w IE`. fIEN WNaE ..o EIaW f?J_e?J.eT_Ot?/ ?o.R Ne.? 1Ce A; c 4 -' { .8-1 1C1 _120-.A'r-c,f ----_??---- _ • ?/i_C1"L'7_?iiC21_W?S nuT ? '- %• Y ca!?s.R_at?_--5.'_Q?SruL??Q_ICe.?i:e? VEHICLES POSITIONS OEFORE COLLISION ND aLAWb KRCU vaNtle rr,AFmw,a WVESTIDATEO DY LtONIVSM LTOALLY rARlaO vtMCll OCC t Y[mCIE N 6 F W ON 9IRFFiMNONWAY NAME 011M . V O A. Fa KS b lS NO KS M) ? IROL ?iglE! •? ITt1p • 4 • .. .. ..: .:.? O ... ._ . 0.-1 ICOI"IIC[ ?j gfMq ? Y-F ? ? 0 O O Q O O r ? ? ? ? u.aa cACeb"D .. .. ,FITOM DIRECTION To:- DIRECTIONS PEDL9rRMN WAS V:ANO 1?•JOEw.. 20 ...WAY D?91q .. K?=.. so.-.,. / a OTHER „OAD&-ACC KWCabAI ` M `! w6ATI R M LONFCONWIMS TRA/F,000NTROL K-- vHtlL NO I t TYPEOFROAD WNG! IMSc. d1 W Wr,l b DRNERIV[NICLE ACTK7NS aW;UI ICNIGKOM 01 ?1 i1 ' ?[ ( W Q I Qa I??NK?? I?OArIIONt ? I ? SMTN,LS I ? 1 o OLK WAY ' F%, ? t1Lil 1 ?Op,NI eTRAIOHT ANCAD "•• 'o RA•rNO T ? DAWN OICN ? t ? STOP ?F] J rvlo WAY ? ? 9 MFRTAKWOANOPAMWO ? 2 0w11 ?3 ?NOW 7 ?fWOFWNO S ? OusK ET ? O ? WELDSIQ•1 ? D ? roAU 9ME ROAD ? ] ? MAKWORKINTTUPN ? L?Y00 O K ?LOW304 ' T ? . ? /IA:AmK1RlD ? C11AHGC ? 1 ? ! MAKe1o LEFT TURN oTwfA s ?' 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PREFIX ROWEORSTREETCOOE SECTION a t+Yf- ?OTHEA(SPEGFY) ul 3 ?rc?vaTc- L N S E W ?IN GTY O"To- W PREFIX EO. MILEPOST ? ?' F pM R S LL C MILES E03 A O'Y NANEENO.OFSTREET?fl HIGHWAY 1 INTERSECTING WITH: BTREETORROAO O MAIP DIAGRAM DATA T NONWfEIiSECiION fly +-- ACCIDENT IN Efl NON %RU NTERSECTINO SRIE HOAOORREF- D MILEAGE INTER CLS.EfIF??ROAS SOEETOR ROAD N BETWEEN STREETARD , STREET CODE -Y FEE MILES N S E W ' f / ^ .. TOTALNO. I?-1 VEHICLE-0BJECT ?VEHICLE-RRTRAIN ?STOLEN VEHICLE NO.IWURED OWECT SiflUCNINAME OFODIECT 6TflUCKANDOWNERS NAME) ,. LOCATION OF OBIECTSTRNCN9 E Yl EST.DAMAGE ?POADWAY FEET ? ?? ? RO. EDGE 5 DRIVERS NAME{A4T .; .:; ._ FIRST MIDDLE DRNERSNAME-ATFIRTMIDDLE(IFB:CYCUSr OH PEDESTRIAN CHECK) D .D .. D. ~ r?Y , o.. R ST ADDRESS :, R IEEi MDRE DE ; CITY„. ..- - ..STATE ZIP CODE. PHONE NO. EE CY ZIP COOS PHGNE NO. s c?, 8., -??-ks N OIWEfl3lIC NO. • STATE SE% DATE O ewrN N DRNERS LICENSE NO. ..: STATE SEX DATE OF BIRTH 1 I ORNENSOCCUVATKIN. FWM NMIE - _-_ PHON NO. 2 ORIVERSOCL POTION-., RRMNAME \ ?U L2'.p -C PHONENO. ? `e - u a -c•? Cv ?`c' NATURED NATURE ., My DN BY' Vu4 E TO OM S OS - FROM SCENE ITY: TO , E,. VEIL ,,: l1C. PUTE NO. SATE T LEq FIAT STATE E V'H.CGLOR:UC.PLATENOj STATE TRMLEfl PLATE NO. STATE - QQ ?? YR T SUrv 1 I' 2 r ] WE , INUP 5 FRI B SAT ( 5 .2Tj'?jl 1 )- - L At I RA L OLNIANCE DWECTN)N FROM HEFERENCEORCROSS STRE T OF EiHS SPECIALCODING USE COLLISION INVOLVED: VEMICIENEHICIE ?VEHICLEDICYCLE ?OTHER(WRITE) ?HIT&RUN SEVERfIY NO. KILLED OF VENIClE31 /C I ?yEHICLE-PEDESTRIAN ?NON-COLLISION ? HAZARDOUS MATERIAL PROPERTY DAMAGE ONLY la. 7"1463c] . D. M . O. ? p L !? . Y [Dl V4 , d C DES > ]I ?lA•4 KI SEAT BELT sl FJECNON CODES > ]I CLA9,R -, SEAT-, SI EJECTION VMURIES LC 1-: eC INJUn1ES VERYEAR. MAJ(EI-ECHEV.). MODEL DART?NOVA)... STYLEI2DR•GOR VEH.YEAR MAKEIDODGECHEV.I MODEIiDARi NOVA) STYLE120H.-CONVI -, 'i -?.. Sa \(G h . i H V L 2 J Lv H ?U 6 lAr { (•• k M Ni A?jN MBER ., .,.• .;/; METER - .. 1 ' 5/07 6 ! (7 (•• VEHICLE 10 NRFICATI N NUMD .: :. ? b0 ? OOOME ER ? " E :J OD E (LS YYY NEGBTEflED R-LADi ,.. ..? .,. '-T ,„. .: :.. MIDpLE REGISTERED OWNE - .. ,.F R97, , ;- MIDDLE U S . J . 0.b (Z O. ' ADDRE89. OWNF.fl : -:." .. ...... .... ... .... , :.. ...:... AIDIESS OF OWNER ..... : :.... .,,-;. .. ... ...,. , ..; , . . -:. . J . . .: . , . NAM AHDP?DPE99 E ADEN NAME ANO ADORE390F WSURANCECO. OR AGENT ~ I CI GfA N ENF ORCEME NT .. C CI NN . ... ACTION I A/b? ?X - - - NAME ADDRESS & INJURIES OF PERSONS INVOLVED OOF. C 9 I - 3 ] A 5 I . sEx AGE sTA TUB N uecr. ? L. NAME: L 5 C ADGnEss 4' U P NA Ufl F -.Fs' N OVEDFnOM sCF.MNE OT o [ T ` NAME. I '.NR I /N • N FI , n N ADDRESS ? M J I W N I HJU IFK' AME. ftCFNF R ' TO 1 t 3 A pplfO- 1 1 N rR ervr:'? rIM ?a r n'I,`'u Y<+ I E mn ly .. ft?rN Y TG 1 T ,? S'• f r, Is N AME "T -11 a I g. ". ,tibltn SerNea n?? To II ISTgIU9 i21 Sf.Al l'D'J1gN AND l:Dl)r• IT rl•INAf CLASS N:LAI1111.1 :I EJLCIKri { .. 9 1 C D 5 N 2. rAVCwnrn PLIX 6buAN n-i ii inl NIIM S4 T ? TL?itlEnlrovIK1N- i-, I BE J/ ffill MC ICY C Clfl p , ttYG[NE ]P90-.S-AL 1 l' MJSNIA nNa NO fIEnaf1,1-ull, 105511 F URY 2 OTIN ,tLiO ] N."OWN U jTOin NALIOfJ[cYrnTEcin rn a A i Int1l-0\Y 4r 1 ? 1J(``1 'D'I 1A? .. _ A FOSI NY WIIV U S ALAI IWLI fALURF [l1C110 ?? 1 }! 'I F '. h.iyyY i t?T(tA. .?/ ,44r 4.C r Ii^1F .f ? - M } 4 I LI L Y I t -, ` y r l r ' i ,??T I ? ? •? l rl 1 !, i e? ll 1 Y - ? ?f Nl?.Py . i 4 ? M I j yy r1 i i - - } ? P 1.; f T+ • s.p P-- ,k:.m - ?: YY,SeA vSaFnart ?: - . m5A13o- - ?'? i4'v „A - s.- ar -sue . M1ieM ie)iQ•:c$ VEHICLEDAMAGE I.INEACH U0%, CIRCLE THE NUMBER OF EACHDAMAGEDAREA EAAMPLE4 INSTRUCTIONS: 3. DRAW ARROWIS) TO SHO YPR NCIPM, DIRECTION OF FORCE. DAMAGED VEHICLE NO.1 IUSE THIS SPACE FOR SKETCHING DAMAGE IOTMIIERS,MOTORCYCLES,ETC.) DAMAGED VEHICLE N0.2 13, INPC 1J.IboE ?`?" 14. ROOl 1{.ibaf RONr rJ l? r?la- ?y Is-- rS. Trunk F.-'r"! 1 -" Fwp 15. Trunk L T IO. UnJwcerrlana 18. UrtlNCarb3a - Ix.aNwn .-?. IT.aNtu<n SEVENTY FDAMAGE: YEHIGLENO.)?,,..JJ EEVERI]YOFDAMADE: (DTHEq VEH;CLEj SEVENTYOFDAMAGE: VENICLEN0.2 II]OISABLINGDAMAGE 3LJOTHERMV.DAMAOE I0 DISABUND DAMgOE 300THEq M. V. DAMAGE IQOISABUNOOAMAGE JEJ OTHER M.V. DAMAGE 2 FUNCGONAL DAMAGE { NOOAMAGE 2 FUNCTIONAL DAMAGE 4 NODMAAGE 2 FUNCTIONALDAMAGE { NODAMAGE TO'NEU BY (? EST. DAMAGE TOWED BY EST. DAMAGE BEY U EST. DAMAGE TO SI)VOU TO S TO S?pf71 DIAGRAM OF COLLISION 4 I I I i I I ) DRAW ARROW SHOWING NOR ROAA THIN CIRCLE -AY A RDwr NiATURes _f I _ .. I I?__ pp Feci ccaorrRaswROAUwAr !.~ L- ?..-.T r 1 ?J I r Q 1_?" I -f TTi_7 [2s uW' =MP.DDRDNgM 2 , PROnAB eED RDF IT' DEC SIT T. •.t ._AN fORE V Ip AW AFIERCOWSKN . I _?.'?-_r-V.e ? ?1:- ? _I? ?I-LI IES1'lP n ¢ I DESCRIPTION-OF ONOICATE WHAT PROBABLY HAPPENED BEFORE, DURING AND AFTERTHE CPASH. INCWDEINFORMATIONIN ONDIAORALI,EG.DRNER CO LISION rl?;' - p, tn4'? gSABIUTY,REWCEO VI9IBIUT'6PEDESTRLWCLOIHBXiCOLOKCONSIRUCTONORREPAWWOWLETC.) ' (Ras_ Lu.o? os e- tA-p 414, Y, ?-L v 3'sR'a.Ace o: oi, O ae vot uc u le $L2WezTC?CO wq' B ?.J1'.I. .1i1'.:!'.'Y?S.-3 IREDILINE9 SPEE ('AI.LY WASVEH VEH KEO 11 i- HEADED 'MILE POST0 ON STREET OR HIGNWAYNAMEOR NO LE Pm • PADUFy OCCU%FD 0x/. PICRIAsm OECR(E?ASINO ? ? "? ? / I(?7 ;L?.J K? W ? _?'...L ow" s ~¢? ` ?? Imrr :?(_ YFe NO YES! NO -- ?l I , L-1 P_ - >mTn Mllorrw MEDOINEn O E >IETOwJ -h$t FEB. _ ?-I d1 I?^ (?7 F1101A _ PEO/BICYCLIST WA9 USW0: ?AUt ?_I-- - I ISHWInEq ? 51 ICkimSSw'?TO el IoK'?•Ipute ODER :? ? - Tu ROAD 6UAFACE • ;r.,,3VEATHER r,; C? QNTRIEll NO CIRRCIUUMSTANCES „p t-+a:wk?' ?:,•: M ACrww..-. ,?•?: rc Eck oAn Ir>rcc akD . I 1 ?I '. - tNO\o.cu' ?'"En uam i'? _ 1 r - ? IL7 Id •, n> fq. 1 IiO Rx NG i r ?. •+ r MAIErNCw (-I_ ?J dw mA ,.[?_ DKeW _C7'J_, 0 D>ELr O ?[I OOREG ` ?T uroEnwwEHCeen-- ovEneNREnrnAAExrLr sw.vn »n A ,:,. :. -xV7_ rrtr -.E]- _ ? 0 wum ? Q ?'? walrtTlsN y r t ?>r?__mrow . ' tt ?1 uwlrmArt-o_ f 10? roawALro ?s?nvNNw ?e? ?.Ot 3 -U- n l Ke ?? ;D?eNOVnHO ?. dt,EdMRAS LL-'?rl, '-wtlPe -MEO • µ L. -II r f. . J - V-L.1 D RIW _ • aouo mISPEUM moaEO ron 0. ?_ ?' 02-1-9" ? I O TAM_ LIGHTCONDITIONS -TRAFRC CONTROL RHicut _TYPEOFROAD,. -VEHICLE CONDITION.e; :•.;., SOBRIETY;.. ?°? ,mo oA esoruL KHeek oNel _L : velEeu W a rcMC BNe on ArOnEI i NO ,ekw voxui Krreui oriq •?`••• v ?1 [_??->Kr1A1D_ c/?1,`?, h! F IGprtn ICT. 1N0.x ?•? a ?rN 3 . ? POSY` OLD- ?"J71 Nr•?o _ ?lo? Iwncm?Am ;Nr x DA- ' ._.I > t >I ' Pe Ne ?,'` ?AOWM> 1q ED II mNfR10 /.bY ?'N j M I.. p1yl I ... I J I I 1 ° r 7 -d of crm somas HABIUR'RAG ?..11 w.nuoNrs. _ ?.. [-I ?U? TRUFK n ow smn tom. t .. .. rNESwor+I- `, - rioi : ucwrsa a e 1. ADE 1 "_.? oAeWOm ?eX? KENrxsrAlwO Isr- eAClvlo 1. f-1 \ 1 `""• J w na at • vMONy .?/- j ?? Rr^EO I CHEM. TEST D • MAW b KNU OrA`I I - >rnlft LOHti I -AN • •, a DrrMlMGrI n, M O !'?_ 4?? ,.. 1.. i[>rOMN t_.1 lJ OINUIINeCVrI E II 1 K !` ?I NP ....1 .......... ........ ... 1 s x o-wEO I I I rzmnwsxo ? p _'?"? r u I,= > yo onrtnlEncrYj % % TEST RESUL78 2 1 r r i? s ,: Y, t..li.n'w ? 7n'? (,?/? eT ? ) 1 K rA rx 1 urweU ? e rwr pRav ??,h,y?{??? k', '_ _ Nvu • ul..an ND[IlW Urn onosraur. DOEOI rr1PoAr Arnloveos ogre( ?' T 4n Ii d3111PUTgN 011YLNALCOPY SLW fOW ASIINGTONSYATEPATAOL-OLY MPIA W-NDIONOA50A ..1 f' dm\IC IEC(MY.IOCALUWENFgICEMENTAGFWY3COPY-TRPUCATECdrY NVESIIOAfORSCOPY -f r } r s ( I r t ?! , ? ,s i?? ? l I 7 Iir?f C., i? itl NCI • ?er 'Al ? - r 1. . -?.?. ...w..nN«?. .L ..r.,.,.. rr?..4??,? ..n.. ?. k ...,?a.. ?Y.....- ,. .,a?..a_.s..._.11 r... . , BKx 4 51'11 r s: nl1?IG?`f"U?117c.,?"?'LI'4e?it?LC2?"vL:LwlItt'?c?;< ` `?¢^r??`?` -_ GATE OF COLLISION DA F NO Y o ` YEAR 3 COUNT CITY. TOWN O CO xl LLISION T"' OF COLLISION nu rnl .0.. • .MINUTES AM , ? PM MILES COUNTY O N N CITY NO. ? U L - s JEF A^sun/ CITY. TOWN BR< B iE OK B HEFT ?BBe eGTI OF CdAao - GIVE NAME OF ST REET• ROAD OR HIGHWAY INTERSECTING WITHC STREET OR ROAD ?l /' 'NON INTE 8 CTION•LOCATION OF COLLISIONG BETWEE /?P/CG.•!7 i?-T ri•DS C$TREET A- NOS STREET r PREFIX ED MILEPOST RAMP DIAGRAM DATA . N 5 E W .......... n .... ..... l x? irri.. • Bxioc[. e ts I R T w T B~ c . Bv[xcxc[o cnosa srwaaT Ox won ?O[ i ? C.?TiP/FNak ['R f ?rc'aP.b$U?.C A?' . [nlcvc olcvca[ vc v[ ? or Iwni c / SPEC. COO. USE rn[ x ?. TO Q aer Nics[oa. nits r (?.+ ' [ nnix \ or v[xlcsra ? vaxicscv[O[srninrv ? rvoxcouisioN ? xir.nurv '•" OBJECT STRUCK I MF OF OB.EOT ST... OWNER OF OBJECTS NAME A,ND ADDRESG LOCATION .... N 5 E [sr?xnr[B COai RE N ROADWAY ro w[rMx onl[cr r1 DRIVERS LAST. NAME FIRST N , .. AME. ... MIDDLE rxn.-ro (DRIVERS LAST NAME ... FIRST NAME .. MIDDLE ?? Gf 6 r? O STREET ADDRES of R S R UTE NO. AND BOX NO. TREET ADDRESS: ROUTE NO. AND BOX NO. ! + CITY.. ,:. STATE _-, ZIP CODE: o Rs oceuFA sl CITY .'. - ,STATE . : ,. ZIP,CODEDRIVERS OCCUTATION a?•A.f9wla Lr/.4• lP3s3r 6TiR5D ^ ? aP ? oc%?sy?v? (!? ? n . [ , i • eutcrv.F6 DRIVERS LICENSE NUMBER' STATE MEN DATE OF BIRTH AGE [° I °^i DRIVERS. LICENSE NUMBER STATE SEX DATE . . . OF BIRTH AGE r H . .. M D /- I nr :l Ul f/ 6 ror. I M F VEHICLE. YEAR MAKE .ICH ?0000¢I MODEL- ..VA!! ART, BOOYBTY?(/1?IZ ORI VEHICLE YEAR MAKE :.cN -oDOeel MODEL: !NOVA-oAgrl BODYSTYLE!V?ogr O O?Cas ?• ' ? ? ' SrsDr'L ! •f { E•PPyiP svTEvdf ?D.t •?G? LICENSE PLATE.NO. STATE,... TRAILER PLATE, NO.,_, .,,;STATE f ICEN EPLATE.NO. '_STATE'..:TRAIIER.PLATE: NO.. ? STATE:.:. Ods Cif C°A ? • I Y/JE AZ? ltJ , VEHICLE IDENTIFICATION NO.IISee MODE Se_ _- wERI ODOMETER,;;.LeAC¢IIyEHICLEIOENTIFICATION NO:,1 AB. MOOE?s.nn-ewenI ODOMETER,;,INILE?e[I ?F ' ? .Y7vill 2 86 d ao G RECISTEREO,OWNER 'Jw.?sT RsT-MIOOLe N [ ,: ;ir.sS:.:l .. DATE OF BIRTH RE"'-HE WNER.,,,RiAST•F_ „ DATE OF BIRTH . : ^ , ; . .. [AR o. PAY AR c5 .?•A/i IcT/?TE? o 3 ?f // - H/?if'/? , OWNERS-ADDRESS/ ORIVERSLICENSE NO '•, OWNERS ADOgESS ,•;, ...c ,. 'ORIVERSLICENSE NO :: . .. ?3SNe 01 f? ?? ( c5 f.?9 A/ Aw' . P/AR OF,.V?ErHI E:DAMAGEO -. ,.,„ ?- •r_. ,,;.?.:v:. iR[FAw xl[t¢ PARTS OF: HICLE.OAMA .L ,e ?? 'L ZO ? - i / P I?G Y[ Nb ? . . : [- ?:-- / P?.. $ p 9? ? ?.LnvF6 R65`/1J/ LIABILIT Y INSURANCE INFORMATION • VEHICLE NO. 1 I ;„„ NO o ? T oun nw NAME.AND..AODRESS OF„LIABILITY:IN.%' ANCE.POLIOY. HOLDER.:- ME ' . .OF .LIABILIT,Y;INSURANCE,COMPANY;.::[...;i-:. NAME ADDRESS CITY STATE _vr>i-. ZIP NA NAME AND;AOD9ESB.Oi.,LIABILITY,INSURANCEAGENT .;iCITY.•,a , ....;..; ST ATE ?•?,:...I;;a;;ZIP:: ;LIABILITY:POLICY. NUMOE[I .` ?,?:,?-wn., . . oc,c?? cam/ o?tJ rv I P 4Wn[4 1 ry??r.y WW. : 'aAu?• rrr .? STATE OF WASHINGTON MOTOR VEHICLE COLLISION REPORT OFFICIAL USE ONLY NO ' GATE OF CoLII SIGN -.... ?e .A DAY N v[Ap u OF CO LL .TIME OF COLLISION ISION ' ••T . COUNTY NO, CITY NO ? T HOU R MINUTES ? AM PM - , ? ?upsAN COUNTY ,; CI Y TOWN n n/J /J • Int' a. r?N _ OF ---M OF [ w ... .CITY. TOWN: A°McL Y ev OUTE Op Sip EET CODE ECTI IV Nn[F GF; STREET,.RDAD OR HIGH WAY.. NTERSECTING WITH: STREET OR ROAD pq EFl% EO MILEP ° OST NON N EASECTION-LOCATION OF COLLISION ggMP ?IAGRAM DATA B ENTWEEN STREET AND STREET ve "' •n ° S ,E W n•,Ln°•O cnafalrvo "IL[rosr o[ 1O[nrl111 t•.P" NTEp NON n[r[n[nc[o cw[ff Ep I ' T[ YE ET W L Pcv[O ?cL[•v[" «[ arn[[T On wo• eLE. ? crcL[ ? or"[w Iwnlr[I • SPEC. CODE USE ODIECT STRUCK. oaT[ci sTRUCKI._...OWNEROFOD-IECTSNAMEIAN-A-FIESS LO CATION :-:..NSE t r IN ^o•o n[vMn oeiici o ROADWAY T [°a[ DRIVERS LgST NAME •T ._.: ',:...FIR'-T. NAME.?.I.-...:. :?.MIDOLE-' . [„ • r " DRIVERS S L -ST NAME. -...:.... . FIRST NAME MIDDLE :. z 1- 7 I r l A I/ O / Ch ,/rs R rs R STR STR ET ADDRESS , ROUTE NOS AND BO% NO - n x a " Y , B6 3 CITY ' STREET ADDRESS .?„ROUTE NO.;AND BOX NO '. J;.a..c:.:. .s....n:.STATE,y„ ;ZIP:gCO(?DE ., DRIVE J C a ? CITY ' ,,,,,STATE._ :ZIP. CODE f, DRIER OCCUPATION. .:: M CL( W d WLL JQQ(?L?Y ?CO? DRIVERS LICENSE NUMRE R :; -? i. STATE SEX DATE OF, . BIRTH AGE. °" DRIVERS: LICENSE NUMBER, .: STATE SEX OAT. OF BIRTH AGE ? [ q / Ur ( ?? _/?/W X F O g I 1.7' Z6 M F NO O VEHICLEMEAR MAY,E:_ICR[v,-DO°OEI. MODEL"[; INOVw.OApT. BODYSTYLE 11 G G F d T 1 ' d 8 oRl VEHICLE. YEAR MAKE,.: IcREV-DOOC[I MODEI.::!NOVq.OARrI BODY STYLE42 ORI I a p_Z 0 r 9 . 1 . I, hr LICENS E;PLATE.NO.. :1- rFSTATE u.TRAILEq•PLATENO .STgTE::i?, LICENSE.PLAT NO '":STATE. .TRAILER PLATE.NO. STgTE VP 3 s u L x[75 3? 4v _ S?13 VEHICLEIDENTIFICATI-I f?OU.EI-.S?E.N ERI, ODOMETER,;;.., VEHICLEIDENTIFICATION.NO.??JPOe GELS a„n[wEnl ODOMETER ;';tMlt[weel ?12? ?BSaD REGISTER- OWNER' wa[IFlpsiylOOLE,RAME .l;Y'. J DATE OF-;BIRTH, REGISTERED;OWryER. LASiAIpsT oLE NJhm9I ;. BIRTH DATEI AT T 1 L/0?? 7 7 , IAI YEAR " u - 17 r I I OWNEgS:AODAESS ?,a r:;;; kG.:H G;::i:E mR;d D R I VE S;L[ R C EN S E ;NO;v;,t OWNERS,!AODRESS ,_;,,,,. -,?s-_. ;y;OR1VERS, LICENSE-. NO: , PARTS-OF'VEMICLE'.DAMAGED ,.;,,v[c_;; ?.",. k . f. . =: ' ? [n v[x f ? c PARTS-OFeVEHICLE. DAMAGED:;:: O l i[ 7 F?y uoY $>y?.ao LIABILITY INSURANCE INFORMATION -VEHICLE NO. 1 . 'p[IAIA;Y["IGIo °OV" NAME,ANO/.?A/DOg/E?S'G:OP;. L1IABILITY;INSURANCEPOLICYHOLDER :6H N MQ Ro LL. ?../.Z Pn 3 ?eL/. STlV4 IP - YES No NAMEOF LIABILITY?INSURANCE.COMPANY .?.(.c'LC12 r a t. - ll ND AODRESS,OF:LIAOIL TY•IrySURAN E;AG NT.:.. GTYi.,L.-K...(.,,STATE ,,,L;.,$.wY.: ZIP LIABILITY POLICY;ryUMRhR-,; : ,:, ?,,. cr.n A.ihl, ?: P? A A 44 7 ..... n 1. [ B . . I t! N f i_ a n n r. s ACGI-DS -r P \'o ------------- H? ? ? u q y ti 1,27710- ? r„ r A'`r? S .gyp } (s ?5 ?w ?w OR Lu aLOw1 ON CSL ?EA f/EiPGALLE LNSlcr x.w,NarxLLr aN ° .. s}cn % xL _ ??? ?iGGCIC?s? i D" ? a °? owo?s?o w`,1o0s:oa A i ? ?sc? A 1Lr O O L v.LV[R ,` LAG ? IwAAPar WiFAMLDIIUIp TNAHWN -.. , D.N k BrL.N?,x.LL°°D L.v e C? ?? .. ? B ?p RRN i A Lr i (xxx.SrLrr,rE".. AHN ERAr? ,.. TAE OBJECT BTflUCK AY! 0 Ru N OWNER OF OSJECTS NAME AND ADDRESS Jr ^,jr11° T 5? _.. _.__ ,..___. - __.. ...._.• E .` LPAP(EP_'4_IA@y NAME .. _ ,:. RIIISZ,NAIi1E MIDDLE }w. CAns ,. .. - •.•._..-.••+.:...... _ wlnE Nv.l.vl. PRIYER'6.4AST. NAME „' I x ' COLLI 0 G-b "HAI O SNF1100744) fjLUiAV 17J MOVE TXAN ?w • , BTREETAOpR 9 ROUTE NO. AND 80XN0. EaE BTREET AppRESS ROUTE NO, AND BOX NO, A Y ??? CITY 9TATE ZIP LODE DRIVERS OCCUPATION °nEnGniN CITY eT(tTE,-.,, _ .ZIP CODE DRIVERS OCCUPATION . GA7`T r // r W DRIVERS LICENSE STATE ` SE% DATB OP BIRTH AGE pRIYEgSLICENSE NO : STATE SEX GATE OF BIRTH AGE x WN d y9 ?P 5 M F N DAY ! VE1fICLE Yfl, MANE ILM OGEI MODEL (NOVA-OAR) B p STY[ 12 DR,1 VEHICLE YR. MANE (CHEV. DODGE) MODEL INOVA•OART) BODY STYLE 12.ORj, ?9 ' ?* LICENSE PLATE O.. -. STATE TRAILER PLATE NO., ,, ..... SITATE. LICENSE PLATE NO..._.,. 9TATE,,:... ,TRAILER PLATE NO. STATE r - L 3 VEMI EIDENTIFICATIONN ? 1 VEHICLE IDENTIFICATION NO., ,,,,- '. ' .flEGJSTEREOOWNER(LAST-FIRST-MIDDLE NAME),,,,,., DRIVERS LICENSE NO ii _. REOISTEAED OVINEA,(LAST-FIRST•MIDOLE NAME) ,. DRIVER'S LICENSE HO. : EujVL ? NERS ADDRESS ISREET.CITYANO TATE) -. ::. GATEOf pIRTH OWNER'S ADDRESS .(STREET, CITY ANIZATATE) DATE OFBRTH MO ???!! JWit :" PAgT4OF VEHICLE DAMA EO "--- -- L ... ??PAv4°•FA°? PARTS OF VEHICLE DAMAGED e - IL $ OOd. ? ` $ . (A LIABILITY INSURANCE INFORMATION-VEHICLE NO. I- WAS THERE AuroMOgRE uAeartr wsugANCE COVERAGE IN EFFECT FOR THIS ACCIDENT ON YOUR CAR ? YES 0,NO _ ,NAME ANDADpflESS.OF [LIABILITY M6UHANCE POLICY.NPLDER.:,_.. airy sr,r! - }IV _'.NAME.OF.NABILLTYIN6URANCi COMPANY„ ,,, ,., ", ,., NAME.ANOAO.oRESS,RF LIAOILITT.INSURA(rCE AQENT-..... i,,,,;.?;;_,,,-CLI [Ly.. :.. SiAiE .ZV_ LIABIN,PO„L(CY,}JUMBER ._,,,, : u , -• , ' ~? > 1ST INJURY Y ' - _ _ ._,;.: ...... ..... ,?..._..,-„___:_. _. NAM .. AOE NNE. 2ND INJUR lus _ iE R-R ORA-H)NAI INANLS1 ,.....,_. NAME AGE °r- ' ^ ^ ADDRESS.9EX, AD ,.SEX,: ; ! F ?' . ,. - ., M F r GO ENT N HJUR ES ? ? EXTENT OF INJURIES ? ? D p INJUFIES RED. RE II w DOCTORS D o NJURIES REQUIRE E AMINATIDN BY A OOCTORI I' ? N ME DOCTOR S E MINATRJN BY A pOCTORT D? NAME ... STATUSOFIWUREO MARK FIRST ONE THAT APPLIES 1 = . STATUS OF INJURED ,MARK FIRST ONE THAT APPLIES (T 0. INV HI x0s.5I nsxL o "?-' ? n NO KILLED Is[vlRl u woa -.1 ? NO KILLED SIV?H?` "? vx04 rU? uir .r;t 0 ?a° o M'rN? 0 ' F `I ' ., rTQ 7 0 °?.r H :. ? 5 6 6 ? a ? DnN woof RI S MOTORCYCLE SAFETY: ? HELMET USED ? HELMET NOT USED MOTORCYCLE SAFETY: ? HELMET USED ? HELMET NOT USED .'; j r .1.(..' (' +? S OW NOgTN BY AgROW IN CIPCLE •? OESGIIOEBELOW WHA HMP6NE0 IREfEA TO VEN CLEB BT NUMSEAj T . J. '`,N TNMIw°o " ?.1 C<t R_6v45 DFeli'/v6, A FJuu j .,._. O L ? ? N?xw,. ', „.N.iAI x.N?:a \• I S"O.M/.?C-Y'.f?.v.f_?I?a4R STRAi4NTA?? - - I ... rLx L x x-.0-&K .tM.e m r...u.u./n ?afreCu .IAIaWx.,,N.vIL...Axxw I Q ??_ 4 Tu,eN u, ? i _.. ` I : ._ ... __ .. _ ... __..._. . ._ ._ .. . _ .. s l r 9 i .. -. _ _. T a L?Ty _, 4 , i Ir , ? , F , - ...... x r}`P J, +r VEHICLES POSITIONS BEFORE COLLISION N•Ax ws INVCSnpnreD Br II .??I 6 ? ,.r?xN ? ?1 YI VVE ?) N 5 E W ON STREET OR HIGHWAY NAME OR NO xlct E rq u'I Nr[L cuNlO ?ii ? ?i L,I, ?n ?! y ,T ?? 1 r ! ? ? ? wK ?aYi? rc??A{ ? ? ? ? PIq,1IAr Alr?? ? ? ? ? ? ? ? ? ? ?H:Iwrr KONG FROM TO I. 1 t y.(j?, I ' J;I "(?nr d N+ m' Y' PEDESTRIA PEDAL CYCLIST WAS USING' . ?? } ?.H } ?NXX, . ? ?i L ?u 1 ?.r r ? «:i°I`aiii 1 ?xn . .H.r y 'M H• R y j? L ? x ' ' PEDESTPIAN•PEDAL CYCItST CLOTIIINO COLOR ?nA }?L,,,,, r?,,, R ?Ar «n n?rlrcrm s? u , r? LL F . , r ( ' ?J L ? ('AT t lL{II ,.,,ROAD EVIVACE. ,.WLAINEA I"LWHT WNOTIONS TRAIfIG WNTROL _ TYPEOFPO.O DAIVER/VENICLR ACTIONS ANOx1 , ?DAILIW1/ v1..4? YrwtCLl L?I ? =^?1 ?L ? p ry p . !' I (:y M } ?DAWN ? I?1 ? ? L.HAl6 F I LE. ? f1 ' L ,ff rN IN. l'-'1 ?^'.?'L. FN 1. ? . L ONEW 1 ? OO NO STgA10HT MIfAD I ?DRY L-1 ?.I. ?R•f a [ 2'" / ?AAIN:Aq } I?WSX ? } 1 PMGH I TWO WAY ? } ? OVLNIAXINO AND PASSING + •;. I?'Jr I1 !, y ? n 0 0 E ? ENDWL.p 1 ? ?lOrI16G1[} ? T vlllO S.ON b pG S181WL ? S ?Sµ? 1 IW L LL SI (!1 Lw.O A/D 1[RG4Hfi! ? S ? 4ARI"O RIGIIT TUNN 1f 011 ? 1 ? IL/. ? 1 ? ILOUPrRAW) ? L G?...... LEI( TURN ? 1 ? K[ ? DN N ? A ::\:.I ? i ND R OY ! ?I5Pl L ?.-ll ..T3 ? S ? fLALNVp AYOLA ? E ? ILL[Y MANINO U I R ? S - ? • U N ? S ?V[G/Y OTNlA lWO WAY R T ? bP1aIY ? 1 ? AA SXINK ? 1 ? LILT iLIRN ? 1 ? [LOWING LAN 11• { s AY iU MAWAT IWRIACpE,TTPE ? } ?OIIKIR f4A0u.N !'1 GRIVIwAY ? 1 ? ETOMIO fON TRAIIIC iiY O ?I+r..H. vy_.IJ?uA. ? ? L-} LJ Ol 1 YIC P A 1 N" Y { .SAD µ• 0 ?I ? E ? St0 ID IMONAL ?.? ?.[? OII SIDPE ON .. ??rn ? DIYIDfO ? 1 ? STOIWIG NROAMAY C? ?In I INS T fry S ('7 NU D!G 0 bT RI NR N ? 3. ~fJl l?lr h ?-?T...{ 1 1??, 't Y"LS?T?'?' -'Af! T,• J 1'.1 I. r1 A 5 ? ?p? y 1, "r`9 "? ? rl ) 111 `?A}'? Lp `r 'Y? t r ?? ??kJ?t ?? , "$rl ?, NlA { - I 1 ? t , ? .i+ 1 L ?4 ?.?k k ki 4 +11,., " ? 1 ` . i h?I ?_ € n _ w I _Iu. IY r L I 4 I I I 'w r + IS: ? I LY - ;tom . , ..a(Tf7} ',??,?,•..,aY,a , GYeL?_•1.. ?;n;L,W ,hEr IN frL k?r ?a^'£ FS?+?it6a Y w ,?v. STATE OF WASHINGTON uu 'v?'-"Y'-?'"-' MOTOp VEHICLE COLLISION pEPORT couNTr?sE "LLGTY Ll vxu.x No. ?NN - ;ax ,NN I °x G RAL "y ,, i,• a NxN °Ats w€oL „?Axv ,. 5' x r°a4A? Nxr, ? ' 5 3 i3 $ 6 0 ?N ?E ? N ,.° rl. x. L TE.N„aLL,°x ,?^,?; STATE OF WA Mt--TO wsR lwlRfv l.eol 7i 9 F? 1 Tq >ti ?YR r) N RAG, L Dr / ?TRAFFICWAY No. t L POLICE TRAFFIC COLLI{ NREPORT ppl < .y,INr NUMe(4 PRIVATE WAY Ey Ip , DA FG!COtli N If N DME 5. .ur 3 2OI?1J Nlyl ,USE ]b0nOU41 1 COUNtr ? •u VN -s CWNrv NO. ? City NO. MYA URBgN i ?N ?E ?iN LIrv09IOwn NAMEeN 3reftl GN NiGNw,v Mlls ?s pw or RI ON .SR.L O CS RW 3 iNn4sfcr NC Vnrn Sl4f-ROAD NoNNTER T mNx t r u? SIPf[re W30C) -I-T D?51ANCf6DNf lON r R[I ?? ?? R ? ? FF EC405531 r OR r 5 [3R F W ACCIDENT [f3 N H?,? V?J rEFI Or Q I MILEAGE MDce HP 3 ILC ?- C(i G ruvER rr cools onm vm TOTAL NO OklllED__Np INIUREO Z ?SR IIAGf ?NIre RUN Ov(N CllS ® ?RRORRTY DAMAG[Onlr ?v'l3?Irt0 ?vfaClF ?ur.DRDr" G ?- . MFN '." " --' .i 4J /` j? ? F Cl OB:r5r4UCk INAMf Or OB1EC15rRlyk NIDOWNIRSNVgfI E31DMnIGE 3RCULL000B _ / f UNIT NO.I UNRN0.2 VEHICLE T -..31 ! OeNIR 3rNWE: lg5r8 P Mi if LaMbA tiAJIiS F - DeNF4'SNAME u5 I?L IU.NJ ° STetFI ADDRF53 z to 5ICo?Ohls0`L1\)p 5 M, 51 [rADD4f53 1 + OI1 V1.C_,l! WjA,ArE :uco? L{v.?? -6 vi, R nr 3IArl f DRrv{R'SIKEN.NO Loh8APt653C8 Srqr[ WA t= of zs '35 ( v ivFR'S IKf n5f n0. rgrf grEp BI41N 000UVgIiON MNAMFeMONf NO. Etta iGNI HIGHI E OCCURgNON e 4NONE NO fY.3 wFiGlr HiGNT 2 - - Q WS $ R 0 CHECK(? ' aN As:NM rEfa ANOrNFRAI ? CHECK(,/) of ASANV no"rEEaANOIHeAI v CODES k- * 3 5 r r °„ 6 'S1O CODES 10- * D c, s, s N-1- 6 iG + w Es c_k J n ALL { NAT11E 01 R, DM ?E3" On" ?„^ ? eO ?q O u 7°' ° Ec E ? 6.R ?w O:° " lr " VFN YfAV MAkf IDOOCECNfv.l -It NOVAI STrIf IROV..CONV.I 1 vK E w v.l ?q4 1 t?l ?E MUOF IDA41 NOVA) I V.1 l In+t?ll L z3` ?.1 °QN e ` vN. OR - V[nK L ID MU Cf 4U[ AG 5 3IAE1 leNlF4 RAIf NO 31AIf wA H ' G vfN.CIXOG t W??e q V(368`i wA I KArgN Np l i i ILIA! I IQZi 1/ 31 i i r' vfN l CF N ll i i ill i i I nenrt4fo•?o`w'/nletRu -1 -1 MIDmL vNOrrc NO. W o-f EAST no-sr MiDOIF E ? 1 N N _6 1 ADD0t550E 0N*rtY A ?I . - ' RFSS CTDSJCq DDRESSa Fco -AGENI R r•CC(3 LFF rcP1C0 JrTS?f2- 4NCA - DAMACfDNIIA D.5"N?ND of hovN <HARG[ gAMAGFD MLA ' • D.?:DMU ..- aARC! (ACr?DNN 5 s ? ' 1010ri0ii 3 far. pAMAGI iW^r RlMNN D ww"tN ?0[MAINED !SI DDA/M•AG'E S?ADO oWlDer, A rJ ovn°ev. fi - WA DIAGRAM OFCOLLISION: I'll 'v Aa?c DESCRIP ONOF COLLISION Is n[MFNIAI Srxer rxa sA rl - T ? 7- Vi A- . SI6..Sa.LOy ToE?3 nS ?2,_uil, ucL..: lf. LIn I T . I_ l.c V4 L? LY?1U T.L?O LOW 540%&;e Tp 3A?,X.r , te d / ' _w/ sr qa r t 2. r 1PPtd f i.l ? NAME, ADDRESS 8 INJURIES OF PERSONS INVOLVED * CODES t - 2 3 4 5 6 OCCUPANTS/WITNESSES i°oHR :oD??GwrrAiNA'N ii -sER Aa zeros '"„°„r" ,v "; Hire Fnci Nu.r 61.orgE Lo rL .7.. .... R N ' ' ° Z ADDfl35 SEt+-qt RT?R-S N A roEEaLe<.FM« C?.A'E.`f Nr'S. .M e Owl p"';,. O^r? O :. AMr ? RMW53 H rUR(p R Mov1110rRONq,VB ?rucfO(i . ?" O.: AMI ? .N.rtr Hnonra siNl"n• GAMe (]T"?.'o..OM: O V v yL:•5:,,'°5G1"'tfRSN,v .. eA^,rN. wu,<r ,.,.. -.<"r w ?c?AeR,nD Dul J?ayr4l DAII 0 l? ! C , u mom n o" yi.'' .. .. ..... yi .._.. _.... ,.. .. ?.. v._..4. ....i .. .... _. r_. ..,. ..x .R......_.... ?i.l .A. ..xrui i?,.._. 2aAi>a F v4 C h. U< WSPISSIREV.I.gD) F O STATE OF WASHINGTON GF GP No POLICE TRAFFIC COLLISION REPORT ®TRAFFIMAY No. COmvwlNr NUmBFR. D ,EO cau PRIVATE WAY ,Ial I 'N, ,mE couNrr couryrvrvo. arvrvo ...? jUIF? 3: 1K1 (USFa HO I c AN Z .' ? URB D< OI', S? F64 ?N ?F ? N CIIYO O FB O.O St fEt ORn W RURAL' iCICIS I ROVE ON SIN F SECION MILFS.?s IF)" ?Gl?oer T r?tic, ON j ?:' ?/() r AD g ((rr FRSFCTNG.1 REfIO{R}ROgO NONIN,FRSEC, ON t,}7UfvT4 I\?. TI? WEEN LET MIlf P051 'y PREIT. OFI ITx Slprv1L.-E?I[s iR M4E1F4ENCE. CROSS S,PEEIOR NEARfsiMIF POS sTRFFTg STREET r 50O fEFI S F W 11 ACCI DENT RAYR pIAG4pm Wrq -'1 - ? 'FJ GE l.ASLC I'bn-r MILEAGE ?:. cl 11 r O cooN w ? ? Or NO IVFD NO KRIED??NO. IN IT RED ?SPIIgGF ?Nr84U.N "p rns N. RU IrviE45 CTING SrPffTOR ROAD OR R[fEFfNCE IRa N III CE CLES a C] PROPERTYDAMAGE ONLY ?vf3 IIFD ?Vle- III_ CIS CROSSS,RFETORPOAD O EC,S IKINanFOP OBIECI SrRUCKANDOWNERSNAMEI( a\ ,>T?Vp j?I?EJ$ ESTD GS, SPFCALCODING IAE t[F , f r?(_L.'-sz.r ????.£ ?S-narF. 1?ixr. oti /Ti?h •??a;JU ?r-%crurJ S?Ot?O "._. :- -- A?„. UNIT NO. 1 U RISN Se DRIV fR5 E: -1 M AM Z wed NRSI DIE ? VEHICLE ? PEDESTRIAN ? PEDALCYCLIST y 4l wsr DI - k??p Kt? o SaEG?,4 6LL t 1,j f1j R t S E DRfsS ` S,RfE, pRf55 F? C' 2 DE PHONE NO D _- t? aIPCODE SwlE PHONE NO . I, DRIVfRSI CENW. E7 ?? s IE S. f0 l I IvfR'S II ENSE NO. - SIAEF SE OPB RtnR }. i-A Ilu -ray ?z?? t.>JR ?• I? ;? '? v D,. 0 OCC ATIgN p E G c. N„fr,,.>? ; 1 - 3 I TES wF cNr 1¢ cnr E occuPANDN r };R•: CHECK Nf /Ai` J I (f;rw; ryT f 1 Fj m NAq\PHONE NO / Frfs wFlGnt I?f GHr = : ? f?1 se` w r?2 L-i ERI w Pv rHFUAI C as a SOFA o ? CHECK(?) 'r??" CODES?* 3 a 5 emomK.ar Fn ciE AS Iorffafa o r8°^` T ,,rrtttt CODES ® 3 ?.i`s I ? qq,, u4 FS N^ l N? EJ K Her N Aren Tee nerr,C"' ? IN FJ2 Y'' 1.i ? 'ZJ k1.: F. 5 lz + A iiiim"r 5 t 6 "s'O a> Vfno - Eq4 ® AugVIAHC[ ? RUDacI p, SP I? A"oplANCt Nil, 3 mA IDOWECnfvE Moon?ipwa rnEl Oo H.I fgRRD ? Posg( ? Eb':II. ? Vi ??°vv. yE"st -7Z 'o:), K I Wf CnFV l F .NOVAI TIE 1a DR C V I KR" ° 4 OR Cf SE fN S,AIt 1 AIfR RAZE NO. S,A,f H vFN.CIXOR l T AIEN . y c DEN c ,IO ND v He AI NN 3° f y 4tG STEfD.WN[R?ff I,CSr ''^``s IDgE PHONE NO RIGS 111D WNfR ???A555 flRSl MIDIXE -' N Y 11. ApDRfS501 ONNER W wNFR / .' r AMf6ADpYESSOI INSURANC[CO. C4 AGfNl E R DR '? u ?d wmAOrD Axu " IA jEf,lL ?"- ." A?.. I CIIARG( fl) VIAN ND S--'O ._ a DvAwc[.. of a c wN.N E D4 is o'rrn ?? ? WW, ? [ [D LJ E1' p4VIN A E 0 TIO.i NI ?)`? REMANLD t61 rDAMAGE I C) wo. . 4 ST ®,owvonv EE >r.l Tcx.. '[] lowWAI 11 WAr AGRAM OF COLLISION: 1 I NpICAIt NGRtn DESCRIPTIO COLLISION: US N, DI Sreft IT NtC[SSARYI NOF er AePOW l SUPOIEANN,u srrtn rN[cfsSARrI 7 q, y NAME, ADDRESS 8 INJURIES OF PERSONS INVOLVED 'CODES I I; OCCUPANTS/WITNE SSES ;U6 ILEO,"'uS_I - 2 3 A 5 6 R rvwME oe wDIDNAI NAMesI uK aeE urus '".,,W," ;" .,: xs,R rxer inn. gp.aj° .Hass rriroerp ?r ? ?? Mf V1 a I. r .? A NA«. 1- . ?AMe ?cTiw . ?C[x ?4Y:,v RIMwIDIRUM?AMn ?^w"I?? .?.7 ?,:° p t 1'- IN. Ann.rc ?AkOR.,., . • I N V " f y nroA1N.GaI.cERSKwN REANA nu,GE GR ArfNCr ""?AMe ?;L"?»,;,HK?H? Y ? fRIVED DA110TRE-111 aPP4OND nr DATE •-?- I I+ aKq r.RS ]ro S Sw ? Z 'n L IA 1 -? E. Atli ?`•/ - ..---??.?.?.. .... vns r+v ••-..••?•,?r POVCE COMPIAINt Nl1M0[R ?? ` ... on Eor I N PRIVATE WAY T"'RtsY'" Z, YA t x?u 1 s.'.t ??yl. (VSE 9.OO NOVA) COVNrr /• _? OOVNrTNO. .. CIIY NO. FHWA ? ? & ?' 2395 ?E? n/J (P . ?um- ON ME OIN CITY OR TOWN NAMfeNO SIREEi OR HIGHWAY Cl5 RURAI ' ROUIEOR I ZION ?. ' MRlls ?5 _ of4lSN?Jt7t?? 1'V. ON NIfRSfCHN0 U1::5 1 S TEEr. 4" NON NifRHC11pN ? 'f', PFFfI% E . MIIF PoSi O SINRCE DIRF I { { RE eE1M'FFN STREET( STREET o0 O [{ M Fe N R S CROSSSIREEr OR NFARfStM IE PO O / ,{ ( W yLL ACCIDENT RAMP pIAGRAM OAtA iffT OF '`MDpLL°{F 5 MILEAGE CgIISION IrrvgV[D: fgllYr CODE IOIAE NO. NO. KILEED_FFO. INJURM_ 0 SP IwGE ? lie UN X?qD a E OR ROAD OR REffRENCE la ".ICLf3 PROPERTY DAMAGE ONLY 0 FIRE 1 r?NONO IMLR CES CROSS S@EETOR ROAD .. OBI[CI STRUCK IN?? Di OBJtCi }iRUCR D WNFR':H aFSUlTFO VF t lL/ rx ..[ _ '{ r\IT/1 ?1 fSi.OM1AGF SPECwL COOING USE ?q+ dl, '. JJ I l_ C S ? ,. '. 4 UNITNO. 1 IRNE A.we: wsr MI UN [I IT N0.2 ? VEHICLE PEDESTRIAN AME: wst O PEDALCVCLIST t. N C,G(CC,[ C - ' RnER. N ?-iifSf- _ -, lgEfl AD f5S iRffl ADDRESS ?y ICS - Zoo E ----- ?-- - s rr srAtf TIPCODE PHONE D I r .T (, (t ti ti Q 3? 71 _ R StniE CO E PH N l F EkS YCWSfN SAf CF% b H I IV V EN NO. '? zcoA AIE OA E RIrR tJ MD Z V MD f ? UfAT ON.1 F NN/AL{P{ N Tf5 GHT PFIGHI E -A ION {IqM NpNELPHONEN u ?? EYES WfIGN1 1fIGNr . _ _ IAt _ (N'S C ECK (?J vEHI EA N IV, C (?) uu ' 4 y ODES lo 'P ] AA NfIVAw nNS i'F HECK Y a. b?IryKr + IVfN CIEAS PIOFEOF ANOTHER, rts 0/.:E "W CODES 11 D a 5 Fx b w 'f? .,.:._z4"Dw u6R-i2-4 -b)AJ Atkt5512iqi01! I ra t .EInP .. S S..WMAOE FD.WNV 10.0 OH ? ? RIMNN(D I-D DIAGRAM OF COMET N; I IT, I "N rH i^ ? Nfassurl., eryrFb°Pw ST? I (17D NAME, ADDRESS 8 INJURIE5 OF PERSONS II' OCCUPANTS/ WITH/ESS/ES 141 bailq'HI.1.1 HMV. G .... ..?FAKn C.«C?.to H foss. E R ' ? xlvlN - ESI.UAM f ETD ? AWAY ?RIMNNID I -, O? S rowtD s to ? Awnr er d-NIPfION OF COLLISION ?y swn[MSNru sH[nD EssARrl 7J?hI IC?Le -i':L - FE Po '? Ngp _ _ _ SI?ADcD n?.SmP I,I.frceS- -no,v:.?ls D2lUc?C (?U?C?O dccT It f CAN .?ll?.. Ucrl I CL l SYit2r -`h -(N aZW- . Q?I UE-/L LcE%.r Co,si/2Ad 4P;v& ivro . all?'C jc1E1 '-?llj O.Act.seD V1 A?lv s U?thmLiA-" WI'TN.}?pUtRSeLVE 77.10 'VOLVED i CODES 1 2 9 4 5 6 1(x ADI TALUS NN - ";; Mlr1. [NCf I,'?? z1 fFl.r WANE. nil W. n^ -- 1-f Hu ?- C ro'°I , xaw? rt ' ? ? v1 e lr I F_T ? ? ?1 5 IE??V 1 1; ? ? III. " - .. { i r ^V? F? '. O o >, ;o c4..C _ I m - rn o C x ? Fi. Q1 o-H v H a iiL U U ', I 41 H ? V7 i a T Ill WN, F 12 ? , FBI r 1?? `di %I M1IOTOH VEHICLE COLLISION REPORT _ NO. - UATt:UFCOLIJiIUN [ - v)v 6r.1. I I OF 1 -N TIME OF COLON vl r ..nl M:,.UICS E(•PM (7 co-ry/ CITY O / e? ) U ^ V -• CO- Y CiV, TOWN ?j?? ?Vr M IL11 TJ l?l CITY, TOWN -1 fv lJ AUM1??L FNFFM 04 Lvl' .I '/ 1 ION S E C WILHSE011`IO VniN OLnEEi DR fIOAO (RVEtIAMEOF GTIIFET,HOAUON IIG11NAY PHEiI% EO LFP)t ??il:•. ice/?'-.?`, y?•c .. -- IN FCTIOtI LOCAtgN Of UOLLIYON 1 llAil 11 /? G111EET AlIU SIHEfI RAMV .-TA M IJ fA PK' O Q 1n avert. ITT, INTER. I,UN -R, ITIEH C- r t4,1/U }J7 -. rS ?' 1 ? uNI f1 CPEC GOUE USE »vFr?cr. P u2. '?? ?rnP ?I1 ` OWEarl"'UCN It.+4E [x ON OWNER OFOI LIECTS NAME AN D ADDRESS LO- OY 1-1 0 1 IN ROADWAY L'J t 3 pI 11 EnSV TNME fH fNAAIE - MIDDLE v WEWN DRIVERS LAST fJAM11E f LIST tIAME ?•4?• MFDLE LE ' ? j IN Et ADaiE FOUTE NO ANU HOX NO w IW r ? ? 1 ? U . . . S `, ry n0 A STREET ADDRESS nOUTE NO. h D tlO%t10. - GIY STATE ZIPCODE UfnVEHSOCCUPATION CITY STALE TIP CUUF. [HIVE UP .L'I c•r 1%IIYf.NS1.ICEEISE NUMNEfl SIA1E E% IIpiEO aRTH AGE DRJVERS LICENSE:IUMBER STATE AGE Lu` VE11.'CLE'YRIAFE(CIIEV000UeI MOVEL(NOVADNRT) LEI2DIII F YM. MAKEICIIEVDODGE, MODELINOVADAHi) DODYSTYLE I2 DHI LICENSE VLAATEIIO. -LI ?C+< EN SATE LIT THNLERPLAIENO. SipiE SE PIATEND STATE TIIAILERPLAf NO UigTE H?CLEgENniICATn)NWJ. IIDSBMODELS d NEWEHI ODOMETER IA!IIEAGE) VE{IgLE I1ENTIFICA1101 NO. I19G9 A1ODELSD t1EWF.R1 JDOMETER IMILFAGE I - HEGSIEREDDWNEH (LAS-IRST-MRIDLENAMEI DNVERSLICENSENO. REGISTEREDOWNER ILAS11IRST-DEN-11 OI UHIVENSUCENSENO. .? 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AR .L{ it Na8 A i O i (O)S .TE OF WASHINGTON' MOTOR VEHICLE COLLISI N REPORT E OF DAY OF. COLLISION.:._..TIME.OF COLLISION Y CI TY NO ?,) OUH MC UTES ? AM 7 ru[ wa , -PM 1?ITY. TOWN N COOL s[C k •C OF GIVE NAME OF T S REEWITH:STREET OR ROAD PREFIX MILEPOST .N TERSECTION..-(L,OCATI/ON OF COLLISION `j/?' ??•J?/(. HAM, DIAGRAM DATA BET`NC IT EN ?. {) f - ?t?/J STREET ANO n. I + ?IV r""'- STREET AarvrO o^^Aaar rxr ?irnear oa as nvnea anlOOe. T x N c-1"I N S 1 o cnoa ./q?' nrlrr no I.^non^xn, n Ew I? ra "u a 11 TN.[r on ... U n rLL(Antij a'?IL[ Cl LS n.xc T T Y Q 1 AA S, USE I ? v[ .oNJecr[ ? varv e.e iAA N.[ o ax Iwnrral SPEC. C DE I. U p ax .. 8 . O `a ..,o.a.wMn O N ........... c DP e SECT 57R'GN ..In M JCCT STRUCRI oOWNER OF OBJECTS NAME AND AOURE55 - .... LOCATION _.......:_ N S E r IN ROADWAY iq OBl[ / . CT PUT, a DRIVERS LAST NAME .... FIRST NAME -::•. MI DLE ': rxX*"o DRIVERS LAST NAME '..'MIDDLE ? MAP i ell lL , /C C(. ricer ' STREET ADDRESS: ROUTE O. AND BOX NO ,; w;;• - - ;; "„ ^ STREET ADDRESS, ;;.. ROUTE NO. AND 00X NO..- r ^i r , ? N CITY ";. ,. -STATE - .'.. ZIP, CODE: v G Lf? N / r Ee uin CITY ,„,,. ,. STATE ,.:.,. 21P. CODE n[ OCCOVwTIOH I i L r ( ! I' D?R7IVERS?)LICENSE 'NUM BER '.. STATE SEX OaATE OO^ BIRTH AGE cu o" ORIVEgS LICENSE NUMBERSTATE SE% DAOTE OByETH AGE r M F M O Y A ^ Y M "?• ?Jyl{.'-? . '> V o w roxx C? )) C c", OA P_ u, .1 .. VEHICLE YEAR MARE '.I[xeV.00-I Y 2 MODEL. -oANTI BODYSTYLE IJ DRI VEHICLE.YEAR MANE.:.ICNEY-oooael MODEL: INOVA•oARTI BODY,STYLE --1 ?. 111 - . 2 y z LICENSE'.PLATE NO. / '. STATE :. !,TRAILER, PLATE.NO.. .:;,STATE.:- LICENSE,PLATE NO -STATE I", -,,TRAILER PLATE. NO.:; , i:3TATE:I:-_ f l /' LJ s O ?/ Ali -` Y'cHICLE IDENTIFICATION NO. NOaO aPELS e,?cwEnl, ODOMETER-.-!MILeACeI VEHICI,E.IOENTIFICATION. N0.. I_98e_ A 32 M eLS.<t•hEW[NI pOOMETER ,MILeA.[., 3 T f? 23 ZN ?v - , ItEGISTERED.OWNER AST:FIRSi g:nwwel ,l-,?;,,,,;.,;. DATE OFBIRTH NEGISTEEjED,OWNER?. L sT,ArwaT.!^ [,__M DAOTE OF:BYRTH MO OAY YLAw LAR ' d _ OY/NERS;ADORE55 •?,;,DRIVER9 LICENSE;:NO.;,,;:, OWNERS,ADDflE55?^.:.a.•.x n.:?...:iuv n...-.r -DRIV"ERS.. LICENSE,No, ;u / 6 ;, 7G ? - . L ucr ', PARTS-pF?VEMICLE DAMAGED:v.:......... _?...-;;a,, .. PARTS-OF.VEHICLE DAMAGED .;: r ' " - . - ^.y xt.W 7E+ r?7v ii:, ar7r [m T 1 T N[ I ICIE l R V[ CLG r ?s ?J ?n?d S?J?JO ?S " . ? LIABILITY INSURANCE INFORMATION • VEHICLE NO. 1 YES NO NA Tl ME'.ANL`,ADDRESS.,OF,LIABILITY.INSURANCFP,OLICYf HOLD Tax.-N_In.. NAME;OF.LIABILITYa1N5UAANCE::COMPANY?,L+- NAME ADDRESS CITY + rSTATE ZIP ?.?, ?f? - NAM E;"ANO ADDRESS O?LIABILITY-INSURANCE AGENT.:"';:QTY•..e.7.6:_n`sv:;.STATEyni,F ,??.'.wS:ZIP.:,.LIABILIxTiPOLIDY;NUMDGIR lt$p:'tiIP:J6•yyy-;+Y N.*? ,. '. ,., ;• eA4 .? :'S.T INJURY„ I,,,,•,r?:.-.1._r._..::C:.:::::iJ 77777,":4. ..AGE .2Np;iNJ.UgY:.U5E SEPARATE:' BEPORT:YOR;AODIPONA141NJ,UA14$I:Ap1+ NAME Tn 1G' NAME •: ... } , ' .. ADDRESS 'SEX + DRE55 ?g?:; sN" ay o o Y .,+.+. yr rn.v^ ... „.,.. T ONE. TKAT AFnIES --STATUS OFINJURED, .,IJ• -:1C JAARK FItST ONS THAT AF ? ^Ur,aie IR .V[HI[L[ KILLED U ....... I^ IN-VlNICI[ -T iQ ? MLLE ???"' ? ' ?' • ? NNx No rroOr N I. ? I ''Err+wN ` ? hTJT11EN V/ItITL If SIN 67 13 ? OTNrR .RITE-Ir! BIJ_ 5U Ho',v .wN Win,+mi^ROW IN CIR^E \ I DESCRIBE;. BELOW, ;WHAT,HAPPENED:,IREFER.,TO•;YEHICLE',[,I 7 ases.,._.wc:?G_spcJ _.Ed,...Ati ?...__...._ ! .... L 1 SpgA?qpr 1. NO. H + 00"o W N STREET OR HIGHWAY NAME OR NO N PN v[N;GL[ ocC I,?Ir '- ?,S / ' I? 1}. T87 I 1 q?y,4 'OURI ? I N[CTION [O NO [I NP ?[ GJ NA' V ?o?? o / o ? ? ? ?N. ?. ..r? THERI 3' _ S f [STPIAN ? ? ? ? J ,.D,v GnOS91N0 - FROM 7 ?•?" r ? '.SYRIAN AS USING 1 e O[w,Ln ; LAw AY ] Oul p[q A CnOffW B " P 6 -1 t'A SURFACC WEATHER LIGNT CONDITIONS WATRAFFIC COHTq OL Cr14cR L TN[q A l TYPE OF ROAD ?: r f i _ +tG^ ON[r + DRIVE )RY 1 © CI LAR 1 ? DAYLIGHT L?pp'''TTr xtI v[rvr [ N GLV[NIC [ • tC.T10NOr.t, } I ' 1 1 I f - YET ) ? RAINING R ? DAWN LJI I Np SIGNALS ? I ?JONE WAY NC 1 ? ODING SI;TAIGH'r AHEAD i 1 :I I - ? Z ?? STOP SIGN ?[ ? TWO WAY ? Z ?OVERTAI'INOAND PAESI`IO + /I 1 t NOW ] ? SNOWING ? DUSK R '']1 1 1 F- L ? r00 A ? DANK-NTREET 1:1 ] ? YIELD SIGN ? ] ? Rr.. ROAD ILE ] ? D ?MANINO PIOM TUR11 I } llf y iS fET ? L ? rI ASNII10 P[O ? A ? ilOC Vi'Ir,+Ril ? A ? MAKING LEFT TURN i '-I, i' c V 777y``nnnrY 1 1 .I I }''NER P[CIFY S &G ECITY S ? S ARK ? S ? TL ASHIN6 AMIIER C] S ? ALLLY ? jl C) MAKING V•TURN x "O"'S ON I`T IS7'A ^ 1 A 111I. NO [T LIG ZITS ? 6 ? RR SIGIIAL -' Rte( h 1 4 J jl r L `! ], 4 I y1, L RNAT S[EING OANGEq T ? 5P[GIY 7 /TIGER//I. ADMAN ? 1 ?^ SCPAf1ATC0 6 ?SLOIYING { c 1 ` I }1 • r[rR^cl orS t/ic I O ? ? ? Z 1 1 UIVID[D E] Y C] STOPI'r.D rOR TRAY y' r I rI I' ??/?[?{J?} nrVi? /? ?gl[+[•aPFCIfY//J[1/ ?]?UNOIWOI.D ?R ?errrtr[o Ara an,L I r! I }1 ?1,??'+ { I [ ADORrss ^ grT A ? o?pn STOPPED ON $IIT 1 JI:" MOTOR VEHICLE COLLISION REPORT NO. ="...DATEOF..COIIISION:h-.- ",DAYOFCOLLISION•.?-. ,.- .. T IMEOF.COLLISION. - : COUNTY NO. CITY NO. , MU DAY nOx tY[s w[ 11 HOUR . EAR NUT E$? ? AM Q - . " I }AJ ? PM Ru RAL .' ".000NTyrr...?:A CITY::TOWN?:[• [[MILES N ?E ts.,:. .,; .,.: CITY.:TO W NuL I ` McL R c crl , 1 C6 / e a'.'1 • (? S ©OF J IGS .(/ ` , ' GIY AME OE-S,TREE'T.;ROAOOR,HIGH.WAY ::::.;;i INTERSECTING. WITH::S}RE@F9Rg6gp.i PgEFI% EO MILEPOST . . s ,. ? NON INTER jjjOCATIO OF•COI:L•J510N'.'?'-_ /? ,/I r: >s Oc BETWEEN ??( ? R T ND STREET RAMP DIAGRAM DATA ' [[r 1nddG:'Sfrl"P""t•••?nec[. ;E"µtdom.•3846E1rcIV6N?L T • \ E Nox I R pp G I ?'2,e1- r ?D © OF l J ?It-L &' I oR [[° [.o[. i on .°.° O SPEC. CODE USE Tx[nlwn?rtl -: [f xt ATn LL?s ox nux px° 0. •:.,' - OBJECT SjRUCI(;?,HAHE OE, fGT, Tqu<--„y,,.R,;OWNER OF OBJECTS_NAME;AND ADOHESS,r. u;.: LOCATION i[v cosT DWAY `-•"vt(.• )?!. ?N ?E ,. 'q[ AIq OeJf[T DO A . (( '?? LJ FEET " DRIVERS LA.aTNAMEoF,i :'F,RST.NAME,f,:;?:,c.i?;-, MIDDI.E_ pHIVEHS LASTNAME,FIRSTNAME?:.i:'_ .:MIDDLE: A STREET,ADDRESS D .ANOSOXNO.-,, nO STREEj,ADDRE55i;;;:?+, ROUTE. NO.. ND, BOX, NO._,,, ?i n 1 C) 0 AU v. ?J, • GITY',:.?.?:.:i: z-;,:. . „STATE ;,?,:y"?,21P CODE '. niv[ ATlon . CTY,?;,-n.......a..ti::...STATE ZIP. CODE :. o. .. ,. .. .. ,ATlon . ? . 0' r .L-. C?3?L - C. ,O^Y[.ax . -. . 6c•?w•? J2-t" C n r Jell t?? vvv C -~ ORIVERS.I:,I NSE NU BER,-..,,;;;. STATE SEX ,DATE OF,BIRTH AGE . . . _ ;DRIVERS LICEN- E NUMBERSTATE SEX _OATE OF BIRTH AGE -3 M F Mo AY ri IC 1 - F ? I - 2R M F MO DAY YEAR v#` '. :. f o V DL .TP. MA1cE 1G_E,A?[goa[I MODEL'IHOVq:OARTI. BOOT STYL ,I+Oq.I, fHIEL[,YR Hg15E!CR[v.oooOEI MODEL ,ryOVA-nn RTI BODY STYLE12, DPJ IC', (D LI CNSE PLAT NO. 1:?r `STATE .. _'[ AVER-PLq=E;NO. ,.,may STATES ? a3 .,. LICENSEPLATENO. :..i STATE--? TRAIL ER,PLATE NO , J;;STATE.. ,,. I ?S u?as? boo •,',) :VEHICLEIDENTIFIGATION.NO. Ilpaa,MOD[lSi{ H[W[RI. OOMETERIMiLC AO[I VEHICLE. IDENTIFICATION NO,Ilvne MOVf,.s.? ry[W,[RI OOOM[TCR.!wiLt.acl Jk v , { REGISTERE00?'(f([RyILA{T 1. BT-COOL[ [I r;;•.r ORIVERS_LICENSE NO .. I. STEPEDOWNCft,,;,.,A,[T;,•,.. ,L[.N I ;• :7ORIVERSLICENSE.NO.,, rri UW NERS ADURCSS •'•` STREET?CITY AND STATE),„„„'. ;;;, DATE,OF,BIRTH. ' _.. ,.?... OWNERS,ADDRC S.'..r; ?;(STREET.CITY,ANDSTATEk:.;'q.,OATE OF.BIRTM .. Y [A Fjo 0 C? Wd Y r FAR , PARTS,OF.:VF.HICLE.OAMAGE ,Lw....:.: .L S.. +?? Y_. IRAIt Y cgs I 10 A[FAIq [x1 ?L[. COST PARTS OF-VEHICLE DAMAOED ,.,,•..,.,y ?; u. ,5.s .::.,,4:-A: i0[x[F?III.v[x [L[ ?? AVrr?S-2 't„i .? x' w nti.? ~w w,.r•..z? ! V.,vcf t 4A,+? r - ...? .. - ?r. ,rt+ r I?r?1 ?I ?? _7.? I`9 f. t I I I 7r + y, .' STATE OF WASHINGTON OFFICIAL USE ONLY NAOTOR VEHICLE COLLISION REPORT NO r EP OF O O ' . OU Y F COLLISION ..:.DAY C LLISION •-..-. TIME OF COLLISION.. A E T uEi Ixux !nl O ,7AV EAN YI UR AIINUTES ? AM C NT NO. / / CITY NO, U ! R - V' y /C/ 7 N PM , l r , . . RA .,...-, ITY.TOWN . DI MILES COUNTY L"J O 7?, ,: . . .CITY.,TOWN N c L R P [• coo[ ov/?Rn[ , 1 rl I E ? ?I .t I JjCfsJ /s W o i ? GF I ll/-S 1.11141 ( rCC xo[or+ GIVE NAME OF.STflEET:.ROAD.OR HIGHWAY,,,...... ... INTER5ECTING WITH: STHEET.ON ROAD PREFIX ED MILEPOST Tower Cree }2oc?d NON INTERSECTION-LOCATION OF COLLISION RAMP DIAGRAM DATA DETW EEN STREET AND STREET B;7`«n •c fi'A'o A162A6:i ?o "L .rd o:"°r 8d'S64krf:': »etS„ 1O°r. % i? " NoH 4 a Dior; [rrn «on no.o R NTFR ::: o?; rta t. T S? i? 'G`1/Evt. 1-lo%I / O `_` _ SPEC. CODE USE ? H n oTx[n Iwn?r[I I [ ?x OF V[»ICtc[ - v RICL[•"[O[[ [oat e?o» » D ,; LOCATION - N E rINA ODJECT STRUCK N- EOOJECi, ?.,,,.:_OWNEROFODJECT,NAFIE AND ADDRESS_• ? ? P[PAIP Oa1EC(' ' IN HOA DWAY;" ?? •••, T , t-? I f? tom Q ^ 1-rJ•'(l I71G ruA". Shr/MGL /?/ /'/. SHOr/ h%d G A, t7. PA C'Z I'CIf S. I/•b.lJ FEET © [oa[ • nr I" r» «[nt a e 1AIODLE ,F y URIV ERS LAST NAMC,,.,. :...FIRST,NAME MIDDLE:., 7/"al /-/?.1rN /-/CuW4Y(/ ta[U[on rn DRIVERS Lp STNAME-_ FIRST NAME,,,,; „ SHOI?.TIt IC?SCJ//FIG n'1.7:? //- i___ _ STREET ADDRESS .y??l?,.[ ,• ,. ROUTE,NO:gND BOX.NO.,,,: xo•t •+"+n° _?.D_BOX.NO. ,,.. S?REET ADDRESS --ROUTE NO. AN ,.,. ?'?•- t bn,It 7u.( eT ?o i'x/szs 4 ?.U I>k 8z f CITY -?f-;. .,v u?:k`.STATE.? ,,,,;. ::ZIP CODE ':.,OP OC[uPAi _„ s[r.n ;CITY:' STATE, ZIP,CODE ,- ?so000A P S ; }-u:l?S 1n1L.S?7. `JS 33/ hoirs?er •?" ?,?/Cs i.a/cts?I `?c3:i3/ LU'vodSwo ?e••?; r r? DRIVERS LICENSENUMDER :,y:;, STATE SEX DATE OF, DIRTH AGE DRIVERS, LICENSE NUMBER, -:.;,. STATE SE% ;DATE OF, OIRTM AGE %e P 5%"/9 --TJ?'-NJ 7Fi.SA W a X F L/ is' r%3 30 .. SN-pr -75-J/? ZI LC I/?4 x F YEAR ? PICLe vR MATE Nev._Iwcael MODEI vA-oARTI DODY 57YLE I; On., vEKIELI[ Yq M E ieNEY.: MIUGeI MODEL. YA;DA 1 BODY„STYLE I . .I K ' A PT 1Li73 boclrc- 1'/00 ?L7 PCICUIO - . 1 /?/7Z 'O rL C{ I-/G!1) PLI I rC/C [•E LICENSE PLATE ,NO.:?',,: STATE ._; TRAILEii PLATE NO..;,_STATE,,,I,,:. LICENSE PLATE NO. 5TATE- TRAILER B//7zlo ive,..si1 CjJ 31 7/ WAS t7 VEHICLE IDENTIFICATION ND.,NCanm0PELS.A."EWE OQ«IET[,nIRN[Aaal VEHICLE IDENTIFICATION REGISTERED DRIVENS_LIGENSE NO. -, NEDISTENEDOWNER „NIODL MEI _,D{tIVERS LICENSE NO; STriTC wF bJASh. 1?+ T A;S Gtv ? /- S//=rS-HS DATE OF L W RS_55_ISTREET, CITY AND STATEIDATE OF BIgTN. l .0 "I 1 C', A e, PARTS OF VEHICLE DAMAGED . . [ TO"P[IAIR V[nlt[F PARTS OF VEHICLE DAMAGED Ar u,[Fxlct? . " ... rO,PEPAFx V _ .. i'-1.?' • . . . A L •, ua q i'. PI „Mt i" r? ?r?b i ? AN 1 1 (I ^'r r tr d t 1,' ?t ?, nDAANnIEL J. ?IEVVA?NS. Governor VV ???? {?7L? ?? (7 QSfTLRRUMIVL?M STMATE UI-T7r OLw O. C. FURSETH, CIdCf 4242 MARTIN WAY OLYMPIA, WASHINGTON 96504 October 21, 1971 To: All Law Enforcement Officials From: Chief 0. C. Furseth, Headquarters Re: Uniform. Police Traffic Collision Reports _ •i„i? - The attached is a sample of the revised Uniform Police Traffic Collision Report. Minor revisions - have been made to meet some of the National High- waySafety.Bureau suggestions, and others to. improve the copyability of the form. r-:SFr Additional coding spaces (shaded areas) have been provided to allow our analysts to code directly ontu the report prior to entry into the Catho Ray Tube for transmittal into the computer. As you will note, the reports are made into indi vidual sets using a combination of carbon and carbon- less paper. When side No. 1 is completed, remove the portion (carbons and protective paper) as indi- cated on the bottom of the report, and the set is then ready for cowpletion of side No. 2. f a ? If we may be of service to you in further explanation of this report, feel free to contact the Accident Records Section, 4242 Martin Way, Olympia, Washington 98504; telephone number: 753-5161. OCF/KJT:dec cc: All County & City Traffic Engineers s 3 SeavING THE PUBLIC SINCE 1921 ..®.. 8 ,, ? f F .F c+? 'i ' .` r t '. + { ?1 I r ! +ir *1 y , IV, any :v F ? 't1 r ? ? i:• + ? l?i ? v I ?4r F L rr + . - + i r +si ? . v it ? + ? •1 " ?? r 7r, ? ` ti 4 f r ? a5 rg CDL GATE ISION L F -DAY OF COLLISION TI E C OUNTY N . CITY O 0PR 'R F T. MO DAV YR. UN I S S E Ffll gSA T I 2400H OUR) J , ?vR Q L t 'j ? E CO LINTY Z A PREFIX o ROUTE OR STREEI Co cr i• - 5 „ 3 M V STATE ROUTE COUNTY ROAD ? CITY STREET ? 0 ' I I? L IOTHERISPECFYI ILL! GO N V r[ ? e•"• ' . ? L ? IN CITY OR TOWN E N S W U .111 1-T [>t . p ?i ,k' O ???? ?OF ..LEE ` ¢ C.' Ea NO.OF;STgEE U A INTERSECTING WITH.9TREET.ORROA LL H I? R - NON lNTERSECTION.,1 E J 5 6 •. N ' BETWEEN STREET AND STREET ' a 19TANCE AND 1 CTION,FR MREFERENCE Oq-CROSSSTREET IN S IvL CO UIN. V>E C t ?( >4• j ` ! 9 MILES ?FEET ? ? ? ? OF NOEFMf [[[ E , + COLLISION INVOLVED: ?VEHICLE-VEHICLE VEHICLE-BICYCLE ? OTHER IWR TE) ? HIT. RUN L] STOLEN VEHICLE ? _ R TV E NO K ED . _ rv . h C- _ VEHICLE-RR TRAIN TOTAL NCLES ? ? VEH CLE-OBJECT OF VEHI ? N.L.E. NO , i ?VEHICLE-PEDESTRIAN ?NON-COLLISION ?HAZAR O MATERIAL ... PROPERTY DAMAGE ONLY )? .::.OBJECT. STRUCK IN ME OFOBJECT STRUCK AND OWNERS NAME) ..'. ... OL TIO. IF OBJECT STRUCK . . ':. EST. DAMAGE- )' ? OADWAN EET ???? -RN OF R EDGE s ' - DRIVERS NAME-LAST FIRST MIDDLE D DRIVER NAME-LAST FIRST ;..M.- IIF PEDEST?IAN. CHECKIO P ~ u :? A.. STREET ADDRESS R, STREET ADDRESS -, • . .. ,{ ) e E I- ;STATE - 21PCODE PHONE NO. E ' CITY, _ STATE 21PC 0 E :;,- NE NO. •, ? ? R R ? { T N I DRIVERS LICENSE NO ,,,. STATE SE% .ATE OFFJByRTH : MO. Y fl. N IVERS LICENSE NO.. -, STATE E OF . RTE O. DAY YR. 0 . 0 " T DRIVERS OCCUPATIOYFIRMNAME PHONE NO. '. DRIVERS OCCU'All. N FIRM NAME .::..PHONE ND; wr< ' : CODES ul c SEAT BELT EJECTION CODES T t') S NATURE 01 I IeI EJECTIa } f", VATURE OF T + EI.M.-NE El! VEH.YEAR MAK (DODGE-CHEV) TO MO ELI.ART-rv OVAISTYLE 12 OR. CONV. I... SCEN EIOODGE-CHEV, V9 H. YEARS AK MODELIDgRT NO VA ST YLO I2.ON.-CONY. -7. E-. ' LI....... NO.. STATE. RAIL ERPLATENO.S TATE E.. VEH.COLOH LIC. .PLATE N0. STATE -. TRAILE flPLATENO STATE ?„ H H li ., (`. VEHICLE. IDENTIF ICATION NUMBE R..,... . ODOMETE R C VEHICLE IDENTIFICATION NUMBE R .. ,... O HTE R ., kg°( t L . _•. ` ,• E REGISTERED OWNER- LAST. FIIIST MIDDLE. L HEOIHTER.. OWNER-.LAST FIRST -...::, MIDDL ; • •- :.`. ) 0... A P.OWNQR - O• ADORESB OF OWNER .. ,. ry ?, .,, 2. ., NAME AND ADDRESS IN9 RAN Q .OR ADEN NAME AND ADDRESS OF INSURANCE Co. OR "GENT. L' CHARGE CITATION NO. QNPORClMENT CHARGE CITATION NO. 1 ACTION ?Nr NAME, ADDRESS & INJURIES OF PERSONS INVOLVED Lo oEe _ 2 a J Y ?. S[X AGE 9TATU9 j ? E ECT, l C M! T J E] C D D ! 9a AEF OVEO FROM IEa TO P,, .,.. '., A wME 1 N DR - !A .S., EMOVen PnoM a: NE - A -. L ' T ; NAME F9aOr [MOVED En . .__ .. _... ) ). . I , N TO ,,.r ? WF ) 1 J E ' 1 L _ S.. " ' MA N1 I HO To R? _' 1 ? Q, Io aT r s ].r !SINGER PEDYSTA •M 1>I Se wr " e Al 1 1 - rn Ju v HO INJURY ] OF•D AT SC E a Dla•auno lNJOn ON-DNG EVIDE aNT(wIR LINAJRV I Is: TneLL NOT ai LEO ] OT U5F IeIN JECn.N 0 e .TED ]. O LiYEIEcTED 3 A R 'ccun L r 1 I " 1 4 t ' S r ! O , em euar ° ° p onur.oosn oN , IO C E a oewo ON AFFIVIL DIED IN HOSPITAL r NKSNnLE wronv e.U O IF INJURED uNiN N YL . 4 "N ilowr iii r 7 11 Ny ; 'wiiwess 6 1 rO4 r0 LT FAILURE a.B JECI n ? qr4. ?'I a I. y t f {.?VYn I! Y PL yV? I I t r u5'N. M V VEHICLE DAMAGE 1. IN EACH BOX, CIRCLE THE NUMBER OF EACH DAMAGED AREA. EXAMPLE INSTRUCTIONS. 2. SHADE AREA OF SEVEREST IMPACT. ?()II 1, OC __., 3. DRAW ARROW(S) TOO SHOW SHOW PRINCIPAL DIRECTION OF FORCE. DAMAGED VEHICLE N0.1 TRAILERS, MOTORI-SE, ETc'I DAMAaF TO DAMAGED VEHICLE NO,2 I 12 U NT 'I ,O ' IS. Nuu, U , U n B _ U u IE?R=G DAMAGE HICS?.THERM.V. DAMAGE SEVERITY iH 1QO5ABLINGDAMAOE FSQOTHEn M.V.DAMAGE I L] DISABLING DAMAGE cLE N3?OTHERM.V. DAMAGE 0 NA El N. A.- 2 Q FUNCTIONAL DAMAGE AQNO DAMAOE 2 FUNCTIONAL DAMAGE <?NO DAMAGE TOWEDBY isT.DAMAGE TGWEDBY :IT. DAMA E TOWEDBY EBT. DAMAGE TO TO TO s ':,DIAGRAM OF, COLLISION DRAW ARROW SHOWING I.ID ENnf Yr P[pfs b R FEATURE! D "ia YErFs O NORTH IN CIRCLE I I q AY TRAFFIC - ON/ sKIOMARKS Ii[EiniOM COHsinucr oNS ?' AREAS. ETC( 2. LOCAT£.ROBABLEIGNTOF .'... J ',. .._,'_ ':... ..:, ....___ S. in-VEHICLE,PEDESTRIANON OBJECT VOaITIONS AT IMVACT. - ,. _.I.._. a..._ s, aHOW PROBABLE VEHICLE OR AND AFTER COLLISION RE ,'. OES¢RIPTION OF ONDIC TE WHAT PROBABLY COLLISIONS SEDUCE. Fo RrANC OTHINCCOfon, corvsTRDCnoNORRErAInwo K,FTC.I ToNDIAGR M,Ea.on,vER ;I'll ITIO HEADED ECOLLISiON I S BEET OnHC wAY NAME On NO MILF, -IT DIR. NO. OE F LAN C 11110 0 . NG Ell DED0 3 N pn EJ 0 IA.... p oDD rlEo ??? ? D o 0 0 0 rEG. 000 0 AlnNO. C ,r ERECTOR P09^NG T HI['r,WAv I N.E. cDn NEII TO S. E. COn E 1 rv n ..IE. Tp w.l rF WAI 11S,- rR nN IL_JTRUFWALl r ?wA T?g a RU e?uN MARKED M p .0.',,,_ RO RFACE N[CK ONfI WEATHER .-T [K ON" CONT RIGUTI CIRCUMSTAN (CHECK ONE 0. MOn— I CES L wcnONB (CHECK VEH t ' U TONY I?C .RIVER IN I U. ` I` ?o0 2 ICLE ONE Ol MOREi ?IN- ANE^pDSTnAIDHT DTDW Zan D,Da - NTLR : o? ?,?a AKINGAND ?S?a 209 ?. ? ap - - ? ? ?,a?la' nK O El -11 TUgNNOHOnI ?°DID fpp e OaD_ " ? ? ? ?I°?O ?aDTUnNGLFrT Da D ' ? D [ ?ARTnrw ? D pr°N[Ow nslOr 0,0 ? e ? MAKING UTUIIN ff?T „•E. Lr cr a DNTnr _ p A FT owING L Icr tc Co0fl?3fT10N5 [ TRAffiC CCONTROI I [ r, cL??PE OF ROAD ,v0 O Grr MO VEHICLE C pN 1T10 ICIF vE IC L KONr OR peRI TV C D on ? e ? r ArFIC 'p ? p vFH IE ICrIECK ANAL ? a D -P ?D,YLI G 01?a ?2? ,w ol oa I O°arI °AIR ?° D So-w: O 2 PwwN 0209 ?? O]? n " D,?D nu ?, ?HM°uFn,•N DIG?i A'.. DUa+ ?.TpY ?.D : ?T ?:10'I'D10111-T. pNK lA " q°r D D c, IN ? , ? A w? ? err 0 D RM?? D+ ? oa Kn a LfN . ?,ID: N °? ?°D:`" ?°D _ r T n ? ? M r,r. rn CHEM. TEST n Np 012 D T OP CI IfN1tl rl 'F A ?; D ?I,R A_T c rrr - - 'In D o o o ° wD,rNG ?Ia0 O D O° ? ? p ? [? 11 p T r,,, U rp J ? ? -N. WRONG WAY ? U E^uT R ESULTS ? ? Orrl[n lar[C vl N[anG+IING Urr?cena Nw ME An,NK pp[r,a I.ICr Dr >FOn LiLr. ,only r p µ nrve° vnp rioio LO X vunG+nrvG OrncrR aN,L11 A A.NF pot NU nmr out D[T. EO. nvpRr rnov[Dn ' OISTRIRUTIUN: ORIGINAL COPY: SEND TO WASHINGTON STATE PATROL-Ol VMPIA, WASHINGTON-DUPLICATE COPY; LOCAL I AW .NFORCEMENT AGENCY'S COPY-TRIPLICATE COPY: INVE . STIGATOR'S COPY .. ?'. hl. ,q I';1' % 4 ?I CM I ??µx 1 M " ? Z r F , I r? t\, ? 1 .• ? H. 'ti? II Y F i , ??' S 1 a rfi t a, l J- F s IT } 1 I i, r '?11 I A Y? 4 r G E" Y: c '. ,I f i.l ;FFrt ;?} VEHICLE DAMAGE INSTRUCTIONS: 1. IN EACH BOX, CIRCLE THE NUMBER OF EACH DAMAGED AREA. 2. SHADE AREA OF SEVEREST IMPACT. 3. DRAW ARROW I51 TO SHOW SHOW PRINCIPAL DIRECTION OF FORCE. EXAMPLE ' .. t Ia . al is -.'_. , Of I o DAMAGED VEHICLE N0. 1 (TISAEILTERE MOtonc.cLCS Eic".i DAMAGE TO DA MAGED VEHICLE NO.2 e , n a i ?^ --? B ED , IB p , G I I I IB B B 17. '??TJ 1? 1 IE?"OS eLINGDAMAGE H'C]?DTHERM,V DAMAGE FUNCTIONAL IE?DI. BL =.I. THES?OTHEn'MV OAMAGE 101...T]ONAL011AGE A?NO DAMAGE SI?HD SABLIONG DAMAGE Cl N 300THER M.V. DAMAGE z UNCTIONALD MADE ApNODAMAGE OwEG eY .DAMAGE OWED BY FST .D AM. E TOWEDOY EST. DAMAGE TO Tp S TO .DIAGRAM OF. COLLISION a_ . I DRAW ARROW SHOWING I.I GENT Fv: OADWAY & npWY. FEATURES R . .. I. - ,. ORTH IN CIRCLE _ O OBJECTSONIOFF ROADWAY L TRAFFIC CONTRO SKIDMAFK$ UNUSUALrt EM P. cD"DITrONS ONSTRUCTION ' - ---- . .... .. ---, I n RFws ETCI 2.. LOCATE . OB. LE POINT OF CT 3. BID' VEHICLE, 'EDESTIIAN 01 ... . ., _ ?-? - . A. SHOW P P E ROBABLPATE VNSEHeEF CLORE aR BEST RI AN E AND AFTER COLLISION. .. _ '.. _ - - DESCRIPTION OF COLLISION ON DIS OCATE WHAT PROBABLY HAP.EN ABILITY. REDUCED VIS BILITY. PE E°BEFORE DURING DEITn1AN CLOTHING COLOn C ° T ON DIAGRAM. .. DRIVE ONSTRUCTION OR «EPA R WORK Ec l1 '. POSITION BEFOR V O. ?'? ? ? ??? ???? rt D. PEDEPtnI,N W.S E COLLISION INCH E A ? IN DEC ? ? ALONG ALK 1?51 ] I STREET O HIGHWAY NAME On Nc. - vIN IILerO. Ci0951N0 ?WALKWAY I ]?51OULDE • MAIIKCP 111591pL n p. O [c L ? ? ?CC ? KEO UnEG? '-Cl'- PA O MPH ? ? ? ? I«GIIWnY N.E.D..... TOS.E.CORNeRI .,I[.TOW.,. FROM -!O _ K a?UNMARKED CR095WA K B?O TrIEn ;b ?ACE . ICHECAON[I VeR ..; WEATHE ICNa CK ONtr I?Cl[n« CONT - o'"DS« °NDEn INFLUt NCE OF F_ RISUTINGCIRCUMSTA ICn ECK SHE Ur1 MOnFl 'VS"fpuOw NO TO ri"Y1 G S j}R fiioNFU14R0[O wenN. AI VB 1-H.LS ACTIONS ICLE I CNECKONEO"MOREI tNO.O -TAKING ???WtT a?«AINING ?,?oa„IHFLUENOLDF ?«? I f"GEN,tn ?1A?APPA?Er,TLYASLEEP ?'?nIG B1 pa?SHOW ?e? D =I « 6 v' SCK ONEI D,YLIG.IT a?SHOWING e?F fRA-nTC CONTROL r?l?lyt Y of ?S-ALe ?, ?EKO[[DI D ?e?? n1 V111-1 ILL noE OF ROAD OIOCH Gn MOn[I 1- WAY WAY ?, 1 ?[? ?11?; °r lE CONDIL 1 r IND. ICNtCKONCO O ?1e?lM «KIN ?I??D !'IBRIA LnIN ti cLe rC .1ECKO1E, 10InDABILITY IMPAH.B. ??'a * NN - NI LEFT ?e?...IN.UTURN ? M1 ? e WINO tOPIEC ? , ? R . oKIONAL STOF 510, o ? ?,x ? ? ? R^ N )?PAWN ?]Os MBll. ?10 H neA ??? L, IT El' ?IrM NO N ?lo?i (I e fC A 1 -K •? °I °?;I ?a?vI DBIDN ?•?: " ?E? ?K? ?e? ? ? , ?n A wD I.". "- ? nLSWDn ? ?aM NGN e ?onns?wNCTVIreD ?,-IH a•?'.AN ?;? ONK CHEM. TEST N L ?II?: aro.D;?°oN ?1'?' G I o ' ?IB? EA u •?D BIN.. ?. ?, eIGNAI 1 ? ?. ? ? iu ` H ? W 1-71 ? r ?- .`1.= ? ? D o I C] C] r tO ' 60 S .V ? _H . I _ 7rf.., 11 TEST R E5U LT9 ? ? DTrItR ICrEC IYI' _ , HANK 1 D,tINDO ICY Du[ N" L c[ D L cL nIHN,1 ln,Er lc rLOw In VtD C ]+? I p!p MN HH. X IY15,1... 1.-.Fr 111 n F N. M r?n.NK OUI NO lNCY l u" lSn0 91.UtT it of ll[POni PrIDV1Ue UK,, `.1 r? - w 1 ;kM Y T 1 ; F ? t 4 }}„ { DISTRIBUTION: ORIGINAL COPY: SEND TO WASHINGTON STATE PATROL-OLYMPIA, WASHINGTON-DUPLICATE COPY: LOCAL LAW ENFORCEMENT AGENCY'S COPY-TRIPLICATE COPY. INVESTIGATOR'S COPY i '? -rr rt'F'c r r 1a r r- ' `7) +, 1 'y 1? I t I da+E?' t i:L n ?A W _ -.. { N ?N '*6 1 s•'; w 11"" ?1.?ii t?'U'>r VYH?r711VGI V1vF.?! ?'?_. O ICE CO UM E ; .,?' •. ?) UNIFORM POLICE TRAFFIC COLLISION REPORT - -- - t, € 1 Z'? ATE Of LLISION l' ?AY OF JCOLLISION TIME uNTY NO. YNo S. FNI SSAT Iu3 OUfll J M4' r E u Z uRA CO 1 Y YR IT T TT E STATE NOUTE ACOUNTY NOAD ? CITY STREET O / IHEFIK {/?O1U ON G{/.•.ET CODE SECT IOW"' L0rxi 1 ?nOTNER [SPECIFY) LLI Al N r - CITY ON TOwN O P Efl% E6 Ilf POST 0 12 MILES ? 3 o a 12 of __ r.• Cu Q c e 3 (? •, {{ C fi[N OF STREET OIS.M TNT ECTINO WITN:STRFET OR ROw LL O & ' ^' § Yl?. 1 NON INTEASfCT10N ` (Q CIOG E CTInO STH Fi OR OR P O T h ?1 T 1.917 . O D vEClwl S MILEw ?C - Q * 0.. nETWEEH S TE C EFEn CE CROSS ST O O I[ •' iREGERT wnol I L.I.tD?? 4i ......CT... FROM * I?1 MILES f / fEeT 0 3 Lu D L611) ? ?' ? 1 ? v •J COLLISION INVOLVED: HVEHIGLfi-VEHICLE CELE-E CYCLE C] O E f .-El HIT. 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EMt NT CHARGE. , CITAi ON NO. GHA O! - :.•„ CITA OH NO. I ? A i1 ?t720 / ACT ON NON E NAME, ADDRESS & INJURIES OF PERSONS INVOLVED ' IT TIM A e% ADE srwrus r EJec . ASqf 5 2 z3 f 3 V. NODU l13O peM EBOPRDM TO AJ p , n" !v D r I A :M." -? z z ? 3 1 ? Y 'tr T. ?DOnes3o s _ IL) Y/ wut a3 ;? T ss ovrD PROM 'P ?• N i f t 5• ro { • ? ?1 P?t t..r. H I aM i3, v .L• I•...... U fNJUHY CLASS Hr O Iq 9FA1 WELT 131 EJl CTIOX nr a. M SAn LINO 1w JUNy O INRMLLCO ; UECrFp Irv 'y: r 1 vwS3t No'R I H_,Hlu to G TDI AT 9CENr. ON- JNOEriNUS! _nTiII EIECTFD P O i a?cvciiiiN y J t omlRrmmoN J. Dtwo aN nnmwL ° Iev1DFDr iinl N IU n nv : uriKnown : UNKn?pL.iiJaertD 1 ECI 44.... {4? .'Hat D 3 WITMl6S IEUS-MOf ONCr<Lll .. OIEDIN HOSV1 rAl II•POSSIEIr I 3. UEwr IIf LT fAILUHt FPARTIALLY E6 7 E POST TIpn uN%NO.N D' m I 11 11 ?Y, _ t ]?jl 1. I J I ' Yk t t 1 r f .,? ? ? It f f'y? ? t .9 7 r 1 ?1 ?I ri yLwA ? f.r?l ?+ t ;, 1 s rt ? 4r, f? s li 1 ?i L n rR 1 7,11 e? 1 .3 .r al .. ?? al n•,A50 J ME ? r r ? I rf + F a ty 1- f? 1 Og ff a` I F:1 ¢ ?J 0 _ .,. . .... ,? _ er i >?S i r.? I POLICE TRAFFIC CMSION REPORT J!TRAFFICWAY Iv, omrtMNrr+u«uR '. , ,. .. ' .? PRIVATE WAY , - l D cal H •+ IM[ ouRl cou r v c rr?+o. a No ?[?eµ ? [ ? N ?C,Y rOWH NAMftNO p5ivlff OR »G,+WAY ES ?w ON W N2 r Cl5 R rF OA SI ro7so < - „ NDN N,FVS•, N F IN,ERS[CNNG YAINS+v![t04 PoAD 9l,wtF OI 5,R[tll/R/?O /?.,LS.RfFt vR[ri%- M4l PoSF S O lw C DRf Rtf[vl CROSS S+REfr yyy{{{ ?E (,? 1[5 H 5 [ w/O/ .?J n[r Dr ACCIDENT MILEAGE CODE R O.GRAM DATA R CO,NSgNINVOt VfD Sfv CV +r. lO ? p vl NC1l n»,pnRm D Cl5 FY N RtE RPoADOR V[rfvtHCk CROSSSiR[F+ORPoAD. I OBIEC, SrvUCa INAM Or ORI[C+S,vUC[AND OYMtYS NAMII fS,.DANAOf f -IIAICIII- 1 UNIT NO. 1 UNIT NO.2 ? VEHICLE ? PEDESTRIAN [I PEDALCYCLIST DRrvFR SNwMI IAS, - sr4ef,/Ip°REa p ??'fy? ADDN55 TWIT, 44 (?5/'>• stMF ???.c°p rN.Ng?/ 99 (?' ?/ J D R I N tl VAR S+w+l N 3 NClHy I I l N Ho. Atf p e n t RNONe No r wr » a. 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R NAME, ADDRESS & INJURIES OF PERSONS OCCUPANTS/ WITNESSES IUS[SVNIWM45» roY ADDnroHw, H•AV INVOLVED O SI CODES 1 - YL - ---- t wp rA - Z J S Insn ua 6 ., +. H•w ' w •N»m ..._. _._ ._. ... Y H c T- X r ??? I Oa i,01,•:. it Dw?; ppn ? ` ?? i ,f? )I ? D VT.f, T W.,, V.J ~Y ! Y .r P f._ Cam` p ? a; i I 1 i Y I L d) .S ? C . i N ,erg o , 0 a ?1' f$r y"{"'S1T 1 `?? I , f ) ' r I c'? I` '? 1 Y ?' r4? M!O,,;di N a sro i ? I ' 24 }? i ,lI I r ^ i rt t POLICE TRAFFIC COVON REPORT 'KTRAFFICWAY ' "M _ O PRIVATE WAY I D• f _. .- +r nMf I a ?we? v._ ._f .- lusf s.m «ouR' - ; P; -. 1 ? 7 COUN,v COUrI }Y lq 1 rytA. ` nw / 1 7 E o 7 _r 6 RVeµ . 0. U. E]W C11v04IOWN pSiPE(IOR wGNWAY CROlllf UV rR[L lpil" /S+NUS tg3 ?w Or., S ON L C 0 1N [vyCnNG YntN 51n[IOV VOA. NONIMlpStCnON 5? ' MRF qS, elrvrtfN S/p / 0 I 9111 { ed)7dvcvdA? 1[i '" -.. ' Jr (, DiSwl Ovl n .CROS\Stnf MARlSIMN[ ACCIDENT D+1A 5 [ w M M E ' _•... .. FEET ET '? 4 tl CODE n r3 (LM g COlI1 NIIXVfD 9v{Rity. 1 FI 440AD OR RInnNCE Mit W O,µ NO [IlIfD?N01NRglD? ? l4A0[ ?«,{RUN r.Npt ,• IMFe C15. 010SSSmfROR eOAD IOTA NO » •^ " tlV!«K115 •ROHptY DAMAG(OMV 0.111. ?-1cl, OpNCt SIpUC[INNA[Or OlnCt 9pyCa AND OWNfp'S NM1[1 ESI.DwAO[ SnCUI COD?NO USl L?. _ S UNIT NO.1 UNITNO.Y ?VEHICLE 0PEDESTRIAN 0PEDALCYCLIST Ov'1-1 nRS, t vNER'SNwf r GuitD Prt10 m c_ ?FRIc/TSO.U wlA,( r Z S,Rl f1Ap°eE53 t, ADDVl55 14 Ti M 3 ?v -TWA TL?? 0 G Ss f2 n /R IOV 6/ 45'3 s1Art =.a coa HONE NO SILVER L=R6F g 98s2sbi lPS DCWY D R , „ rFo/PJrj w/r SdJI 3>y63 J S1A,! GGrL?1?G-'»G wit rvt MD I V ?/41C/tw zL t ovh M 6 .L' ?a e 'Z DeeurAlwN mm NAmear+K.a NO ens ?e«, raa«, 1Qc/ ER r 126 c.S?Y' E R eurANON rlvm NAUla RrrONI NO. lns w rueln "o, "I LI L,! N .Ca(rG r,r u ;NC aKr r_113; /0 .( ? CHECK (, re«KiI AS AN eA Al ANO1nIR ? CHECK IV 1 'vE«aE wsAN lmaorlEaANO,N R - '?'" CODES?? J n . "" 2 S 1nno.. d y«' a E CODES ? J nis I + i snw"' S ucrRw d vq°n2 p 1__5'511,, 5 R y1,rN 0.A «D ? I— ? Ku 011.11 wwi:r DM 0- ? IV, ? 6m ? .,`Z "" 1 QS':. I Av VI«v!A• 11DDOOt{r[vl IDAAI NOVAI s1v111t Dp. I 8 c)-) v k E n 1 v.l NOD[t ID vq , T G 9 N - - a Ru l e 7g odp BO 7 8.7 (3 00 sun mu.aAlt slue I W11111 i /T . 14 H ( °R 'I ?L4 82 62 1 f° l w/1. 3 N«K4 rp MnKA1KIN HO. -- ?: cFZ'E o v.z nenn•loow.A• IA51 r1e51 miDpl C V n l (Nil N 1 o.r,? ?3i11p I i r«ONI NO O wweR: sAS, nest 1 F (T 6- G ,L ADDRlsstl owneR N E o S Fa IQ h-J, t f «uAla•DDetaa?MwANee eo a•etN, 6CRSWTFS /?'Q SS 220 R /p r'?7 ss, _,/ a\.. . w•Ali A•1t AMAO! •AFA c • 79 .? 16' 5 `j'/e p: AWAY ?NE"NE° Wr.WAV ?.1-NID l5. 1 Y Opd DIAGRAM OFC IIISION? wrn«« .ND UnNOpm w DESCRIPTION OF COLLISION: I.Ie,sVnSml 1u s«eEt Nea3w *,v q,y7/ RRD CIE(. Eli" Rwu55sn7 a A .. - - ?„ . niJ 2 _.W.a._ V 1J O[A c/Ty-- oo1 II ; + ? ? L _ ,.. . / ,r1P,fF. N/9,J dn0 /4T_ / trdUwT. 2s ?Y7 -744a7 RduyocD cLwRd6 T°. R7`d+T'¢?O__ .:.._:..? I -. A:r Ail &T E0 /5' .l111v S-,"*IEL-N>r. STR .._T(//QJ AF-RT _D NTd S/O?, 4uR'0ls7t-7-40_ . ... _ T+ai7J ei0 ON SLI?r?J!L : .?'_ ?- _ TirT642.. ?!@.. - :_ .. ... .-:..i I ?. {. I's/D% SFC /9 -S/?rs4J'A .,_.F-?? S7YF ?Q T't•"Q,_._ p 1 A?sr B FCAU 4f" I t ,.? r %Vat p6T / NAME, ADDRESS 6 INJURIES OF PERSONS I NVOLVED +CODES 1 - Z a 5 4 6 .... N OCCUPANTS /WITNESSES ,w bD?b:I N-[ wl $1 is. Acr u,u _j 1 u "J ns,. un :;°, ?? u/?D Z A 0 + DNI\1 wl +tu•p •MOVIDrR []AM$ 0:%"0 ..? rON ?ri° .5i5 0 A \ N•1V•I W N,wa\ IN1i. ct i"ar ? ?: n ? ?+M w. ? lid Y X t\IR:•,./c .\ la.• a.DS;I O• wl«cr a P!1 DOngrND RDI KI •••?ND , D+,1 I OvID e. D WDY ?pg T 1 ?. wr STATE OF WA,JtiINGT®N .Aw a 1 No 0 2 7 7 .8?Ir. n, r Ir I I 'q,W ' POLICETRAFFICCO ON REPORT WI TRAFEICWAV .. Hlrtsatr-.?- t ? PRIVATE WAY , }:d r F 1 / _ j `? r?( .- WTDr.I ul?.l•lo?llw.,. I Y, tN o NOO4Rt l CJ I?rEYQS T : M 9 ' b p A LL l of,NN onOR rowN NNAta -- E NC:NWAr pN p '20 Mllts gds or Fo IY ON y BPD lA - YROU 343? IN,(v5fC1 NO MnN: S,YlEIOV RDAD NONINItgYGrlOry IN 4?NE etlwtwGo00MAN nT?slq{!ra t'T?/JsnetT yK lx - l[N51 S.'D,S DI AN<I .CROSS SIHFI N[AYf51 Mll S N ° s 1 w ACCIDENT ° . s ;l[I Or (r /hR IN •wl E MILEAGE CODE KD111510NINVOtV{D of Rllr: TOIAI NO NO [Ill[D_NO.INIUR(D- ?YRIAW pHnaRw1 O VlNKt[5 °YOISR110-1ONIr ? NLARD pvFQCINE rwMD,w INIER Cl5'0 106551 p???4ypOVRtitlt NC! CIP?SW?A O`.w V? I' .-T SIYUCY IN-1 M-1-.1 ANDOWNERS-11 ESI.DAMAGf S•fCW WDIND IAf S UNIT NO. I UNIT T NO. Z ? VEHICLE ? PEDESTRIAN ? PEDALCVCLIST ?' vrvtR'S NYAR IA51 R pgMRN U51 -' Roz Ri6uFZ R RF6 - SIY{t1wDDR[35 P6 Lon I 111P- M i ?I ST [I ADDRESS +WODDYILLF Cat vt i S rHp`E NO S 3 D Ir AE ! hreLa 0 w Li R _ rvfR'S 4CtN N I StAI! I I t ry A acwwnaN MNAMtarraryt NO. ens Iwo N[KNR "' E wwDON mNAmla rNONt NO ens .? L-AdA S? /3"t 1 R 77 0 CHECK (.1 wct • o % 2L AN ' p CHECK( v wttl ws AN Mrion[awryo,N n' r ; CODES 111- D R 5 I e y'?• CODES 10. * S c • ?• 5 Il a 5• ` 7n 2 IN 3 f a7o . m 0-- 021V ' MM- p K •e Ste x 1;r d p NN . ?r ? q" ? zsm. p , z4 ? E.. / nn rfwR Mwgl tDODO1.CNev.1 '7 e3 FO r4,o -Al ll,DAVt.SirLL IJOR CCNV.I 2 S-6 /O V E r , Nv.l MOOfl to • Vwt I _ A a Eo y slwlt 0.w1E N0 51w1f N v[N C /102sT war I C DY VlNKI! IDIMIIKAtgN NO r! AS .q'g3,?,g ' vENI I N l l w l Y[GISRR[OOWNlY IASI NR51 MIDd{ O psi ti k04 MOrA 1q I D N51 NYSE ?? •oonessa oW.+e• co cf /'N . c J N E NR - AMiI•DD•tSt Or INSWANCl CO Ov AGIM R y 1 ww•D/ •YIA ' se lass D AM.ct AYU •10r V`•? CNMti CNMOt g ? f. .? S I {SI WMw- Gf, e?O ? w'iv ? YIMMNID YfMA1Nl0 ?AW Al a •1or IY?OI?Oii 5 E t/e 10'MD6Y ? lOW[D Ar sr' DIAORAMOFCOLLISION rruMtNlu sr[Il rrxauAYrt DESCRIPTION OF COLLISION: 1- 1 ?_? I r I -O- f I -? .? RevNDIA1.?_.CErA?.? Z0-trFT Do F oci Bts- fr 1 1 ; _ _ ._- - -- ._ ..:_ .!- - T • ADDRESS & INJURIES OF PERSONS I NAME. NVOLVED ' CODES ODES 1 - Z 8 4 3 6 INI3w0.1WMN SNI A IOC ApD111pNAt NASY Ir 11 c NY AOI u .r ` r • l Sla "'-' mtCi fllcl M I• N•ml ... _...._ •WHS NMwla AMa pEY1 t' ? ° . O.«+ AMI "_"_ .. _ .ro•n5 __. NA1u• a • Iorr pAma p.D?Alp«,?n. pp:°.' o wl Its • wA /a N r«e. m0.4a pro,sl p<«d.n. o5• ? l , ? 1t < . S 1 a ••N. aADW 0• •w NC? d1r" Dn Q ry O.jpi7?S/.tgD O,W N?U D 8 ? rQD' • ]??/Q•?( e+ ? DAII ?- ??::N arm LIMOK E Iro1n'yyfe'w 4,.e...?^HPAdkl4' _xE:??,..?Ct 'IRS b'?..?FNS°i FN 9b1 H' N"?s. '?. ..'(?T? 1 I I » v a a - tJo. O U O ' ,oar' H ?-1 7 l yI l r r) cx U WSP i%14EV. 1.801 O STATE OF WA INGTON PAGE ! GI / No. i POLICE TRAFFIC COL _ ON REPORT 2QTRB'FICbv, ralac Pw Ntvn --Ej--? Ej PRIVATE V - ...Pe ! OIII _ .. .... r n ua q W IUSFIOON?U41 <°° ^ J 17; )Z A ox.Rrvla. orvw. N ?? °g •I C D4 ,OwN 0015,vEft Oa NIGNWAV 1F l 3?cM f3 °? ?w ° "/-Q AC5 ordF 6 io?so IN SfC,ING wI,N 5,vff, OR ROAD NON INrf vS[CNON ??y?? / BF,wf r e LL(rC/ 3,4tfr PAFfIZ f Al¢F 1031 IIVO£7£'r?y/'???E DIS,AN fl MI M ElFRtN CROSS S,aft,OR NtAR[S,M1f 8051 5 3 w P[[r1 ! p1 /J QnI n (;,;/?? /Y- AC MIowILE G , tlAMP D DATA CIXI SIONI v VtD tutu lv UN NO. INNRF ? S> IIAGE ? N' eR NO "m D .1- Cis dOi531tlEFTOtl ROAD4 DR R - IOVM NO OI [NIC- ?p-tarv D- ONLY ?pj SUl1ED ?-1- OBJICI SIRIKVINNAt OI OBItG, S,RfKV AND OwrvfRS NPM[I f3,. DAMAGE f SPECIAL COMNG IJSE UNIT NO. 1 UNIT NO. 2 ? VEHICLE ? PEDESTRIAN ? PEDALCYCLIST - s W I MI DRwfRS F- T, u /yI 04rvwsNAMr. ws, NI ?i l? S,Rf DD [SS 5,Rl Et ApO¢[55 ?? CODE -NI NO, D R Cl,v ,A,f Iv IONF R 3 11c c-? r?'/Io38P5 U%F? A A ' I V v uaNSt NO. Alt u. D E le A_ K "?''' !(NONE NO. fvt5 w41GN, ,I F/ ILEL(J/S 7 MIGN, E R FvF3 WFIGNI IEIGM CUPA,ION FIRMN-PNONENO ? CHECK() vlNC r[a Ar?oi. IW AN ? CHECK(1? nE AS AN FMNOVEl oIANOrNlRAI 5 1ac.w e,°„ 'clo „ « ODES?* ] S C O CODES?? 7 A is « Stn N e is in •"' , ? ! O L..f W S V ? D Nt ;, ? ? .1 ? "Cg.l_ ? ? Av A'I y^ D ? C] r."' ? ? H ? OI 1 N .fA4 IpGDGt CNtV.I MODtl10AV1 NOVA( 1 110R 3 MAA 1 Cu v.l v NOVfIIDARI V41 f 1 0 v ) cam/ +f 2 3 c? E R s,A,f Purtra F H C vfn.caon vlN .u eKA,ON ND. I I? S?!T" I I! I I I ( I I I L vfJllcu rtnN lc.a. I i I ? I ? I I I ? ? ? i I vFGI vt'D/OWN[^R ?? ? W/r / 51 MIDOtt NONE NO K/?JUN LE'w/S 7 O W I 0 wrvfR. lASt (IRS, MIDDI[ ADDgst)s= ow.JU t?S LI / ?z S ?? N aADDa3somw ANCtc?°loawlN, '' ?N <S R IN ]1 DAMAGE MIA ' "° a A 4 AW DAY[A wc.NO,r cNUd ? . •ilP ?,?? ytlfMNNID 5 d aAaGt • ?A4I elvl ?P[MAIN[D 131 (DAMAGE I?O?oTP1. 11 w , IDev.. 5 ?G...+ .w ?J ?A. lO er f Al Aw 1 I*INIAI I DIAGRAM OF llIS10N lV 3N[laNfCE33Mrt aC 1 1N b Ow mi DE RIPTION OFC ItISION Itbi SINPLIMI rA15N11, INECI 1 5 l 1 1--• I NAME, ADDRESS 81NJURIES01 PERSONS INVOLVED CODES I - Z 1 3 14 5 6 OCCUPANTS/WITNESSES .1, .Dw::i rM+:.v ii' su Aa urns " "„H" n , R•1 . at 51. _fYLt ilii N.w 0 ADOPt55 N WI ? 10 .• .. ADCM SS IrAtUtlid .. .... - t AOVID IVOM NI e. ?AMe ?? n I ? w ?ri b ' ,MI?+ • ` NAB tlf 01 N r5 ?` s i '. ?AMe ?".' ?:T- IDNr DA,1 . .R ID AIOr Pi ` ` ^ C NAM((IAN I i K. •• C D n V [iP IL?h n rte.,. c ? i'S h, Y 1 U` W% 1 R y ( ? F ' •4wv,Ig7Y?arN lah" ..a ri vo a ..,T ? _ 1 .,?. 41, 0' it < r 7 ???t SaJ I - ?5?? 1 I l I 1 1 t. t V t ?J?j ? I?J,a ,W POLICE TRAFFIC COLLISION REPORT .2<IRAFFIC1YAY , roueeeomRtn Num to PRIVATE WAY D%Il pi.,.<{{tnl+s/t t O+v u{ *J 1 COU + /1 1 ?• U / COVN,Y r/p CITY NO. /!J F«W% ?ue nW%v O?T 5 IIOa G ?" ? ?IN/? CIr OR'Ox•+ 3 Cl5 .' RW,f Oa 1 L 0 /0 . . m+r, ?5 75 ?rvlFaSt?ING Vn,n Slvt IDV ROnD rvOrv rvneSEC'O• BOw[iN' /U/ S?PE(, 6 / /? Mtl? vafFl% t m+tFfgs, O.SO I o5tn"C[6D VftVI ON+aO I t <.CRDSSSIatfl Oa hlnv+y••",F WS' +f5 1 S rtt• ? ? /(I c, Ot )/•' 'i?" C EAGE MILEAGE CODE R My D+nGaun Win _ COI,IS ON,•+vOlviO ? FOND '•IUa1D ?YIInG[ ?"IM1 1 +ww ,.. %.RD M if CIS C FRStC IN MIORRWpOR RFfR[NCf eOSSSTe[[IOR ROAD ,Ot•I rvG avfn cus ?, naonR,+omm?cl c•.+• O%x ?vl0 -. ? .5«4 /0/ OBIfCI SIRU«;rvnmED.OBI ISIVUf. MDO W+fv}rv 111. AGE SKCIAL CODING US[ UNIT NO. I UNIT NO.2 ? VEHICLE ? PEDESTRIAN ? PE%LCYCl15T Dawws I Iwsl mlD a oalvtvsN.Mf la m. S,ctt, nDDVfSS I? yiE? C PE ?? —}} 11.111 /5'4 A R ??+J 71 "o! servo D• of e?a« I suetmt rvc• lv.Y Inn Dnlta nlaln " 5 Rmt n rvr s .n cnl w+ 11, Z E +v I`yr t a a?orvt [s cn, ?? HC (?) rr n,cnr •ssNimtt vrfof •.iol..f'v nt ?CHECK(?) cif nsnrvfmnovfin m CODES ?' 7 5 + b.«,',?'•;°" +.s. 5• Irv CODES 5 ++ C ' + s. ' tn+ts n u f q ...a,.,ll p wti.+ ? 3.++. ? :.^." ? • DV ? .mN,."cl ? c Sc °..,1 ? 8.•,. ? vi:zn ? tna IWDGt Cwt w : mWtt lDnvl vOVnl 1]ov. 'I V 1(niv, mODtI IDnRTrvOVnI It It a v.+ ? j2 'MC ' E 6CQ<" I 00 .?uNSt elnnN sw not nrvo v. 1v I. H I ve« aoe I vi«+CIf ?MM»ICn,grv NO vtw<4 iDtNl i<nll j IZ7JGo L RIGIS Dvm[4 451 /Ie1, MiDDIr Liu E v«ONE NO ° H f Sit RID OW'N[a tnSt rIRSI MIDDI[ rc.?//4a?? N rv " N /D,?p?aow"lR r':tu 3 Z,o Sys ' G 'l// N E tv ? N•.?a.o?Rlssv?NSVO•NCl co oR nGEN, R . u ] Du%wf .RU _ o ' lrv 'o • t> ? ?ef.ui41D • ?.. i ?Nnbfp a VIA oa v N is+'u.m.ct s 4a 1EAA -o ?R •.I,I 0 , ?s] O y a OV.IU n. Sr 0 /`nCnW ? ?IOWID DIAGRAMOFCOLLISION a '•+" ro,anlf voRl« .SWUM Nl CI55tRt1 . ?OW DE.'1CCRIPTIONOF COLLISION: Iusr x»eumrN,n, snullf Ntcess.Rrl ? ?_???U? ?? / - /tf• ??. It [T /? . L??/ F?/J G C L ? /? ?t tl iNd K / ? ? • . N ? cu` 7?a(nM? CL-t?.t ?? `' l??'F'? CE R/?Lf.rYJ?l&,G. fiiC?t?C-•c`?, # l N ? tts?At?/? _. NAME, ADDRESS & INJURIES OF PERSONS INVOLVED . • CODES 1 - a 5 C OCCUPANTS /WITNESSES sl swvmr.Ll sn ?Cw nDO•Ohn. +.nv1 ln 5 11. l sln,i]. ? RISIV ItIGt ? vl ?fJ rvl •Ma ".ID arm Li v. ?, , LJ? . ? : ? : b P 'f r .X P E4 Vd?d y? ppr w4 eh ? S A S i' @;? I ? MI-I a POLICE TRAFFIC COLLISION REPORT ER Ar PIXICE COMPUINI NUMBfv O? PRIVATE VATE WAY nll Ot<p1V •rd ???? ,ux .,,++?r; n1R :',:,f.., ,. ,MF ]+00 «OUN, C)ZIS f.OVNrv r ?M_F???s CWN]Y NO. C1rY NO. iMVA URBAN RAl 2 AY alBUSIRIEIOR«1GNW f C1rv0R TOWN fCl as NOU,EOR ,e -as SCI KD q i? O C 1-Z srz ? ? ps p I 3 y I. 1- w ti(oF ON Z wus C ,IVSi[UNG WII« srrff, nN? D N1NrtR5t<NOrv ,N ND sear slv[[ PNFfI% E 1111 PO5r ?. SO ]I^ U15I .-__-r;i:i ?,Ta'%--,i -:'i 'uJS"slRRlpR NtnutSl r.r P1?% ,,I ?.,1I•.. ,, itv 1' of ! 1 1?. IMy ACC'DE-1 MILEAGE coGE P GRAM wln D COIUSpN1r+r(?,-U '• R11? ? /I N1rl RUN L ? SPxIAGF ? O %RL[D 0 NC IN]UR[D L w"oaror., RD INrfR CI5 C rFRS[CEI RR RIiOADOR,M1iFRENCE NGITILITI RO5ISIRIEr OR ROAD ]] -„ To-NO QPro RtxrrDAMAGE ON1r '?N'UIIID ?vi°¢i avt«rcus D my ?I7 UBItCr 11yVCA 1NN.+[Oi 001FCr 5rP«S U+DOWNFR'S NaMfI f51.DAMAC1 N/ S sRC44c001NG- UNIT NO.I UNITNO.2 ? VEHICLE ? PEDESTRIAN ? PEDALCVCLIST S ? DRnlll 1-1 Frx11 DD t DE ?tr ?ID • w1RINAAl NI, F1e , srrfu ADDV[ss vNEn ADDRtss ?J R "Dl RAIMIEA AV-L .S D A- I'll srA-rI COOf P« NF NO S-Tt-r1`7 LL I I T -44.17 R ? srArF rP CODf «OrvE AID I 's UCENY NO DGKKf D33o s,Arf WA !% M Af F ID i7 L,7 I v E 41Vf 'S IICEN1 NO PA,ION NAMt6 P«ONf NO «C IA,[ III 1 DArt Of B1RI« ND R,? .. 115 -1-1 11GHr 0 «CUPA110N F6RgNF NO r WFrc«,H1G«, sivpEJai r°N/q Tiff 14?SII R 1 U M p CHECK (?) of«r<1[AS:N r dANOr«Fe AI E p CHECK (.1) 1F«Ct[A3 Arv [MROV[f OF a O 3 a s e e'?; CODES ?' T "' i ' CODES ?' 13 s r Is n .' A° llDf%+GF<N1v1 VE«7^In I-ANC 1AVreNVn1 srrlf l]DR Nvl U' VPE DK C.0" E rtAR x F «[vl r« mWII IUAVTNOVAI 1111 VI 5 I N l SFAIL R rq A,k A"N H N + v!« COIOP Au ArN A[ Q(.vc ba9 ErtF L]JA ?q c 1111D[NUNCAI-NO wa!arv,N Ar rm L 1 PlGtSDRFDOWN{R 1rDIXf IASr NRS, Prgrvt NO 0 11r !D WNtR 1A51 ,IRS M10O1! Nt £Rlc N LL u?J W sI u ?. ADDx[ss oFo 0 3c/ 575 2VZ. 1fn. S£9/7C-£. G114- E ADDR(S$ OF WNIV AMIAADD°IS IIIIRANCICO ORAGINI NuN}? ' R " u AN r A DAM].G! MfA ] iwv dr.u I C« u ? A ' 7-GI " DAm .W1D ° • ? o Isl DAMACf p ,. s IO ?OIlOY nAMAG fs ? Awl: ? °imuNm ? , c]-AND. I" f ?SGG E'. u: F'A "•rDer WC?'7 C1 „ rOWID ?Aw f • DD II?? DIAGRAMOFCOLLISION: ywtlu Niusvarl Now l" ?Qiacw ; DESCRIPTIONOFCOLLISION. lust suPRtMlNru sNrFNr NeassARrl VfJ?IL1 ?n5 WLS7&.)vND oa UIE, C.0_Fl2wAT-1 R p.DAD- VLNi - AIITEMPTE-D 'To Wdc,'TIATE. _ t n RIG97•-14gnQ C,VPVE_ AND 7Kuv£_ rAlrc, TNE- -. £• 0) 114E, SCv7N DI*rCI4MV&IJ1C./-E. LAIJDA bRIJL'R's SIDLE DY2riE12 S7117F:D, HE. ct1uD NcT 0 SEE rNL )iCAJ) WAY 'D?.'C To T>JC / -ijAi A1: D FOUR 'R ADDRESS&INJU IES OF PERSON5 I NAME NVOLVED 'CODES 1 - 2 4 5 OCCU OCCUPANTS / WITNESSES ;.. ww o.....sw i? su Acl rnrus ":;'" ? „ r o e.n Incr ?- 7 M 6 ,.? ?3 - o1 9 y a a _ Tr?L .FV o 11, r. ! /Jo L p n1% p,^s?' ?r . n'a Y ? .01 ,1• Fl lx 1? .I)„ .Iwv ON pANO p,..r pM. _ O 4 Y4 1 ? 'fN?Sv ! i '.? r'1 ma ? ?.' a sl 1 ' t 1 z f5 I - ?Y cw t I ? ? I' ? Y°iLIj r ? 1 ??T E 4 I L ? ? I n P ?' ti 1 .fi c 5 YT1=? A f '` I ] FOR STATE OF WASHINGTON I NO / MOTOR VEHICLE COLLISION REPORT . CTIY NU COUNTY NO Vl' IIA .r c I " " I-I Ar. " . . A p H c, ,a p. ??I1. .[. I°,aI„L.I :•,w,.:... ' q A' A R : /0750 LG) /tLU 12 -ON L - i di- CLEAn, Nib D 7¢ --- -1nvE.w ' . ? - ?i" r?., Nl,nln s_E115 OO Asr M1 :-NIIH p? °n_ !s 8 .. °...... 4 OUJECT STRUq.K mOWVEH OF UUJECT S NAME A FA, ?,J?tr [SRC (evv7Y of J GFCEcSC !L $ _.._.- •. ORIVCTSLABTNAME.?r FIRST NAME MIDDLE IF Mw4^bSN u?p?V[O DRIVER'S LAST NAME FIRST NAM[ MIDDLE / -T-/IcK N Ili 7/ ANU UOA NO ROUTE NO E Y H I ` STREET ADDRESS IIOUTE NO. AND OOM NO. . 6TfJ?[?l OgRj$SZqkA ST S.w, FEII NM1 AA '- H w UnEO US L AIE CITY , jAJE - ZIY CODE DRIVEIISCICCU- J 1° L?pEnca7 t f.UILI5i0N n IITPDHI "'Y STATE ZIPCODE I1111VE11S000UI'ATION q, OL, ' IE OFUHT 1 AGL E U SEA 0 TIE F .WITH AGL 01111 11 LICEFNO,n:'. STATE s:ni lii ,7 c' -3 ?S w1; In , I 11? L'1! ??• 1 A n DRIVER'S LICENSE NO. Si ATE S r,.?• ? .. , VEHICLI YH MAKL I?'•EV oo ?i? MODEL I.- DAR IT U li .' -I'D.) ump ,A ' VEHICLE YN. MARE (GREY. ODUGEI M1IOUCL INOV%.•OAH f? UUOY STYLC 1t UH.1 o p:. 99 )Air LICENSEPLATENO.. 'rbl STATE TIIAILER PLATE NO STALE LICENSE PLATE NO. STATE (NAILER PLAIE NO. STATE -4bqei .4 ,d VEHICLE IOENTIFICATI O. VEHICLE IDENTIFICATION NO. D'Illl T& 2113H--- _ REGWERED QVNER(6&-FIRST-MIOQLE NAME( ORIVEN?LICEN"ENO. a !J __ REGI6TEREOOWNERILAST-FIRST-MIDDLENAME) DRIVCIISLICENSE NO sr SIAM Cr W _ -Ik OF OIHTH OWNER6AODRM .;AWSTHEET.CITYANUSTATEI -_,A - -_ OWNERS-HESS (STREET, CITY AND STAIEI UA?O b tl1? n,r PARTS OF VFIFLE O ED "F, xTITS OF VEHICLE DAMAGED TaKLOq S LIABILITY INSURANCE INFORMATION-VEHICLE NU I- , IHLIIE AU COVCFACE IN TOMObILE LIAUILI IY INSURANCE ? YES ? NO EF1EGl FOR tfIIS ACCIDENT ON YOLI GAll 5• p I NAMEgNDAOPRESSO5y1AUIUTYIHSURANCIPULICYHOLDEFI `I „InN t„ NAMEOFLIADILI TYINSURANCE COMPANY A i s NnA. -_-__ 5 1 K NAM[AT/fZ A[ ES$ Il/TY Ij1&NANCC AGENT -,V?-, LILY SlnlE SIP LIABILITY {'OLICY NUM1IUEII 1ST INJt?flY >v,,- .ww y?y14-- AGE TNO INJUIIY f OLiHUI,A. wuHIC51 AGE INOIw SEX AM' .. .•. p NAME E SEA. ADDRESS. ADOR[55 -1 NATURE AND o0 NATURE AND M F T? EATCN I OF INJURIES ?? 1 /? I EAIF.'10 INJURIES ES DCTORS RCO UI HE U IN u D U" I DID INJURIES REQUIRE -1 ROC NiR'S lUCt011'. 'I?' '• NAMF. A ( ' : EXAMINATION BY A DOCTOR' I? NAM( _ EXAMINATON OY APPLIES-o-- IRSI ONE TIIA - STATUS OF INJURED MAIIK r T; I . IA YPLIES STAI VS fJF INJURED MAlIK f111Si ONE t (7w :J?i,:` L7 IT?T'CMI44 !i r??? t L??AyE KILLED „ ur V'I41Y C. [I NO ILLFD ? m 7? CI A? 5Y? 613 °7, El MOTORCYCLE SAFETY: ? 11[LMLT wkD ? UL, Mel Nut us[D MOTORCYCLE SAFETY: ? UCLMET USED ? NELMET NOT USEo "' -' -' - ' - - _ W ( VEIlCLEJUNUMDE OG6Cf1 UE DELOW WHAT 1MPPkNEO (REFER TO x 1 , S OW NORTH DY AIU10W W L I CLC wF [. o O v.k V6r/ICi.6 #"? DvwP7"RL'?K C?AO.'EO X [,u,*•/? 13ACKI405 ov r.e/LO+2 CTOFJ G- Qc)Il a En°' r` &4-, AT- I S IO •A ?n5.5 ES a -dll J A ' ° y A?. MW ? uNap-R GRFIOGE L.,M 6,AkIv" Cyr /y Q Q C CE.A R/1 •'VrG. (YOcL; ICu` L?icG'L-l rf1T5 ACL& wrTC/i IS )3'G". lv&i M AAK'ED F l1 ?"?I00'y L' LEPR w A?E S F{ V 6RIna-E ARC FAST / L1 VEHICLES POSITIONS BEFORE COLLISION , C - nlrr ,1. Au • 1.u VEHICLE N S E W LiN SIII[t 1 .111111-AAY IIAMk 04 NO ,:x .I I• Hu ,1.11 F?+ ? r? ? nIn i?? 1 ?I,°CS II 1 ? ? ? ? ? ? ?.,1,. . .0 111A.I .: •: 13L7 60 ? LeRrtwo [r El [1) 0 n- n- r- 0 r M1' -- FROM f0 rLU 1A,AN •'" • p p ALONII ewuuuw PHl1:STRIA WPEOAL CYCI151 rYA51.11140 t I .: .?? no1O ? -n'"??nl•"u •? ''"On' PLOESTRIAWPf.*BAL CYCLIST CLOIHINL 01011 I I .. ._I-],. [],...,, ,? ?.,,, RGAO {UPF/10{ WFATn[Ii 111.•'Y CONOIIIVF,>1 If CGCWI U TYPE OF IIOA UI IVLI VG ICL[ UIIUNS , „•1.n •., uA ,.,,. w.• . n u • ,•. r...•. RFC. pKI ? U 11 H.1.1 • . ' O UNI WAr u ,. Nu .Innu.nl AnC AU I Y L.) 1•NA" l? 1 ? L n ' ( I Ll ,,, .,., ? I n n U lFAi i.N3 o 011Y , ? • 17 K.;;rA;LI n ra p ? Tl ? a Ll 1L1,•.,1 n ;, WO 3[:) H1 c, ;r; 1 II,T I11,1I. 1 ?? .0- n ? rJ ci ...,,,..1.IIr ? ? ,,,r,Lr,A?,.L ?? L? Mn,:II ':" ,. I GE ?H,,. n N.wIJRI„ cr CI M p . ? • ? El „NLn.I ?? ? ? 5 ?;INER ?1i• H.rt.r.n, ' Fes, N 1pWINJ , 1 t IEOAONAT TLN NO D 'U AGF 1 ?1-- ?..I r.) ,,„-1A •,n lunn r 1 r C? ' - AI H,. 1 au...• .r.1 0 • l 1 • IiUA[TLIY IAI DH r.7 r-1 , ri El '/ C., 1 `ti+"YhMw. yJ••rJ.Y.?..??_'^"'"-"`}Mm'?,tj I Flip, 1 7-, i:1TwH I fIl'F?`? A,µ N U TA ? ` '. ' i e f - ' S Ht ,11, 1 } ? n MWMA _ . V YAM f ro d i I N 41 T?'' 41 U o o i M O 00 O 01 O - I I I _ i. f 1 41 1 ? fi1 $n ?ytl ?1?°tt L v!I •?>,°, >> =1 ? i t :,? ? i .' .:} ?r .1;( aeua POLICE TRAFFIC COLLISION REPORT ?TRAFFICWAY IoucE CamrLAwl NUmeER PRIVATE WAY N OAV DAIf O{C l - C ll IIMf COUNTY Z 41 o5 03 N (USE]KDHOUR) co-, NO. J pFG? ? " pN p[ I CrvO.0-ITItr Oq HIGHWAY FCTCLS O S O ps pw poF ? ON - f.EJA'F.2 Q 0 I% O. sl- r DISEAN<f SD RE 0R NEARE51 MILE O1 CCIDENT RAMI DIAGRA N W MILEAGE OF 5 Cox CIXI NV Vf N NIF TOTAL gOAD OR HiFRENCF IOIalNONO %ILLED?NO. NJIFD? ?SF IIAGE ?...... Cl5 d Vln ClES OR01{RIyOMAAGF ONLY S1IXEN I 11 N ? YE-TEE, 1MM OBJECT SIgUCK INAMFOi OBxCT51RUCK ANDOWNERS NUFIST DAMAG[ SPCA COD . INGE, Ica 9lL 4l S Loo°= 5 UNITNO.I DqI ER'S wJnE: WI "RST MIpaE UNITNO.2 0VEHICLE 0PEDESTRIAN PEDALCYCLIST p vITE-AM 1A E: LAST fIR I ME Z srRfflAOOgfss Cllr STMf D slRefuoouns IIFCOCF FHONE NO Y SGIf IvC NE NO. / R - I T-ICEN.NO. -11 E Oa IO V . ( V ILE llo NO, siAlE Sf% IMIt 01-1. CCCUNkNON MNAMESMONINO. EYES WFIGNI IxHinl ? E OCCUPATION gMff FHONf rvO MN Z R . EYES WFIGNI NEIdII p CHECK(,) 1-1, YASnNIMFionEa AN.-IAL ? CHECK(,,) i io " ° O a M ' CODES?* ] n , ° Z 3 1 6 Av f 1 clw.. H„ n« D v[nlc fas AN NAI r EF r ANDr. [ . CODES in 'c ? ] u 5 u 6 "sb IE i's? xis Ii:"" rcn H r 3 n ID; aI g 7 vEMrf/.R A e[DOOeECntv p roIMOD p C . ? S n[ p ? Po pA" NfE p u ? v cr ? IICE p Co... ? H p :°:IE. ^D . Et jD ARr NOVA r pDR cor +v.I '1 Tc) oTA If P U 202 E n g nfv.l I MoDEI IOARI.NOVA, r E R: Grvv.F p'^ ' B ` STwlt ftA1f NO. SIAIE H H. IXOR I TEE QED ?24LRlo I NO, A .? Kn?OHK''l1E IO(MIfIUNOA.ANO, MOISRHDO y i L V lflgN "U J Nf N KR: WI (IRSI MIpDEI MONt NO. le125CE.L SCOiE A ?JF.a..yAJ L-? AD u - O'GAN, O W wNl q: WI "RSI .,..Y EJIC 12 . ?Z' pV ? 11 J N A wNIR xl : . r t Cl I A NAME aADORUSd INSURANn co aRACINt E . _ )( R 1 > L 4 P°" F .IFR.v,1 N enAaee .- cxAacE ?rc"RO`N I --' 1IT AT". a .- S 1 . E ROIIOIr ISL. MMAG?` 00 ?AWIA pR(MAENEE, ?DRIYErv ?R[MNNFD AW orMgR« ISL. DAMAGt I •f0A Ile: S f2 $Lb (°w":Y°er:v3EST C:-h MoTh# _S AY 0 TOWED AWAY BY, S IG iloil0? DIAGRAMOF COll1510 I AE M InaSAT NDRIH SHlt I1 C11USY1 . e fOW ? : DE5CRIPTIONOFCOLLISION: IUS[SWft[M1NiN SHfEr lr rxuss.SRrl - ,- ;-.... . de +IECI.f> i-JrIS . wL6 c+.J G-c"helU4r?2 RO. -.. l._;...,..,._.\.. : ._ . wJrIAJ =r FAU.Z4.TL ..N&--a-nATE....0-...LEFT HAAID . _. 'i-\ .. .. . :: _. G.fRJE REJO [JRAdur oFF Yi4c' CIbIK 5/Iou.I?:R, . :...\ tJc.llu.E..?l I?a.lbo O.X,&. A,JD 4AHC ro RIL- OJJ 5 r I ? - I:WTi, I . .. - I EYE.-: I I I I ... . AEYtIJpOEJ ACC.IOFrr IAAIIlAkWJJ E,S)F? °GCIaR2..o. - NAME, ADDRESS 8 INJURIES OF PERSONS INVOLVED . CODES 1 - 2 3 1 5 a i OCCUPANTS/WITNESSES IEnIl-IAVNTAL$. NAMI: NOT ADdIKNM NAMf I1 lI NA AG TAI x 1 , ' SIfiR. Ixd Y1cY _ .. v AE%MISS NAIURId A Mp%1 p 'xI . ppx iCYrnr A Aq q •Ofx1U NAIUfd pAMA. p,D,%, El" 'Um. pn RD rq - A 5 N. lid :<, . OAM. pR Al p n. pRa A, ,WTI Ip DF1KIR'S r,AMI SR ?nV • ? AM( 1Apf b AGIrSY IrArn KI DgFA14Y IUIKJ ARRINO DAll p.lrpl A -I 11 ` b,O .LL{ FJ TnciE+p? B t o- 31 09mZ'n. (?.dosr.s 4S-a3?LT eS ? ?. T T f 7 . y J???"L"OiSf.l ? pyFU:Jy?F A 141 } I lt' [ ?}}?`E? Y I?? KS c r ? I r 15 y? A ?Y t 1+ r j LI ! AI ? E 4 J,T4 A, , k JE?f. '?; ?I 11'Y?ili ?, J J I. 4 1 J J r t ?l .• t ' I i 5 i _ 1 .LK _ _C % ?r S??e ?t????f ` ? itRB?"? ??x??ssr, ?eatt!i } ? ' 3 ;? ? ,s, + ? ?;?? ? ? p ?6?r'Xxku¢rrseum?,?a ' 'Ss .. C POLICE TRAFFIC COLLON REPORT X TRAFFIC WAY FO ICECOM"A'NTTIUMUER PRIVATE WAY _Unl VECOII N 0 lU+ COUNTY 'IMF • n iO';^ !i _. Rlnl ID.xu IUff2403HOURI ' COUNTY NO. cur NO. FHWA ?URBAN •? I I ?f ?IN CI BNO. OFSIR[Ff OUHGHWAY .S MILES ?S OF Srk'. 10 IaW ON CkM,- Jrsrz. INTFRSfC1I `MI,1:51Ri 104 bap ON INIERSECIION Kt CLS M ROUTE O4 S,REFI SIC ION 3 /073'0 BETWEEN STREETe SIREEI PREFI% f0. MILEPOST 4 ?J /,v` f UISIAlICF601N[MN fR0 CROSS SIRE ET OR NEAREST MILE POT ACCIDENT N NEI[REN S E E LLES P? NET W OF ,??,r MILEAGE h CODE RAMP DIAGRAM MIA COLIISgNINV«VFp: SfV NRIIY: Ay _""-N NO. ",ED tl NO.INIUREO a ?:P GE HIIa RUN .IA IuHPI Bn 0 N P[C SRfF10R ROAOOR R[if <F 11E4 Cl5 CN«rS EtTIN LHE NfF[OR ROAD I l -cD «VEHICIIS m PROPERTY DAMAGE ONLY ?RFSUl1H, VNL LE ? Opl[CI SiGUCY lI,V f O ' I A f OBLtCI SINUCY ANp GWNfR $IUME) LIVE) nGf UG jwR (; t7 $ S?r-T SPECIAL COOING USE UNIT NO. 1 - UNIT NO. 2 ? VEHICLE ? PEDESTRIAN ? PEDALCYCLIST DRIVER'S N- AS, {IRSI pDl 'VIR NAME: w51 ?-[j 111e. Lj- STREE I A//UU''??a(55 CIT SU,F Zrv CO. D SIREfI A.-IS Aldn/DEJ f,ACJtc lt/? ?L R IIY STATE LP D N pNNEaS UCLNSf NO. S, 11 DA ED, BINH Mj;1, "- J I V FI- UCENSFNO. SIAff DATE OF BIRTH MO BAY v. CKCUPAiI«// FIRMNAVEn PHONFNO. ETES MIGHT HEIGH1 E R OCCUPATION FIRM NAMEB PHONE NO. EYES WEIGHT HEIGHT ?CIiECK f,411 ( tl( AS RN lb SF Arir'i„(a AI ?CHECK I?) eAl NnaFASnN I V O io V „ CODES 1- T ] A 5 r e nSSY ???I"r nclln " M I rTFd AP rHF CODE S ? t ] n : Nr 5 Tncrl N su ryYCral its it % s n rN »u' F "s; .D,. ? .MaM.Nr! ? N 6 r ? 7k:gP ? z ; ;'w", V[11 ' A MA ? A.. IrF ? I<! ? @b:?IN ? „ rl ? ia:L>. " [w . !? ? 4t IDOpGf GNf V.1 MOO[ L (DART NOVAI SITIf IRDY.-CW1V.) , ,Tlnx vt AEI HfV.1 NOpFI IDAg1NOVAI Y1 1 DM 5 1.57 v r COLD. 7 4 k i w IKINSE PIA fN Al E H ne ro hT Arek) c 4 N IIRHAIE NO SIAll - ^ I C VF C-P H N l A rv. n NIICIf IDENNNCA-1114 M / -q, c l 3: l E u[ruCIF IUlNII,I A NN I P I EGlir{YID OWNIR wS, F IRST IDDI[ pHONF NO ?'+IER[p DWNE4: 1A5, fIPST -.11 PHONE NO, L A.55«OS'N GIr rtiJA, E 41 E WNlP pl Axu ADDNtss«wsu4•Na co. cw ACwr S5p7A NAME A Iq . ?` R > v r IS s ` no?' ra ? ??'n`:"wA.i esr?Dnw.u CHARD ?v- •- ' ^w it aLNAM'U ? f ol.vcl rnSANlr, l rD,ala,u arI•n rr,v.r eBT UAMn E gO AREA z AMAGl or ? ^-R - K, Dso ? R?E t7 _ _ -ID ? AVUy ?4fMNNID vnp . G , - ( ?,WAII f_1 WAY„T C DIAGRAMOFCOlU11014 Ius '111MINTAl rn«n(N-- SrHAT f 11 [C[SSA bYAYL. C"?'J LTLCRIPIION OF COLLISION. IUD SUPPLEMENTAL -11TIFRO11ARr1 r l Ci - W 47 r Y ' + •- 4 EL / V d ve r - ( fG ei?.1E P A• ?f??n O / $r cirrA n/ v ha. rrr ?n /? ?c?r ! ?7 N J14 I?oP,cw/, y )hs r /«,Uy r-? :IT ? NAME, ADDRESS B INJURIES OF PERSONS INVOLVED 'CODES 1 - p 9 A 5 b _ I OCCUPANTS / WITNESSES ""'M S"" Cw AODINONAL r1AMIS ( 7.(?? IAAH: /??U'J/.J JIJ/r (?r/4 NK,"' V?/?' / el[ Art[ SIAtU1 •1? 1"V"' xr IV YI/t 41519. [ll Ct j r Mrrr n ?AM n ? ., .r ? ;: . OGP ?S': ' A IXA1 AS NyAi?llYld IYOM?AMB ??'KI?w •?v"i ?i'.` I'rw/• ru 'b A crwrsA N•Iw rd- uHa n. ?A.. ' ? 'Y ? ?:rx ? Rm Slx, t x:l S sR•1 1P AAIxAW AGI KY r+r KIDS AIC. Pt.E [ r10 D I« rOR ArP40VIDn D T! u X ?rxi r,//Q Gt l?' r lr , acL if , C'St? I wn C3 ` ?' ?ff ' Gt r '?19PL,d#?s ? Gr kd"" "U k? n [ _,L, wln= .,NFS{• SttRs4?lG ?4 F?Edu [ q? ?{ I I r ' M ',Ffl ?? I } { ? ' 4? , N I `? ? ? L ? 4T T? A ?2 ? wA yu G t 1 ?,?? 2 { 1 1 I ' I , 1 KR. ? ^R+ I Pt I, t G'. I 1, ( i ?\h I 75: n ?T ` f G M `It ? , 'Ixi3w.la?lu?l+?l?w,..?Y_ nc %??" ! v" ,_ i3aa 'KRtn six ' ? '? Tn.Du ?Yxaa`uv ° viV tLJ I` OLICE TRAFFIC COLLISION REPORT Q NU TRAFfICWAY J P rot <E comNAwr NuA3bta PRIVATE WAY ..yPJ 4 DAIF Of COIIIS u D T S N .. TIME COUNTY ?^ :t-- J.. 9 x .' I xl 1 SE EDDtlO RI COUNTY NO. CItY NO. I NA ? ''"?J ? 7 nS' SbJ, _ '?„ !? ?N ax o1-ti T - L-YZrE,'; /c ?DgbAN CIY OR I- ?pC U rr Fg NO. Uf SIR[F10R IUGNWAY i<1 C15 RUNE ONS Nf OD Sf(;I ON T `' mnls s w r 7 O 0, ? m k r.F •..vr•j +7.Lt: ON?'Jtn,,:>•t Ic ry ..? r j N1Easfa NC w, sIREEIDR AD Norv INrERSfcI DN n ?,' PRffI% Ep. MITE PUSr /0 TANCE DI FCIIINIgOM RfFFRENCE. CR OSS SI EI " DIS R NEARESIE-1 StNEFig VRIIT "•' G RFS 5 f W ACCIDENT NAMY DIAGRAM14ttq .. T ' ..,? FEFI (_] OF"' MILEAGE COIISONINVOIIT.: ^ SEVERITY: /? IuMOO`ui0E ShcIOIAINO. NO. KILNfa??NO.IIIIURfD,y ?SP IIAGf ?NTd RUNRD INIF45 CDNG SiRFf10R ROwD OR GEItp CE t' Of V I"lEa CES CROss s REETON ROAD / I Lr CIES F OPERTY DAMAGE ONLY ?RE°sEltF ?y{°I?IE j si) N b,P 1 * ObJFCI SIFUCK INAML OF Ob1fC1 STRUCK ANDOWNFR'S NAMFI + R FS ?^ML SPfCIAI CODING USf ?'C 09 UNITNO I Nu D vtxsrlvAE UNIT NO Z VEHICLE ? PEDESTRIAN C3 PEDALCYCLIST Rx NRSI uu vtxs NnmE: SIRff1ADON(SS T' : - SfR[EIADDNf55 / VATS Z CUD ( ) I f? 1./Vi/I R Y SIAIE ZIP NONFN 2 _ NI tR SIICENSf NO N I of R' IICENSf NO. 'All E% DAl[O 75?.(' /''lJ lJ ?L IA :;n v D 1YR - )) OCCUPAI ON xM F6PHONE NO EYES WfG 1 IEIG+II E MufAIION FIRM NAME6PNONE NO. }: .Z. ?_`.?I/t FU F{'rJ /•!. , nRr ETfS SVEIGrIt N[ GNI iz? Ey ? CHECK 'I) NCiE ws AN J CHECK _ i v CODES?T ° '? R Eo N 5 O cs DN e,MO ? I?1 Fns wN LMNOrN arANODIFwaI 77 A+' CODES A + 7 pus 4 i. 51 e 0 13 C) RD na.LDOD E ORV )? 4YMK-..1 vil-.111 Ys?nc laD ,town 1 .. .inRRD ? AvNAANa ? -CL ? p"' ul ? w°,I ?4 O1 se C K 1 DGE Ev l MOMI IDwRt NOVAI fTlf l R. i., L I.L:Si '/: (J q v.) ! l>/ E Y " w / UN ICtNSt PIAIEN A. NAIf 10, VAIE H v iv ae N.cxo ''1?1 E 'r ? Snr JYa I 1 E w ID n _ VlC MNy IIUfO/+pJ C ? L VUr CIF IDF I C 1? x(f SI [ O NFR. 1w31 i 31 IDDI[ P O F O Nf SI[N[DUWNEl. IA6 fIR51 I MI qE 1 ?irCl J? ?uxr _r C (I r 1_3Yl W I? Ao0 tsso owN{R N rux al r 7 1': 0-14 J NAME nDRO- s ANU CO?cw a I JryL_l dt-.J ?C<? E u N r1' t r1-„) ,, 1 J1s r r 4 F. r, R N D ?g 10 E ,a,^ _ ' , Aq 1 i C C.E C RI.I iuw[iv?rOiN II AREA _ I IS DM,AGI rr--St W nIxIRDMIr ?] 1 J ? RIN[D C_ Y t?? I f - i IPb ) M I• IUv,ID AWAY" ?R[FMINID f31 UAMAGf fnv le UTAGRAM.OF COLLI5105J'?t'., I ._.? [ tlL?g(TI nASVAY 5°' + I O ? y FfIM +LC{SAYI /r SCRIPT UN Of COLLISION 515 EME IA S [[I tC[S AR 1 ?? `/ r l 4L? I?. 1, ? I' y? J? .? ? r?1 1. Jofla J//a;r?Le( I ., " ,. 1 _ y ,? ?'?? ? I???il)II +sJr/3 r C•( Yi FI"f ?i'?/r?f ?IE11v ar Iad"'?. oD n 1 0J (::/L.1cr[ C ml.. !_ r \ ? ?J,E f/ r ?;JI ? ,,.T El ? !C Y c.+!"- /?? ?Jn..u:; Lj . '? c ro '+ "?,+ ,yJl?? R NAME, ADDRESS B INJURIES OF PERSONS INVOLVED f CODES 1 ° wsl wvNlMUaa snm 2 3 ? Iz .J r i OCCUPANTS / WITNESSES 5 6 1 N]R ADDIIroNU NAw + ?I(?.,.yyy r,Ml. ?(y/ 1 H^ + SF% AG[ SlA1U5 n r.,• r ?i R[SIP IIICI I.i it :? ° I } J Y ) +?_..? 6 4er?kb. AI%w> f / •J ft :I ?.,r ??/i L;'.? ?-lf Tuxla ? p;•,l a GvtE . ? ? +AM 7r ad .{'• f' s ?A? ,, i e.. ? AMe ?,R':. ? E6. ? "..".lm ? . WIN, NAVE Jr 1. JS (/ 1SZ/ w°ea rnVln rxU AMn V F IA{#'' A ?ti L /.ah L ri? _ 'acv, r,r„I,Y ? _ ? ? ? wJ ? ;;,,. ?' .f,>;J 1 R,GI,g n yD 4 yyHI ~ DreguA:r + I/s° / gr)eNF .Lrni nY ?ANe ??rR.11. ?..7 ? ?lal,. r "C 3 S'- r G v. ? ?* 1 l?. X ? / C / ?JY + +G ' KI Dr? IuI ,e,Ax ,a D f RIroPT AFwwovlDar Dqn T. t 7c a+AV .G I (a.r, LL. ,, 1. e x n: l F - .,. E 3 a , -r a.n1]I r? a, + q" : !E rJ iY r ?I- T1 tr: Y &ts. t fJl:? i }?1 ?'{v.Y Sp., 4i .q D? +, :?1 dy .q3u.+., ` .I K - { !I/ _ -A A 1 I J E ?I tt 7, '??n sT r 1 ? } ?? I Rf ¢ )? ? I C1 ,r41t I_ s i 1 I I ?? _ I 1 n '?C I I it, 3' ? 1 J - t? 3 ' I;f is ? _ _ _ _ _ _ _ _ _. _ _.. _ .. ? - •. ... ?TRAFFICWAY I1?U. POLICE TRAFFIC COLLISION REPORT • PRIVATE WAY roucfcGMNAINTNUmb[R al ? IF Ui C04l 1 N -1 cr!?,E]5?2 IISE]?[L HOUR) 1 '30 COUNTY < 1 ZcFF£/;?oty COUNTY NO. 1 CITY NO. f WA D DAN ? ' ! 5 6 / ? L ?N ?E ? N CItY OR '• a NO Of STRF[I `?•A41E5 'S pier KS oN'i?nN? c? UNiGHRWAnY , fCCLS JAItC.51 PREFIX ROVf ?ON?S ;o SECT ON a INIf4, MYCIING WITH: SIRE OR RE U NON INTERSECTION U '-EN .?- STREET, -- II-1 ' vNFfl% FO. MIIf .VSI `, V D//S A/N?Ck BUINfCIlON1 MRfifR[r ,CROSS S1NEt1 RNEARESIMILE SI ACCIDENT iEY'ifls ?'E ? O1 _ to MCODEE R OIAG.AM-,A CKRUSUNI11-11T: StVERI1Y? /V HIIBRUN NO KILLEDy?NO.IN1U4fD? ?SPIIwG[ ? IOlALNO M'US'H IuNRU4n?s INIEN . KRU [l5 INf4t ITN SRfEfONROp00R R[iF9 ICE CNOSSSTIl"OR ROAD AD RJ - " . CFVEHICLI1 ED ? 1111EIY OHMAGE ONLY ?9ESUl1E0 vldCiF SYR/ ? ? OD![LI SINUCK (NAME Of OBJECT STRUCK AND OWNER'S NAMEI EST. DAMAGE, V?? IS 5NCIAL COOING III _ UNIT NO. 1. ' "" UNITNO.2 ? VEHICLE ? PEDESTRIAN ? PEDALCYCLIST a% DxrvER Sr MI Dle s NAME: ssl /? o4rvIR's NUnO wSi nN -' m a - SIN[f1 A0091SS SINtFI ADpRtSS 7 7 1 STATE CO. NE- P v D CITY "A" `P-DE PNON YoI' S WA {? 33 ) /?/ LC x, R I• Fv'S lICl115t NO. SIAIE Sf% F {b1NIH I NIVtR' UCFNSE NO. AIf DAIF iOIRIH GEAV, C_( 3so WA Al e,EIap; v ?p DAY OCCUPATION i1RM N-11-01FN0. tYES WfIGHI {EIGHT E OCCUPATION 1111 NAME 6 PHONE NO. EYES WEWHIMIGHT 0 14 1- R ? CHECK PI) HICiE AS ANF- YYIEaANOI...AI ? CHECK (/) Al VfNI ' A5 AI! fMPIOYEE OF AN-1. - a CODES ? D E i 5 E 6 M; CODES ®T 7 n 5 Tx A w u ;ss ,: H .IoK.K 'v ? w1p, w C] •M ? m K1 ?Sbn ? „ ) "00[4 C) VU, YEAR OM EIDOOGF{NEV DANINOVA SIAIE 111 CO V ? AM E ? u ? ES:;r ? I1 ? i1 " KN ' ` " D . . .. I 1 N .I 1 7?' CNf V NOVA a- DA E Y .TlAN I F MA% HFV.I MODEL IDARINOVA DR: ae Y ?Z?-7> CENSE VIAI N Cm S ?s? SIAIE IRAIIFR NA,ENO. 5IAIF W A ?--- w+t H I vin. C--R A ttA N STATE ITS NHICI[IDFNIIfICAfIOr NO. ! )IF -7. G,.5 L; 1 ' ,3 ) : L E M-RaEIDEN11f1 plANN. I I l i I ( I 11 'JAI NIGTSII9[OOKII[R: wSi 'IRS' -DU PMONf NO ! i GAiZTf? 37'{-loo; 1S' R[ IEDIII OWNER: 531 {1451 MIDDLE H Nf NO. I? 1 ADOVESSOF Ci OWrv(4 W A. OWNER FOWrvfR U r ??x X033 rWA . E ' - +n1 Fe ADUNE55DFINEUX-CECD. ORAGINI V IS K oaall, NIA R Nun F -' io S Ie FF _ oLA9o,ra .r ARU L L.'L s•4, U o.ANee a.%?aro»u DnrnAC AR IA n ? LCC,??'??????ay oe s L ' " 1 uAW.Gt uF ? ?^wAl" ?REMAVI[IT ? .. ?DNIVIN ?uvA,vNtO AWAY -. UAAUCI V..==1 _ ` fAcc,l? ? r ,pW D s BSI r?IL? WAY DY f-I IDWID AWAY RY In DIAGRAM OF COLIISION: 1 uvnfmENru IND Ulk NO4n SnFl if l+lCESEA9Y1 nYpNRR', DESCRIPTIQNOFCOLLI ION: Iu5( SUPNEMw,AL ENTET jr NEcEsmRr) ..: _., N ,• ?? fEI? ... _. ?iiliCL.2; Nn J L.R:I5 L' A ,7 'Ni7 CN IJO L g0 S'lZln - - _ - - - - , , , . I ? c2EE:K !:U" nr;wcr'. WA.: pn,v?urJ ta l?w ^J4 v k -.,• n1Atl.rN: KlJ? , ._-. S?kl:/ITIC 1vv111NE,1C AW.i-kTfsl .C,?,''NTIZE'L of. - TIDE 'v£.ulc,i- . TIJr'• t/r Hlcc.L._ IZ?11t:b caJ __. Y ?' It': To() , Tfj5v'IIJG 6)S:e10124•R IN 6-1,4 ' C ' ' ' O'A r r/ ,wl. '` t rsEitcF• .Ess. ? I?<rN ?:?; clv,rcr o L?i7;?? F% `E ? n . v[.?J;t:. TLS ?..f, Dvr: E'nr. AIR I) GEELI IDR NAME, ADDRESS R INJURIES OF PERSONS INVOLVED F CODES i - Z 3 4 5 6' OCCUPANTS /WITNESSES St. AM AT sl, 'N,Y;" -s cwa. tnci + A.4F ? 11711 A'Tf f;! c)A• 37•%?- 9r's I I lf' 1 d AI%,rls5 E'A .i ' /s?.c _?r r'. ?? •c• I?RIO "? crtN 111; a1 ,dnY ?A1e. ??A` ?{k_ on'.' ? ? LLF ? l ?e sV l _ ?, AT-11 'o47"',- /?%[) ? lrrxf 0l ? ( ID IRPM ?A,y, 0 t .'?h?i' rv . .0 .? n+ -• u%wlss mRloF N uun rir. ?AMe. ? :"' ?n,.. ?:+x ? I": X • t w•T cF r rR?` e.acr o+ •GENC.S M1.. TLC. E?p.,?anc IcnIp ANU1yLo pn,la `,_1 nrrROV[unr IT It M L . ,. CL. C?AJ0\ C I CF V:t: Y Ca IICi y Ian s -?? a•? 1 ?r ti I4 l? k'k. f? ? A 4Y ?y ,.i?'}}'ff y ^ j?,? ? $ po??T, fie... YYr,?d.- IAVAd A7 .?f:r3?e .-.{> F?.`{Irr'+ IMF, .a .f{L"r.?LS?'u ) •5a,;?? 4 V?? 'If ?I ?41 ? fE ?, t? L i YY "a / I{E5' - 4 &` . } MFG ?: •` r ? z t r' L h t O } Il w !r' v Irn,? 0 O u r1 O I m O 0iO F i . 1 i ? i y" a£ r d ) w?U ? vIa"?RS ?F6E5s'r? L - U PRIVATE WAY '. } 5 rF.t, lu$E IMO HOUR) btr?, q IY? ?.. f ? ?t}?/ wR.i a?rlns I i.(u I l R 700 t n., SO ?? ? ? ' ? . . '• : JN QE QIN CIIYO/-OWN NAME a NO.O SIREFIOR WGH AY y gGll pN S M%ES s pW go, ON y Y7$ ?O/9O INItR RING WIIN: SLRfEi OR AO ' ' Pg1J INIERSFCIION ?t / eR PREE t EPO BETW[[N [• 11EET 93349 C/! IRFEi ", ' I MII[5 H ,P? C?O55 STRFE O N MESt MII ACCILIEN7 RAM - _ MILEAGE CODE /?JG(C/•L?{'? PiJ?/ CIXIISgNiNVOIVFD 5 R L : VE ILY: W IN I IOIAl NO. '. 'NO. KIIEFD? No. INJURED- ?FOIIAGE ? i WN RIR IMER CLS C9Oys SiR[fi09 MAD LOAD R 9f aVINICLES PROPFRIYDAMAGEONLY Q P SU ° V H ?7 ' 9 E IiED f CIE ? Oe1fCI5TRLKKINAMEOF OeIfR TRUCK M'D OWNER'S NPME) fSr. DN AGE S ECU O N- 7- _I_ s DR-IA E: lASr FIR " UNIT N0.2 ?.VEHICE PEDESTRIAN:- 'Q PEDlLLCYCLST.; ' sL , VRffTADDRI DRIVfR SNN.Ef: last FI FI l r HT g- IR Ei ADDRESS 21PCODE PHONEWO. D Llv4/h Ff520 p?r/,E NtRS CENSEN D R lit sta ° " .. ?. ?^_ SIAIF CRFJrvfT'F Ex m .0 7?ZSIs ? rv Al FIRM NAMEe PHONE NO. fY[5. GHl lE Hi E. GCCUPAI OER FIRM NMIE9 PNONE NO I I . FYES IGMr GNi , Q CHECK (.7 NHI EA w IrIEOF N.I. R. CODES ?? 9 a,A yy a „in 5 zslt NO " ?CHECK VEHICIF AS ANI MROYFFDFANOiHFN. ' ,... • r -- aI „?r IE INIU C?/? IF CODES MR• oisu ? D a Aws a K Ass snM 5 ut<rwN sMO..It°n •ue N ' IV V[M Q rwHY E ° H H. ? .. ".[M -I IDWGE CHE ° INI III Q Av. AHLY Q ° N eY. ? ° clii a ° u l . V. 1 ( -A) SIYU :II DR: CONV.I 7 Z 1 7-/ H .Y R , HEV.J rtR rt Y MODEL IDARr-NOVA) Kul V.) . U N N . SIAI I E p? l L7G? Lr? RARFR RATE NO AE [? H ?: VEH. IXOR N . A NHICIE ID(MIFICAIIGN NO, VHII l NII A 1317 !7!2! R1GI57T9lDOVMER: -T FIRST MIDDLE PHONE NO. ^ 0 r O IE f0 WN R:ASrR$T MIOMf H 1] ADDR[SSOOWN[R W N WN R NAMEe ADDR oIHwRAHC[CO.OR NI E a, a R 5I EJIOr OI'n?ow? CHMGf CHA9GE ?ujnp •R I;AF- ARU IY?OTIOii 5 lSI.DMUGI AWVt NY ?RFMNNID 1. DRINN ?RLSWNfD E3 'DAVUG I eTOP ' ? AW _._._.. e ) . I war er DIAGRAM OF COlll51 N u NOR KEY IF AIe A990W o•...ev 1 /y I 1 AY AWAY TOMD 1DeOrtew ? Awar eY: $ DESCRI TION OF COLEISION: Ilnesuvn[MZ a Sn[D FNeeesSAaq F .? - . A°C.9OU?t ..On /.?c? ?_ L-YU rG /3 •..' .?.. 1 4 rr/e_?J? lAG ?i•rur.....?C fG? %D r / ? / t/ 'y !fZ _ 1 /D C2 !/ l ,- I I - I - , r C / A G rQ u?rlp A?rA_ r s...__.. On ./fps. n. er:, S/ a o? ur.Ftc/s: ._kJC. 7?0?? ' _o 77 ,- A?-X' 'T"4. 4- c. ,1 I 1. ?J .... rr 1 LA /O .'1I"1r ?(/.rY..._0-1 .-7/1 C. 1,-4 SFafN.?I.[ _.SCVC_ . F _ NAME, ADDRESS & INJURIES OF PERSONS I NVOLVED OCCUPANTS/ WITNESSES i:o " u ? uu ei CODES-_I_ .-, H p w 6 4 N l nl r i AMt; H SIX AGE IANS w N u - N r ? I. e ` WCV: FSIe, too 1f0 , • N A Dgtss AM L: . _ Nuu91a O - AJAe. owl Q'" . ? RIT O M. .v A . ...... .. Dtrlu N NArw - . ,?. a R MovtD rv page p«KFp? :ONX O,° a AD rr NA" l7•ISt .. ol .. IF r: QAMe, QIpKF 0 CHOT9 QUrT' Qn•wV X rMflp IrGOIKI 1 N[ 9MG b AGENCY KI DISIATWD P010 A- D D Iv."l p An•oNDe DAIS N`. J y'Y ?+114v1 1•F'A}i: ii v,?i ?hT?'1,? ; j? 3 I n4 (?r' • r, .:.wit 11!{ i 4 ' may' 1 J rA z v .Pni ti/S © IRAFfICWA POLICE TRAFFIC COLLISION " Y REPORT E3 PRIVATE WAY 1C COM-NTNWBER iw II, c NO- iNWA 5 ?U N ??IN B NOO SIR[FTOR""-y 4'7 ON CL - eAp p e TF RSECiION MILEPOST, I /.Y. BFTVffN STPFfI e STREET DIStAN<E6DINf I OM FNf .CROSSSIRffiOR NEARESIMILF P05 ACCIGENi MIES 5„?.E W CIEE MILEAGE I / J-32 R DIAGRAM MIA ,2 rE[I ? Or S(ZIOI CODE COll1510NINVOIV[D. ' ER IY IOTAI NO NO kILIED? NO. INJURLD ? 5PIi1AGE ,gJ(3N wrm'i0R[OInS W.7 'Rp O R RF-f`RrE INIF [15 CgO555tnEElOR 1R ET0 WM ISS R CT ViMCICi ?I ? ORRTY pAMAGE ONIY ? GfSE N. ? VE"IELE OBJECISIRUCK[NM EOi00 ( ' 9 J IC?K ANpOWNFR SNAMEI St DAMAGE r c.0 LEPHIO 7 A - YRA1 N.? EcfEPAJ - .Q $ SRCW CODING TAE UNIT NO. I UNITN0 2 ? VEHICLE ? PEDESTRIAN PED 7R DawtR's NNAf: IASr r L . ALCYCLIST ? pRIV[R'S NAMF: IA51 ? F$T' - SIUtUADDR[55 I 1 -Be , 51R[EI ADpkE53 Z , [ D ODf PHONf NO, ?o Lea 98 - R Y IAIE ZIPCODE P" 11E - DR WEN'S UC[NSfN ,' Jlo C StAIE % _ M tl1 M mp, D.r s• I IV UCEN NO. ATE % OAT fBIRIH mp MY IrR. B W PATION FIRMNMIEBPNONE NO. CCU Y fS WEIGH, wZ., E CUPAIION FIRM NAML6 PMONF N ?^ U? p? . ? JEL - BPJ.1 I(01 1 R O, EYES WS GHI HIGH, ? CHECK (?J -C11A :N EMViorffA AN IHf ? CHECK(?) ft O ¢?L Z CODES?* 9 w R I.ss nm nct oN I _ 5 e ° y oi°nx'cL e VFN CIf AS AN FAS OYFF FANOTHE CODES ? I 3 n A s': 5 II e w Au ssn:N' IaroH inrcu 5 T n u ci m ifP°7 'O ? ' ' ? / AmwIAHCI ? . V[M YFAR U DOOGEL „vui I10 ? p6viL ? w .wrjow ? AT. f C] ^cgycl 11 c8inR ? w ? MINI [U ? W'„ ° . HLV.I I lag DoD[x MODEIMALT.-Al SITLEERON CCNV.1 "A 202 E I I , H TEAR E V.I MOOfI (pAki-NOVA) ^,B R CEN F3L e?D Brlu`I SIAF uJ/? tRAILER RATE NO. SI - AIf H , VFH. IX R ' A N ? A - EHICLEIDENInICATIONNO. X F :2 9 :N & I I I `? L -; -- REG15n R C L V t NII I A l l? 'z FDOVJNER: LVT I-T MIDOIf IHONF NO. I? O I O fIRSI St D WER: LAS MIDDLE - R74L P LEa A - u Z ADpaess or owNER n STA2 I.T 1 a .? W N A wNER 311 ??••'y??L a AooaFU a wsuRANCE co. aR Acwl E w u NA.INI /?10/Jt: R n Nr.SS M G Lil - CHARW Iw•Rw - - J f LC IO y gAMAG! ARFAf G a -, ? Okl /?p _ S lS1, ^YN.®R[MMN[D qODI I i0 1IX rAMAGt f ' ?DRIV[N ?YfAWNIp ISI AwAr w s ° $ ? eY.- loo. 1peorio 'A..-.Y. ? Ills S - Ie DIAGRAM Of COIIISION: lu N NDICAT[NOYIH ....:Sw er IrNEq ARROw ' DESCRIPTIONOF COLLISION: (ME SUVVIEMENtu sNtnnNECfssARrl T'f?EV,lhla-Pp.C PoL ?o/\ E$ _ ?cF{ 11 018 C-LEAP-WA TE- Rb 7rvtL__-m ,_ NGUO-TIATG... A CLAeJB Tb 7Hc L rr•_ ._. JE:H - I .. ... FESHrAIS.6N , L-oS% E>0N),1-eOL, YJITriPJw...A_. _........ v TLGRLOa POLY: va 7l4E Inst . :. _ .\ .? AIT LI?. ...\I%H . ..Q,4aruJJiz_tll f.l'Qa.. C1?p5$IAA ' ?.?? T30'FI C-ArJGS i?RIdIFJCr.. OFF w'sr. SHLA,L..or Q - > C.t9r^'tI. I, t0 RGST I,.1 PI'rc.F.L, o,? y rN NAME, ADDRESS 8 INJURIES OF PERSONS OLVED * CODES I Z 9 4 5 6 OCCUPANTS/ WITNESSES Id ?[ O?FU NUd I INNn u , w, 'Cr' " I I I'JORTHLIR7 I L.IA.DA 1-\ F Q AGf IATUS 3=i 3 1 z o/1?R. IJICt I i .? RS l l f: iuq or .tA .E AM e. ?E41 [ ? ^"'. ?D, 6? i1:l,o - A N owFU AM. NArln[or Ip IROrA ?AMe. ?'IO1'I ??' .'? aT ' ? T:° '0 A Dp•11 nTw IwGaFn•SF.Aw euNR eAOCf wArW?a 1 er ?AMe. ?rCCTFKE ?COm• ?T'n ?i: r.cr x ? - N0 K[05PAIDrI[D Ran Aeaap MuanR>.I APPROV[De. own °" ( 040 Ol9 I CYy it E'2 I ' A? fee 40 • _'. ? NEN. F? std 5 5 • 4 k ?x l . "A EefJ' ?Fb' _ k _ a.;s+.rt?9?5."4?rb,< .._.,3,•, '? .:..K ? ?,?a •- t '? , wsr ISV 14[v 1 Bol ! °r 1 1?1'" © , ',' FIC COLLISION REPORT IRAFFICWAY Y nn_ pEi1 ----------------- - •nufe Rna e«.r.RA Nu ?' POLICE TRAF R . ? 2 y PRIVATE WAY -;. D v n1I0,<IXU ;,N a sort J ,Mr wuNlr if 1 L ? FI-t:r SO1 o 9 ONpF ? N /?' 1/tlf(? (o MRES 0[ S ?W MOP FOR 0NCLi-AI?,JATEfZ R? ll' l I If C Lu -Ell -? L F 1ANCEI 10NE' Se EN E. CRO15519E 1 U4 NEA9t11 MILE S ACCIDENI CODE IA ? CiP[ - E ,OR ROA009 R0AA ' /'-'? - ??- ?D$R. Ob 1FCr 514UCKIN OBIfCr5i4UCK ANDOWN[R'SNaNfI E5r.00.MnC•F 19lGAl<OOiNG V1E q S UNIT NO.I UNIT NO.2 ?VEHICLE ?PEDESTRIAN ?PEDALCYCLIST -]•' f DR J w 1[esN Z14 N5, r19s1 1 AVWIf Olir3S IOn1 L IfJ DA `e- U4rvE4b NAME IASr NR51 MmIXt st N ° ?J RE[, AOCVEIS ?oZ Z Tµ P 1--• _ oNE NO i D I4ff,AOpFE55 rwNt rfo. c r aul° '" _ I Z or S . lPCOpf Y sruE tA LE LJA c161CA 2$3 lo2fS(c R ND DAiE f Aft , t', - J t4'1 UClNH O ? K?a OHtJSt StAif u)R SfK D ,b vlN 'AIE? 52 I v ,rtR1D ESE N . _ {4 OC ° 2 1 _ z LUPAIIDN PNGNE NO I tY(5 IGNi NftGr,l EtJ Hcs Tbl Ju - E: J E R -PAr- iIRM NA]Af PHONE NO. EYES WE WII HiGNt * Lq K s L > 4wA N [ CHECK( 9'n' i°rio ic O• ) :c n N ? CHECK(,') HIaEASAN ps`Y[[ofANOrwEaal 5T f333 i?' ? . i AN . F l nN [f `c'L ? ? T u,croN D CODES 9 c 5 D SZFiTY- n ry ,T C rrtc,b,. e ODES ? ' Dai: 5 6+ s •1f' 1oi , i w TF EGats? FJCIJcERU..cr b' ?FB.,[' 0 1NONV C3 ;.Z: .1"t4' • ? LIpn 41NOVA1 STYLE l]D9.-CONV.I CNfV KE DOWE M M 1 cl [] ANNA ? C"&- ? Z Z;1 ? ; ° ?>, Y."4 .NCt ? PcA° 'n N. YfA4•DM 1 EV.1 h-[t[OAR1-N YA) YI] R. vl 40.. - Vt - I N.Y[A4 A I cEl. ZA2 80 10 E H 1 A 7 NO. CIXOR N U N `]b [D Z r N 1 ult4 RArf NO. St=1f P S . to r (A - Sim WL3`k8 c `? ° t + K rCll 10FN1D CATION NU L Al NN vl. LEE DEN R 3 A NEN ! ' ' _ ( USI rIR1,' MiDpIE PNONf NO GISR9lOOwNE9' J - J O 2vs-10353 w 1IRL. .Nfv -1 f145, iD0[F rvtR +^` 21 DoRtu a onelc I A w LA C 1 l ADpells UE 1.1-NCI CO. CF AGI R 6RF?SL f?T ] ?. F A2ME AinAC[p A4EA .. try'•? - - , IJ N g AMACp I T[ 79C•f ? A AY' 9?iCT ' g W L7 11 L-A?L ,_. iii G]:°, °n 1ES, fJD !- D1L`Ra ?:Ni,'rp er. f uA4Y [ ' D N[L [ ) I AM Of COIIISI N: inlFl '.r:'•' r;.„C: DESCRIPTIONOF COLLISION: DAESwttemtr+ru sNtE, CeCgeDlAtse ISRISA/A11 JcNIGIt, ftl ,fJl13 CtZAt.W-grSK ROAD, RIDER FALLC4 -TO PE%,OTIATG A L--rP HAND r- C, f 1l=HlGll * 1 . a.QcNT OFF RIbH77. , r a \ SR1u?u. o E2 C Al LSIFJL \1E1-IICAZ TO /i N J o?T [r 5410 P320AO SITE C(?GSSt/ L! H ' ?, r e 4r ?/ -<- 5,aL4na eLAtfJo L-ANBS. Jdrlltti - -- - 20f.L..Ep 't1. uK.J/.? GM f3AIJ IG?IENT CGH l NV' - •- - - r a - - . - - TD -F-5T o j Rc.-,F !fJ CAZAP-WAT'E2 REI.IGP_ L'D f???13LC" MPIL F fXIZAL - CLE: w R - ADDRESS & INJURIES OF PERSONS INVOLVED 'CODES 1 - 2 J < 5 6 NAME _ , , OCCUPANTS rWITNESSES '. ° .,,stir' ta.. n?L asm• "' e[v4 [,(Cl . AN J A i^LS' S3 L - I' V,1rJVEfJ , . OrLN 4 1 0 .IN ?^•N,?^ •?N ?r:CN Y + v ? ?[ • ? t I h 4t zf'_' ` ?...A L.3."::' ?^ 07'.'- ?",?' ? m; it ?'r 1 N ELU }-Ir,arEa F fkD7 w.P . cEmw[cln -i vww onn E4nnn, ArrREVSOnr own iE 7 Ll?a GO?i 4Fi-Iri ?'1 I ?? ' »r ,fIIL,' •.-?:,..' 6iN E. STATE OF WASHINGTON Gt I or ? Nn("; ? ?: .u,:Ll ?.AbY[C9 SF•YW °36 :? f rQir t ' 5 h 1 °5 .61iY1''ECSS+?k{rTl2F! 1" S+$ .. 4 y { ? ; I i4 I J ? -y 1 f ?' I I i s E I t? f t?? I I ? 1 - ? ? iT /? jt ' I h ..! I 1 1 F4 MQ'14r d MV 7 ' OE Y D E AT l l t ^W. 3 aj .f I f i S .t EEtl r; I p i i;r r i't r 1 ' 1r v .+. I ?4 z? R E "rA r L n t I ,,;yySL L >ji ?r ? I ! E "OG??IIkVEE IL t? ? 4? klY { y 1 } f 1 1 POLICE TRAFFIC COLLISION REPORT _TRAFFI WAY ; ? PRIVATE WAY A O aLs ILI PO UCFCOMPtAIN,NUMBER 9 . courvrv ^^'G P,ri,?? : 10 I. (USFnmE ]b0 OVR, Ev C' GS I ?C? M ©1 ? U ?'r=t-eFesa.? murvtt PIO CITY I`'O. iMWA ? D A . N ?N ?E ? /^?/?CRYGR TOWN MAEBNO O f Sl af f,OR HIGHWAY iCi CLS. ROUtf Ok IR I SfCuRm / n ? // r - l ' MJlFS 3 W ?OF C.AS PI/le4Cl//`. ONA)?/f./T/G FQ INIfa5LC1 NGW11H:51RIVOk a0AD NONNIERSECTION • ? Q /O 7J PRFfI% EO MllF P05! R iF f .-1 N- -111 A STREET DISTANCE la C11 M .CROSS 51Rff1 RNEARESi MI f a rf ( ,DO C I Z MESS ACCIDENT E N 5 .1 FEET OF 7 MILEAGE ODE RAMP 0 GRAM OA}A ,. C CIXUSION INVMV[D FRIrY: ?y 10iA NO NO RULED-NO. INJUREDq SPllwGf ?HIq ??Hy IXVfHIClES ® ?pgpp[Rtt DAMAGE ONLY ?q[5 'C ?VE C RD I SrR Et OR ROADOR RfiERfNCE X5 CgOS55gEEOR ROAD • ?• i L}[D M IF OBhCI3IRlKRINNAEOf OBJECT SIRIK%ANOOWNFRS NNAfI V .1 DMAAGf ?? ? ??/ SPECW COD NG LAE - ?.,ana s2yc• :,...• s UNIT O. I D9 .UNIT No.1 VEHICLE ? PEDESTRIAN ? PED ? L a. /+ Wfas NNAE: -T I r L sIRFLrA0D4 . A CYCLIST Oa VER'S NPME; wsi /A L.a a - - - %E • S A,E D rafE1 D Ess ? • o•i?. /3.J V :IPD(DE / HDNf ND. A CU % ? R Ir ArE ?? " z DRNIa'S DCENu ND. (Y VY TAiL f a?f? % a MO !H I V CENSE NO. IAIE f% O IE OiO qIH E- - b 3m LUA 'AI. 22 Ea v /U V, d, Al EIGHT E CUPAI ON FIRM NAMfA PNONF NO ' 2 i) r! LoJ? [GCi ([?? R L V . EYES I?G• ? -1 / SG 1 I H} ' ? CHECK vFH nE As Ax [MPIiv'r E or ArvorHER? * ' C ? CHECK (17 l EH CIP/S AN [MROYEF Y . 7 p ' v CODES? u; ; . iy'?' s Ufcrw e+w or rcl?•• M ' i OFA 51 CODES ? 7 uR rz n ss' r a iiin+ "r S e •z w u?l ui LU 1[? A,{u ' L 1 A e , wM IAHCE Z6741Y ? ? ? M a• I . wSiYlf ]D? IuHiR {HfV. MODf jO ill VA VLH. Y-E7L v.t 1 X9wiP1", ? AMBNpHO ? n. ? [bvrtv KI[ % ?Cvn? H YEA HEV.t Mooc I IDAar.NOVA v 1 E r G Ve AI Z Vrz E ,' . Z ,?D DK B! J Huth? SIAIE w 19N fRftA1f N0. 11AIE - I'I ' VEN.CIX ICer s' u/ff -, •-^ Vt R[ OFMIfICAIION NO C CIf IDEN I I „. •213 2 O RtG15RRtDOWN[9IAii RSr MIDDLE L 161 ! I 6'! i16•.G ' I l l i. l i D I p1pNF NO. 4/ vlf Tic( S O RE rF OWN LAS} i1 SI MIDDY Is ADDRess or ow+J[9 H ,e2 , .rJ- • d•X ? N A F wNEa llqij 5 Q ' a• I NunesnoDRESS Orwwurvef eo. oR ACe"r ' R 1U S L1J{], j ?$? ? r a WMAGE M fA p 6 _ l M N O C" • CHA9Gt o • CnOwl i 4AMAG Mu -3 ...? E IO ieRO? E [S IA 1AY y 3Y. C DR.- N ? 1. 'XD ?AW?EN ?RfAWN[O o HUDl+cr. FSLD t 1 y `k,.r., t p J By, r ,OWED Y ar f IoloriW DIAGRAM OF COLLISION I INO CAre N091H . ... .. IS Elllf Nlj,(FLVYI BV A990W a( DESCRIPTION OF COLLISION ILl3Isw WN}ALSWITI/NlCISSARY ) ... _. ..._ ? . Q? VeN.! tS/pe%gClcreuatoeiZ0. U7Err/4: < • - ?a V + 1. ? ? ??h ;... -f T? •• < UPS? «n f°nvi.l.y /. CF 3f<i0_MA 7b ir"! rl G , - -? '^- - i ,•Y/ Y ?` ?• siGv.rlxlza, Ve H !4/. S PAO. Aa/p?S S`I&'tw*'w . . f-P J 6 ` Z? 0c /I/V /At •fci. ' /UV_._111C(/W 11 +,. O??,7'?.._ LetF W-12 - FZra A k I .___.- ..._ NAME, ADDRESS & INJU IES OF PERSONS I NVOLVED ' CODES 1 _ 2 1 4 OCCUPANTS WITNESSES 109 ADOIr10NAl NAM 11 1 4 4 - I UEC 6 A r DDnsS Al f1 N AMt uv o! °1 N en AM B. ?mc[ ? . ,.H . ?R {ti ' F _ _. _... N . .. D - r. A N DD91ty N Aw: AlUO Of R MW101 rolSl HIII. O AMe. ? . ? . O FIY O r:°. RD 0 Mr. 0.. 9,V 1 A 1K ?4N[ gADDE Of AGf1REY 9r. ?AMq. ulr X KI Iy iCMO I(%KI y HD DArI 9l 1 MIR • r Oy[D IY PArI q+ /? / L II A[[Filr rJ O? DJ J ? ?y? ' r} [N?N: ',i;' YA i :J ? 1 ? '' . F M :. ul J. , v : <.^ uX1r f!AV .7 IR.iF. » y , y9? _ all ? - r I S A ? 3E KI?C I F , '. 1 ti?ad I ° I r y _ f8 J POLICE TRAFFIC COLLISION REPORT JXTRAFFICWAY PRIVATE WAY r'oucE Camxulw NUmpfR .DATE OE CO 5 N. .PAY COL.I Cour+rv I 7 SY/ wx i,x nlU 's,r fus 9 ual ? COUNTY NO. C ITY NO. i WA Z'> U.At ?N ?F OtY OR IOWN NAME6N0. Ur STNfFI OR FNGNWAY FCt RS ROUlF 0451RFEI SkC " wl[s : ? ?'F 2tU ON ?cAP2,unIY? iZ.h INIYSECUNGWII UlII RROA NON INTERDICTION ? torso ]] •- BE-IIN STFILI I SiRFF1 Y4ffl% EO. I MIL'L'S. lvZ DISTANCE 6piRfC110N m CF: CFOSSIRLE I OR NFAL-1 MITI POST ACCIDENT 3 MRES N 5 f MILEAGE RAMP CIA RAM OAIA itll [-J ? ? OF S GO ) ( CODE III O NVOIV(D' - N-.U'. M' F %q0 N F TIN SIREEIORRO 3 INO, ORIIED?- IN1 ? SPIIAGE ?r116 RUN IOTA L .H IX AD R. IN I NTIR Cls CPOSSITEEIORROAD / E VELI ClFS ? PROYERIY DAMAGE ONLY IV ? RFSUli1O ? [aClf ?` / OBRCI S1xUCKI1+AME OF ORIECI STRUCK ANp OWNERSNAMEI [SI DAMAGE SPECIAL CODING USE $iFcn UNIT NO. I vrvW'S NAME: IASI iWSr MID LE UNIT NO.2 C- ' ? VEHICLE ? PEDESTRIAN ? PEDALCYCLIST 24 L IS r L IR SNAME: USI MIDDLE SH-A.CRESS SIREEI ADDRESS 3?%? uPrru ?7- 2 CITY ?LI?XJ?/JALS SIAIE TIP CODE PHONE NO. ?U/? C ?• -) 1G/ ?' ' D R ITT STATE IP DOE PII N / mfx s uunsE NU. 511E SU FB141n I Iv 'S LICENSE NO. qif E% OAt OFIBIRIH L OCCUPATION FIRM NAME B PHONE NO. EYIS fIG11111Gn1 Y !? /7' ' I n Al;,- a2 47) 'f E R OCCUPgIIOrv FIRM =6PHONE NO. EYEB WEIGHT HEIGHT . CHECK (?) v ARv eiol It n P1 CODES?+ n . AH n r, w r" ' A ° ? CHECK (,1) MM IAN IMPIOrfFO N A A y '^ < In T ^" s e s , u- CODES t- ' 7Cii 5H e :° 1 A S: Y iM kcl N L Ov L.. nuvxR; .rMr ? AmlwuNCl ? wx ? chrn ° N? ilu VIHAY[ARWV EIDOLIGEC I i r I TS ? o XuANCk ? ua ? ?nI' ? 'vi ? NDM Z p I - I MODDII -I I STYLE (]DR.-CMIV ?>? n L) E IY(AN KI FfV.l MODEL I DAgi NOVAI IIIIIIi'D NV.I I ?r OR t ENsI ILA kN SIA. FI 1 ?r(6,0 7-13£tiF7 K wig IRn.I1EY NAIf NO. - SIAIE - V[H.CIXOR + A N A it Vf rRCIf IXNtiC ZION NQ t PEG S1IPtD0 } IASI (IRSI MDD f L YT CF U ff All N r i I / / T jZYt/o.ui rE:2 ApR1S5IX OWNER YIIONF NO. ZS CV O W N N SIf D w FR: IASI FI451 MIDpIE NO. 2 - IYL_?! err. C ,) ll,u LA//t A E A D I OWNER NAI { D IssM NswANCF CO. Da ACr Y+r I A ,+ r OAM "IP Aa[; Ms.a Fo PIA H R v, D] I DA S O e0 j0 HmEIaNAI III DAMAGI AR1 LC T-l IAf ?NIMPIrI1D C,IANf.E • p4N[N isiCiiorGiN I St?I gAMAGl,UMfA _ E/?',??? ]] ?• _?I I SI?C7 1 LJ 1OWII`BY: SAC:?%E'. `. (-? 0RfMNN[D LI AWAI Y AWAY E UAMM:[ $ D UOIi03 Ie DIAGRAMOFCOIL,SION Iv n N IncnlE NONDI sw ^ 4xow r n{V • ?Er .. AT IT JG(L ( y,4 F_t , A?tY Mlj. tt E DISC If RIPTIONOFCOLLISION: (USE SUPKEM(NIAI NfeessARr SrYEr 1 ]k ? - T / l.?i A .. NAME, ADDRESS & INJURIES OF PERSONS INVOLVED 'CODES ) - Z J n OCCUPANTS/ WITNESSES E oi FL ", '" g y Ap AM q l so. AGE SIMUS , R [sIR. Nln M ^ w or " - T ' AE • h H ? A f%w15S • IHREM NA A ,ID 1Y0M anrFl - ` - A I YX Mr. N+vIS1A.A1?1jM YrN41 {YA11k hP lM irlE XADGI O0. AGrNCY I 1,,LAl ?A X nn."' U AICWD R o? yU D, 1yp ) r pXY Fa I, i, ?N ?"II„,r PAT IXx Y >9 4 E- mr?c< d 2 R ?a y, ty.y r? POLICE TRAFFIC COLLISION REPORT r"TRAFFICWAY rol,cf conxA,Nr NU•nnEa PRIVATE WAY SRI at oPR au N A lI rv T w N! .3 I:4I ID$E tFDD 11WRI COUNTY A a cou HO. cur NO. iHWA 1 / ?, r VI /?C ?? r ^C `? l/O ? OU R'y 1 OIN CItYOR 10WN [3N [ f Oa3t9FffOR WGHWAY nYUS ?5 [:]W 001 ON ?rl{I U GG G? NRRSECDNG.-SIKE'..IlOAO NON IN1fR3FCr,ON ' KTClS AOM 5 RWIE09 E 1 /Z ?d? 1111 n r BEM'FFN?Cti'E'I^ U - E' S ^ C S-T PREFIX EQ. m,lffO3r- ? O• ? a 63 TANC M ..CRo- REEIOR NEARESTMIIE-St A[CIDENT I Mrtn"' E W MILEAGE F[(t OF CODE , A9 DUG9AMDArq CG1lISIONINVDlV10: VE NO. NO. B 11LE IIFD_N0. IN1URfD? .uHO / 0;A,LAGE ? IIRa'GUN D?H TOIAI 3 -RO S 1,NG39E1 RROAD RH ER HCE N INYER CIS CR0655R[ET09 ROAD 'J > a VEH,CLIS P90K-2AMA2E ONEY ?1WILL- ?VENKEF C ?,)? S. ?• COI ' OBJECTS EX-(N -GE1EaS1RUCKINDOW- NNAEj [Si. D^ AGE SMCW COOING IE[ _ __ ? 5 -- UNITNO.1 URrvEKS NMAE: 1A51 iIRSt MIDgE UNITNO.2 ?VEHICLE ?PEDESTRIAN ?PEDALCYCLIST EN -' D9NfR NAM[: USI 1, L -_ 9 SlRftr ADDRESS SIPEET ADDR 55 Y STATE ZIP CODE PHONE NO D TTY smtf IP P R / rvfkSIICENSE NO. stAlF E% A BIRTH Mo. RAr i n I V IV 0.' U N NO. AEE SfA D t B Ap. i wr 9 OCCUPATION RMNAME6PIIONF NO EYES IGHT IkIGH1 E OCCUPANON FIRM N--PHONE NO. EYES IGHI IEIGNi I R ? CHECK (,I + vEHnEA AN fmxovE ANOtHEn.AI ?CHECK ("I Iv(wciE ASAN EMT01EFOFAra011Rxwl IRDy GODES? O n + i 5 1 a y N CODES ?+ s d N s u¢tpN 6 "O m ' 2 e 3 l M ? ~°7r ? NBA N E ? a NE o ro 1. ? H K? ? r6 VtK fAR MA%E (DOOGf{HEV pYr2)DEl D ?"?y1R0 ? AVS - ? c%° ? "Nu. ? =1 ? m. So. '?. .j M1.NOVA) SYYIE IJDR.CaFY.t I e' ur nR H IX e SEPUF M E rHT ( HfV.) MODEI (OA9T.NOVA) aom -? p S TRA IfRMTF NO StAIE d V5?3 t,??as11 H I C VEHCIX R N IX I A VFHKlf DfNif GtN)N rNO !1 1C15-I ;611 !/! VEH CIF DENNf Gt N 3,•j l REWSRRE00 NS1 11951 M,DDIE PHONE NO. -7S .? T ADDRf53a oW++eR ° W RE R DOWNERi 1A51 FIRST MIDIXF NO. -? ] n d M N .."E 01 S, I 60 3 Ti e E i ? NfS E NAMFBADOPf55aINwRANCE CO. O4 [ r N II q AE?j,•?N?? R DAwwE ratA yR D^^°D° . , ' DANAGEJ IMtA A CNARGE CNA9GF 1] lU OOYTOii 3 FSt DAAUGt C] aV[U ? R[MNN(D ? AWAY ?RFMNN[D E3t.0AMAGf 1 EU ?OTG? 3 TC-D i7 - W c , 111: ? Y BY: S a DIAGRAMOFCOLLISION I N 1"LA7WI DESCRIPT ION OF COLLISION IUSFS xE E rql SHffT INfcE RY .... ?._1 t ?. .?. sEUeru NECFSw1rj ; e Igaaow t_1/ : ? ! 4 l?.?Qi(rs.r• ? I ?W ? ??' • ? ' _. ._,. /, ? sr C /H.c?.r /c5 D?? ti / ..E <cr?sT_c? . 7-r,7 I,! ai• -7,'t[,/rp7_;/yl .JOd?rr[' l-e 71 ? N..yO s ?v t ?..S,/ylYt .44/? C ` I =?qT/rc/eFC?ec"7 er/pe ivy; 9 -1- 6 L - 7/ 1 , I , j'. NAME, ADDRE5581NJURIESOFPERSONSI NVOLVED + CODES 1 - 2 3 S1 5 6 OCCUPANTS /WITNESSES IusesaPtWWI Pa 40fNt1pNAl NMU ' SI su Act 1-1 x [s1-a. Ueo N AM(: ... ...__.._. _.___,..__._... ... . .__. _ _. _. r. No. A DD9ru I -0101 RI rrvreY ? AM e. O Wt O '• . ?p " ?V X- / N IXME53 NAIU.IOI eO1R-ONie ?rpY%Orrt? E ?Ma OH I A DD.n• HAW 'f f01 .. SCU:111'YI ?AMD ?[ ii1 M '7;V . ?N ? u;rly IpK: hG0 r ,H 'rSNM. a ? 17 7 CY ° I DISrAtCHlD /99M0 IOl %l A DMf aRtw91 AIPROVIO eY DAII Le) ? > : 11 , '.co LL' RBD.tR3 , 2 GYr61d3 ,.? .s EY u? A Eu X Y `. Er ? 1 fi 1 F ??sd? ? 'i4 ? Tls:.?fcL"'?'_A. ?.m.:,v?.s,.:r:>.?a ,t... a +,? ._?i: _..___-?- E,.. __u."??__. _.,,.•., 'r r' I ? ) MOl OHVLf 11CL w o ULLIJIUN HLHU111 II 6N HOMiTw cIXEIE6N T COUNTY NO CITY NO. A 1 EOSAV ON IDES FLIP fW SAT. CIO O RA LD f-!A'J f? ?3 P -? E TOP TOWN • xAMEf (q OF 6rPEfl oA ici.t LB PPERA IFOVTEO(16rPEfl LODE Sy i' /3y3o MI.T ?slEf ®f Ow ®? L,, ON,' ' e" BEET._AD NW PlffA-T. ?.ULr/C/1 O PNEFM IFPEECrnO N 9 EOMiFPlOy'r? A I BETW XEEr f LPEET`? EFM 'IT © R NOAO FC SW95NO MEiLFro9 ORbtiv1W01/il .... NMP OUOn I INIFPSECrOY1 `-•'OFEFr © A T FA' OF VE bN W VOLVEO M $ . E:BIFLT..:. • r IO ADORESS?rvE O fW/MJ66ff ????e wr: SlP IO?EE o?POM t - OBJECT STRUCK ? 1D EOF OwE?C WI-E Lc?A ronouOW ?Dµ BIBT9 NAM N • tP UDPETRM A }v,,," E. ..... ... AM _ .,.MIDDLE.. lwv CM9 DRIVFA'9LAST NAM?}2?2 ., IR N 5 y2 DRVERSLASTNAM wE IR MVEO rE'. CZT. CZT. BM A ?;.. . - vll E I/ L 1. ?+ W(IE rxM rwD" 1? STREETADDP.ES9 -_.,fl TE NO.MDBO%NO.::.. PEAEON9 wcPE STREET AOOflESS ...:.:-, :,..,-.flOUTE NO.MD W%NO:..:. i A' t P1S L S .O. /=L? .l S E VSEA 45. 9TAT LP CODE, VEA'S OCCUPATION .. fiwl Cltt STATE. .. ..?,. .. 2IP.CODE... ORNER'SOCCUMT ( rJL?!? I P TFONA b9 J ,.. Yu lIX EO FBIFLTmH . OfUVER SLICEN5E N0 .......... ..: STATE SE%. .. OA .. AOE. E OPI R9 LCENSE NO AGE .. a 3 Jti -S - U o M F W. D r rP. ?P . ,. 1 VEHIC/LEYR:11jj111,, 1EI --MODEL(NOVA•ONRI :. BOOYBttIb (2Ofll.. VEHICLEWL .. M(CHEV:000OEI ( VA- T)-..BODY STYLE 12 Vft) Q lgh P-"Ck-qP L L'. Ir .LICENSE PLATE NO .'..:'STATE TRMLFA PLATE NO ...,. 6TATEti PLATE .. -.-_bTATE,...._.. VEMICIE IDEMIFICAT10N N0 VEHICLE IDENTIFlCATION yyq}g: .. 1,?• 03 , 10 19 Y _ RE EKED OYMEq ILAST•FIflST•MIOpE NAMEI:'/.? '.. ,,. DRVER'S LICENSE NO. ,.,.- _ flEOELTERED OWNER ILASTFWST:MIODIE NNAEI.::n:v,Y:.:?:;. CRYEft'S LICENSE N0.D.?.u..:?- ? B n J) AC li TN - LS/' @ey x 1 ER'6 ADDRESS _:_._ISTflEET. AND STATE, FBIRTH WNETSADDRESS: ISTIIEET,CITY AND A ,,., • _& TN T k?i2YF Box 1'1k3 - I "'? .• PART90F VEHIIXE DAMAGED NS?p L?5r 1.,- PARTSOFVENICLE OAMAOEO .-1....W....;::a.:? .v " .-.. n•?t? T WAS TTHERE AUTOMOBILE UABILRY INSURANCE J Y.' LIABILITY INSURANCE INFORMATION•VEHICLE N0.1• CAVERADE IN EFFECT FOR TRS ACCIDENT ON YOUR CAR 9YES ?NO NMIEANDADDRESSOFUABI YWSURANCEPOLJCYHOL)ER....,..:.:.. -.::. NAMEOFLMBIUTY.INSURANCECOMPMY - Coh e ` DT" O 5 fT TId d '115 c 5. NANEMDMCR OFUABIUTYWSUMNCE T •:..,, .m .. .:UABRITYPOLiCYNUMSEfi .:.- -. .. _rCX+ v ' u Cd c /I OIv6 sk 30 1ST NJIJRY: - 2NDINJURY: ,,_ I SESEPAMTEPEPORTFOR ILOI[Wx -VYYNE61 .,_-. ?E - T AL ?YF Y NAME ..- VUDO PEO NAME ADDRESS MEF ADDRESS M ?Fs NATURE AND r ---TT1 NATURE AND - ETONTOFIMURIES ??TL_ EXTFM OF INJURES ?? E%AMWATIONRBYOAIRDOCTOM g ® NEE RB `-+ E%AMWUATEONRBYOAIROOCTOM © ® DOCTOR'S P• y - STATUSOFWJUFEO MARKFWSTCNETIIATAPPUES STATUSOFIMURED .....H .MAR FIRST ONE MATMIUE C 1. , ?gWfn wVEHWLE IX'PtAAIwnvO MNDnNPANYAi P055gU! ?DPrvEP IN VEMWIE [UABLwO xW.Oa,BUxO •r" IMixCry 10 My PfAwy Fic1T 1 ISLWPEI "ARM DE COMP4wr ?PAf6EN0EP N0. __ED I= ?PAfSEMDFn NO MILES OF PAVI ETCI PED11 ... F AW f .. pmn .u.::nl. E) 6? 60 7? OD, :xPIT, ? 5? 607?. ?.' w MOTORCYCLE SAFETY: ? HELMETUSEO ? HELMET NOT USED MOTORCYCLE SAFETY; p HELMEr USED ? HELMETNOTUSED ?Y SNOWIgniH BY ARROW WpnCIE DESCRIBE BELOW WItAT 0: REFER TO..EHICIESBVNUMFIER) ?j N naww „? Leo D/ 9/Vkp ? FAd s f F ?1?95le - - ' ( IH,CE IHL WT L TH,T MIMGrf , .a,P «AUSWx anEME wnT.a N \ \ I G'C'r 6 MPEEr DP H7r.W,r xALKa OP a _ 1 y _ DM.FAf L x f ptNAnClDKM H vLrACtr MO MOM : PUVFt BV MAOw •• I ._ --__-.....__?_._ Y? _ - VEHICLES POSITIONS BEFORE COLLISION Ro? LMea nwcu vEHCU MIMA[D wu wvESranreD er VFHICLL H a L W ON BTPEET 011 HWNWAY NAME OR NO. a'E MOAtLY aTAMaO LLn,LLrPMEID VLHCLL OCCViO PAil'IL Ln ObEttgx F• M) f r10 v{I M) ? DE ?-, Al- .... .. IOMAI ? ? ? ? ? ? ? ? ? ? ? -.1 ^,.':-: KbriMn ? ? ? ? ALdA a II:1 r'i: ceoee..0 - FlIOAi rDIRECTION 'TO'' DIRECTION; ' WrA PEDESTRIAN/PEDALCYC UST WAS USING: 10•uALn f?ww 2?EH}A_ A?uwaewAf?LAOafw,°Fn E?mHEn f?y„""?;,L, .?PO,DwAr t !', tjT PEDESTRIAN/PEDAL CYCUST CLOT/IWO COLOR. I?DMA f?Lnxr >?wffD ?Krno Lnfcrnr E?bTxuPEA CTMMPMU t i;r rj y. roAp aUN1AC9 „YA:AM[R LOW COr101TON3 TRAFFW CONTROL ,? TT(![OFNOAD _- ? DRNEII/Ve111GLE ACOONB 7 -.-I vUVCM . C.-T". vn.EEf I 'vtrKU ICNCn Wf b1 M'JPN•. ?? ?v.. racFt 1? 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III , a f ?ll I I I I I I. f mp? ?"?'? A? ?i'T„tih;?:?l ? ?fN*^e. r r('r! .e,?,, ?..,, .;,;; r '.+ -as.r ' ? °r i pr+,,,-n??•.?r}?,? r drat. AY tt?.• R? r ?? ' Yd STATE OF WASHNGTON WSP•159 (REV. 51111) No y PAGE OF . POLICE COMPLAINT NUMBER ? ) UNIFORM POLICE TRAFFIC COLLISION REPORT § ,. I D. OATEOFCOJUSION DAYOFCOWS 14 TIME COUNTING. CITY NO. f'HWA E 5t0./ AY ?YR T SUN 1 Mprl 2 HIES D WED [ ! FRI B lAI IDSE Epp OUR, // ?90AA Z J I-O R UTE R T DE T ($IfURAL SECT ON COUNTY ?STATEROUTE pCOUNtt ROAD CITYSTIIEET O A OM.CLS. PREFIX ; O O S CO I •"£•/`.??/\e )?) ?OTHERISPECIFY, N y? 3 IO7S0 L N S E W CITY ORTOIYN ? ® IN - W P REFIX EO. MILEPOST O . •? t /yam j Q El ? 11 ? C MILES I OF - A T t/AME B No, OF STREET OR HO- -°? ON ?? f FlA /n>•'c INTEnSECTINOWITH:SIREETORROAD O R AMP DIAGRAM DATA 'Q NON INTE ECTION / 1.Y W :CIDEN TErt INTEN CInS E RENCECflOSSSIflE ETOR ROAD ON REF . ?I- / • MLEAOE . N TREET BETYrcEN .A ?/L/ /l G' STREETNID CODE y DI LANCE DOWECTION OM REFEREN FOR CH093S BEET W S VNRNEr PECIALODIN.U.E f ?MILES N S E W FEET OF COLLISION INVOLVED: ? VEHICLE•VENICLE ?VEHICLE-SICYCLE ?OTHERIWRITEI ?HIT.RUN SEVERI(Y NO.KRLED TOIALNO ?VEHICLE-0BJECT C] VEHICLERR TRAIN ?STOLEN VEHICLE NO.INJUREO '. OF VEHICLES ?VEHICLE-PEDESTRIAN ][ NON-COWSION ?HA RDOUS MATERIAL PROPERTYDAMAOEONLY AMT ON OFODJECi STR CK T NAM F WECTM UC ANO AT ElT DAMAGE EE) R OWE STRUCK( EO O K OWNERSN N S E W LOC I . •? ?ROADWAY FEET ? ? ? ? RD. EDGE ! D RIV ERS NAME 9T FIRSi MIDOL[ DRIVER'S NAMELAST FIRST MIDDLE IIF OICYLUST OR PEDESTRIAN CNECKI I / STREET ADDRESS STREET ADDRESS E ,(// W f PQf A9X /9/3 I v / R STATE ZIP CODE P ENO. , E R CITY STATE ZIP CODE PHONE NO. S N -Y- ENSE D. STATE LE% DAT OF BIRTH N DRIVERS UCENSE NO. STATE SEX DAT E OF OIRTM .. p• 11G D••? ?• A4 M. DAY hYR3. O %1 O• MO . DAY YR I FIRM NAME PNOrvE NO. OHNER30 'z pRrvERl OCCUPATION FI MNAME PHUNEN . EvS 4 CODES g lal BFAT BELT ISI EJECTON 1c CODES >10) L? la, SEATBELT IS, EJECTION NATURE OF I"L'ums NATUREO INJURIES VED R SCENEBY: O NEMOVED FROMSCENERY: TO VEILYEAR MAKEIDODCE,CMEV.1 MOOELIDAHTNOVA) STY LE I2 D .CONV.I VEH. YEAR MAKE (DODGE CHEV.) MOOELOART-NOVAJ ETYLE120RCONV.1 / ? / 'E EH. C R LIE. PuTE NO. STATE TRNLEH PLATE NO. STATE E VEH.COLOfl UC. PLATE NO. SiAtE 1RNlEflPLATE NO. STATE E H .. 7 C E I W .NIIFICA 1 N NUMBER OOMETEfl C VEHICLE IOENRFICATI Al NUMBR O METER J EO IE D YMER-LAST F519 MIDDLE REGISTERED OWNER-u FIRST MIDDLE N < N O. O. AOONE' OWN • / ADDRESS OF OWNER .. /1?? ( I1?CL?1 ?U 2 ? A 0 RAMIE DOOR E T NAME AND AUUflE590FINSURANCE CO. OR AOENi NICE CITATKIN ENFORCEMENT IU I ATI N . ACTION ADDRESS & INJURIES OF PERSONS INVOLVED NAME Lopes _ z . a , SEx AOE STATU3 W EJECT. L. NAME: C ADDRESS U P HAIU 1' VEOFHOM nUUPof.3' SDFNEDY: TO A NAME IN T ADDRESS S 1K4RIEtS FNE nr. R TO W NA4F: 1 AODRF[5' T N 1 M VL 11($I?? , M=. spFNe nr. To S NAME S AOOrV SA. Sr n A n:I OV _ -- T O I ncfAIUD 121'..CAI PO.LIKW 121 VLAJIIYCUI-1 Ia1GGl DELT 1lI UCCTIpI C D 2PAWITNOEn ,. P[DEIINIAN BKITCLGT 1 1RR m.101 I. D 2 I.IIOwJURr 2. DCA. AT ENE p OCAR ONARIIIVAI 5M9ABONGINIUny I. NOT INSTALLI'D ( TQ NOT LtyrjD ONoN DIYADLING 2NOT n1USL 2.(ALY PJECT[n fWOC"INJURY 3 urro D PAHTIALINuEourn N D l0RICn n SMOTOVCYCLCI 0 2 I / a DIF.DINIIOW"AL E INJURY 1-01YN A. IIrIKN01VNIr 2. t•Oc' R 'r E nWITII[!! DSITNWUNANOWN Bf _... .. W 56CA1Lltl [NIU E rJEP 0 _• 0) frill, to 'IT P I J d 1 ?S, J 1 r ( ':. f ??yV t 1 1 r L 7 r I 4 I ? s h if . ? - ?y I !( ? { r T I r i ' 401 IT, i wit sly fa } ,1 YCnIL:LC UAMAUh 1-'EACH G%,CIRCLETHE NUMBEgOF EACNOAMAGEDAREA ExN"nE 1 INSTRUCTIONS: 2SW DEMEA OFSEVEgESTlMPACT. JDMWARgONyS)TO SHOW PIiINCIPAL0IRECOON OFFORCE © DAMAGED VEHICLE N0.1 (USETHISSPACEFOR S%ETCWNODAMAGE TOTM%FR3, MOTOitCYCLES, ETC.) / rO ° ?C DAMAGEO VEHICLE N0.2 18 IbPO A a - I,/?II?? t. IlPal tJ HJPU Ifi. Trunk F.? 13 1. ° 13 Trwk RI .::,.. 1 1A.T T 18.UriEawNpe ' ; ts. unaHC..A tT. aern.n " n la - ° ° tT'Ou°rD I ff&SAIYOBUNODAMGFDAMAOE:VEHICU:NOI SEW.TYOFDAMAGE:IOMERVEHXiLE QDIE JQOMERM.V. DAMGE 1 QDISABLINGDAMAGE 3QOTHERM.V.DAMAGE SQOISASUNODAM GEEHICLE NO,QOMERM.V.DAAIGE ONALDAMAGE A NOOAMAGE Z FUNCTIONALOAMAGE ! NOOAMAGE 2 FUNCTIONALDAMAGE A NODAMAGE ESi. DAMAGE TOWEO BY EET..DgMgGE ! TOWEDOY EST.D GE TO C. IJ TO s S TO M OFCOILISION- rY _ I - IORAW ARROW NG RPwrrunXES -- I ?? --?'? `-?- - - - NORTHORTH INCIRCLE CIRCLE I i I I1 T 1 f (- - - (V A9.T C.CM mUC11PVr- I - _ x N1owT`wpweLfiPCWTOP ??'PFLERq" J OB?IECTEPO. Mr6ATUV Mr 1?. _I? I - '- _- - - - . A r3DaXefe VfHCLEDR Arro°FO?isTEA11°""cowwv? _ ._? _ __ ?{-_ fr r _ ?J I. - _ _ .. . - ESCRIPTION .' COLLISION ( fINDICATEWHATPgODAeIY HAPP bbIISADIUTY,gEWCEOVISIBIUfY, P ENED BEFOR EOESTRIANC E, W LOT gNOAN HINO CO O AFTER LOR C. Q NST IAEH INC . o,; OR LUDE R P INFOIiMATI AIq WORKE ON NOTONDIGPAM,EO.WVIVEq TC1 POSITION 13EFOR • -1Ll{!,'. - y,,;?Aj,yA,a`?{j.?yjy NO.OF UNE9 EPEE VEH P H VEH-'a...? HEADED MILE POST MR - OrI STREET OR Hq?AAJA FOR N0 M IN ONE DIRECTIO . N eM[ LEOFLLY WAS VEH NO. WCRE AGINO DECR E A9W0 T PAR"D OCCUPIED N 3 I E I? n ( ? /, G I __I:'.-?'?,?I Ste-]. L.F _?1..?._ _ L-1 r 7 ?t(J ` r ,!? ? ? ? ? YES NO YES NO • Mvn . ? r DR filAim A ._._- M. 1 a. caw Mara ro ' ' . iu4 _ _ 'I --- 4L PED/OIOYCUSf WASUfiN10• 1 I Alx_-xl? J[.IWWt?ER _.. ICr4K AI )cm"v D ? C I?firlooj f . I mDma, . , ROAD SURFACE, " ,.WEATHER,;. HIBUTIcKNG CIRCUMSTANCES., KnnK Dun IatfCN w[t IcHf ow m McAn - - '? a" 5, r Y+?^ _ '1 HG. f N: ' DH MaO q . -, ? r HD x aNLq M ND f t x IM ?Ar.Aa n r ?.. °? MwE uDENCaav c TO a L, ?, L-J'???mHE?wDWAro1. -- ? ?_ - .. T . ( 7 I? nWfi' x?, AAMW L_J°(? wwwnua_swwoKLD. Q.ry-?Il?anq. f'??'w LE.? 4 ,,1 J L ??0? ? u _ ? ? ro.- r . . f1 'tJIC? sr°`Y_a[F"°'1'r'a-._ ns ivieDEw erAnDA Q- Q ?°?? RvAwrw ?[?n10 t - n ' i^ I - i L _ ( ?? ? '' IDe • [ ( '? '' n I{ 1t p?? Ir-??mt,"°e ? '?'• ? 4-1J avE A6 ?10? 'un?_- I(( nD DAwr rw - • ? ? StCrv '«??Ea:„ LJ°C lTo? D,• ?_ p p_ a oo„„ •p , ,;„,; . DN. - E 1 [-] .: [_ ?nrj q„ f ,1 O?«Ana aw. Ea ?T? rwro - LIGHT CONDITIONS TIIAFRC CONTROL r-? (' w.a('s?y„TYPEOFROAD, ;,VEHICLE IC?HOEN?ITION; I?•SO Ia1faXOnN , UHIETY, ?? f-'1 marwo ArwNM aK Onl ON 40R[I M DH KHECK ONfI•'•,i1u. ,LJ B ? gK ,TanD !_ M Il-.1"1! C, I.J DM S ? CONTt?nGl 1 ? ? AOWWAY -- r ?1^ ra?eel•n>t f'-1, 1-1 mASlm ?la? ono lw Two- .._ L.J 1_1 L I . f w ,( U) ( KnTAMAf _....._ ?_)...IJ _._ US j C,.1.°G1..""°'>r'--- It? "Lra,?0r"rlorf ufM r' ' of 'awn[ ( (_ ? ? D"x ? ? w L L I J _n WM3 n3 [ ? rttxnm ?n? fiWgCt D'iIfE1Wa J I 1? L. ?!l_, ..... ? s ..A. I 1' Dw Nm ! ? T IKwrsw I -F J.,AUm".. .... C_?•[_.I Dnm ?•I v ?o:.Ar_._-.._._ .. ?n? •; I fines 1 ?"° 0. UfHLAAtir' 0r=- a^•D i CHEM. TEST I- ?b r . , a v ; • ? ? 1 ? ? ? ., ...LJ nAT.M _._. D R. Iwc.rt ? nmoYeN L-7 .l 1_YHM ? 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D OW l F 37 GIVENAMEOFSTREELHOADORNIGNWA nS ON WfERSECTWGMTH: STREETMIWAD PREFIX EO MILEPOti / NONINTERSECrION LGCARON OOLLISION ! MMP dAGRFM DAYA BETWEEN/ ?l I SIREETMO STREET 'T "Or MnEV09f Onfm[ni? xRt NrvuoRF' ivrq CW N ON %RD. lt t rry ]rgF[rOIIroW On Aa © • ` [Fr A Y WTEfl W ? TE CLS. l { ! DOVia%aTHFTOR nD•D S? I pNq ?v[r ODIgr I n wmrE :OI N+CgrY.fpvLD . SPEC. COOS USE /• : Y l i? p p Y " / , .. r gKlts IH otsrm.W p NfW ?mr OD)ECTSFPUCK Ir?• G+oBItC15 nuc+I OW OFOBJECTSNAMEANDADORESS lOCA1 INROAD 1 -SP/ 1DfI NAY I q SKI , 71 F MNEPSUASTNAME aFIRST NAME MIDDLE r1Y.O CNIa WEPT W- dSVERStASTNAME P FWST N-IE MIDDLE 1 ..,I.. ED saNON STHf.Ft AOOflF55 ROUTE NO.MDW%NO. rpAE PIU,TwD fiTREEi ADME55 ROUTE NO ANDUG. NO. sWEAE I CNY STATE ZIPCOOE I%UVFASOCCUPATION ]IXPYSKXI CITY STATE ZIP CODE pRNEHSOCCUPATION `_ l Y, , x'11.3 v rFpY• d4VEHSLICCNSENUMBER STATE SEX ITE OFdRTH 1 AGE IFNERSUCENSENUMBER STATE SEX DATE OF GIHTM AGE r IF ^ 1 X7 VEHICLE VIT MA%EICHW-DOOGEI M OOEL(NOVA-0MFl BOOYSTYLEIZDRI VEHrLEYR MAXEICHEV.-DODGE) M ODEL(NOVA-DMT) BOOYSttIE (Z OR) I b C H'- . v c:,.. . 1 A4 LCENSEPLATEf10. STATE' TRAILER PIATB NO. STATE LICENSE PLATE NO. STATE TTALERPLATENO. STATE VENCLEIOETRIFK:AT*KW L IDBBMOMLS11NEWER). OOOMETER(MILEAGE) VEHICLEIDENDFlCATKMNO. (196a MODELSANEWEH) DOMETER IMILEA-. ;: F ;, i> ?'? ("?• i i C'7 # ?? BYO RF41StCRED OWNEH lLASTfIflSTMNOLENAMEt ORIVC/fl/M NSENO. REGISTERE00WWEA ILAST?FIRST•MIOME NAMEI DWVERS LICENSE NO. .T.• ,.LSO ? t. ?IJ r ` O MERSAOMF59 1 f ISTREEt.-Y ANDSTATE) DATE OF 91flTH OWNER9 ADGREW ISTREET,CFTVMDSr+TE1 MTE OF &RTH ' r • Y Pmra OFVEIIICLEDAM•GED tir-' f-: -.'.+ f r :. ; ,.I • !.. Sio E PMiSOF VENCLEOAMAGED e r rowrcvNrivDICU! - $ LIABILITY INSURANCEINFORMATION•VEHICLE NO.1 WAS ERAGFNEFFFECTdFOR TTTISACCIUENRTONrOUHCM ? YES NO NAMEf DADDRE36OF UAB+Utt WSURANCE POUC• [NO?LOEfl an STATE TM NAMEOFLMU"INSMANOECOMPMY NAMEMIOAODRES90FUABINtt WSURANCEAGENi arv ]r•rE Zv L1ABLITYPOLICYNUMGEFt ISTWNRY .,, AGE ZNDIMURY: ALSEa[PM•TE rYPd,iTblAOaTWn•LtYUUESI.'. _ 'AGE -E NAME =SS i w NS SEX pp M p p ADORE59 is fiEx p € AX r _,. _ ,,, mo ou Docrogs -._ ." '. ®r, q.uF mnom - LA A%+f I ®© q •Nr r• j fifAfUSOF WJUR EO MMKFDiST ONE THAT APPLIE S [ STATU90FWJUFIED MMKRRSI 'ONE MATAPPLIF. S - ?MYTn -LE fAA•IX•vD IIONrG UlP.O vpp9+Il.?n? pDANFP IN VEHICLE a3 WO HONOWDlWO P059111E .. . ?PASS[NG[K Nn 1 TOLLE D I!.tyLnF1 P!v.bll " -lc11 pr•sa[wEA KILLED ISE NWI WOn r P I i p PedsrmM, '3 1, -.1 ? 5[] BQ 70 pPiDfSIw.W 0 5 8 0 Of I.E CI 70 SHOW fgRTFI BY AFROW rt CIRCLE \ ., DESCNBEBELOWVMATIDPPENEO(MFERTOVEHICLESBY EtUMBERI r.mC IC„Mgdw••W LP 0 ? ? :? 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PRIVATE WAY OAIE OrCIXU4 N CIXL HME CWNIY COUNTY NO. CITY NO. fMWA S' 1 3'•/ BO D rwS u, _? . X ILI$E TRW HOV9) p ` JGI?I'[bRSON . /& ?URIAN RURAL - ' ?N ?E ? N C O9 EOWN EBHO. OESIREEIORINGHWAY 2aL A ES SA ?W w0' '2A&s oN f//ood -S A3 /o OS ROUT ONSipF ff. e7 ON IrviF45fCiING WITH: SIRtElU4 AD NON INTERSECTION BFIN'ffN S19[fi 6 SITE" N% PRf EO. MI EPOSi / DISI0.YCFa I4KI SIR/FE??RHEARESt MILEP05 1 I -55 FfTSr nE3 F w O(yEpQWAi'2 /?+AIE?L//JG ACCIDENT MCODEE -1 OMGRAMWIA CIXDSIONINVOLVtO: F4 tYI FUEL TOTAL NO fq.K ILFO?NO.INlUREO? ?SPILLAGE ?H g•4UN wNDR[DIH x.RD INIf CLS iFp5fC11N E109 ROAOOR Hft4tNtE 1Op?O•D CRO555 p'fE I]] OFVfH CHS ® Ea•RIg9ER1Y DAMAGE ONLY ?f9fI5ULIFD EN CAR ( p !/•/I. COI OelECl5FRl KINM EG*0 JECr STRIICKMIDOWNER-5HAMEI tSr. DANAGE SPECIALCODINGUSE S UNIT NO. I . UNITNO. Z VEHICLE ? PEDESTRIAN ? PEDALCYCLIST 5 UR fR'S NAME: LAST It- I.- /yDO2c ?,e2 L ' DRIVERS NNAE: LAST iIR DALGr?412bAJD Z/Jl2'Ie U ° SIREFIAW+fS ., !i D. L7 G / L RfE/r pp0PE33 ' 1D? t•.CX(..7G ?iL-W (- z -t NY c/L/A uJRF 855PBS-a9ctD - R 1- aer n1(?6E? E ?A `7?3 , DNNE4'SVUNSEH 1( . 63?7- SIAIE f% A D BI IH WF} M 4 a*8' SS I V. RIVEN' lKENSF NO. StAlf 5E% DATE BIRM w/a M of 3o -703/30 r y. ,Z IXCUPA ION NAMEe HHON?jLO?.r EYES wFIGNt ?C.RFS i"'t.e f0/16Q.C]??/•f+BE,e ?p /BD Hf?Hi // E R NO. EYES WNGHI F410Hr UIPALON GM NANEb =E /G1?ALJ•C6 MES R?ICIGIf?1Lt- B lBO$// [_3.2FIECK (?j vfwcif AS:N rAD.viV'v .NOmE4:µ La-CHECK (?) W 1fvENInE As AN rMViovEf oP Arvor?fa° I?M . CODES ? * 3 n. i • i 5 e 6 v ?r"" 1°" 5 ex / 6), CODES ? 1 D n a MN ]' ? INl W IfS OAI&l G VOif C.. Nl tM;;IA ?Mw », .?gi? Ki ?rs?. WWor0H oArA NE ?E%lll ? Ks:n. ?. Ine •N mow - VfH. YfA4 MIKE IDCOGtLHEV,I [p Cr/Er/ MUDEL IDANI.EgVAI 51 ul]D4..Cd+V.1 ?cAZcK2 -26k E IX HtV.I OEL IUANr.NUVAI N9 r 7 Et/uJl? 5 b'-,, I NI ZD2 ?"'" 7]e ' W CFHSE PLA• SIAIf IRNU4 HATE NO. SIAIE H EH.CIX09 E TTif .132783 wA 2017 EJR / n"r.LEIxNTIHUnoN INO. ES& F 115 789 vEHIOE ofNII lun N 00Z ' I 5R9[D OWNER: IASi iINSf MIDMF e/cC %;er? Co Jc VHONF NO. 350 N° H Eq. 9f ISitNtDOWrvFR: LASTt IIR51 ' MIDDLE t32(ICFf J 1 M ?yNn/ NE57-? D ?c7 B ?Bf FD ? uJ 9 e e ?Nl 5 28 l? J ,¢ . FS. / cJSr ?D ,6/B E5r q lwAY 101 L. o 2 AMf aADOReuanrsu+ANU CO. oR N A4L/fib/ /ygy o!d LG R I n t-Q?ri? H nH SOA15 ?ffIJAAGfD ARlA Mw AGED ?lA p ) uK Y CHMIX CHARGE D IO i01)OV ) t51. ONAAG? A91VAV ? ?9[MAINFD A= 1g ?AWAY lC1RUAAIN[D ESf . DAMAG R)01_ _ ,0i0110H ) Off' AAA: 11 E ? / ? ?I.y .1, ?M LJ{•V F COlLIS10N• lu u THEN AL Iw.AeuerEO4m .I -1 I.. _I .. _ ISHEEt )NtclSURYI I It,A+ROw ?. r ! = OESCRIPIION OF COLLISION. (usESUPPLEWNTAL SHEET Ir FII.S5A9Y1 _. wAS-uN s ' - ; .. ' I !_ - to . GBT l"a_.. 7"u4W . ULaT'....... ANA _... 5T2U eIG.. _ .. _: 1 {,1000 RD ' vtrtLcLdz.,wF?la+ was. -.s a oAl._-__-- » _.: '4 --- 2 \ .. d L3 k I? . • ROACN-JA"I . MADE . LA a1 Cp2A%ICL . TURAIOUT..c...__. I _ . I F{1000 QA OIJE LAAlE wfT7I t11R/JOLATS. 14 NAME, ADDRESS 8 INJURIES OF PERSONS INVOLVED + CODES 1 - Z 3 4 5 6 OCCUPANTS /WITNESSES io+)iowDUlFplu"LrwwSi si xi •Gi rnlus "„o" ° ':' aeuv. oecr ?' NAVE: AwRlu NATURE a iw er'. ? A ? r<LI T NIr, o 141,u HAN" r T I F ADO.LU 4. R Mw?oI.ROM ?AMe. ?EHnKI ?"o.D. ? ? IN "- r .M. HAHt ti. •EN»aK OF I xnt 1 sfu4An 0- ? E.Oro ? NN?".:N X + I A Ir,G I? fEUNE gp M .W M p OIff U?t.. l[MD ¢°JbJi^j(•S O EVJJD sI DA? dry nrI90VlO ..L EJV DAre O / ssu?s n..,. 1TsN%, Ir :: ,:u 1 i d ij"i5(?,EIT ........tc f 55??? 'ly L E LY3? j R, POLICE TRAFFIC COLLISION REPORT ®TRAFFI-AY PIXKFCOMNAINl NUMBfN PRIVATE WAY pAq OiCIXlI N DAY FC IuSI N. IIME COUNtY C 3qi I- (USES•W 19 1 re Wx u n qr .. a: J •CiiJ ' WNMNO. CITY NO. ?fU /K u ?N ?[ ?IN CItY O410WN AME Oi 3 I"I I OR HIGHWAY MIEs Lee A of •B ? e T ON -- ADM— P - POUIFONStN SE TrO u N , - RS[CIING WTTn: RfFiO4 ROAD NpN INI[xSEC110N p /O,Sp ZS BEAB'FIN -IFT 6 ?? STRffI DISIANCEB IRE [f1 O. MIEE PoST P wD Mr`u N ESR Nf f. C;OSSSIRFEI OR NfARESIMIIE POS ACCIDENT 6 MILEAGE C ?D F AMP DIAGRAM Mtq 4 i i[FI OF e 3 3 T T ' CODE R ; COIIISgN INVOIV[D: No. 140, INJURED- ?SPIItAGF TOTAL NO. {gHlLs ayN ,Kr oHpix3 %RD INtER FCII STRETOaNOA009 RFFtRtNCE ?N INTER - CROSS StRLETOq RO 7 •? dV[HIRFS PgOPER1Y DNAAUEQYIY ?R"LlID ?VfHi<lf OBIFCI STRUCK ENAME Gi GBRR STR K^yD OWNER'S NAMFI ST. pAMAGE AD ??'? SPECMI CODING USf I• l S UNIT NO. I UNIT N0.2 -T DRwtR'SNMAF: irR31 DRIVFR' M- ? VEHICLE ? PEDESTRIAN ? PEDALCYCIIST ' SNNAf: Si iIN M jj L --- SiRFfT ADDN SIRFEI ADDRESS n O( UIY STATE ZIP CODE RHONE NO. D Ily 31g1F R IPC E P DRNERUCE-1 SIAIE E% A BRIM O. i Ar I Y V IvR V CtNSf NO. STATE SE% All YBIRII I B A i OCCUPATION RMNUAE6 PnpNf NO. E- IGNTIEIGHT E R OCCUPATION F14M NMBE6 PHpNf NO. EYES IGHt I G HT % CK (.? ? CHE yiH Cif AS ANOA or EAF ANOT Ia. CODES ?t D a, nrv.MHr ?• 5 NrtnoR BAB.DTOPCr_ ? CHECK (,? I tR A ¢lf AS AN fMFiovFFa ANOrHia.l CODES P+ D wrA,v. vFH <i:ia^ IOx.cD , "r 5 i r ?, IN DR 3 % N y ? D x N p p K-[rim ?µ ? ? W Nf3 I r ECV. nF I j D A 4r N WAO SIYIf (]DR..o- ) FHVO, lir ? ? ? [?v y ?- "Tt ? <H „KU ? VxK Y Al / ` I . F E F y1 MAK ( FV) DEL IDARr.NOVA) f ) My 5 eYfd e , KJ %E e / D D? E Q l fN - VATS INUIfR gg1EN0. SIAM H VEH-F U ?I ??• I l f Vt L IDtMIFK?Ai7pN/!?P., '?/!I apt ?•Vs: i F C D! UI N 1 I nG GY RfGr3gR DOWNER: NSF Nv311 DqE P NE NO. o? is eecr r z 09r A7e O rSIFRIDOWNER tA3T fIR51 MIm, I) AppRl3Sd OwNtR f T W N A DWNf4 ?I X a E NAME A AD OF NNfU ANRCO. OR-NI N AwACE .Arw w ? R N ' o:w:u ^ o SAN?Na CHARGE ? CMNU gAMAGfD MEA RTOI CH ? 3 EST. DN.UGEp Io tN RI/MINtD IN w•BMC RTOR AWA l I4 TTGW S ? AW io Y ?RIMNNFD fat, pAMAGE ? AwlD ? A ovnD Ar r Ic nog Bp 3 er t: RAM OFCOILISION M w INDC ,F NOR t? AWAY er. E DIAGRAM m yIF i5ARr) erARPOSV DESCRIPTION OF COLLISION (WE SIft-rSIAI SHUI mctssA4Y1 . i a O_ e eK?Ada?x _,. uJos beia/?vrsi ec/ V S r 3 r i ? . ., I,9? I To SEX! CEsuvi?Jj? ct? y% S!re?,rF c,-./?av4 ? tl d<??AU N AowA 7ep ? (EC%2 ? / C © sJf3c 1 ?i? o cfl27j Nr: 6 ?A _ Y x (T? -e IV 7 1161, ' Te F A ? IB o o e?p /._ NAME, ADDRESS 8 INJURIES OF PERSONS I NVOLVED Z 3 A N IUSI StlgIAUEEIU OCCUPANTS /WITNESSES foRADprloeuNAME AE., %, SI .... .. SIR 5 6 [XR • ? an,e (? po?%S E NATO . ,u H SB i-A• •rr?/ I,YCy' ' ?AM B Owl ? -Ir . ? a. r n ? r.g3 ?? • lNfEl11 NAIURId RMOV10IVOw wvE. ?AMB ? [. Al ?'RnRr • ? N ? r'i NU u lD f w3Nr KM1 yl NAIw'P ? ?Dipx ?wrT ?1?r KIM ?AMB rv13 T KIRS • ,NK AI w GNX `/ 1 /SrMD ?/1/?? n DAII VI ORI DBr pAIE • v IF MaOVf o /? ,«n 3} n0 q Ho rE ' ^ t,k t a ti?? i.rlel??, 'Lw?:;v.M•E.,I, ?}' r • 6 ..... _.._ r ., "5:.:.Y'I ..R?? P?+rtAftv'•.tl..f ....,. ?.rf:., POLICE TRAFFIC COLLISION REPORT XTRAFFICWAV pIXICf COMPIAINr NUMtllR PRIVATE WAY OAIE Oi COLL15 N _ f COUNtT AY w4 USF NOU41 er .1. ills IF ? CITY NO. (!/J rHWAURBAN D e?• ' ;?' gp o ? DRAI IOwN ?LNO.OrSDtRElIOt ON 0E OIN y k O /3A30 „ S ON wes 5 gW DE IroM PNE['K E MIIf POSt INtFR CIING WI :5 EfrjlR a0 NON IN1ERSfC110N L ^JGl _ /f NO / BF1wEfN 'SIREEI 8 ' O 7 II O D ANGEL Ie 11 , tNC.C4 SSSiNfEIONNEARESTMIIE-T / MRFS 5 f W C + ,a, OF J Y ` MILEAGE CODE MIHSIH DIAGRPM WIA - .RD SREf O4 ORRt INCE IN SSt RE FtOF- R rj ) COIMIONINVIXVfO: ERII NO EIIIED??NO.INlURFO- 0 Xli GE 0 Ilb lOtAINO. FIRE 'K%CN Cv VFHICILS PROPFPIY DAMAGE ONIV ?RESUIRD• ?VEHICLE wNORPI„ 11ER Cl5 N•/ W C • p SAS ?O/ .?.. 'q, OB,fCi51RUCKINAMEOf CBr StRUCK ANDOWNE4'S NAMH FSi DAMAGE s o SPFCUI CADING Wf , , ' UNIT NO. I UNIT NO.2 DRWER'SN- 0 VEHICLE - ? PEDESTRIAN ? PEDALCYO.IST IAit fIR ?2 S DNrvf4' AME: UKSt fIR51 St4ffI ADDRESS .1 ADDRESS IT SIAIE ZIPCODE PHONE NO. D SIAIE IP I I l r R I w? ORrvE SUCENSL VAN . I I V IV IICEN NO. At! DA Ar IRIH I 0 jrv , L 2 CCCUPAIION FIRM NAMEb PNONE NO. FYfS I ON, -.1 E R CUPAIION ,IRM NAM EL p- NO. EYES 14111 fEIGHI 0 CHECK( HICIF AS aN M On, 0 ANOrH 4 CODES ?* 3 n • 5 1—- 6 .N,' b ? CHECK(.) vfwaf ASwN NA Or[[a ANO1HfnA CODES ? aii sen: 5 1K IRx, 6 sA,'e°?`r?" m " u B Ir.n or t11- 1„1.. ? NN.AN 0 ? b:n. ? „Kl1 ? ,, LEIDANI.NOVAI sfYLL IRDR.-l-I Gf{XEV D Ne „aoI 0A" 0 c 1 NEV.) I Y K w 0 z o ?S o:rte Y00(L IDA[t.NDVAI ) '7 .) g H.YFAR MALI ID btu ?ney E -x . lKENSE U tRAIfR PUIF [b. 51A1E AIF S H [ vfH.<IX R SIAM 'U 9951 u ? J A 1K1 f W^ •' C vfHICIE 1D N I -CIL-1.1-11ONNO. c c? zft 1 61 L I WI IIRSt MIDIXf E NfR IO R! OWN 1,.51 ?r1?5? MIDDLE NO. NO. fD I : IS R W e? W OWNER I o °Raa OFF. . E A NAME s6ooRess a INwaAlce co. oR AefNt R o gAMACfD wu, a°ww ' oMl OAAAGI Aou w? oN 5 ' CHARGE CHMAG! •10P L L r„r• D •BMD B ' ?. I OY S t5i DAIM D EFY ?RFAWNFD •• AWAY ?R[MAINtO U?01[Oii 5 t ' )? IoIN ?oBY W! LJ AE WVA Y BY: $ DIAGRAM OF COLlI510N: 11 w Mt Nolan NO•IH ZTDE RIPTIONOF COLLISION: IWESI»neM[ ul sHetrlr NeassARrl __ vveq "?.. ,SHEET II NtCE53AR 1 ... . e,O L v Gk- ?ST:_ defy c 3 , - e _ tA?se o Sk d aand YYuv; ?S'f ?TA.oC4e Y v51?acT . 15 IY+?In .. ?dbL+ .. - by 1 ' ?' IL .... Cu s. oec?.?e Y. 'C ILSkOk 1,u1 C'ti q? e ?,S.e.eE_. T? 2a :. • e` ` ba\Aouea Ukvo"k"a awb ?a (nave Occc A.eb Nl) F? ' . vIt's NAME, ADDRESS 8 INJURIES OF P SONS OCCUPANTS/WITNESSES ?w tau Hllu INVOLVED 1I ' CODES 1 St. AGE .iArus - 2 '""" 3 i 4 5 6 Resu. Inn ...e- DD4tu NOiuafa rx?r. AMn.OT1t0 "" OCE ?1'OL m AMt ADDau H°iwta NMwlD rNEW1 ?AMt 0[:K10ni• • ??x ?r:: ro was • wNu•ta INV11] IM11v ?MMB. ?n:'O<IwH• N?. ?nvv ADM y?? D ?? DA'[?? ?r Anvwtoer DAtE •.vl rK:Arwa nr.w1•PR.r ewua FcfNCr I,t l / ? E 1 ' ? 1 ST f S X Q?'n 1 , _ _ ..,;r v cuw;uaalbb .'Y:'81 1, :I ? ? [. lx r Ii) )t 4 1 F IT E? kr?? ? y4 I I 5 iJ?isn ?. T ) \ Eti'S: I,, w munDN aua crn+ac.. Naw r..e . X 6 P7 : _.. wuNCrNO. cor ro - _ ? ?.. ?(/Y Q ? w H.ce ? pE IOwN PlEr ? ??w .C POUr OR nnELi COD! BEC r a pw QD. i s ON 17 wtERnCTrO wriN er 1.ORHIFAE[CROr. • 3:' %3930 . ? O c3 .v or ?? .rq. O SNW r © ?k.-` nw.o".oc`nm+nMC.E:wia`nTC°?ur"nv"?ol:Da..w.":"'B1.OOE' kEEr ® a,' rwg I '?zc °iiryr..t""1`}-n Y ,qki T.q ?? "`" .S?' x??4 O ONNrt?. oOOw a tvlD !. wI TPw.5MIr1EQ .., -• .. ua ? ? nnD1 fJ ruywaeuauD e [r'na a ? o+aw O DrNEP we rm Ht E eaves w.owA . ,r _ , ` C Y: y ' r :? ? _....... z D,D wr Na x wECrsiruc+E r..arr..esil.._??°1'.?aL"K"!m7',sw. `'^' .. "^" ^"D f. 4 ;SP s - L 1- /E. $ ; r • rnoekna OPNER'Jr./IurnAwCtl.yt,._cf:./y_.,/aer. /(' ,.,,.,. ?. u/b'aE..,:. ? ? Dlra[n'su/IsrwwE.........-:.....? fw ».._. _....., .,..suopLEr ..c+9 IElSE0. CT ?' p ShEr C a.Ylorl o ? , srNEEFAOORe99..c:,:rtd,n.,,.,.-s-w::cc,:w:ROUrENa•AND EOxno.:?: ,. nEASONe wErt s .=. 'A wAw.D uu A . r' ADEE?..a?..::;. ?..r,..:,? .s,.I.?.,n..RwtsNa Aiw eox Nw,.., aErkP..n.• JOICIPAT cMUSM,. PEPON an. 3? G-=.:?Nx.?>:,t.: . ASE . • »?LPOOOE? DRNEN9 00 A 7 l or v 4,, k9 ..k:AUL.u,.,;A =r. .eOA 'OFSIRIHm.. .AGE. ..4, i.tj{: No . N . SIICFl18Elgre»r.ue:..-I.w:i. .SPATE. a. .ADG'. H v o S - - f" t] -317 D ar R vewLl.E r14. A Ia¢Ar. .,.. IM)OY I3Da ..t YP (; - L TQ -:. r.. _ 176 rm . a/7 w. ou i ucENSEPUT aerEruletar(e[t PureNDa3 . , -.arnrerr f ?; + 27 '? n r G - ATEr,AH: P:TRw<erPUreNO,.w - - erATH,rv- _ .0 0 ,•,' ?j(/ _ rs V.. vENICCEAtENtPrwn10Nwr+---. r -r - S ° •?° hg ,g r. ADDRemca l - ? O6 r n a. a o• I +o rr. R.' PAR Of relYCiJOM1,LDEp. - OFY? ?. oo c S' 40 ?? t'E?r IYC:. wrt Y20. a.M i C i'...: LIABILITY INSURANCE INFORMATION•VFFIICLE NO. 1- wASTHERE AUTOMOBlE UA9urv wsrllwaE CON RAOEWEFFE4T FORTM6A000B(r ON YO RCNt YE'S [I NO ILSI '" , NPNEAIIOADDRE98pillAS![reWNANLEPOI3.Y NOlOER? ._ .?_ _ Oo-dyh- -?-., •. ,?.A.-. -, l ' it n W NA4E AND AOC.RdJOI.IMBR1Ir NBLNANCEAOFNf ryy;yE.OaltlN+tir.•c:tYORISAlP:.bYr6Y PAnaEVfgapr,'O 19T 11.NIRY,i - ? ik;? - ,t tlYl } _. T.t?•E*... NAME' .. ?a?RM?D N? ( . ADpRE9$ .. "SEx? `7_ NATURE Af0 M F EKTEIROFIWUM1Ea ?? 1 ?Y ADORE99? - 1 F%rEM OFINItxgE9 ?? - E%A NATIONRDE'fOAOOCTOM ® ® NTOR9 u E%AUw,na+ ByDAwDOCfOR! ®® NNME M 9TATUSO [VW •- a-?A':R?7 .MAHK IR9POVETHA APPLI ..?e,:-Y.Y+. ?DANkR wVEIMC.E DD.e=x.D r.OVCla.eu.D Fucv '..r.ueASiATU90F[UUREO....?. wwvv _. %st+wki`ta.E . az K ALED IEMnp Man' -'O I]dY•.en• wvENICLE mrl..onAq rOwaa."A pva.aDOrR HALED "'x`9p rHla. R vmaarR.N rc ?CTr.kN LYlale In Q S? BQ 70 n ?n?L.a- No.- 0 T-NPIIEIN Q 5Q BQ 7Q-' MOTORCYCLESAFETY: Q HELAIETO![O-. H"EPNOTMD.. MOTORCYCLE SAFETY:.. ? Hgyarus 0 NE?eTNOr' USM SHOWNOMNJYNU .CAVItE 7\+i' aw/urv _' ?ti IrP.c?[r1e "'Iamn'AFKTN r u ? 'Df.7[AiS[eDW PeeeL•r0 _ WMATIWr??I M1Y !r+ n :. - d . w :w Me?aw""ie a v? ' 4 rw t. D"'+ee?rar.?"o a..?'anw"°RD'N'0"1 \ - H l '? !F --'Stott ?:... ., e• J d ,f r ?? r, _ S { I / I I VEHICLES POSITIONS BEFORE COIUStON uh nn awAa .IHUA YeNOU rvAN. uDAU. er.RUa I[aw.r v.A.eD wHD[ ar Da Ar HAMe oA HD. DmcnD.. na w a ND r a..3a„QdQ'6 M ' '?% • ?' 2Ft2}fa;i. 0 fl.LlQ7T'r.ClziMs .r? =0 r q nlNSrAwr r :;,:, 0,?.?'O ALOF16:"1;'4•+?rv -<,t,zy,'18 N" ii?!.:i',a.IC °.orwn7'2 .?3 ? iklra4?."?r.' +i aQ.DRIECTIONit?ry7C;,`y `.DIRECTION PEDESTRIAN/PEDAL CYCUST WAS USING IQap".AU rQ.lrnw rQFO a UttA .? µ. .Qlv .nnN°K .Q ala r?rpAlt'?npiri .Q AOADVAr PEDESTRIAN/PEOAL CYCLIST CLOTNrq COLOR: 10 wnP rQIdR .,. fQ u.m Q AnAOAmrcrA C- .Q :di7ipia [m ''?. ' ?y^? [? i:a.MAlt!o! :iFI ?M?.?T!?!??", : ??SIR?Fna cartstt ,M,?;;^ C W a.: )'t1L?T.?9.?1LI?! :atdLS:? :YS?.?.+, YL9^.RL'?.4MSK?!e^C7G•ti,Wi .I 1L ? ,0-, 1®WIJM Q uww 1 I w01. Nl. I ? . I • ? ua Na c' '. 'r ? 10w?N01 `.'1qM? ? +i Q oHe w.r .. .... 101 N01, P:.DI W.OIDONI ? ' I.. ? ogo am uD rt ANeAO ' w[T ' 6g "T 1?AAMRt 30 Wax ' ? Q 1 QlfOr90N " TWOWAV - .. Q a QO'YeMAKPq AND PASAYgT T '•. .. O t .. 0 WO. .0. ) a-Q l?Spi ? a ? TELD SIDN $ fN ?`;'? ? " AxwD Rnlrr RlRllf ? ? ? 0,N , ce ? • / Q .Q/00 .. ?W SIM" La.norr r - ? A:.?FV.'MUN:W f 4 r k MERCNANOe I ? QM1DDr/RAAP7 SI. r. 4 ? ',.Q L1AN/10l[R 1lwN ij;+/ / ? ' ? S QIYLOM S-? jNILRNN UGHIf ? 6+Q ruslw AAwn ? 6 ?ALL[r '. ??1? YAKMLLRWIY} f'T^f ' '{ ?.'(" arec.v T ? °eC:r ? e ?rRSaN:c y x ? e•?T?vuRwTVn.' J ? y 1 QAa OLOwwo?? lryr? tl AORAY T -y' LR ..:..: / Ar P.uRPKe, 1TF[:,.... n(k t 7L y,r I ?QOITKUfRAOMw. LAHLS .r/'' ?'ti•rj rnewAY Q•7'fQ STOITID FOR iRAryC'?`Ir`/In i ? R Q DI LR TIC FY RO..?'#PAMTION R ? ? ? A AL. Q R' ( F'ti' rC ° r' }?, ^ ? 7 `I OvcHO (C) Q trproLOwno.IDwA FI? 6.. t• i, rr„ ..? . .,x ?t rIa1 ka?r 'A?, 55 1lII r•? A ? k ? STATE OF WASHINGTON PAGE I OF No --'!` . UNIFORM POLICE TRAFFIC COLLISION REPORT POLICE CAMPLNX NUMBEq T ?• ku i - MW luti R'sAr SE x.O. rKNRI TY p COUNTYr ITY FHWA " cNo A N /G I F N ! E W OF ?s MLE9 ? ?f ? ? R / HCT. 0. 43 6N0 Tfli TER INGING WITHSTREET Ofl ROAp ON LOLY/GR N??-/ RL C O PRE E O MILEPOS ?S dr ?' -A NONWTE '" N ? h .T /? I BETWEEN SREET AND STREET Q w% QdS NICE ANO ALG?IDEE(NT MLLEAGE FAD RAMP DIAGRAM DATA rrvr , dT3RTECT10N FRA? q NEAflEBT MILE POST N Y MKES C4 OF c ,J ? FEET ry}ER ER Ri? . ON INLVRITY RUN IN' NO USE „? ?HAZMOOUS MATEPoAI TOTN-NO NO KJLLED____ ._NO. INJURED •' ?^?. • \ '-y STOL . OF VEHJClEO ? PROPERTY OPMAGE ONLY ?HICIE EPEGFY: OBJECT SiHUCK INNAE OF OBJECT STRUCK AND OWNERSNAMEI LOCAT NOF OBJECT STRUCK EST o , DAMAGE N S E W M NA Av pgIVER'S NAME: UST FIRST MIDDLE DW VER'S NAME LAST FIRST MIDDLE IFeg YCLU P O f Aro Hg I M ; 1 /.. R S oB? ???~ . ylyv STREET ADDRES STREET ADEFIESS Li I9SG /3tta?v/ rL cv, ,? U ?'' STATE LP CODE PHONE NO. R CRY STATE ZIP CODE Px10NENO. CITT/1 A? V -fl E ETU. / /? 8335 T v-H LICENSE N ??' F 9 , r• £ a p„ •, . B 0. E% ?A E WIYFA 'S LICENSE NO. F H R' SI TH - cT.?/' ?...st3?Q/l W/9 m c3 I/?I-7 x••p. wr `.y' ' N. DMVERS J(PAT RM NM1 NIONENO, f.J DR.. 'I UPAT IBM NAME pHp M RwL ? CHECK V) ? F M x W I •Fxc iw ii Ai [w ores Nq 2. ? CHECK ICI v.NCE H°"nvB"FCO.HO "` ' N M? WE ?, CODES ? IGIcX"A'sR+ MI a siiui"r ISI urErycrcL_ lel EJ.crwx CODES/ ID)cuss ISly racra. IBIyEcllox IA)srsi.r J i4 s-RAiiU.dS u PS v- S i ' . I /T 2-"s .?"° x? E F p A .. VFH YEAR MAKE IpOCOEL11EV1 Z ? MODEL IOART VAI STYLE 120R.LONV.1 VEH. YEM MN(E IOOOGECHEV.) M ODELIOARixOVAI STYLE I7 OR.SpIV.) F - ? i?0 Y 7 Ti?.3c Ti?A H. COl e /I'?V MENSE PLATE NO. /J/i 4 SLATE ItJA iRNLEA PLATE NO. Z?i7GCY? E l[?9 • VEH. COL011 LICENSE RATE NO. E E SATE iIWLEq RATE NO. STATE k H YEMK:LEIDENTKICAigN NUMBER ?;g,slQ;caiz?9 3j3 oiyl N. VEHICLE IDENTIFICATION NUMBEq ( J REGLSTERED OIYMER ( ; Y . LAST FIRST MOBLE L FHONE tK). L PEGIST PED OWN R:-1 HIRST M KKXE NENO, E S m? E• ` 1 1. N ADDRESS Of OWNEA Q. N. AGGNEWOFONNER Q: . . NNAE NIO ADDRESS OP Nw.R ECO ORAGENT . NAME AND ADDRESS OF INSURANCE CO OR AGENT . GNITON NO •, .: _ .?- /rQ?? ENFOP AC CE fNf:.i TION CHANGE GTATON NO . . . . ? - NAME. ADDRESS & INJUR IES OF NS INVOLVED X > .. . LODES 1 - H 7 . D t S e .. ''' k ,;. . . • ::I _It , . . . ., .. ... .. Ilo ACE erArla b .f r runr. w Luse IwT. erBr. Mrm. e.Am LNDr. - e s p P N TO - r T N xAXe' .. • • __ - FED `z _V?? • A_- Go P D, " TO W x N E = w ,la fr TO x $ ND W \ ' .:- E lb s AlxMru } Ir III STATUS ryifn kw \' J; IIrL, 1]I SEAT I'OYIgX • III FNURY GLASS I.I RESTRAINT SYSTEMS TO ISIMOTOIICYCLESAFETY I6j4ECTON W yr.4 „ , C D 7 PASSENGER r" j1 F'NIf AID Q .. 'CLOT REmsTnAN ?y e OT- 1 1 5 ] VOTHER' POWON BPOLTON. WKNONM I.NOWJURY 2DE. AT SCENE 3D[NSDNMUWAL .d[DMHOSIttA I.NORESTRNNISUSFD 7LAPDELTUSED 3 BF . OUADERBELTUSED IHdI ACTNAIEDNg0 NOBFLTBUSED BAJRBHI ACTNATFO• A0 ONOT 6TATED I.IIEIMEf USED 7 HELMET HOT USED I,MOT lJECifD 7.TOTAILY EJECTED D PMTTMLLYCJECTE O f 1 D W1T eNF39 • • ] I. MOTOR I 6.OSMLVq NJE1RY A.CWOULpERB[lTU3E0 6 IIPCH0.0REliRNNT USED BELTS HVBE p NR 0A0 AC3NATE0 ][YEPIIOTCCTON USED A. UNKNOWNV 1 ? t1I1 E , 1 S CYCLE BXON plJJKWO R l1 eNON ACTNATED NRBAO• BELT U3EU • NOIELT D l USE .YANDWIELD LJ[CTCD p 1 AF Y 7. FG.W lf OREIIRNNTS U3TAMRT WSTKIED MUZEF JIM x ' + ? , k y'i?? ? Iy 'Xk f y? l ,r f r : ?+a , I 1 ' -. ?. ?'?;..r ", .gi9,.s Y'-' "..9. !IR .'. ? .. en.??"uz'?a..rr.?.?...rrrr : [•..?o- ? E%AM VLE i° 2. _r?: VEHICLE DAMAGE I INEACH BO%CIRCLET ENUMBER OF EACH DAMAGED MEA. •R' , r.L_,_I•,YI SHADE APEA OF 5EVEREST IMPACT. SHO'N PNINGIPAL DIRECTION OF FORr'E O/ r I0 0 e _ T O INSTRUCTIONS: ]. DRAW AP.ROWI5I La NO :\•". DAMAGED VEHICLE NO. 1 'USE THISSPACE""T.SETCHINDDAMAGE LIC N04''<"::??',:.'*':<DAMAGED VEHICLENO.2 TO TTAU . MOTOR CYCLES. ETCI SEVERITY OF DAMAGE. SEVERTYOFDAMAGE? %?-??r p 1? DISABLING DAMAGE l1 ' p i?gSADLWGDAMAGE ? 1. "n 2 ?FUNCTIONAL DAMAGE n?T?- [i 30- 7 y'T " / A ^E ^ 2?FUNCTIONALDAMAGE L 4 ? ' - Y p t S ? OTHER MV DAMAGE ( " • G?OTHER MV DAMAGE - I I e ?• Lo. . NO DAMAGE - 1°UNDERCARRIAGE ? ?IS UNOERCMRIAGE a?NO DAMAGE IY OVERTURN 12. OVERTUR ESi.U M GE TOY/EO BY \ \\ ??\ \\ ESr.OAMAGE TOWED DY Y EST DAMAGE }O yEOBY ;\ .. (DRAW ARROW SHOWING DIAGRAM OF COLLISION NORTH IN CIRCLE -? - I I (. . mrHr rv noAmYA..nGw. rE•10ES WxaAp ?nEprR•x5 G?EGr5d0FFA0.Gw.Y RI•rFacdrAns I rnl??kmr.nYi`? I. ??.? - p DM,nAe _. (? P i - Nxys,A< rE I rA0Crax N? Gdgran5 I cOn5 AREA, ErG, D LCCAIE rtgB,wE Ptrnr OE ,- I ? _ 1 I wPwi { - - ly" ° sxawvEncLE PEOesrmwd -_ I- .. i t -`/ I GvECrPOVrans•rIMAACr i I I_ f T r l ?• t s~GWPnGn,p[E.E.aLEGR VrME L L Y ' ' ff - ... _.. _ O ?EAGOU? nn u , A OESCRIPTION.OFI IINDaATE WHAT PROBABLY, HAPPENED BEFORE. DURING AND AFTER THE CRASH. INCLUDE INFORMATION NOT ON DIAGRAM. ED . DRIVER,' , R REFNRWORK ETC ) - - COLLISION -- . DSADILITY•REDUCEDV15101LITY. CONSTRUCTON O v?srrcZz?- e?r?k , - -- /1?f' --_: .- J?L ''/-?'!? J lJ ' CJ f / C -_ .: / L---? Ol?/ / _ . /PGC7/> ?7if/•CJ /??lL/i!/C/ DU?./ !vT!/??lS?/!/E/ %/,?E _ ?d/9?J ' ` __ L __/ ___..Th SGci%!`/_.SN?tI.4rJr_.D/ WASI ..? O EOFgNLANEECTIOSN SPE VESTEDEDS VEHICLE LEGAL .LY LEGA VE 1C E LLY WAS VEIL POSITION BEFORE COLLISION IrI ON STANDING PARKED CVFIEO - yxE?1r HEADED MILE POST DIR. ON STREET OR HIGHWAY NAME OR NO \ INCREASING DECREASING L1 ; LI ,? L' t-,I; • L- I V - J ?j MM YED NO YES NO YES NO - L , I I- 1 - I _, L_. PED NG PEDDICYCLISI WAS U51 t x r xE Cdn[N _- DEw -J 61-Ay -IA IC OLw CPOYWU V IHIIER !t '• I °' PEO.OH:YCUSICOLOR O Ftt0TnY16. I 1 0°R a 21 CONTRIBUTING CIRCUMSTANCES I " - C EIe ;I a nr H?0.lAQIDn d "r' ROAD SURFACE EATHER - W d Atl E xo vEnaLE an:ani lCnd oLVEn C. d [ n -IR oRl T , J, Aanuxe,°• T ( I 1 l -o' ? t . - T . _°° .__?. r , ex0 o; EwTV•A __ :. G ?En I -l Dy10' ^14r?. G - - - "Li [R IOxN J - -Ei MPEn 7, l1c - ^ , Io-_'II E 0-11 - ` Je[? UIYNY° , tOwW - ( I . --- _; f A W a 1 r I r A [nC eL 0 e GI„lns ur}; s i.. G IA . D,ra a AE t. j .. DI. _x psN W41. A. - aYa AIaN ronoru ? t ?] ,n,rr. °-- LIGHT CONOITIONS TRAFFIC cONTRDL TYPE OF ROAD ROAD SURFACE TYPE VEHIC{6CDNDTIB??N?? SOBRIETY C? a iJ cnna°n? a?[Cr. dH ' Hten del , f '• .•' 1 ? rH t ° 'I iAy 4 nr p l, [µCr ? (F IWCFdfI 1x0 i., N••aI! vE[.CLt MuO E EK A[" G , L! D WL .J ?•C. DwATN lof inui wiwt I Y }IA% ' Q, L c . 1, `? D.. xt I ' X J u 1 „L cc?le ?,21 ?r..IP4r?1 rl?., a olovrnN ?.. o.M. ;_. ° -; E Inc nor 'L r, Y t, t '.. rsnw0 / )I I t •} iµAaEl11N wO t'D•M IHln µ OLLY nE r W,[L '.. r ?.;y . A s owl p.. Bx FpMaTEST Dw. w.a .... _, .. r L[Gxr Mn 0A 1n , • Orrnn VECNVI 0 .x[Cn ru 0 x I Ap AK, rn O+ w etnA 1 i 1. ? 6xNV IML ? (-? M) t r .. , r ,. V"r0 1 n S Tf T S n a J owxo 1 u,De 1 . !e anlnis[YC 'e p H+[GV• w rR lo A - .. a nrr lone u }/ X ?0 1 ?' l ? r iv?4(r• ty? : ?" ?° A yl A tku u,' Jll ? s . If-+J4 r):: +I ?'+V s 4 AM1T y ' L ; ? 1 if ? M!1 '1 1 J 1 1 I ' 1 tt _ m ¦'. f'. 'YtMlr 40 iLiN'J3-Tir^-. u..iE :• •.7P.:]' pY STATE OF WASHINGTON N { PAGE ' OF , o. UNIFORM POLICE TRAFFIC COLLISION REPORT P CU roLIOE COMPLANi NUMBER J i O AIWA D... P MO - 'Hw "s su, rR , A NsF ]Nip rquRl UNIY ` Q COUt{ 1Y yO, LI 1 _ it AD. - U_µ ? I -1[p ? A I O T i v ' l /` C C, C O1l)? SC\ FI.Q S?iN N T-CT/ Q IM UflAI CITY OR TOWN E N 5 E W ? ^`' Of ,T ? ® ? la IN 4 E L NAME 6 NO F STR ET OR HIGHWAY INTERSECTING WIiH. STREET OR ROAD LL PREFl% EO MLLE PO ST :. ° 4 J I ON S atHSltcRE Ro(4? c : DE NON NTER ION ACCI NT POMP DIAGRAM DATA EE 'Ti. MLOBE E I BETWEEN STREET ANO $T ET Q -d-STANCE AND MRECTION FROM REFERENCE OR CRO55 STREET OR NEAREST MILE POST pRFD EE5 INS INTER A QS HEfEHENCE055 TPE Ofl ROb ^ N ® MEES E 5 W T - T ?J ? fEET ? ®, ? ? GF G ?aYS ?+we?2 Ca; X,?? _ COLLISION INVOLVED' SEVERITY ? NIT 6 RUN ? HAEMDOUS MATERIAL SPECIAL DING USE TOTAL NO NO. INJURED_ STOLEN OF VEH CLES O ? PROPERTY DAMAGE ONLY ? VEHICLE SPECIFY: RUCK INANE OF OBJECT STRUCK AND OWNER'S NAMEI LOCATION OF OBJECT Sifll1CK OBJECTST N e E W EST. D-KaE Kio • 1 Y'CC_. ? RNDAIrvIAr FEET $ bb %k DRIVERS-E: LAST FIRST MIGOLE DRIVER'SNAM E:LA5T FIRST-ME (IF BICYCLIST ORPEDESTRIA"C"ECK) TRNET S PRRK> K 1 STREET ADDRESS ST ET ADDRESS ° (LT 3 ox l ° R.- OTY STATE LP CODE PHONE NO. R CRY STATE - ZIP CODE PHONE No., cpPaus N w(? 98S3e v. E -: DR q' LICENSE NO. STATE SE% ? AIEp ? B RT E -11ER'S L.E. 5 A Ez _ TE O BI ,N,R " R PaaKEss 34? crt vs'L F A A z b1 R I N DRARSoCCUTATIN FIRM NAME PHONE NO. N. DRIVENC OCCUPATION FlRM NAME NONE +yE,}I?ar ipir' 0. 0 T ? GNECK 1?1 e [n AN L 2 ? CHECK 1?I [R. 0 e +L"` 151 sMp1[°.` lelu[c,KN 1 CODES ? M a-a S7 1 us . ? 1 1E1 surn lel uecTON IGI CODES ? uRLOr F ? N ERQLFd kT-YGG PR VpTE _ ° . e aE oq A M EIGODGE?GHEV.I MODEL (DART NOVA) STYLE I)OR, NV.) -1. YEAR VAI STYLE I?DR. CONV.) VEM YEM MAKEIDODGE-EV.I MODEL ?.?' -74 oDCsE CaT 2D2 D 7 ? VEH. COL LICENSE PLATE NO. STATE TRAILER PUTE NO. STATE R VEH. COLOR LICENSE PUTE NO. STATE RAVER PLATE NO. STATE { - N,VEHIOLE IOEMIFICATION NlMgOER 61.P 1213 11-14 19 4 jy 4 .18 1 I N VEHICLE IOENTP'IOATION NUMBEfl i 1 l 1 1 i 1 1 a a. ` LREGISTERED OWNER ST fWST MIDDLE NONE NO. Y>,ERV Ev5 L REGISTEREOOWNEN: U$T FWST MIDDLE PHONE NO. E ? CPIQOL E ADDRESS OF OWNER H ADDRESS OF OWNER - N o (iT 3 Sox 33 is Pppa C Rcss, [o o: NMIE AND ADDRESS OF NSURANCE OG.OR AGENT - M G ZRESS OF INSURANCE W. OR AGENT C AFGE CITATION NO ENF M CHARGE CITATION NO. EJOADE - ACTIG crION. NAME, ADDRESS & INJURIES OF PERSONS INVOLVED ,. .. ,, •. _-. ..... ? . ., .. ,.•••. w se% ce5 rue 1 nATUT - NsTH M NI[TA [ F09T. w n.a IKm. 1RN. a Mrn. WETI IT Excr... :r; ' D IHD a 21 1, 1 8 S 1 - -- -QN1Kl P JR[E. PW; TD •) D P . 3R<k__ILILQp.LRN___-------. H Ib 1 I 8 b N 1 T ss ' c, 6y8.....Rr»G,«.. , I: . . IDAL« -Q.-a 0. aINTB PAfffY To .[ NF Ar w N" I xwus [Lgv[0 [noii_-_.-... i0 N + - s [ e rNAMe E Pw L ___.----- C ': III STATUS III 5EAT POSITION °I I UUM, GLASS TAI RESTRAM SYSTEMS ISI MOTORCYCLE eAFETV MI EJECTION 'E. PASSENGER T. OTHER 1. ND "My 1. NORESTRMNTSUSED T.NDNACTNAIED AR BAO OHOT STATED C ?'. PEDESTRIAN . [ pO""0" E DEAD AT SCENE tLM BELTUSEO NO BELTS USED 1,A LMETUSEO ST. emsNON ]DENIONANRIYM SSHOULDERO[LTUSED 8AIR BAD ACTNATED 2.HELMET NOT USED Q . EYE PROTECTION TUSED BELTIN= D ' 1.NOT EJECTED t. TOTALLY EJECTED DPARTMLLY EJECTED LNItNOWNR e OTHIE. . . OT'iR UNKNOWN AOEON HOwAL AUPESNOUIDERBEL D as TINf S3 B o w1m. 5 WAALPA WUIY a CHILDRESTRANT USED 9MR BAD ACTIVATED USED , EJECTED E CYCLE SHON USABLPIO IT HON ACTNATED MR BAG- NOBELTS USED AH OSHIEM INSTALLED B. ). PROSSI CIWIHY BELT USED °UNK"o" ? K \ tr11CLt UAfA7AG 2 silLi?[ PAc?o Fs v?ER sr DiAnACT?1,` ?I+ZIr• ?, :;? INSTRUCTIONS: G. DPAW AP.ROWISI TO SHOW PPINLIPK gRECTK)N OF FORCE ?? , +,p y . F IUSE THIS SPACE FOR SItETCNING DAMAGE 1s NO:. \\ . ?:.C; DAMAGED VEHICLE N0.2 a 9°' LIC nD -` DAMAGED VEHICLE NO.1 TO TRNLEflS. MOTORCYCLES. ETC.I ""E' SEVERITY OF DAMME' SEVERTY OF DAMAGE 1®pSABLWGDAMME a IQ DSABL..G 0AMAIE <y - r 2QFUNCTIONK DAMAGE 1/jlj.l„I" 2Q FUNCTIONAL OAMABE?L?? ?V DQOINERMV. DAMAGE a GQ OTHER V. DAMAGE le-UNDERCAPR GE QNO DAMAGE IB UNDERCARRIAGE .Q NO DAMAGE _ iT. OVERTURN 17. OVERTURN K . DAMAGE d , TOWF? 0Y \ \: - \\\\ \\\ EST DAMAGE Trn4EC$' EST. DAMAGE Tpµ?,?y\\??\\\\?\\\ \\ 111 m\\\\\?\\\\\\\\ ,;?.\??\\\\ `l I °J - yo \\\\\\' :'` \\\\\?\\"' ; 3e \\\\\ \\\\\\\\\\\\\\\\ \\\ • ?'! DIAGRAM OF COLLISION I I .o.J °I I[-hT'_RES' I I I DRAW ARROW SHOWING NORTH IN CIRCLE 2 -mfmDn-mNTD -I} i"P[rrnE -' -I N i L i T ND.Fi1aD«D -.•-- "' - T I t I• I i t I I I I I 77 i I I I yyvv DESCRIPTION OF ANB4CATE WHAT FRODABLY HAPPENED BEFORE. DURING AND AFTER THE CA-.INCLUDEIN, MATION NOT ON DIAGRAM. E.G DPoYER WI; _ COLLISION.. ... DISABILRY•REDUCEDVppLRY• CONSTRUCTION OR REPNR WORK. E I CI ry --1]LYJLIL-_t l_.W ESS ?Y.i.+..aD.-GSr 1-S-7'lSt?iE-_J.gAD. ULHILL.?f1L.LT=f?NarT1+ t10:?OJ?I'?AO ,_I"io.P.11_tiT_?cc_6?.._toe...y.°r!t..a.._t.oor,.CrJ-u-:?Snf-•[c.?c_.i.c^ct=- V .. '.r? s - POSITION BEFORE COLLISION DOFIANES POSTED VEHICLE EHICLE .SPAR ED " y NEAOED. LE PORT DR. ON STREET OR HIGHWAY NAME OR NO. IN ONE pRECTION SPEEDS LEGKLY' LEGALLY WAS VEH NO j INCREASNG DECREASING ? STAN NNG? 1-13 OCCUPIED N S E w : ? ? ? ?; ? ..?j 1.. ..?`._1. j_.- -LI _ _SJ...T H_ 54110 (?E. CO A.p__-- I MP" YES NO YES NO fYEESNO <, ?'fpr - - - ? w ??I r ua_u __._ ___.___ ____ °R ° _-_ EL, n .wAr T0_ W-_ FED _ PEO,BICYCLIST WAS US NG '`,gpl ....Al J^tao s?ca ?au° 'IJ T?o wua ,_, Sr.anDEa swK Ossw pE - -' FED'BICYCUST COLOR OF CLOTHING joAaa al AA'.Ni a 5 FI°E L 1 [ADiES'•i'rc Aa[+ _ '??•' ' ,. ROADSURFACE, WEATHER-. CONTRIBUTING CIRCUMSTANCES,;_ HEcnKONLI Ia[cA ON[I [I - ENO a?vs 'CR uoa[it '.. owo a ama 2 ' c noun. oEa wnu[NC[a i' ou r owARN N,A a ,.... I? oa A n ?J oNa .?'? ioo cc°w"silt ?"^ -`iIEGSn°[ ? of JI ;N - _. ?? _.- -_ - --- --r- - --- - - _ - '-I ?I a I I r' 1u.NC or ?s?EaD A" Lb.'_;.A°x'[iiNTV - ? a: a i' -? 1 a I ?•• s.r[ ?waro mnaPARN.m f?, Nom ? ` fOG _ _? ? SW OaEAe U ? Pn°a[=- -? ? M ? °[DaP ?, ? .wD I[y-1? No • ?-• . f'? ei?. '--1 ? '-I iArtL `_ r ? s,oP_Ew°uc_Hr. Imr"rTE.r.He?i( ?c?j' MAa '? ?In I wvnArAw ?r? mArr. _ ac °N LIGHT ONDITIONS TRAFFIC CONTROL TYPE OF ROAD• ROAD SURFACE TYPE VEHICLE CONDITION SOBRIETY ? a7OA1 °1GN"L IfSiICa ON[I (1 D>,vfAACA K?tl °DA"a.blrilE KA",o ] K [CK-11 FNC = c DN[W MFCK ONTI L? ro p rc o[ a vtAK [ .._w LRoH,AD 4 1 I LJ L ^ rzo? ? wntoNr ? LJ a1cu .-, r-? .- r?.___-. a:°i.En'w MO? v°°An[?0 Y ?'4? 1R:! I TOP ° '°w"'°AAWNE ?° n 'rTc a`" o ?(. > I crow A? oucA_ - -I -, ? [P?NO- t-' Arw o"Ow`ctIAO1aN 2 FAp 6 ,AP 6.J 1 I sKw ?^ -?-nasrA[-.-lam', me+noea- _ •J _.__ t...?_G..I-rolv`NUriEO ??-J?11?: RTO L. 1-J rA.a 'N1s Nro somm LJ,aL? iliurcT'[NTER[p r o M mLn _ = Ell _ uDN a' _?„? w eK'w° a s D n T A F n °' _ I [ c E2CHEMTES?Js? i - N[n 11"1112 a_ns ?'? 'wiacuAaAl_ E 'K',"NI'"" L_ I naI J ? mNC .ncsrl _L`-1.? ? Rsi cNEH mArcnls.[rnI L l A" r 1 e oTHTn orao ?itu uvaG ?? ? w cre r??J nnnErus[ E- ? ? 11i??c 1.'?? "'} r L --- T waumc ovoe = - - nwrc TO axe !5 I f"'la IAN o IA[-j oN On.n ? Drwu % %I R S LYS ?llA asww•a op .UNC. ° mu eov MC n oMEO A,- °. t4 X '`?F r I'P_S Tpr ? 1 ?i° P 5 ?TSavw 7-19 7Y 7 .•Z\ % ?Pt { ?t?s {i p I C P OPllINALCOPY L ENFORCEMENT AGENCY STATE FATRDL - OLYMRA. W TDN eeellE t?' F ELI A]' .. DUPIKATE AIE OD"Y LOCK LAW AW CNF011CEM EM[M MERCY'S CDPY - TPoPLICATF COPY INVESTIGATOR 'BCOPY ??n v? _? 1 I ?YIrL!>? ` ?A " f 'MOTOR VEHICLE COLLISION REPORT ? NO. ` OF DAY OFCOLUSION LT i1NEOF COWSION '.AN PM _L? YNO ! CTYIUJ f DATEOF 7'C", /p r Ap7 ruFS wrD ryuy rwu Es ?L £ 5 v 1 yr>a,,w ? P , 1q, k COUNTY... CITY,TOWN FOUSaE ML 9 ,GTY.TON?! ADM.CLS PREFIX ?N v ?A „' POUEEON IN fT OOE SECTION I E O ©® OF r 'f } C 1, '} Q y; •: GIVE rAMEOFStPEET. ROADOq HgHWAYOW WfFASECTWOWITH:OtREET OTE ROAD, PRE% ED LEPOST Soufh -H3 Q r Ic{s :?a8 rX r L T mcmEr LAI NONINIERSECTIONLOCATIONOFCOLUSION ) MMP OV-0flAM DA{JAX? tia`( A yr• _ m \?[ BETWEEN )r "_ STREETAND 4: sE STREET C •?'JrrW f" l V? ?'"'j'r :?"`a,'K• - D R T4 T. OR [ fn fMIESrwrEN WArnW WIEH R CLS,: R ES'NCE Ti10Ya -lTO Y111?fl N cux[gs+_.[EVi NIA. pOGE X ILRD NA Aa Nesswa '"IT /lrii (? ? IE S `b- b - it -kti•t ?? r ns C A)n', Aeel- ©® DF 6-tapt alp rlt'V1 SIOII IVDLVE --f IF VENKIE OvE K EnKrtt (]OTHfN IwNTE1 ?' Ir' SPEC OE SErT fJ } HItALIO O ?_. KtFOaIfR y,}4? js-'l fR OFVEN a Er FPEOfS mAn ?NON M Ep ?NTNUN ?M1A. ODJECTSTRUCK INANEOn OeNECTarnUC 1 OWNEROFOB.ECISNAMEANDADDRESS IN ATIONY OU W f laut FEET e?oG"[0 AwC fOt ,?77'??5IF AgNE TNNt XI 9 r C? DRIVER SLAST NAME EFIRSTNAME :MIDDLE -CVV-L DWVERSLASTNANE a FWSr NAME MDGE.. L '.A' /pp /•? IriSi ?D???yy?? v N /vD T r•P A cawsar;M Ta.c les Mtc Jlor/ r 'Y,tr,y SIREEr ADOPESS. . ROUTENO.ANODORNO. : AgAE HIAx fVA STREET ADOR ROUTENO.ANDEO%NO.' / I PWURFOU [PE - ?, Cy EtPwANE" 30 CITY f?J .., STATE LPCODE. DprVER5000UyP?ATgN CCIry STATE 21P CUOE 11 [YBVERSOCCUPATION ' 1"v F O f ! a?J {tiles EBCJf REPoRTFaW 7 W ?,.y. T 1 0`14 ERSLICENSENUMSER, ..: STATE SE% DATE OF RTH"q AGE: DWVEssuCENSENU,i:SER - STATE SEX DATEOF &HTH?., AGE y?, oR M F 6 `! YA/ ElYY VEZLEYR rMAKE1CNEV: DODOEI ., MOOELIIgVAUARTI ;: SODYSryLEI:ORI .. VEHICLEYR MAIEICNEV.•DODGEI - MOOELINOVA.ARTI SOOY'STYLEIIDRI.::. ??:?Afrl -•` 6? bw Y-keEES C !o? For 1 zd '; : LICENSEI LATENO. STATE : Tfl LER PLATENO., .,_ -STATE. UCENSERATEND. STATE.: :. TIWLERPLATENO.,. a ,I r'' /EcHKGLEz IOENJtISFIC4 ATgNNO., oR ,. - ..: - M Brc 5i/S wµ :.t,STATE.:., V U8B8MODELSANEWEfl1.Oww OMTERIIEAGEI VEHX:LE IOENTHRCATION NO, ,. 1181NEODELSSNE1EA) OOMETER.IMXEAGE - ar REGISTEREDOWNER: ILASTFWST-MIDDI.ENAMEI ; DRWERSLICENSENO...,. PEGSTEREDOWNER ILASTFIRSTNIDOIE NNAEI `: ptlVER9l1CENSE ND htc Aa 83s'z 8 $' -¢ y OWNERS?A}DO-,N?En^53,„., ESTPEET,GTYANOSTATE) DATEOF ORM OWNERSADDRESS - ISTREET•CITYMOSTATEI, OA7EOFBIRM n E { `K _OW SW v AN b wv rfAN PMTSOFVENICLEOMIAO MtJ?cda ?" Qr ©• WAS THEREAUTOMO?LE UA&Urv WSURUiECE ?.•. SiaMArEa TE Y ?j g A ' Left ,g _Fy LIABILITY INSURANCE INFORMATION-VEHICLE NO. 1- COVERAGE W EFFECTFOR THIS ACCIDENT ON YOURCAR IrYES ?NO • NAMEANDADORESSOPUMILITYWSUHANCE-YY-LDEq NN.IEOFUABILIryWSURNJCECOMPANY.- 'NAMEANDADpRESSOF WfLUTYMUCYNUMeER ' . L Merle - s a8 V .S. 4op 30 J5?9 ?,ya-Bay-3? ISr wJNiryy/???1l // AGE TNO WJUgY M1LSE EIEPoP MAOM XWN I 1 AGE NAME. M1Ogt(•rn ^P /_'1C'_/`xLl.MO/1.___ ____ sl, uWNEO N'NE -- .... ---?,. •' ADDRESS __?aAA/ Stu__FU¢eaA[R--G!__?Urfla.r?AAC_ 5[% ADDRESS [ANO?/?. _ • - F t r41 NAAIFS SaK CArr. on `. rtiMa a'"'DCiaAIn uwSTAIUSOF lN WVENIGF.UEEO K",Ar MMKFXIST ONE MATAPPL58 ^rATISOFlUURFD wF MNIKfWST ONE TIUTAPP4E9 3T' 46 ??LLNI?TAV'[n ORALLYlO .? R IN VEHICLE ?'? xONO?CA?nlA10 P0O Ba 1'?• []PASNMln pLLED I'KVMN[I MVIpry O[n. R.w NGlD KILLED' ISfvfAEl IAANOq D! t'uk ?aE ra t11, ??R a1HW ORDFaiRAN MalTCI f ' ;R?rn ..II iE.IA Li 5D 60 ?r)blE'N NRI}f.Iy 13 5 ? 60' 7 i • '-,; .+ spwNOmnIW AflPOwwtwaE \ I -' scRIDEGEIaY wHAr IMPPFNEa o ?A DE IflEFEHT VENE;LE98Y tt? )) ' W`"a n VG?1 # ? EO4s-?Ln¢et/lcw WtSY' • V. u•: ?. t? AFIrt M-A?.fJ? 4 I .? Y { N°iX1i on R?."'I.NAU aI O .std:t-Rd._UCJ[_#_?--E.fYas--On--.N??Ll--?4tra? 6Yd? r( , `? , x AAAisew T}7 ? ' mI"°arI"orld"N?AY""L "°"• N of'-?`oac[-wksJc--roL.«o(:_.L,-EAt3'!u._kaw!-aI?..E.r1. ? 't><•.ass • -? t? Qa- .. NnmO±NIONwAY -Vt/[_h? J.-E.Aas-I?ACwGCCc.Ap-2QSf?-a•n-SoA.-+?b? 5/[er.e-.wad-a.LeLes 4d4d-y-e,1-14PA-of? ' .? Rl?ce-- ? cY?er-a•F nx+d.-U.ell..i+?_l--braked-e.tc(-Ean ?t ? y ?Q tno"?_:- --- -! ? ` ?nrskl? P?e._a•? LAmwd?-1/t4-6a-.2-a e.al! - -, ?? -b+Da?ed-E_bvY cltd-KaT`_--y>e/d-etu?''c?•d? mo yl; a ` E _ / •• _V?/L__ih_at-Enay.._!w•NC__s?Aa(?/?„(_-w?_bnq,h.rJES ' r # Sal.-th $heEC A'd ?? I Y? Ve61.lF_I_was._a'E4.w:k- e.t'_-JeFf--Aro.c><b[?-/rH`- 1 I.N Srd.L1F_e•1?_-ue•Q_!b_.•---_.R.ecaDu-of-f<ttetcncss.._ _. _ _ .- % j e.F?__OO_?eUca ErFAeer E.sat stAAlrtJr.ILaal _lowlA,err t T ' ,,,,, ,a„ w.l' ? I I? ? inai:+led_bs-fk_G,ra?fi Ekrfol`_+.Jcf?e?soYl ?SkerlFf! VEHICLES POSITIONS BEFORE COLLISION w um -I M1 1p '? a KC' v[NXY Nar s «au+arNE,nw ua.WUV::n.LD vn.uiacls:o !^'larnArED Or 1w N 9 E W DN Si RFET OIINGIWAY NAME WI NO MICIKN E Iw .{a I? SAD W s rrs NO ? i:inoa E?Epp:oixE ' ? yE,l S"LiA SEE 'p rpEn ? ? 101 ? 1 ? :101' ? l0' ? [] ?CKgIC! IW O?ilpNa"' ; sif ?' f .k mlMm ? ? ? ® soalf t• ?` d I ? Q ? SD ? ? ? sMnwF . 14 P C lT ; Av ? ? ? ? aEWD MOaIM FRO4 DIRECTION TO DIRECTION 1 - Pf DES1-WASIISING E?DTX:WALN ]?WAAKWAY J?OIN%ILDER A?so -.T. ! OTHER IgMSI-c W[A- t4NTCO`Y.H-3 rR.F.000NIROL KMEA OItI TYPEOFROADwA A UlrylRMHICLE ACipK1 , I " I.J S. r + 1 K•K [+EAH vlKt NMAI I KKICAdf YlM:ll Krtallfhl GAOnfI ? ??'? ??1 1 r t1.K1' ,AA j , 1b: NO I .O I Mu0n11 M I AO F T ? ?I I ? 1 , uAunn//-^jA r; ?' 1 W v:air u'I 1 ? DAYIIGIf L 1 ? SprMl9 f?E-L 1 ? ONE WAY I ®OOWp STRAON7 AHEAD 1 ! +r E 1 [1T1??. AV. j I T E". IAIII LTJ EXIT E ?--cI S (3 DAWN ? J ? SfOP SKW Ib ] 50 TWO WAY ? 7 ? OVEPTAKINOANOPARSINO t 1141 ? T ?WTT ) SNOMNO l MIAK D LLD w,, D REV[R"ABLE ? (? D ? .I ? ? wAD D ? 4ANPq PgNI TURN 1 h S ? 13 tnMW 11SON AD,? E DUIKRtHIE' ? I ?TIAEAIap 'I'D D . ? WI[RCHAAOE ? . D uAKYltl l[Ff TURN II kAIE l?? T? ,J?1 {t ' ?1A4 1 J ''{ DUIIN S?j?ilC%YI A?11ARNITRIt [1 ! ?FLA"IQ-DER ? S DAILLEY NPI D ! ?NAKWOU TURN I. ill v.tgb'aI 1Wi 111, y 1 co ! ? C] PI' FY ! ?"D VME XINTD A ? IUI• AL ? ! ?LEF TURN D D D 11 QNlq i ANrS T C] ?OT,`HY Q , C) OtHIMR O fPECF r 1 ?UNnOx Mn.E r. e ? DIL FLAIFI .. O 1 ?LEtw .ffo O 0 ?510 STOP 0WAr DOEIAL 1ON ALY ht 11 .Fv. &Qm -00 J t 1.? , E 4j t n f ! T iI; 1 1?1 n [a Vw \' NIIC 1'^ [/ D yy Ul10MDFD ? ID ? IRNRC IIAN! 1 4 % ??: I t. l .Fi."Inl;q:':T t,:..:. Elnr..iRMkC'!"T' 4iP^;^,?TRA'L'g7PA!Rfi1NkIRN1'SlEgttgMKDDI.+cfatlnaMmnmmmnmxemrnw.wna?mrw.....w... .n.... .;'N1fA`%I TIY/M ... _._._,_ .4 • h :, I. . f 1l 1? I I 4 11 '1 y 1' ti I 7 7Rt cd . P 4 , W `. T yl w vP i K ? a O DATE OF COLLISWN - " DAY 11111111 ,...- TME..,. COUNtt NO CITY NO. / ' MO. DRAY 7YR. = T U I tMYI = IUES WED, i1M:X 5 FPI D !AT IUSEL2Z'C5 URI >. :. ? -n? E CO NTY ?STATE POLITE I?COUNTY ROAD ?CITY STREET Q A04CL9. PREFIX.- 2 ROUtEOfISTEEIfAOE ,?NCN EFF ?OTHERISPECIFVI T y J /? 6,5 C/ L ?IN GIIYDRTOWN W PRE FIX :. MLLE POS T'. , :. .. 0 IS r E ? ? ? ? V , - .2 D. (i MILES OF LL V T _ NAME 6N0.?c`S,TPE[TOR NIfinWAY... _.. :.... _. ON Sbl. t AJMC¢E WTERSECIWOWITN: STREETORfgAO I L RAMP .1-.A TA NON WTERSECIION, ACCIDENT AM XRD CU E 31 OCH FEF ERENCECROSSSTNEETORROAO. O MILEAGE 4 N BETWEEN 9rnEET AND STREET CODE - LTM]N FPOM EEFERENCE Ofl CPOS.SSTR C TANCE 1J ? ,W SPE MLC OWOUSE. .. L,S (?/ i / n? 2, ?FEE OF 5 /Y Ou/ LL I ?VEMN:LE•VEHICLE ?VEHIC-EICYCLE ?OTHER(WRITE) ?HITA HUN SEVERITY NO KILLED COLLISION INVOLVED: ©VEHICI-5 BWECT ?VE ICLEPP TRAIN ?STOLEN VEHICLE NO.- RED TOTAL NO. OFVEHK:LES D ? VEHICLE-PEDESTRIAN ?NCNCOLLILON ? HAZARDOUS MATERIAL . ?PHOPERTYDAMAGEONLY AME OF OBJECT STRUCK AND OWNERS NAME). _..:....:::. _ ... ...::..:... .:. WCATIONOFOBLECTSTRUCK .: OBJECT STRUCK(N . . LL ?RDADWAY FEET ? ? ? ? A. EDGE 5 W.ER9_nAMEiA9f MIDDLE ORNEA'3 NAMGiASYFWS MIDDEIF3CYCL ST OR PEOE3 PAN CN 1 :. •e D SCjh? LLAIJ LA 0leg NE J O D? .. ..R Yl SrnEET ADDRE t. :.:', . . ,. ..... .:... .._:... S:.... .., .. ,.. R 5,,EET. ADDRESS _ ..a..,•.: e.. .' .:;1.;...... ..:._.._ »? ..:.._.,w- .. V . . . .:: 'V. { E I1P,000E :.:.+,„PhfO1E NO. :R ZIP-GOOF R:,GNONE NO. CITY"_ t•: .:.. STATE S ma d N DflNER34C a . " STATE;, SE% GATE Oi BViTIN 'N OflNEA3l1CETA>E NO.,,..,.•r..?._.,a ?: ',.+? ,STATE:. ;,SEX GATE OF S-I .. S. D, •? -. • n MO. DAY VR. . O•:: MO. DAY YR 416 3 in -7 ? /r ...... DRIVERS OCCUPATION.: FPM NAME _,ef : .. .. ............ P NO Z: ORN33 OCQIPAl101 ax) E e CODES >101'= to SEATBELT 145IEJECTICI4 CODES >113) CUUS9 _ (4) SFATSELT 15) ?EODCN . iI's F I 1 WUNIES R_ y D FROM SCENE BY: TO REMOVED OM SCENE BY: TO ' VEN.YFM MANEIOOOTTEL7iEV)?:. MOOELIDMTNWA/: - STYLEIZ OFLCOLNI,:? ' VEII.YEAN.:. MANEIDODGECNEY,1..: M'DEL(DAiTRNOVAI:.i 3iYLE 1Z18ti AFN•Is:--,:.i v 4' ?o o F- 10c) y t v' E R,y... IIC;, VIAtE NO.-^'I VEM.. STATE';; a. TRALLEII PATE, I,10: STATE ti :,_ ;E ., vEN.COLOR'.?..:: LIC: PLATE N0.;r. STAtE'A,r: TRIaEP PUTE.NOy'., S'fATEs,.i::'.y. H ,. ."_. t> o`?t2l3 cx2 >H '.C v : roa cATpN WMBen.w:.w.:-.-.,N,.....:,+;u. oooMETER::.w a ?. '.?C-, vgLnc?nENrI?cA .. tl:.. ._r._.__-'<-a-•.??u., ? DD M t•_::,.:,.s::-a,- E ?/ I !O I 3$ E sf.r.?.-• FYLSf faY w .. - .. % REG6TERED UWNEN : ,rn Y F?LYF .S.LY?L .b.r•eiL.J'IDOLE'. o T R Aa v o : aP •r......,,a. a.-<:.:.,_.._._.-?_ua.A.., ... .?...?».-.„?,.... _ ADDIIF3S.OF aAY+Enn.,,<.sc.,..,?•..yu.r.....•.:.?,....au;:...,.a..tca:r.::az..:a AyM ?f lG L?A G i9l S-73 2 - NAAV: AFID OF ORAOENT-:_-. ':, .-., .tea i::.- ., .. YuME AND A00PESSOF w3URANCECQ ORAOENtr_:?+.u.?.:2<?.w:A•q?<.3'S,LsCtiw Gs .__eJ .A NO..w ENFOCEMENT': NAROE'-:.,dau •_ I ,,W«.. AfYi ..ACTION ::: ERSONS INVOLVED CODE9 1 Z J A 8" NAME, ADDRESS & INJURIES OF P -'.r .. SIX •ADE: 9TA1V9 .NV1N A .??: `. _ ,` NAME: 1 a .S.dU c ZZ Z I Z Z C. AOdTE33' Q A: r . P N-b OF RENK)-FROM 114UR'Es SCENE BV: TO A ` NAMe T ADTWESS "S I1 E OV OF M 4WURIE3: SCENF RV' TO W NAME' T AOdtE93: D N Sf.FNR R Y. TO e $ NAME' S A011Ne": E -NATu of INFRY' TO IIIbTATU! ITISUiPOSrtION (?)INJURY DlAi9 IAISGiBOLT 1!1 C/KW C ?PECEsTHIµ ' ENLM1f O 1 S T i P U3 I ]. MAD AIRSCENE t A I e: F°LO?N°MLIS?AnuNOPY < E ? 2. NNOOTINUSE?O WN M? O E 1.TOTALLY PJECTED NNTNO'HN fJEOTED S D E HT > I b .:?IINea3 1 AOTOIILI'CLfl 1 / b D 8.P0.5RION UNKNOWN . DIED W NOSPR L WJV i. { OAiIR Y i( NO . 6.BEAT BELT FAKURE . I U EJECTED - A ? 'tssF'?tia ?. i s gy i R ?Y INSTRUCTIONS: 'r ,.. S :E``" reua: ?Rk ?.. ?..•:RD°r•.?.•.. ?' ?; ?.5.,,? . CT INSSTRUTRUCTIONS ' _ x9NA0E AREA OFSEVEPESTIMPACT. T;? , Ij 3 DHA W AHgOWISI TO SNO W RHIHCIVµpW ECTWNOf FORCE h DAMAGED VEHICLE NO. I 111. THIS SPACE FCH SRETCHINO DAMAGE TO TRAILERS. MOTORCYCLES. ET C.) ? x iD.Hmp DAMAGED VEHICLENO 21_ ' rx 'L ? S. Trutt ...-. t Rom ' x .. - iHOH ' i'ad y ?? a.SlnarTa„Mxv - Tnra .,. _ 17. a.n?.n x `? x e ?e w,eau+w..t`,,ia1A°' 1 i SCVEgITYO DAMAGE: VEHICLE NO, t SEVEMYCF DAMAGE:IOTMF.R VEInCtEI r 9EVERITYOF DAMAGE: VEHICLE HD x ' tT.0.rNn W,,ky fDISA9UND DAMAGE DQODfEq M.V.DAMAGE.'. I?pL9ABMNG -AGE FUNCD0 ALDAMAOE D ?OxHER M.V. DAl1AGE I[]D19ABONO DAMADE 300TNEq NOOAMAf?L+" x MV•OA4GE rz "wLT FUNCDCNAL DAMAGE NO DAMAGE 2 FUNCppNALDAMAOE TOWEDBY 4y tr EST. DAM NO DAMAGE Y? 9i^" ASC LEI //I TOWEDB ,E9l. DAMAGE 70wED BY ONAAGE TO 325 OUGRAmi OFCOLLISION -T-;-?ot-rTD EST. r TO 3 4 a1c, ?? IR°EDAO'?" gLrxr.rFArtuca i I I I I I I ?- 1 iTl I I _ I I_ I I DRAW ARR N OW SHOWING ,yAy I I r-_. I I_ ^I I I ! I ORTH IN CIRCLE S? w e?;? Y I f I I II i Z I I I ?I I I I I !O '` aDVn.oKV I I i I I I ?-7 j 1-r ?-I--j-?- I I -I L >Sr ? L?? x?oo?,t FIgeABLEPowt I I i I i ? ^ ; - t I (?' . ?, ?aWWYFwCLE1eDETwNLq ' I I! I I I; • T ? DaIFC,FWOrOHaA,mPAGT I I I I j--- I i-I L-- I l i l 1 1 ' I I DESCRIPTION•UFC? -v aNOICATE WHATPROBABLY HAPPENED BEFORE DURING MlO AFTERTHECPA9H,INCWDE WFORMATIONNOTOHOUGRAM,ED.OiiIVEq, ' COL1.IStON ]+µ':;+At`S 1 ..l T OLRA[iIUTY•gEWCEOVISIBAf,Y,PEDE9TPoANCLOTIYq COLOq CCN9TPUCTIONOR gEPAIR WOAnO..) 1-I p z c L' `A,? G??_k3oLx? o ?_M-P-.?1.N0 , ..sack -L1-.L?'?z S u LL- 4? ?rti?_sSLIO P _s * T ,.J?.J>h11£ {_D?Z.ISLLA.1? u?A E. ??s4RAC?L?. Mcizrd'tBY, T, - -6r-i=.P?_s?"R?1•,?-Pf?L.c S?r1.? _er?7?,iJ.?.r ?J?t ?.1J1id? ?" t e , r K , ' wrr ?, PFS f `lgr-fd _0 ?4ia ?1_1 ' "'1 tS.e? tax,.„•- ,. - '__ ._ . •, '_:.- -'r. .r ,?; F { L 1 . 7 . G 4 N S I£? 119a I jilIviu Itl PAGE of /ta UNIFORM POLICE TRAFFIC COLLISION REPORT E OF E IVU ... WI ICE COMPUINf N11MfEii i ' iQ ' ?VY Pl' T NN ,t ? IC's ( ?' ?? O _ DATE OFCOWSICN OAY OF CDLLIS-- TIME C OUNT' /NO/ CI]Y NO. FHWA T E " 4 711 l SUN - 2 NFS 3 wE0 T INUP S ?I q SAi I t IU N) J ,? / Gl LLL ?UPRAN COUNTY ??aa--AA ?STATE ROUTE ITLCOUNTY ROAD ?CIrv STREET O A OMCLS PPEFI% FLUTE ON STREET CCOE SEGT.CN ! AA ?OTNEPISPELIFVI ? -7 CITYORTOWN OIN W P REFIX EO.. O Iq ? S ? ? C& ????? F U VrOT C . P I A NAME ANO.OFSTP gMNiHWAY 11 IN TERSECTINGWITH: STREETOn ROAD W- R AMP O IAGRAMOATA T C, I O NQNINTERSECRON I ML:OENT N(ER NO % D CLS. TERSELTNG STREET 'R ROAD OR qEF. Ev E'KECI ° STE TOR ROAD N pETYEEN STREET AND STREET LEAGE CODE S, l ZQ1 DISTANCE AND DIRECTION FROM REFERENCE OR CROSS STREET w.,nkTNS S FEC4L CODWG USE R,11E,15 [) 5 E W OF SR/0 I/ COLLISION INVOLVED: '?VEHICLEIENICLE ?VEHICLE-BICVCLE ?O(HERIWRITEI ?HR 6RUN SEYEWTY NO.KILLED '?'? "I LLi-EHICLEUWECT ?VEHICIE-NH TRAIN ?STOLEN VEHICLE TOTALNO. IImo? L .URED I NOINJ _ OF VEXICLES C J ? VEHICLE-PEDESTRIAN ?NON COLLISION ?HAZARDOUSMATERIAL ? PROFER"YDAMAGEOIII.V OSECT SRUC%(NAME OF06ECt 5RUC%MDOYmEPS NAMEI .., LOCATION OF SELECT STRUCK EST. DAMAGE . ,. ? FOAONAY FEET ? ? ? ? RD. EDGE S ORIVEPS NAME Lh4i F MIUOIE DRIVER 5 NAME LAST FIRST MIDDLE (IF 5+.•cuS?.P PEOEaIHIAN CHELrU . R -<e - ?l D R ST EET ApOHESS It •` y_5 STREET A.ORESS _ E C TY STATE N0. 21F Cy E CITY STATE ZIP LODE PRONE W. R ' ovUCr tQA* 9%?3 *A H DRIVE PS UCENSE NO. STATE SEX OA(E OF BIRTH N DRIVERS LICENSE NO STATE SEX DALE OF BIRTH O• I 1 DAY lqlyl O• MO. DAY YR. OPIVEHS0UAR1MM^-011. )-7V B[U DRIVERS OCCUPATION FIRM NAME PNONE.NO. CODES 01 CLA55 IAI SEATIELT LEI EJECTION CODES x'31 CwUR Nw ? IJI SEATEELT ISI FJECi:ON INJIIPIES (! XS a IN,uNIES FH VFCENE BY: l..J TO 0 FROM 4LENE BV TO VER.YEAR -E1 "CREV3. - MOGELI ARTNOVAI. STY LE130R C O N V.1 VEH.YEAR MAAEIDOOGE?CHEVJ MOOELIDART-AI STYLE I2DRJ:Cnv.l . _, y aa ?? ,,` ' v, v E - EH ;OOL PLATE NO. ATE TRMI Fw FuTE NO. STATE E VENCOLOP ll PLATE NO. STATE TRAILER FLUTE NO. STATE H -. t AGO H I C VEHICLE b NRF%TA110 NUMBER , . , VEHICLE IDENTS'IC I N NUMtlEfl .., -, „ ODOMETER ..;, -. " R'EO^IST?E OWNER-. ST FlPST MpOLE N REGISTERED OWNER-LAST . FIRST .. MIOttE: O. ? W S AK OG CYmER 10 ADDRESS OF OWNER AMEANUADDRESS SURANCE CO. RAOENT _ NAMEANDAGOFEESOFINSURANCEC.O.ORAGENT YO V cNARGE .... .... ... :... ,..... ,, CI TARONNO... ENFORCEMENT CNAR E C.- 11 .- ACTION NAME ADDRESS & 'INJURIES OF PERSONS INVOLVED capes _ S , SE% AOE STATUS N EJECT. C NAME. C ADORF.SS: - U . P wUlIWTo 9 REMOVE 0. IN:URI.. Si.ENF BY. TO A IIAMe: . T ADDRESS' S INJUIIIES: -EOV?OFHOM TO W - NAME: ;T ADDRESS, D F.O. ? N I,uuRIFS . SCi°en $ NAME' S ADDRESS. E NAI :ifGaF6Y FSl.1-'-- S• IBS SCFNE NY: III SIAIUD J1ak/.f YU!AIAYI , 2. PASSE`IOCR LNOINJUnY S. DISADLIVIWURY O. ]FEOESTRW ABCYCLIST OTHER POSITION I 1 DEAD AT SCENE OEAOON ARRIVAL J AO eNOllclApkNG -BRY IENBEN' D a DIN" S WI/NES9 S p ? D . IIBV9 MOTORCYCLEI RO NRNOYl11 PCS . 4 IEDI N HOSPITAL I ].FOSSItlIE INJURY E . I N V . I NOTINSTALLLD I. NOT EJECTED 2. NOT IN USE 2. TOTALLYEJECTF.D 3 USED AD PAq.iDW!lIAILY EJECTED . T . U!i%l lF 11 .11-N 5 , SEA f BELT FA_URE EJECTED , m,e ( Y 1Ym. •.A L+ 1 Y ( a . ,. ' "' - - 10RAW PHRUWISITO SHOW PNa.CIPAL DRECRON OF FORCE - -' _... DAMAGED VEHICLE NO.+ IUSETHISSPACEFORSNETCHINO DAMAGE TOTRAU ERS M T O' 1O a . , O OHCYCLS, ETCJ DAMAGED VEHICLE NO.2 3 H°°0 i 6 Tru nk '' m- I TYO OMIAOE: VENMAENO.I SEVEPNY OF DAMAGE:(OMER VEMICUE) J SEVENtt Cf DAMAGE. VEMCtEN0.2 2 I'UNBUNGDAMAGE 3QOT ER M.V. DAMAGE QDSAB IND-AGE aQOMERM.V.DAMAGE IQMSABUNG OAM GE G[]OT ERM.V.D RAGE 2 FUNCRCNAI DAMAGE A NODAMADE 2 FUNCTIONALDAMAGE NO DAMM [ - a 2[)F UNCTpNAL OAMACi d NODPMAGE.. I? TOWEOBY'}I)!d1 K:Q t ?-YK 'D?A'E TOWEDBY EST;DNAAGE .. TOWEDBY sSi.OAMAGE I a O ? A TO. a TO `XQCQ TO [)IAGRAAI OF COWSIONOgAWARROWSHOWIN Nv rurwlca ?7j-? NORTH IN CIRCLE I'v «°DFPDwAr I I r I _il j j j " i I DM FT-FT-11 ND _ DDNT°O x I ?T"T T'r T77 _7-1 r-A EGCAtE PNDAMLEPMTOF I '-I -I I ( I 1 -' I I I I?? (.'??--?I ? _I .°wwvEwCrE PECESrPVN Pog,I A w?,. -I'- - - PNDaMnEVFH?fiEG ? 1 , p; °^° _ 1 ? Uii „ i I I AA rE DO ! ? I I ; c z,xti• e.e.:e, ? ? ! I .?d_ I ? I : 'DESCH IPTION OFD'- KATE WHAT PR08ABLYHAPPENEDBEFCAE DUB- AND F A TERTHE CRASH.INCWDE INFORMATION NDTONDIAGRAM,E.G.DRNER '..COLLj$jQI'I DISABIUTY,REWCED VLRIBIt1P(, pEDESTWAMCLOTHMOCCLOR.CONSTRUCTION OR REPAIR WORK ETC) _ Sc?YQ? SR(oi L urtnitl y- C) ?o.e?sT o?ti_..C1EC'rtua`b° 0201. t V??t e? ? C v^oSS2 C `t 1-??r - 76-1i a: _ ,? I. _ 1r1 I?e.*,S. ?Q TV- IEEFOAEC u .A.r.:Y:AS-' ... :. yAd?7 A 3'P•.ur.?v.::t .Zi:. v..: ..-n "?' ?r10.OFlANE9 _ SF? 0.4 EH IFPMIfEO VEH HEADED MILE lE POST Dri ON SIREROgI°ONWAY NAME OR NO. wClBZD ECnw1 FOS W $i1FE LEOALLy WAS VEH. ND WCREAS DEC A I . RE S NG PARKED OCCUPIED _N _Ca E' W _? C ?e4YwQ? e\.- 1??d 1 ? ? ? ? YE9 N O YES NO 2 ?•p ? - :: n n I? n PED .,? ? C . .. Dn A fIECC°wrEn ° CDrmEM I wT pE0 BpYCUST WASUSk10: InDDEwAUr xl JWAUrW r?ppylgR And .yw• I a5' •ux n Mm" •.I '1°Ir?n - -ROAD SURFACE' •:•v,WEATHENr''?.u'f COHITi1BUTING CIRCUMSTA CES" .AnAfB/VBmYE3'?."?..I ? ICraIX ONF tW MME, k - ~""wf1Lh...A`:r+ rv?Cr41 ITA.ECA wEI ?? A?. ? ? « O OPttFn d+nEn UrVtn -..? -. ii , r? P Ew L f ?7 l? I L.-?°?-_ r LJ W?w9f _ ? AIL°IR1 °f C?_ y _ ' ? a MEN.roED WwM ?S n P TOO f J j?- ? Vrtr i n.ww ?x?wwa+.rt Cl 4 cENrtnE n ..- r? LW!1 RAiFa ? 6N w rl ? ?°? IDgW H -? O f?TO 5[?_ µ . L I= mG ?a? 6Me0 ? p 1 ? _ ?- OCA?FAr?W I N n? u . n f00 0? ?_°D?° L a D En q :E<°? . ?° LL1DM PM OM nIrPEOFY O HPl - ( 7 Ate„ I ra WwA an I ? r ? m.soPPEfxoTw AwwI>i? yDH?asb•uL°T0P D -F LIGHT CONDITIONS jMFF C CDIITROG: I-ICACNO _(v.nc',n,'?TYPED owFgOAO; _VEHICLE CONDITION " rewE roHE MD vEIC < E ;,;,SOBRIETY. •,JN ?•?' aro.ryo TMerxv.. Gvaro.A "° OEC oei' ° ? I No. ax C?j °'°° T ,I n wnloNr > rt< ? ? r ? Two ED E:, " 'a^° i_I n ?10? ;wu rnicMOwe .^o ; - - -- ' • '?- _ ' ( '. x ( j awN ? soa r ° row ° x ? MA w ° I .l° l?.l Nor ?II I? PM«fnA"`H°runoR' E _ ?_- ?-? ar'rrnw Ir'+ ?r J 7_? _5..?. ?°"'°o" __ n roc NOOnwn ?I•? srCrtn ' _-. -J- ? I ? 7 . °J aa° ?O I x CHEM.TES [] 0 - ° lJ °N•InG•f°1 ' rum wear ?° °°? EaR.L J `f a BD ?" ? iJ ' . , ? ; 7 ? ? ?/ ? - ?•? Dm! f.7°C7 ? ? AGDErE?a r_ i Ea REfDND + ?. . 'an uonao H; . omanlE:7ari . t \ /•1 I ___ % % TEST RESULTS 2 ?. i _ •y t fii urwrw? NYw w.W anAAr wooeaD . a ,.T° , ` SIB T l9c I •? ?° ASS mwarurnoornalraNNAaaAw ea°e Nn ? onas.aoEr. E D•naf PrPOm P Arenoveoer ogre ?J .n r r.'wnA wtNn kMENTAGENC 5CCPY-7ARMATECOPY: INVESTIGATO SCOPY IrI MI ,77 1 1 V.' h I I a ?y? > HI ?./ MOTOR VEHICLE COLLISION REPORT - 19 O cO 1 VO r- LL Ax F-9 s ',..: o OP.COLLISION„4•?. uN T R •? tu[a wau n •n / r ''?Q pM r O 'L Yt TOW 1_Wn M LEST O ' DM.G REF .-I.-T-1 co EL ION , ? , _ I"Sf, GITY::T GOYN P,[. L,?,?`a "- 4 //// i ?? ' l ? ? O So .[[?.[nr Q771LY'So c2 P n.cuxna O ROAD EET R - REPI L _ µ. pw '.. *_?? ONKRrM8L0. ST...?1 NIGNW j;.az.Y y,;: ( ECTINO,W v?N .i: (4 r) -f1-- !I i ? \ O noexY ?•??-}? T 1 " G s RAMP AORA w O I NON INTER T ONL Af ON OI LLJSION OC r •,TREET AND TR EET ETWEEN no D xoc[ w. r ? O ? n?i'Ne? cxoA[ 1 oanr rrlno L•wo^^x[ waacT , INTER ? 110N ARO I.S. C O L E ^ / Q o SPEC. C orxax I rN coa[N aN -- v[w w u[ I' 1 ?G.f Tor.a w^. i = [o LJ w n or v[w?ca[ n- N ? w?r.xun - OD•ECTIS UC.t:$?3:71yNE.w AcT^AL. .I?o?4ltiJuan.:PWNEROF•,OOJEGj4;NAME;AND,ADORE4 3',-.'::•-IH POnOWAY"" -" ?N? ,warwldou[cT ET L ? ? i` ? MIO Fy( . 1w•ii - "`- PARST.NAME?'..;^; J..Sbk.JA ODLPRG 4 DRIVE S UST nAM -.yl. ' P T-NAME'i... ."_....i?L D ERSFASIfMAMS`n R C Y,'?1 c f t L' Lr t Rnaw.x[ cll 1 r ? S REETLA[)O Q ux[oua[, STREET ADORES9?,,. .-'care:u,.....RCYTEI?O,a,'/!NO,;80XN0 _ .R_3drot"ca•s'1"<.^. .. M?R.urcr?ov,[ryg eo?NO - / ?.s; I / o:i"sm: I ?Cl P L• 7"• ' Al .12 " onT xoxN C t ' PCODE _DRIVfiRSIQCGU ATION CIY L7=."? atUC. STATE -n::. ITY •r TAT.e.• - 21P'000E *OPNCRY:;000U TN1N,,; // • `x'33 ? ?7ev?ec.c. 'Lt:?1'GI.? - . ?e rc[c! Fv C c5 s RryERS`EdGR[SfIMB„_ STA C SE% rOATE OF?B T AGE ".':yy ORIV ERSaUCEN9EyNU R. "^,ya?,?+• S?-,TE SEI? ATC:O.:BJiSN?. GCS 0 ' H n,,,,,,.I ooP. 1 ooe T t •wrL eaD s wrA .., °- ? fOiaWoooaal M ?ei .l^_ a•Rr. Boow,srn.E?a ?1 ?.E. ? _. _ -??_.[.. ._ ._...? K. / M - G tck x ti rL IZ .. - CENSE'PU E _ ?. STATEL.,_`_, ?TTLVLFR-?uTE, NG,? ?.?3 A?Pn ? 5.[%:A??!O• •SLT. `51rL•w TR/JL. R?P ..TE N0. ' "'p4T E,,,,••y, ...:`? --.__.. ...._S-:H? ._ _.. _ /• V[HICEFJD63{LINl4AON:.NO:,- , MOgELT[;4MtwIw1 ODOMETEPo ?. g + YEHI, F_NTIFICATI N NO__ ?'?j.9[D?.,a; ,YftyQ?.$_vij,11 GC?Mfi?C .} ccc! O LIGEtU6'f T ',•LS -'':.6E0("yjERfi .WCfiRJ4 L`rl :M La1W4? u`:pRyCM1L1c11.m.""q eC REGyVi 4R" 11PeR. 'v- ?3CwIC7!op[e IS+i: ? 37 C ? T7' EDC5 ' 12 pd f'c /j . 0 V ? _ T W Ems,,,•? B? Tn?Yy`JT JNi'FJN•n?C ?gA,jE,?OF _ IRjy. EPS;ADORE ' "?? ^ 1 a[?t?.:A fl. w}aS*SSe`6 ? QA3 O 8 gj h ofN 2 . 7 6 a MA D • "- La: LD ? r• fI A w ; :;r ' Sv:svNlP..nn!4 R"SS' DAELAG Aa1.IG: =LZ•sL'•+"..' ' %[ i o,`Yw : PC•67sgI.y ENICLE, TY?? C R c ER - E E T THIS CCI E T oUR YES NO LIABILITY INSURANCE INF MATION-VEHICLE NO 1 STHERE BE1O1I TE P LUB LITTlN4 RANG POLIfY„ OLDS 1^ ?..F,IAMGPRtIy Iw.V.?n?. a .J.'?"? ?°.gC«59Id•1fiT:tY??Lw'GrrGb*1Y'd+??.i.?G.[w?b.ru_^ InsuRAN cDMP µ?/1Op?EL?60 u 1 • u c h.1.CI?- 1.c'K.[Yn ea.a 4f•L t41? 01.5b ?? ?+QHE-P.S ?{15 UM.F r - 'rig ?d+,.tw.:. ad LFT2-tS2?3..?"'1+.1rL.. L?B4SITr IS:T DIWG/•D9f?.9'1;i9A.[-M1umur-1qa NGK.rSQEHr r ?t fi 7g??60033 j r^ I ;. 2 33 _liLt2iGW ";_;Jr;L To •Y. L H G w M F '`= oo s ? (J C a /lfC ! _ DoR Ss__ NT [ ^ RLO:1}F'. 'YiiA.kM'?NKI-HST<ONSYIIAY APPLI[S S1[i[US OFINJUR[DArr " ^';, DARI['p„RSt&No doaTiEC@' _ A .YEH i?uu? w IN rcNIGLI KILLED ru,Y ,. rv[w ,.? KuLeG Iwr ci .o Ix, o,l ...? ..[ ? [^ N 1 Q1 1 Q1 "r ^ ? ? O , t 5 6 F ? 7 E] 7 cw' .. 6 1UO ?eNwl.,rclN ? B N Y W IN C.IqpRC(( 9 \ I? (I? P3GRIBP?BfiLO`• IWHAT?NA_V 6NERa [11?StrAVLIIICLL'?/- •_ M E - slow , "}/?.,!w?Mi7=ST77C?Rkat17k'N ©? ?.{? l.X.-^-4??iJ._ ) L1•?1? -<{J%O?' •-/'??- \ ,J J now ?. Y[w.[aL .w ' . [. IPw o. T....L .. w. ,1 ,NI^w a Vf' ;N'GLES POSITIONS BEFORE COLLISION •oe° 1 H [ o c. nec ' w, [r ??W DAteo r ] ? ?ro. c. ^ n r ?,,;" OORLaoao ° om: ? *L,n w.Ixr[.TR Haw ,o w_ o,. o I L.ae? n X??? nw ,., .^EDESR N{ n?Ll ?A00- ?? ^ r OM ;•,jjy,??yTO .+ ? ? ] ^? P-- Al ,? )NTaCOM T ]- Tn wCO TRO .1 Aow1 l (4D URIA<4A •9 .'..Y[E R•?•• LLN _ 1 T EO NO O CGEn DR fF? yJICLEI(ICTIOR ow KS,[ f ^ ^ 1 LL E ' ,1 / 171[1 ^ JCL YLIGNT 1? Gh•1.4 `? •.H Y P 9 f N ( '-T / ' '` I al ? yOIIF WYw RAIOHT AHEAD 1 n GOING ST ? _'?%. ? ] ? OVLRTAFINO AND PASSING ] TWO I. 1 ( . 1 I AWN O G ] ?? ( RI i ? , u9KIILU s OH l . I ? RIIRLE r? MARINO RIGHT TURN ) y ?D ? J ' ]l .w1:r r1('?' M1H (? 1 .. [T r? (, LA SNIHO NFO 1 100 . L1 0•R, " 1 r? u A ? ?NGfaPGn•H PF 0 A 0 MAKING LEFT TURN 1 s 1 r 1 NU GnT ` Di 'In II.G A.- II , r( TL ]?? ] cn(? : .1?r: r rr 1 ANN r.o 1 1 s 0H•L [ l ] .LLE rw ? ] ? MAKING U•TURN W Al _T H ? S ? SLoWI No ? ^ ? 1. a?Fr unN rs ^ l.? ° _( " l.. r 1 ? FIf.PR /ra•GU•N t MStSEFING UANOEw I ? 1O?r F : i N L N[• L T ? STOPPED FOR TRAIrIC, - p H t Y 9 I Y •?..••'•••• ?•••••?•?^• • • a r n L1 sn.L.. ^ ? OR STOP 91ONIG L ,. sEPAw•TED E] STOPPED IN ROADW?I 1 - --. • C]>I DIVIDED ? 3 ? D ? STTAANRTIN- G INN Ex' ?. LA "•, -1 I"1 N0 rn.• . I W..........-..,.:A" Y1;:,AI.I.r,.td.awM-. •-,a ttn7rMRd'^.P• C? ?u4!V L ?I I? ,vt rte, " re u '. 'i Y ?n I , ...... . . . ... . . . .. WSP-15B(REY]I75), J :dl STATE OF WASHINGTON PADS ( OF 'r No. POLICE COMPIAJIiTVMREfj - A K . f ???.. SION REPORT A - en. UNIFORM POLICE TRAFFIC COLLI D .. DATE OF CCwSIAI '. DAY OFCOLLLSION ..':. :.:. nuE couNTY MO. cm NO. _ bFR ?O µ A MO. AY R. Y 5UN I Mq 2 WEDA TMIP 5 Ffll B SAt (USE D C}[II > N CWNTY ?STATEACIJTE OUNTY ROAD ?Cm STREET Z O ADMCLS PNEFM ROUTE OR STREET COCE E 11Gn / ?OTHERISPEOFYI L IN CITY OR TOWN N S E W W PREFCA ED. AA MST .. •. O - .. 0 MILES ? ? ? F ?Q?•l[?CL U V - L A C' EETOfl ME \NO.OF3TREETO AY .WTERSECIINO WITH: STR ROAD ' NA LL - ATA RAMP - DIAGRAM D. - .. T / ON G[ i NON WTERSECTIDH: j CI ACDENT WFERSECTINO THEE O n[i 0:3 f:EF ER %RD INT OLg, ERENCE CROS:ST- CR RO/.D O N ?-l \L ``//- BETWEEN lt%I STREETAND G zn OJYl STREET MIIFAGE CODE gSTANCEAl?lNNDOPECRON FROMNEFERENCEORLA0595TTEry., N S E IL M „piEiHy SPECMLCOD NGUSE - ... ; ',. : G 2 (rellL2!ter EST . EHICLE-VEWCIE ?VEHICIE-BICYCLE ?OTHEaryVRrtE) ?HIIB RUN NO.1UL1EDVI-TM QV _ COLLISION INVOLVED: VEHICLEAWICT ?VEMICLE-RR TRAIN ?STOLENVEHICLE NO.INIUREO TOTAL NO. OFVEHICLES LT VEHICLE-PEDESTPoAN C3NONL SIGN ?HA DOUSMATERIAL PROPERTYDAAIAGEONLY .,. OSIECT SnRICKINAME OF OBlECT5TRl1CILN100WNERSNAMEI.'.. ...:?::... ?::J,..- I-G OM OFOpWECTSTANUCR E;..W ..-":e•.:.. EST.OAMAGE. ? RD EDGE S r P lM' t?? ?ROADWAY O FEET El ORNER9 NAMElAST .,:.':; i,?.. .-..:.,FWST .. :: .:?.. .. ..:.. WDDLE ORNEHD.NAMEIABT FIRST MIODIE.Iw&tYCtIS[OiI PEDESTRIAN CNECItI?-..-•-.,.'. D h n ? D '. E'CDY.?..I+:?:...?..:?:.?;.'v:. :'-_::: :: F' R ,. . R. y N DIXYER9 6T1TE14:SE%.. D.A BWTH: N.. f%INEAS LICENSE NO..._+.,,+.... .._ ..,STATc_ :.SEX-_. DATE OF&AM„• o. Y?G r 3 , 2 ORIVFAS OCCUPATION .. FWMNMIE t i CODES > I]1 CLA33.. I.1 SEAT BELT 151 EJECTION I ,: - CODES > wl URY ... I41 SEATBELT 15) EJECTION NREOF I J NA IWURIE9 ' N UWE9 V MOVED , RR O" EH TD Y- YEAR. MAXE(DOOGECMEV.1 ?: MODELIDAaT+IOVAI_ STYLE I]OACOM1.1:.'?L = RwiE SiAIE ... iiIAAF.a PLATE NO.. STAIT:';.a^•.- E -'. V"cOLOR:.. .:: LIF PLATE N[A, ..: SiAIE : _; TRMER RATE NQ. STATE, :. T:S;; 1 rJ .. 10 2/. H ( • V! EA .:_::=.. .? (i•'.' IDENTIfK:An N NUMB fl.:,:;. i,:?:::r. ... rM:.:.? OoOMETER ,.::??::?+: • L YG 76, 7 '- i E '. E LfJ s ? c a- wST': . .,...::.::.. PE D •:' REDOIERED OWNER, :.::.'::...::.. . FtlLST:',..., '.Iw'.?-..:i.,.Ai.?.:MI00tE:_ N ?• b 0. O. ADDRESS of owNEa ...., :. .....,? :, ANOADORESS MNCE C0.01T.W?HT ,. NAME AND ADDPE980FWSURANCE CO Ofl ENT.,. - cHA4m VIM . L/ !? L/ LrY ACTION co oED - ] ' 5 NAME, ADDRESS $ INJURIES OF PERSONS INVOLVED SU ACE STATUS Fl PJeCi `. NAME: O ADDRESS U N TUR R MO DFRO4 TO VUUWFS. SCENERY: p A NAME T ADORe" V M S - _ NA II! TO WfR ..f.FNf. AV' sr L 4 4 ?. nl l i d W J I 1 ?? ' 1 I :It Pkg. I 1 ?? .LM`?; +L'O I Y i' rl L Y ? ;? r ? ?' I ? ;ar 1 , r 'art". f°?"•' .,' 7L '.1': n17?1'? x'"'11 7T I ?. r 1 VEHICLE DAMAGE' r,WEACHj, A E i ERDFEADHDAMAGEDAREAn_ - .t. l INSTRUCTIONS: S E 1, s STIPA '-'? AREAOFSEVEHOWPHCT, - - © K 1DM DMWARPOW(5)i05H0 W PPINCWPL DWECRON DF fOPCE ? DAMAGED VEhICLEN0.1 1 IusE iHISSPADF FDR SKErcHWGDAMACe rD rPAUEPS,MOrDRCrcIEB. ETW DAMAGED VEHICLE NO.. 7, a 1 4J s E 1 ROOI ? x ... ... _. IG. HOUO . "M TUPw r IBAalw .. e ME. ??oCIS. TBW wnB? t ) IS.uns.remw. , . T UDISAGUNG AG:VENICLE NO.1• BEVERIIYOFOMAMaE: IOTNER VENK:LEI 1 SEVFPoTYOFDAMAGE VENICLEN0.2 , 1 Q019AFIUHO DAMAGE GQOTMEPMV. DAMAGE. IQDISABUA G-1NOD M.Y. DAMAGE IQDISABLWGDANAGE DQOTNERMV. DAMAGE 2 fVNCRONAL DAMAGE K NO DNAAGE t F1JNCfIONALONAI DAMAGE 1NO DAMAGE 2 FUTAGROtiAL DAMAGE NODAMAGE -I O TOWEDBY rY19 G / O/'?{ 'Dµ' TDWED BY _ ESf'DNAAGE T BY f>' TO / Min ?O { lj4 1574'- TD S 7 -1 ?Jc. G/ S . DIAGRAM OF COLLISION eer ` ! -" 1 { ~ - _ r }I-- : ?-?I-_ Ir-? '_ _? I..j_ `.'1 ' ` DRAW ARROW SHOWING NORTH IN CIRCLE FutuRes ?: \I •1 j - I. I ' I i I I I !' I i I? N oF -AY. `? ` ? r F.. -Fcol 1 ( _ tFROeDF ra t..i I I I I I !! i!?' I 1 a L?Y? AN k I I i L 1 _ ?? I - I ?? I f ? f.` 1 I I I AnAm ? ! I T T T ? .. 1 G,G/Gi: CYI' it I I . i' .s wcauDaN"?0? r rr :. ' I. ? I I I I I §.u •. I i i I' _•1 _ .. .•I . .l i OESCAIPTION '1` ?a - BNOICATE WHAT B4fIY REDU PROBABLY HAPPENED BEFOFtE,WRWG INDARFR THECRASH,INCLDDEIHFO CED V L RMATION NOT ONOMOPAM,EQ.OPoVER , L BL.RY. PEDESTRLW CtDiFWq COLOR.C0N9TRUCIION ON PEPAq WO RK, ETC1 ..- ?C-Scz. rah ?? ? •./ Ji cr, c,n - A N': yT„7N?F'?') ._ VEH. HEADED _... ?'?I"t.9Q+. ::„iti¢3 •?1•' • ?EOi silr ONSiREETOR NKi11WAYMAME OR N0. 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Y4R . r, Y . . _ . v o DATEOFCDLL POH DAYCFCOLLI SgN THE • C lrtY / GiY NO A .. ; T SUN i tr Z TUFS ] WEC 3 DMIP S FRI B SAT 1 SE^30¢ `nIIR) J / t n ?tl N1 ,. GC TY ?STATE RpfiECOUNTY ROAD ?CITY STREET Q AD CLS PREFIX .. FGUiE ON Si R?1 x aN J V ti @OTHERISPEGFY ? J `J , ?I GIN OR tOWN E W r IRFIY. E lull PCCL O ? El El IL.EB UIOF V .. h _.. U _ q/1.?1 . :.. G . / lJ ; A WTERYtf-ITH: STIEE[ORROAO LL HPMP_", CtncR,w UZLA O i NOn WTERSEGIIpII ACCIDENT I NTER NON A NU iN E 11 11R E 1 R w CH O - MILEAGE N CLS ERENCE CRO„S STRELTC ROAU BETWEEN STREET AND .__..- STREET CODE OLSTANCEOM-SCGNNFRDM EEFEAENCEOR C(10.44 A ( 11 w ?EN CMLWUIND Ux OF 01> EET 00 Es ,- 1 - COLLISION INVOLVED: ?VEMICLEVEHICIE []VEHICLE-&CYCLE ?OTHER(WRITE) IT d RUN 5CVERIIY TOTALNO. VEHICLE-0BIECT ?VEHICLERRTRAIN ?STOLENVE.4LE NO. KILEII NO.INIURED OF VEHICLES u ? VEHICLE-PEDESTRIAN ?NONCOWSION ? HAZARDOUS MATERIAL PROPERTY DAMAGE ONLY OBIECT STRUCK GMMEOFOBJEC UCK AnDOWNER4NAME1 .::.:. ,::.:?,,.. :....:, ...... LCCATONOFOBIECTSTRUCK SR EST . /I) ?RNOAOWAY FEET ? ? ? W PO EDGE 5 r DRIVERS NAMEAAST FBLS MtDOLE ItF BCYCMST OR PEOESTWANC ECKI . ?.:. D D H sTREEr AOOfl ..._: e.... •. .. ;: ? .;. , .. , ._ R srREET aowlESS _.. _ _ .. :. .. V AS?lY'2l y . N CRY... ...._..... ,.x.._...: ..... SiATE:a..,x..: .._.'?IID CODE ...::.PHONE No. R STATE - ..:.:...... PIKnEND- . 1 N ORrv J, _ ..SIA A OF IJWTN,.. N.., ORNERSLICFNSE NO r; : ••,?_ ,•.?.. ,STATE .SE% . GATE OF BIRRt "'• 0. M0. DAY YR Q• , _ . MO. DAY YR ....PHONEND. 2 DRNERS OCCUPATIDN FWMNAME ... CODES 71]I 131 SEATEELT :._. 151 EJECTIW : OOOE$ 11]1 CuS 4. (3) SEATBELT 151 EJECTION INIURIESOF IWURI E S - FR Mr RSENE Y: TO y ? FROMSCENEBV TO VERYE/JI MAKE(Occc cnEyl:l MODEL IDARfi30VA):?:. 9ME120tC3:CNVT YERYEAR.. 4I (DCDOECHEV.1.;: MODELIpARTjlpyAl,1: SI.YLEIT 00.{GIVIi.,:,.. Y'... 1 P-3 V . E , YEN. COLD Wu .. _ TE. :x ?N>E .. .purg;no.;: surE:. J . _. _ . E : vEN CDLOA ;?;I"'..ruTE_M0.T_ srn ; TRA¢ER ru n TENq STAT , H g ti _ , u, vEJnctE mExrr.r " r I ETEJt .•Y z'aa:Z - -A.w+siAL:wDS; O - O.. :. A001?64 rLYt .wi:Er .,i - .r':suGL Kh ':i.P ADDRESS OF OWNER OAlW_ -boAm AND -;2.1a.,.aL34. L NAMeAND?DOnessoF wsuRAceeq oHADENS: ' G vaua'S:'A:. 'ur::w,...rY `..?uL....""?yT?,.?„?.•. A NQl:"1•:!C4 ENF ORCEME :. MI.: CH?.l?:4.w?t 1.:_..id.:\vL?u.CA.i .. A_I ' MNAMEADDRESS&INJURIESOFPERSONSINVOLVED _ ] +- ?e ? ApE ?A nM .C.: NAME: - f?- '1 '. C AoS IES1: • u^ p:, HA REOP. REMO ED FR M RIRIFYf.3: SCENE Br' Tp ' A: ' ; NAME: N . ADOR[ .' E n R F O SC NF RV: `.... T ,. NI NAME: N scENe Bra To . S NAME. S.. AnoRm ro E S. `N'•uU ' NE Rr'. Tp I,ISTAms SFAtP0.LT10N ITI IIHNNRYCU93 I,,,,ATVELr 151 EJEGTIOM C 2 IA :PEOE?9TRMA ECVCUSi 1 1 E T /.OTICfl PQ41TIOH IUE??AT tlCENE DEAD ON ARRNAL D. DNbHOEL,RW? IEV10ENT1 INJURY TNOiiN119EI D ].USED ?.TOTW.V EJECTED J. PARTALLY EJECTED 50W. e.mn'lea, e.5 MOrOACYaF) A ] E.PO.SITION UNIIN(AVN 3. OICDWHOSPRAL I. POSSELEVOURY 4UNANOWN 6. SEAT RFLT FANLIKE. 3.UNKlIOWNIF WECTEO _ _ 11 1h? r pTryv. e h ?1?k d? M 41 A TC (a! ? N p•3• vyr LOT 9 L ?. i. iii .•. VEH CLE DA A E INSTRUCTIONS: 1 NEAC PO C EHU ER OF EACHO? o zSHADE EESt RACr ]. CRAW ARRp Iy1T0 SHO PH CF LD ECno DF C.CE f ' l: ?y 11, DAMAGED VEHICLE N0. 1 (USE THIS SPACE FCH Sr.EfCHING DAMAGE iO TRAILERS, MOTCRCYCL9. ETCJ DAMAGED VEH CLE Nell . , x : ,o i., a.umwcv:w `- f. ,e.uma?.wxA GEVEWtt OF DAMAGE?YEMiCLE NO.1- GEVERHY OF DAMAGE.IOTHEfl VEHICIJ:) = w'-• 9EVEPottO DAMAGE VEHIC(E Np.2 I?OISA2UNGo,1MAGE - S 00THERM.V.DMIAGE ,?dSAEUNG DAMAGE'-'-• a?oT -.V.DAMAGE ,QOBAD -DAMAGE -' ' DOOTHERMV?DAAIAGE 2 FUNCPOHALDAMAGE i NO DAMAGE 2 NNCTIGNAI CAMaGE i NO DAMAGE.. 2 FUNCTIONALDAMAGE NO DAMAGE TOWEORY? EGi.DAMAGE TOWEDBY EST. OAMaIiF? _ EST:DAMAGE TOWED BY ~ 10 DIAGRAM OF COLLISION. i0 S TO $ f I I I _ I i I-?_L _ r i l• ?! •L.;13RAW ARROW SHOWING -r?-r `-t --I T NORTH IN CIRCLE ? ? _g Ic I I I T I I ( i I I _ - ? I i t I (j i I ,L - -T?l ' I- _- -? _` rwn wE.a ei PM.c wnesero-ryrn _ 1_ _ - ? f I ?? !_.1._ I ? = I _ ?.>•?„Y ;_ I I ti? I • I I ?'-,.l J 1 ,cAmenMAryDR ?eei?OweArwRACry ? t ? , r ?rT I ?I1-- i I I I I T i'--( I 1 ?I i I I I I , 1 DESCRIPTION 6 COLLISION DrygCATE WHAT PROBAELYHA?RENEDDEFORE DLohd FTE ECRA .1, LUDENFORMATONWTOHDIADRAM, EDORN'ER aSA&Utt RECE WD VLL 3 ...y , EDEGTRIAN CIATRMG COIURCpiSTRUCTION OR REPAIR WOWt, ETC.I w, v ) f uxSl -..... _NEADEO,_.:NC CREASYRI .-ON-IIiEf 0111W1?AY NAME OR IIO.?b•m"8'L'..`. NOEONETION• "V??? IEUALLY 1WA4VEN El 11 fa-T:,? 4_Q?im f a"f YE9 NO mss NO it R PED. ? ? ? -' t w Huw w arwAroaECORrv„y owT g' I?1 a,OSm,a . PED,mcvcusr wASUSND: --?? ._.'? -•?x?uaMCa, ?wm -?l JenaaraHe?TZ ,-_ .?I +'v ;. 44' ' ROADSURF&grz svv,,•coNiRIBUnN6,CtRCOM$TAtfC,?S. z"i'. ,arzeROW ,a,eu u've ?ci?c<x a1 fl '•• .} F Q^?+°"+s2w., R . ,V '`- a1N9, aFtl1 . ?-'?. aOiE>t ': ? 1.. .. :. ? AK fy-.MC® eTWN1rNlA0? ryD S ••:: ?p I-b?nt'n L?EDNC[Crwl \WIi OW,r ? ??'°`w .. ... .L\1 wua°2".,aLxw'°vri°`?' r ' imcra'°`w°imaY ^.: lJ' n?. aoN r ?'. " ro ww? -. ? . vY. 1. -?i?er ?eAenD ?eQ»wvaon' -a _?'_4' w?s.En°"` _ ?;CJ ' ?k F-170 ' , DD row M. DOItlNf., NDVgN sawWO ,_, ,. OrHEArYEDw,TOMEwrylVY1 '' ? Dom" ?" " n CI*C ti '" . ? ? ? a LIGMICONDITIONS ?TUFFiCCSNTRO ? ?,' . , . - KMe?Ow ,..? L,: ' EFNOww' w.w.' vOrNuvDwiON. v'1w.ac`3 S09AI ? eaR'io. mv°rwA ! :_.. f3?1 ?TSpN,y.-? ? btwcONmeuA01. _ ry0. K,+C,f?Or?E1. ,. L. Qe frm „y;;` _'t ar , _ awnHr 4 ?°? . ? El : 1 ,w e ? Nvim : ?,o? onwr-'' ,j' Y.7F aWN e ? - --Y = tt a 3 -E) ry•? ( ? 1 (G? i ? ?SvP/??L,1?G?{??.?A ?i?iY?,\"?Y?/?4/???"TG' E.?.E?l?.}rN. ' ? P4G ? 6 f ^4J !l I L •? llV A PAGE OF POLICE COMPLAINT NUMBER ?- ' UN IFORM POLICE TRAFFIC COLLISION REPO RT •} •3 DATE OT COLLISIpN M A V O. Y pAY OF COLLISION SUN Mq1 lUES WE (HUH TIME COUNTY NO CITYNO FHWA J / / J ? J J S A 5 e SAT IUSf.? 11/UR J /? ORURAL WNtt ?STATEROUTE ®COUNTY ROAD ?CITY STREET O AOMCLS. PREFI% ROUTE OR StREET CODE S CTION 4(_ r S e_ f ) ?OTHER SPECIFY) W N 0,/ JQ L _ N b E W ?IN CITY OR LOWN PREFI% EO MILEPOST C '1 MILES ? ? ? ? OF ? 1 ) • 2 cl 91 _ C LAME NO 01 STREET ORHIGHWAY LL , A T I , INifPSECTING WNH: STREET Ofl flOAD ON U. o RAMP DIAGRAM DATA NON INTERSECTION T--r NTER NON %-RD INTENSE CTING STREEL OR ROAD OR REF. y ?-?f (j .?iL•.ti L"N M? () ?? E II Cl ERENCECROSSbTREETORROAG A ? / G / ? E T N BETWEEN r? IS ' r?i/'l STREETAND CODE DISTANCE...IRECTIONFR M EFERENCE OR CROSS STREET NOHETH S SPECIAL COOING USE V ?FEETMILES N O(JO S E W OF f, IL t I COLLISION INVOLVED: 1yVEHICLE-VEHICLE ?vEH CLE DICYCLE ?OTHERIWRITEI ?HITERUN N. KILLEOVERITY , TOTALNO. ?VEHICLE OBJECT ? VEHICLENR TRAIN ?STOLEN VEHICLE NOINJURED OFVEHICLEb ? VEHICLE PEDESTRIAN ?NONCOLUSION ?HAJARDOUGMATERIAL PROPERTY DAM AGE ONLY OBIECTSTRUCKIrvAMEOFOBJECTSTRUCKAYDOWNERSNAME) OCATION OF OSECT STRUCK EST. DAMAGE N S E W DRIVERS NAAf IN OF ?ROAOWAY ? ? ? ? RD. b FEET EDGE R ELAST FIRS1 MIDDLE Ytie QCu?E•? C R OR VER'S NA?LAST F RST MIDDLE IIF BICYC ST OR PEOESTRIR CHECK( I v STREET ADDRESS ') 9 1,1 ?n U V bT "T ADDRESG E R CR(?Y MATE / 21P CODE PHONE NO. ? r /-' ?r ?'.? ?: S!f /J /LA) HST R E Cltt STIVTE //7?' (TIP CODE PHONE NO. ,? I / / J 1 r N- DRIVERS LICENSE NO. bIATE SEX DATE OF BIRTH CTy- Iol N o. RI ER UC S O. ATE OF BIR M v 1 DRIVERS OCCUPATION FIRM NAME PHONE NO. Z DRIVERS OCCUPATION flR NAME PHONE NO. CODES >113) an sT (A) SEAT BELT S)) EIECRON CODES > I]I -R -SS V (4) 5) SEAT BELT (EJECTION NAUR OF f• NJTU E I ?. FR SSOENE BY: TO FROMMSCENE BY TO VEX. YEAR MAKEIDODGECHEV.) MODEL(DARTNOVA))) STYLE B-CONY) VEH.VEAR MAKEIDOOGGEE-CHEV.) MODELIDRT-NgWQ ......2 CONV.I y E /0 f V Ne . H Y€M. C OR UC. -E NO, ??r•? , .-, bTA¢ TRAILEP -UTE NO. T'`, !• g;? STATE o?S?I E " VEH.C LORD V 7- UC. PLATE NO. /dX t7 SLATgg lU?l (RAILER PLATEN STATE C VEMIC ID NTIFICA/T17ON NUMBER OCO. TERpp C VEHICLE IOENtIFICATi N NUN.BER ODOMETE/R?Q,/ ?r o. REGISTERED OWNER-LAST FIRST MIDDLE rP v 7` ij ? l a. REGIS .RED OWNER LAST FIRST MIDDLE J ; ti a /mil A ADDRESS OF OWNER ADDRESS OF OWNEfl j ? C7 r?C V D ' C I WEAND A `SSOFINSU RANNCE .ORAGENT NAMEANDADDRESSOFINSURRCECO. ORAGENT A ? I/ I CHA / CIiA ION NO. ErvFORCEMEHT CHANGE l h GDITATJ NtI NAME ADDRESS & INJURIES OF PERSONS INVOLVED LODES L _ s ± a , SEX AGE 6TATU5 N EJECT. `. HAME: T L C ADDIIf55' P NATURE OF ,/., lu REMOVEEDFn i' TO m uREs A N HWE - T ADO'ESS' $ LIRE OF M LDFHOM mJUR ES L I SCENFBY: TO ) ADpRE54 T 'A'u N IF $ NAME. S ADOREss-. E ram muw S' (NSTATUS C J. PASSENGER ] P[pLSIRIAN 0 %. BICYCLIST D b OTHER E e W, NESS _5 J LO111LIIPOrRION 1 I I DISARI ING INIURY 'I ?OTNIIAIILIID RE 12 1 NOTEJECTE0 2 D AU At SCENE a NO'U15AUNG NOT IN ,iNNRY ] USED LIBEVAOPIALLYEJECIE 11 ] DEAD ON RRIVAL BVUENi DI?_6 J D POSIR KNOWN A EHEDIN HOSPITbI 1 POSSIBLL INJURY A OrOU .1-ow', OWNIF 6SEAT DELTFAJLUEJECTED ? 'p a a Tl ll x X 5 .?'1 A 1' s _';'JC11[V Y5 Vl " S>`-'° eaaEaa , POLbE l NUMHFH UNIFORM POLICE TRAFFIC COLLISION REPORT LUMPUN 'ACT 0, -MVpl2G? tlv D PATE OFCUUSN)N PAY OF COLLISION IME A? `-?+ ]SUN 1 MpN ] IVLS 3 WED ° INDN RI 5 1 5 [ 4Dp110UR) O/ r COUNTY NO NO CITY ? j]URBAN S B ( C / r v??? Z UML OUNTY ?SigTE ROUTE ®LOUNIY ROAD ?CITY BTREET [-]OTHER (SPECIFY) O AIX?LS, PREFIX ROUTE OR STREET LOGE B i10N rs / Q _ - s /. / C..J ? . •? ( // L 7EIly OR TOWN N S E 1?1? IN R W 4 P nE (IX ED MILE PO bi C , /QMKES ® ? YS'OF_I/.?C!/GAG ICI -._. ?( T N rip OF S10EEi Ofl HIGHWAY ON O I? INTERSECTING WITH BTREET CA F.A. LL CC, MP RA DIRGRAM DATA I __e NONIHTE E R A N BETWEEN D'.- M16 _J-.: -. BTREET ANO!/G e' /1J ?D ??O 3 %!, TREET MCIDENi CODES INTE NUJ % RD INTERSECTING STREET OR ROAD OR REF i INTF• CUS. EPENC?LPOSS STREET OR ROAD ,..t r - ___ _ . . IXSTANLEOpDEg B ECTION FflBOM EEFE W q•ENLE OR CROSS STREET Iu/+[1H5 " B Ci.L COPING UBE 'd- .J J? p ?I O FEET ? ? ? ? OF/-f/J.J' EVERITY S COLLISION INVOLVED. ® VEHICLE VEHICLE ?YWICLE BICYCLE ?OTHER(WHITE, ?HITA RUN NO KILLED E] VEHICLE 'OBJECT ? VEHILLE•RR TRAIN ___ ___ ? BTOLEN VEHICLE 1 AL NO NO I NJURED O ® _ . VE HICLES - ?VEHICLE PEDESTRIAN ?NON-COLLISION ? HAZARDOUS MATERIAL ? PROPERTY DAMAGE ONLY - OBJECT STRUCK (NAME OF OBJECT STRUCK AND OWNERS NMIE) - LOCRTION OF OBJECT STRULK AD`M EST. DAMAGE S DRIVE ?ROADWAY FEET o oo RD EDGE S u NAME'LASi.. FIRST MIDDLE CITY- NAME CASs P10.RT MIDDLE IF BKTCLISI OR PLDLSIRIAN CHI CK10-, R N G / /INS . BYRE nDDRE55. - .. R / f i .r-?/ s REEL ADDRESS E s y-,.r yi 5= -. .. _ T ?o x ?iG R _ R ...._ STATE 21P CODE PHONE NO. ' E CITY STATE ZIP CODE ;PHONE NO N TT/? !? D ?1 D: RI R R _ . ` bpi A - B Z 0. VE B LICENSE NO. STATE SE% OAIE OF BIRTH MO PAY l l l N O. . . U.- NO.: BT LE q 0`3 S / $E% DwTE MD Of BIRTH Yk v . o t?VE? U?pV 10 FIRIA NAME B I ?s s, J I ' 8 c 'eG? ? '?, - ? ?r?C? - ONENO i /cA OCG , j pRly?`R?S LPAt10N fIRMN PHONE N CDDE$ ? IGI C U55 _ I°I BEAT BELT- _ 1!.I EJECT ON __ IN S F ° CODES J I]I CLASS _ -- 1°' BEATBELT_Z ISI [JECTION._? _ _ JURIE ?/ - ? - i SLE - ' NA T RE Of NJURIEB ' ??? RpM NE B R F /?Ti TO N ? a0M6CENE BY f H. YEAR MAKE ECHEV.1. MODELIOART'NOVA] - ' STYLE 12 DR: CONY.) EH. TEAR MAKEIDODGE-CHEV,) MODEL IDARTNOVAI- STYLEI2DR.?C0NVJ, V E NO L ? . ?ad e P c H VEH. COLOR UC. PLATE NO..... STATE RAILER PUTS . BTATC E VEI Ofl Lk. PUTS NO. BTATE TRAIIEflPUTE NO.. STATE I / C VEHICLE LCENIIFICAIION NUM ER - OOOMETEfl (? VE ICLE IDENTIF ION NUMBS ODOMETER f flEGISTERED OWNR-LAST ., FIHBT MIDDLE PEGIBE ED OWNEF FIRST N O. fLGJCSy°[9f•1-L' _ Y• DDRE65 OF OW ER O. .. ... MIDDLE -J_CLLA?J_°Ld11 LeNli-(??5?6? l O/?JGE-' E ADORES. OF OWNR NM SAND ADORESSOFINSURAN ECO.Ofl AGENT NAME AND ADDNE55OF NSUR CE CO - - - - --- ------ CHARGE NO U ENF a ' diL:rX_4t2LF'!?f?Gr1i?.3J'D A ORCEME CTION CrIARGE ATI N NO. NT CII NAME, ADDRESS & INJURIES OF PERSONS INVOLVED CODES C ME _de? Ems.! ?r'/_(_(.? SEX AGE ' 1 BTATUB Nvl 2iT EJECT . t I-t cu 1:. aeli - - p n1NRIES SLED 11 Y NOfnom o r ". A NMEm $ N nonREss S INAfUESF j SCFNF RY 10 - W NAME T N -.___- -- - HfGOVIp FROM r, 1 4 5: iKIURIES ,Sfi NC Rr _---`_-TO - S NAME S S "BOTess IR es WCM6vf?a'SM-? Y:'I I USIgUS ,21 [ Tr'OSIIKk) IBINNNV CLAss Rr PI SLAT DILI TO 1SI111CIlON J E C D O a"Im-AH I1(T1,??1?1I1 rO rUUnr IE nvAnIINC M+URY NU1M51AILED NOT EJLCIEp % ] ULADAT SCf II[ 0 NUJ p19A01 G ] NOT IN USE ] IOI ALLY [JEC CIE .4 CUST INE B ) ]OINK POS ibN GDLAU OII ARRNAL IVDENTIINJUnr :UBLO 04ARtIALLr fJCCTID B oil E. 1E0 BUS MOIORC L F V R?r4'K, S t J ' 51IX '?. 1t ( {; E Y L I ° pEO INHOBPIIAL I OSS DLC INJURY OW:I A UNKNOWN(( B rOSINON UNKNOWN s sE ?1 HLLi FAI RC f - LU EJLAID > _ Idlhlfix ai,r cF }y ? NG q v } 1 L. i:.: I L t - tl T I .. D n U .2 7'r ' ?µI ?l 1.1t 111Ll ?i i I°i tto, l ' Ui - f ? f =1 ?CO Il G n uLrl',tr Gr CL ' 1 i ' -- frr on ?f s! L r R''? 1I--r?? rr-/-a???tt I'r LL 0` ?.01'<S in r:1C:r1'f'1 k ? U IJ LJ I:J O slr A --? ' ? _ _ . I[' 1 U I :. C IIfrEL UUr GiP?k1 U?.1+1 f:l?Y I.1ClSrGt':.: T?IHCF.rtln H0A0 0?I A i ? I r ? 1 -- T I v k V (ale lr .al.er ??O ft:t O ' ( _ rt or _ar s:r_rr A Lltoh-c1s 01 TA (! 'U(' O' F. { GU O `'IH:lI -. 1 '., •L CI J.:ta U:r t_1r E r _? _' __ ?yV C LE 'CLE ?VU1,CLr BCYCLE ?Oi 1 1 {J 1IIT t ?J O. Y._LIU , cCLL Gf 1•r10?LL0: IY J ( uLL-C. CLF :JJRhO ?E,CaRrwal rO - . Ow cr ID iL ?v Ls L 2? ?'. .r cE t'n::r ?:. ?'ICO.us or: ?HU L = ?_ ?Inc Ea yr cCG _y ' O re!TO J? U -..rS nVC ''I1 ?CSf 9 'l+k-- 1 0.J-G II.Uf. IN JEUFGFU (,1 taU.".%A'1J4 r' St .vraEl ? Lf ? Fr f ? 1 ? J '' a.1 vat -__ nP,l v:_uiE E 1 Psi : e - r T Ts R p cn ! nRLIT Z TM i B t I iI __ - ?- - >t(l[EI 111.11.59 V Star Route 3. B o:: 1850 v Poet Of Lcc flo 58 E c Y - STATE ZW CML n11U\E NO E CITY s1ArL• ZII'C0 Lr_r:G R n Forks 98331_ Amanda °ark t'TA 9qr .N LrPcn.r IIL07-LM1V IAIE NR UnIOF OF L' HH M l'M'r LII.. Lrt;f r. t O. IhIC` ?--U Il (b t h, DAY O Y EA _ 1.1 2 L7 6tr ' none L?> KELLY 1•i E 65907 JjTA r•I ? I ?? - - r "I'll U "C' tirrtrer - ter self student >113: 141 SEAT BELT Is) EJECTION - CODES 1 r31 CU55 3 ` 541 SEAT BELT Z 151 EJECIIJN 2 CODES Au OC viiinlEa 3r1tGr lAl G1:e5_ and ^LO:mach _ RE Y F......F. PV TO lt. eT0 -1, ENF CO. VEH.1CnR HY' TO MANEIDOOCE'CHEV.1 N.ODEL 10MTt VA) SiYI.E12OR.COHV.1 IEH. vL.L9 NAYk IOODNE'CHEVI r.IODEL10M1 NUVAI STYLE l2 DR COV"/I v 64 fordson major farm tractor v 70 ?_onda cT_ 0 E COIAfl - YEH Ic PLATE NO. STATE TFWLER PLATE rW. STATE H VEH. COLOR . PIA fE NO. UC STATE TH-ER PLATE NO - H . none t red 3J 6 vTA t C VEH:CIE IONi1FICA ION NUMBER OOO.MEICfl C VEHICLE rOENTrICnfl N NUMB R 400METEH L . L E cL70-205279 2021 L REGL51EHEp O'.NER-UST FIRST M1'IDOl1i REG:STEREU O:INEfl-UPi -Sr MIDOIE N sane 0 Lott Wallace' O' hOUi?E:J' OR 0;1'rrF.R . hDDHED.i OF CANER t 2 Clinton WA 98236 .hMft M0A0DRE-SSCW!R ICEMORAGeW NWT, Ar;6WD a5:i0FP:SURANCECO. ORAOENT dk none _ CIIAflUE. CIT-ONNO. ENFORC[r/ENT -CE CITAI1011:0-'?--, ACRD" ADDRESS BINJURIES OF PERSONS INVOLVED E NA --1- -_- -'- -'- -ra- ' , M sfA AOr: Suru". EJECT, c SAME C M - f -- -- V r 'fNOY Ufr10 Ur,f lY ..C6r.-.DY 10 A I N N _ - T I..ff Jr irJO?In.HVU -_ T TO 1 T E - 1 f ?. ---.-. -- -_? r•5va?llliiN--._- -I 10 -' T 13 1 T, --TI ?1 TI s I T' I1 'I I' T 1 : I 1 .1 I C 1 fl -' ? II t 1 1 h1 [ . 1 Ir 1 itlll ji II 1(I I1 Ilr TI:IrII 'l.,ld. t vt 'E / l ? t ? 11 Il , ? t ;t a? ? h ? ? I `k ?'' I? / Tp?3t1lA? j e1 a`a[1s? j n a+. 41 41,?.14sy < '> t . ' y w ? s ry x < 11 I ? k? E v r , lu Ir { L r J4-, a u I ? L 1 t 1 4.Lrf YY"" , 9 , I 1 s N4Ktln _ li N^'y y ,; ? ' ?? \ I I s 1 P: / ? ' ' Uf.lr (1SU/.I DUCE TRA rIC COLLISION DUORT ,k a liL Lh? I w,?uea.l „c... oN„attL,.l•,;onuAiL lul 'n,l. yrJ ,uit;: . ate ?_ - ?? - 1 ? tl (, D 1r MILLC r / C, / / r I r 60 ?a ?ilj I rc aH,.Le nul ? IU T. tL.Jf SAF IJlJ [ SC\ nIfVU A 1 1L tlfl S V i/Or VA ,14GE: VL1 LL J.. •Vn V LIA Ita o.?y x101 H VOn1AApt 1[_,) Ap f. ft U[?O .Il! )sA3ll'?IIUAI.`AGE OHtUi)-1`/ON.IA VE . IMI!A a n LU .A4C I:. JGA).I:rl' r- 14- E03' Gi U Ui.)vALD ti F, n?) ,f. ;[]FUNGllO'IAL UAIn AfC ' Csrilf1,.GE tUJI.n CY ._ L:f. U.NAGF Q TO IU IEt11 Y r ! O 11 D! uF, tl ur CULLIS:OiI /?? Ta-- --t15 To Il_ i)f 1 L^(1,• -- • ? 1!i j ' . J P .102.1r'G Y vuw.no iM `r+wur' ?? ?-.I _(- !Gf '.:?/ -/lG ??uD NURTr}CI CIACLB ' y 1 r I >~ - t.ne.,,r. L;a? -??---•'? .__: ? . ,/,, _;_ ? ?_ i , ? ---- E I ' ?.I I_ to I- y i c i I I I I E I I I I- f1iEMPTION OF ' $At IIM1 C IE.I GLY HAEN En FFC E,OUfiN:AVOAA'iFN IIIE UfLAS11.I:GLUnE IY%GnuArlullNOT C`l U:u)r1AM. UwVEa _OL:LLISILli1 wSAn U fY,FE0UCJ00l.oVlslputr, C4 FfocsnnA,ICLO)H VCCOLatco•:Smucnov oN r,LanlmvoeK ercl Sc? c1 o Tr z r ono n t be i t hl [a , i •-Ty r •;i t fan': pr ac, r b \l '1 X x ir.cln rni<lccr a-1 a .outri c i i.Zo?x t ' x o 3' ^ho t . LT1 tr o } ' - - - _- had °'ur.? t ionc?nt on the to ?r.4 and r L, cyc ;-ml- tan. i, r k' ucl, an ._.. t?:o rxd r T n?r_ctate_:.Dsi•:m r:unbpr ts:7 di -ad esouto to ha ?itpi ; r•' POST 10 B OAE OLL15i V-H. • ?HEAOEOI 1,4LEf`D,:T ON STncETON HIOHwAYNAME OH NO. -'•"" WON OF -:E. I DIRECTION VFHG IF'YN ° W WfJtEAAYG OECit?ASINC ? LEGALLY N 6-E }W •. .. r NfU OCCW tE?D -.:`I r-i! ;'x.4..-? ._n ?r1-:nte r'*•iti? ? ?i .- e:at^r ro:, ` H rES No Yrs Ho; El V EII I. } I c at: PEO. SO, nYa _; ME ow.Ul CONr.p , .', r-_ -? a'-' -- srA rose IElova PEO/p:cvcusrwASUSNO _ .OADSUAFACE WEATHER '? - ?sro°mrn .encs...L. encesu,u LmaarE . orHfn : .. -• crl,cn onfl.. ""r EU OFEI '• cONRIeUTIN6 CIACU55STANCES .-.,, a..cwvuuneJCnoeu 1°wi n] - onnM unn rat c+.vEn. N?o. ] wucLe oN wnei I iL 1 ,/?/ fIPY 1 I .nEwi'" Ico"uupRtVEA:c of r oww r ] LJ 1 i}S cca AF:EJo p-+ ?_ _ _ J ro°oelnse I l oasNfa..r?EOwAwa l -t Yvcr ] ( 1' IIwAw I _J ^ da "`rUf11CE U+En CFN I sww a F '. arnv]n f _ x e ui. ?.. r- .au,am r `-=J Y _ s a rrukl y. i. 4 } j •E 00- l . ffxw Ja. "and`FN F - IoAN.r.a !?1?LJ 1 g.. s) I xi roNU rnw ,lam ITt ?ou.p? -sj? X Nn iii{ w,f? ..•-.. I,n cve olwenlrrn _ - oY:A-vlsncwt - _ w: a lu ..t . C'a.? V21.. L._e . _leU- aannn s LI ^ r d'.nfii'vpi.llON _ - Of - CI•iCl.vl r-, rM'OrW GHI CON ITi DptiS i'iAFFtC C?ITECL J RKIE TYPE OF ROAD VEHICLE CONDITION - .1e,r Nonx"AAr r I r 0.rNCN G.EI W ] t a' ;..,- LJ _..IV I•'•"°`t I z .., wYrl wfFi i E"a'u t ?cN ' GOER:CTY ._ ., wr. r I IFN11.:E] tcmcn wKd ._ -(°L wYlvwrr ("'saM. X, r I a e rnF % JaU ' ?Yi ]. s? ? _.. .•° w ,..t° r"^o. "a E ] f crn-_. IJl l I .. ._.._.-_._ IrJ--?I L r sr a.. ou rKS...n ou .w - rc ew . -1° .1 enlw I t._; e . t .a a Iw.o M e 1 INArrx.l n '.C M _ _,. /\• N'N['n^n ,a :le•-J Y.1CItNp 1.,,; „?.. - F, .e r •f -_. a F uo?'wricn..n n? ] uF CIICM. TEST 6 ?. rN v tiL oon rxc+.l ?( `/' /?ronrrcr. f ' i r¢ mr /\ 1 x Ya OI?KnI'.YruYl - %LUrr TEST nEULTS y e A• + _ . '1?rTn1. h r Flir_I':1 wZil. 7} r ] ro 3.70'J L iiu r 77 1 tl [ I ,utp rttq rn• t: ntornrLl N, FI ul L wu /-'+- ca-1.1 I//) ,r fAtil AIr LpYI\CE.1'C IHVL.an1A ?.N.Y..u01'Y•114(IILAIr: C.,E-i.WJ .II(,AILNIt/L'W^Y / -I.? ? ? ? ?t -JI 'y°:'.U. A '-, ivCf? W'4?Y' •. } . 1..'A'?.{?? 4??'. 4 p " a7 ' ?j}d ?R f T rt tr ,1 , r?9y 1? ?h 21 mN?i A 41 y ?' Ayl?" 1 1 y ,Lt r J 1 G? ? ?. I i, it h }11 1 ?? Y S r 4 f I I t i ?w•- ± ? O Jt" !' y; ASP r a jt, ? ? F) ?? / t ..: ? 1. ? • • 1-..I '„ . ?,i?iM'frm. ?? ! s 1} a''r I I tT r xl?," 1T7t+ t? t r L P*, P ?i h?? I i . a• i fy F, f h .? Y? t. i? I u` I \? F POS a Yr_IJ cict.n./' J 77.7 ??-? .??? + .r f ? ? `xa ' ilrf iu?, y v J ,., ) - DATE OF COLLISION _ -. DAY OF CO Ll- ?? ?? 7`7 , ,1,Er wt? LLISION TIME OF COLLISION r..n. 1+ ,..N E9 q H qp _ ICI 1 L-3 0 COUNTY OTY NO. ?? ? W. COUNTY . ;,.., CITY, TOWN .u J RG?S n -IaKY ?< o': - M111LE5,?? TOWN _ / ?LJ•OF ??4i?•C<?'tr AOMLLS VH EF I% •VDUJIEU al EEi CDUF S /O?SO ECTI-- ON .n.a n. ,,... GIVE NpMEOF STREET, gOAD Oq HIGHWAY ...:_. -:'. IN TEPSECTINGWITM:STREETORROAD .!? C/eurw cc-" o Al A " PPEF1% ED 'MILEPOST ? :3,4 NON INTERSECTION-LOCATION OF COLL 1ION/ RAMP DIAG.UM DATA BETWEEN I ti 62.^.:Li pNO ?Q STREET I cA- /? ot. r L'J ?E ?_ xe P ° : ; v? O - •,?? « ° iO` C + z/ Dar « -?JS Off c •c ,. --T cg 0 of J -t2?f'-tY .AE.<to n Ls i: Q ?J ? . , , , raga'. -yw. . yf,<••-_•-'I C(C ?+LU,llviJr / „?/En1CLf •Jelterf ?vtxl[ft .E EC. AOE USE ^•r +ctfi .. yFn?ft.toFSTN nCnf :IOV rxur ? xl W. OBJETSTRUCK ;:.:. wF OF OAItcT nnlx ,....;. OWNER OF OBJEC TS NAME AND ;-1 ADDRESS ., .. - IL-A-nY C, 1 If DRIVERS LAST NAME,u ......: ... .. ..FIRS TNAME MIODLE.: •ra.1,w "+.t"• ? 1 ,. ORIVEflS LAST NALIE. ..: _.: .. FIRST NAME. ''.. MIDDLE, .; L+?.y STREET ADORE :: •• - ROUTE NO, AND BOX NO:.: '"•"^" STREETADDRE55 .._', - ,ROUTE NO. AND BOX NO.' :.,., nn rn?... ZIPCODE _ '.,OPIVERS OCCUPATION = CITY ,;. ;. .. STATE: . ZIPCODE - DRIVERS OCCUPATION . For q: 4 83 I or-•csf Tao - -' .1w. _ . . ; DRIVERS LICENSE. NUMBER.:.:.>_ STATE SEX r GATE OFBIRTH:, YEA" AGE .. pRIV ERS LICENSE NUMBER ....:. ..: STgTEISEX .. DATE OF BIPTM AGE .. .: KL- !1/ T ozc cam i F OnY ' z8 M F Vo . vtHICLE VH. MAKE-. IrAw.ooocU .. MODEL Itwvp.o.HH : 117-7 01 Dncb? BODY STYLE:' oAl ?/? VEHICLE P. MAKE. lafv._oaaH MODEL ,,Maro,ASr BODY STY LE !:. LICENSEPLATENO. --STATE: ,-TRAILFRPLATE NO.:;.-STATE LICENSE PLATE NO. STATE- TRAILZRPLATENO.STATE . VEHICLE IDENTIFICATION HO - IuAtwo w ODO TEH Ix1LFpaf1 . , . .- VEHICLE IDENTIFICATION NO.. r1w [LSgntwtw 0OCMETER?W1LF,c!! REGISTERED O., EP _:?rt -. _SrWiooLt nllMF '.n „?. DRIVES LICENSENO. •y?•. PEG44TEREDO NER :; ^lusr H?,atlmfL r..t1 - ORIVEFIS LICENSE NO_ .;: IV4 OWNEflSAODPESS",",'- REET,CiryA STATG. ?yP j•,-I DATE OF BIRTH,., OWNERS ADDRESS „ .? T EET,Ury pND STA)D .. DATE OF BIRTH •: U If x s[?• I D PARTSOF ..Lt feL+?1.?r 6 . ? ' ,•.1HnFxw, o L.,1 Y •. INSURANCE INFORMATION•VEHICLE NO. 1- WAS TH ERE AUTOMOBILE LIABILITY INSUR-CE -LIABILI• COVERAGE IN EFFECT FOR THIS ACCIOENTON YOUR CAR ?VES ?NO NAMEANDAOn_ OF LIABI L)TY IHSURANCE,_ ..POLICY HOLDER ".w? _ ,w••, ?, r._., ;;..;( NAME OFLIABILITy90GXAANCECOMPANY NAMF? ?•.-. ADOHE55 (V11 _S.,Fr Vi G•E. FI?p?Y "CT e a.c•c Cp a . NAMEANOADORESB OF LIABILITY INSUMMCEAGENT?. C :' ?r; ,,. ,'']TT L.. Z .:. .,. LIABILITY POLICY NUSbEq ... -.;I+, t.... 'fir. U , R. L, .W ltir ?,7YG :,...y8/or!-/800 ISTINJURY "i ?••n,:v:Ws -t^-,_, e_.e, J-C:........:. :AGE. IUSE ;ZND INJURY'.SFIAPATERlro11TiDRAOD 1T101?aLIHJUP EII-?.!'••AGE?. NTME //t??? T.I.1, NAME -__AC-w \-_-.-_..____ .• N AODRt53 SEX. _.__.__-.__ -_.___-__-__-?,._____ •- ADDRESS :SE%N -STATUS OFINJURFG - ? i'I IM VEN CL! ,e N µ?,_ KILLED ,;, MAgKIIFIRST Y FI ,yi i? ONE THAT APP L Au rt vo `' Niu'io x IES , 1 . STATUS OF INJURED ? IN VEHICLE O ILLED MARK FIRSTONF THAT AMtIE3 , •1o a ".• lsivt Me nv o I ?!' ,. (.1/,.. ? S ? BD r 1 o7 ?rrrc ILL?II No. .._.. ? ? D 6 E u?7 O 3105VNORTH BY ARROWINCIRCLE I GESCRISF BELOWWHAT HAPPENED: IREFEII TOYFNICLESBY NUMEERI,.:. ' O? l/¢ A rc/-e tt l w •t s j ?...J _S,>c.-7'x 3 .w 1 1 N_ L « G/-ECL 1^waf?r._... CD H?y r .td Nr _ _ DA - D ArfNDn' w.rrf ...nnDw -rr-? k ]+ __r,L b I ACX c e 1.? 1s 7?_yP_?f/ o t ?? Q? xtr__wnw,.._?r? . of ?ham v ctil c%e .. n cI -?_ T/]?r z .._ ar a .../n a+ Gr.e LS _o_6S fY LL C_i c. 'h J / *' ?.?. _Y Q?- _vL t.. x ?-t _c?f 7a-?_roc?d,gl•.?? _ c-- tie ra.Lc/ 7l e _. b /a ck ...Go L? . b l t.Lr? .? In L<?!?h l4!0 c .-.. ._ . • f3l'SIcoLU -.$ ?q. E?D wS ._Sc__1- dlc?__GLOT_._S•-cc /T i.t rL7?il -11.w.as 7rJ_-/_47 L .*o.-S7r _ p.? _.S ,. arut-_ 71 yo Ytie Jeff era, eo f se tir[ F J .. . ._ y l > 4 t n I 1 71"," L--ms 1^h. bor /.-? 'INt/r.. . / % I ' 7 - •? ? I1,+u 11. .D _ -? r-evor7 ./77 1 0 ._7 k--, _.Ta(/owrk?_.c/LF . -/ VEHICLES POSITIONS BEFORE COLLISION T p ^n.,.? X351 vvrsnDA)TD er •I tt w•' wn,r r xlcnon ve".c.r :a c V'l NICLE ;ADID ON STPFET OR HIGHWAY NAME OR NO ........... ???irnL D'='C" w1 E VA IYDURI ? fxl D ? G/?trt Ywe]?.Er <ou N?L??y ? O N,Q E L.VAD ?11/[.O o ? in,1.r ?no.nvtnw,rloH E J - ? .. O n G ? •• PEOi?TRIAN,. D D ? ? ALONG + .. .: FPCM TO O ' : : CR SSING •q P n.1 ti Pt D1Sr IANWAAUSING • na1 = ? • 3 '-'n1+ A r? S L,j, 1?'.r,' • e ?1.111rn • _, . t NOD{UPFAT.! NFAT11[R T 41GNTLONDIT.1 HS IrIAFFIC CONTROL K•r T YPIOF PD i OHIVER,NEHICLE ACTION ,..-. ...... yr K,t art t 1 x!tin•m r D ONE WgYw wr Ivy'" •1 'r'MA nnl n+wntF ?AYLI0111 ]Gr1AL] vrl , ?+ D W I,CGOING STRAIGHT AHEAD IM1?C111Y }?HMNIhG Z ?OA,VN ? I ? 1 SIf.I SIGN Z D TWO NAY Q 3 "OVERTAKING ANOPASSINO D T CJ NET I C3 C, SNDWIN. ) DUU]Y• S ^ ' ' ( ( I Evc T 1 (('? SIBLE a ) JMAKING RIGHT MAN ,. U.I V!IHIFT ? ) L.?rIfLU SIfiN U ' ) ? ROADI '' iLJ ) ? SNOW A ? A ? ( T T T LI+:r115F11I ? A ?lLAMNHG "FIT L_) A IJINI C IIT.IIANGF rl A --:PIG A KI!1G LEFT TURN ') ( T IA D` yNAMPI Ll ? A L? ICf. 5L J ^ 1 D ? FT "' - :1r I Fi T ] ^ t-.1S OIt ? ] ?'I-1INIJAMHFH T ((?? //?? D+HK NO l-1 LJ U S AA Y.ntiG U•1UPN ? 6 4 1r nv A l l ` _ ., L. I'IF I IT LIG1113 ? A ?H n ]IF;N EL A LMrW ... _ n c?E ? n `y 91.f.W n1 i . HL'SON ioN NOr spnhn whcrR T?' ?'° , , , 0 rLJwnCrlL rL nq upN [? p:J trnP.FD POR TRAr FID - - • - --•iTOrFF0 Ai 51 T•r1AL ( ? ? ' -.. _.??.-.__-__._...__._.- [1 q \..?:.1 •'.'. `.1 I L_.1 LirpHAlf FJ ?? K .-1 i•119TCP 11DN - CJ J ?IIIVIOrD ? q L?9rCP.lO IN ROADWAY 1 L/ 1r t F rr1C (..I E 1711NOy DrD UIOL-1TRAF11f INY l . ?+vmr••'.,ws,-. M•" -rvT'}t•.'-1,.1R]lnmAea!",--s^mar ,, drh r A . "-7. ? ."e^ T ?^ I rlSt?"St?!? t•?W???`n?'.,.?•?`11.? X, ?.'C ?;'. ?I1 '?%P \' t ?11y I.t L'_I r r STATE OF WASHINGTON `e If T r( PAGE OF No. I $ E Y UNIFORM POLICE TRAFFIC COLLISION REPORT POUCECOMPLAINTNUMBEP N ( D DATEOFCOWSION OAV OF COWSNIN TIME COUNTY NO t 4qr e+ q I E y AY ` C UNi }y i SUN I MW 2 r B WE J RAIN S FRI S AT ( 2 RI t j CItt NO. DPR OUyBAN URA Ll? ( t . ?STATEROUTE COUNry ROAD ?CItt STREET Z Q AOMCIS PREFlX POLITE Ofl SigEET CODE I SECTION •' ..T OVA ?OTNEP IbPECIFYI- N L C S E W ?IN ` CIfYOR OWN ._/ RILES ? ? ? OF ! W U PREFIX EO. MILEPOST -.. Q . Q y. I T NAM bNO.OFSTRE?OR?IIGIAYAY ON ? ERSECTINDWITH: STREETOR ROAD Cl RAMP DIAOggM DATA I I NONINiERSE TXX q lg ' O I C ACCIDENT NON INTER %. 0.i REF ? C P N DETWEEN MILEAGE INTF?Y CLS. EgEt ICE CHOSSSTREETOfl ROA0 v r DIST STPEETA;D STREET EF MILES CR NN FS MEEFE?ENCE ORCROSSSTPE ) / CODE EiI.? NUN (/ /GNky¢y /O SPECIALCOOINO USE L - p ' • FEET OF / J '{? ? u ° COLLISION INVOLVED: VEHICLE-VEMCLE ?VEMICLE BICYCLE ?OTHERIWRIT VEHICLE BWECT ?VEHCLE-RRTRAIN TOTAL NO EI ?HIid RUN bEVERItt LLED NO .M .. ; re- ' - p P" •. - . . STOLEN VE OF VEMIClE9 VEHICLE PEDESTPIAN ?NONCOLLSION HICLE ?HAZARpDUSMATEPIAI ?.. _._ OBJECT STgUCXINAMEOFOBJECTSRiUCKANOOWNER9 NAME1 '.. .:.. ONOFOEJ CT N e c ,.. RUCK .: .- ••:•: ROPERTY DAMAOEONLY - r. ...... i.OAMAGE .. qF k? MI L. V.u .. . ? S A f? - • A OR cq3 NAMELVtiT • -_,•„- FIRST ,, ,., MIDDLE '" ROADMY FEET DRIVER'S NAMELAST FlRSTMIDDLE - T D SI.EETAD 53 ' .... .. . . :.'.:.. ..•.....:'.. R' STREET ADDRESS ... ,: ?..: ?'nrrs V E L , O V . .. $ E A C .: •..' STATE OY??? W MP CDDE P NE NO. g E R b CRY F - N ORNEflS LICENSE NO. AA.: ' ,STATE, O. ' SEX GATE OF BIRTH M A AYR N 0- ORNEgS LICENSE NO.- - a OWNERS OCCUPATION _., FIRM NAME,,, ., _ .•- ., ,, I-ENO DWVERSM-PAiION IRMNM CCD > ID) CUSg Al SEATSELT N 51 E ECRON CODES >- I—— ?` NNE`g ATURED kLURIES 4 V? NATO E INJURIES _ - _ M6CENE BY: Q TO VEH.YEAII MANEIDCOOECHEV.I .. MODELIDART: NOVA): " STVLE(2DRC0141) .. HEMOV D FROM ENE 9V: VEH.YEAP -_MANE (DOD!'ELHEV.1, :, V Q 7 1C V. \ Y " -iYA"°"- LEI YEN: COLDH :. LIC. PLATE NO. :'. STATE .:.. RMLEA PLATE NO. STATE E VERCOLOR U0. ,LATE AO. _ V I u'? I I WA " ? M V ICLE MWIFICAT N NUMB ' o. E ... .,... FE13T ne N 64te, ii 7777,21P CODE• ... . PHONE NO. cSTATE.:. SE%-. DATE OFBIIRN'---r.,? . MO. GAY. YR r w? # SEAT BELT 151 EJECTKXV ?'iV.4'Nnr -- a M f r???`yAA T 3 ?r`x OELIDANT{pVAI.; 9TYLEI?ORCONVI :, _ ?, ..: ITE ::_. TPAAER PLATE N0... STATE .. _ N r,?adisu .v ...w.uc ...:.:.. :..: .. .._:,- - LTA 1 -; ,.... ...... E ..-.. ENFORCEMENT: H .... ........ ..:.:..1_.. ._i.:?.?r. A b ACTION . L NAME, ADDRESS & INJURIES OF PERSONS INVOLVED CODES E D A a _ .' SEX AOE 9TATU8 EJECT. `. NAME: C ADDRESS: U wAn io ca?F E VED FROM A r N 7 A ' S ^ W T 1 1 A N .: S N E N. C O D Pl OLN?I AY ?F--T{- 1 I.NO DUURV ADI94DLINOINJURY nCV ^T I---I r . 0nI191^OfO?CYCLL'I I dDEAD EOI110NO5PII%AL IT. DEN 1.1 unv v II J . ? t y l Z F y1 _,I - Ih 1 M1 0. I . 1 ? I I L I I 1 }1 I r '?.? ` ' ???1 l?1 '4 ti ?yt, d T dsAdteY+,?{N >a ivy -' +ef A.y4.._.. f,. VEHICLE-DAMAGE TIN EACH 00%CIRCLETHE NUMBEN OFEACH DAMAGEDAREA I 2. SHAARROVOF SEVEREGTIMPALT. INSTRUCTIONS: GGRAWAHflOW(JITOSHOWPRINCIPALOIRECDONOFFORCE. •R.Pd.I-_ iwl3?? .'iA EXAMPLE "' . ?1 fi k 1 t„V - DAMAGED VEHICLE N O t 1 '11111111 11ACEFOR SKETCHING DAMAGETOTDAILER9,MOTORCYCLES, ETC.! DAMAGEDVEHICLE N _- 0.2 i J--'•E n 3.IkOU - IJ /ba0 _- ((/r Ip?A"H ? ;[ li RMI 16. OUnF _ - 1 .- \ A T'L"?'C.__l' e"') n? /' ,-? [? Y(??- f r IA. HO A 1S h IL-+ 'j??_?' I .SEVENTYOF DAMADE: VEMiCIE NO.1 1n. UnCwrvlb°a n. awIP,R . . 3EVEJRIT?OF DAMAGE: (OTMEflVENICIE ? I f A t?'?-r?,D??E '/JQ y _ unk . IB UNwcerriWa v awEam _©OIS0VONA DAMA JQOTHER M.V. DAMAGE tI'! NNCpONAL DAMAGE A NODAMAGE I 10DIGADUNO DAMAGE JQOTHERM.V.OAMAGE 2 FUNCTIONALDAMAGE NO DAMAGE SEVENrv OF UAMAGE,VEMIOIE ?I .2t 1? D19ABUNOOAM?GE / b0Q7 ERM,VOANAOE 2 FUNCTIONAL DADA 'M F DA AGE " I IOWEOOY 4.44 $ OW T 4 0.a- I v0. ii.OM1AOE s 1GVO TMEOBY :S110 MAAOE ro TOWEDBY A EST.OAMAGE To J s DIAGRAM OF COLLISION E .i E[cESrm.Nt?PAO,DwAV I ; I 7-. I +._.. ?._' - ? r .- L._ I L I t I - c-r-r-•-[_ ' + ? -, I I , ' D G r- ' 'i ? / ? ? - N ARROW SHOWING I RTH IN CIRCL -r--? -- ; 2 MLOp A?QPHOBAEAe,a1PEr OF - f 4 4 _ T T 7±1 -- AEq? eV[EraIEM [STRIMHA ?- .. -l -!--?-•svq F- ?- -- r ti I ? ?? f II rJ v' ?-- •_ DESCRIPTION OFl -'FrCOLLISION E,ry 1.-tj{ "Y ?INDtCAT dJABILIT E WHAT Y, REOU PRO EO C B VIAB SI LY HAPPENE BrtITY,PEOE D BE SRn FOR AN C E DUflINO AND AFTERTHE CR LOTHWOCOLOR,CONSTRUC ASH /iON , INCWOE WFO RMATION ON p Ofl RERAIRWORK ETC.) IAGa ODRIyER .? _ O-t.Ot.. S_xrrI}}CQ e [.y 1 V g,,.N I l1 T M 4q_ O L.S(A ?!•`.HPSL1..4v.?_CLe -cam ?1V_h?l -1. _ o ow 1 ,1 1 er k•l?tn`? ??lne lC - P - -- - _Catn Q1 -e w_.et? ??-I o ?•?r? 2=-?=-- Ocu/1 ` - . ?A O Ow l O \ Lur Ciw H1\vl _??r?(?? •. :?1 `F?p h? o ta e_'?w?' eU?c1e _??Cuv?e V l ? t 4 ?L1?tS_. _ _ ?° -.-O1Y- '±?qC` t q 0.l d t_ ?(?O OL\ O: I •, -? 1 w • V U . ? ? ? lc? CaG?' ?- 5'0 - ?r C ti ? ` ?? '?1 ' -? , ef. ? .. n o p ? y2 I LC c? '?/ 4Y • .3.asE? 'PES E3 `V.1.rAO'+?r.'.:F?SJ:a:Er{c2.. NO OF LANE9 SPEEW VEH PALRKEO VEM HEADED MILEPOST pR -- 1tl - . ON 9IREETOfl HgHWAY NAME ORNO. WONEDIRECT`ON EO a LEGALLY 'WAS VERINQ ... WCREASWO DECREASWO .. PAPI(ED OCCUPIED N S E W rt 7 SR-to 1 ' - -5 a?; ? o ? r ? ? ? __ ? _ - ? NO Y ES r- ^ -Nn m ? o PEO ? 1 E PED/I°CYCLIST WASUSW L- iaHO O. 'r JaYUwAU[- ?(? I.. iwNAw ?nvautW? on ('cnatsAn_ e ,1 .7CROSSwEax ncip. s RE v w[ (77 l 0[SIOnrz .2f`l 1 I rcLC rau 1 IOtHE eaue a m , E w.I .-1 TO R - _ ROAD SURFACEi,. LHEU RFAC ? A - a ,WEATHER CA aH l ..iCONTRIBU TINQ IRRC°U?MSTANC?S [D ' "' ta,;,v,;,,;:. , -} ? ??. TAYVwveHCU ACInrn- 2nee. ' ( /H D..i Ya2cu TvIEWIYI E , ' ?EEO ?? ' V LLIv( A , - C 0. ear _ p[ [ I NO, ? E wR E ' ? r' nq rAH[AD (? L k i, , .. . ' BO °„ TWC-Y QS7 G ? 0 r :.tom= ?P , I 2 L1 WCr en AIMM I? ?a,WIUFHaefY (-1 ?-I NHL L J L J ? r ? AID AcPNRY D L? O]i?IIUM lJ I?,. ,.' viiuu-.A.. ? [? Ta - ? ? - - - ? °veA .AAnM °nw [OC- L ? ? 40 ? Um l. L? 'tt l I0O ((--77 [ DwaR[b _-- 1!?-? ('-1 ! '°' ?I ( I ? J o¢i[eTns E°Ur ?,! L?[ t u.Ei'?iv10w, C J eO t n . _ r ..Q ?p 6 l?nl'XOIrI e MOrO A,W TOY, _ --'I 4,E lTOI - _ .. .. .. 'o. M ? r' r 7 - ) - Atw.D L_ n c112 1 A A L7 ? r,M? 6D iOA Ul r L IOHTCOHDITIONS pN.U[WD TRAFFC CONTROL ' b Hite -veEAas TYPE OF ROAD. I HO FH CA d. M EWneI F VEHICLE CONDITION VIHA:Ee cMC. OH LaPew SOBRIETY vlwt A II -, aNq .. ••' oPr[D? UONAL -I L- ? er n a1?, , , X . ° Ar TNO AY Ci AN1 Y 0 2 C LV OKI] t a ?.e - [ a Ra a r r Rr ; .r^ roFY°° a ;- i LVAA r I e-'J D AXu ) Aur..-. ) J.. . e I NO° Nnao •.._._ H ' [r . cnrn , A + I w.? er f ,POAr nEMOi. IA:?e rr I 1 w,c or owH n CHEM. TEST , Ib W rl[WIf sw Ai <I n . t OM A MIG iY v ' 1 r ??y , xaP. '. w ? PA .,pO ,Y.,aD I _? irerOM .. I ,urERYUaeD 1 I I 1 T„ 1 1 r; n Vim, l MC, i Ti+x , u•+ D nH,vtcxrt Ii % TEST RESULTS AIN u w.A,arrusH.?[u.+w .M '?-c: m,.. i n E•a. I2-, , Eaa?-„_ rx"I n H„"? r , y _, m.,rnnairx,. DANi. E<.unl urn[mun. / w ?F- 1 I 4"r ?.4 A CJ r .:'j Ci /''? > /' I 1 LN _ T J F -- •--- nvrN[n1i1EW OHY'?EELLOPY ? w rgro•1 CT.[IE r1 A[vuN; r i - W1KArr CO[r LOCAL LA Or Ef' W[ rAK[ (Nf GPr-IR IX•Al[cDl'r. INV[SIKAfrnH 011'SCCrr r `47A•^?+tr N A i? k L t {{ A - 11 f5 kl. I t; t .t' 1', I y#?ff ? r I r 1 I p? ?a T ?' I f ?L,; `i r ? :7_ ? } r rl ` L t? aT r [ Ilk" 3 V?'YY}L,fI?pG"Iv E? '?Ibl S ifly?--. .ar ? _. •-r+'y?' ?? G ++??+y1? MOTOR VEHICLE COLLISION REPORT 'ihr + -?..r1 NO._ - rr OAfEOOFC0W51pN A DAYOFCOLU90N TIME OF LOLUWON? WUNIYN T [[ _ A NES ' F "v w . Inu I 6Ar -T. AM Po' ``]??,?, ) CtI YLNO O IC` YWtir T o COUNTY CTY, TOWN S WrsOt MLESR W` ?? IM f?J yrtil ,?' $-?. _ Ef I- na?FMr O© f- a C, .TOWN AOMC PREFIX. edN?J ?IT,E GOOF SECTIC n., -: I A wnF'o CTT - w /? ®© OF s • vIKNO" GIVE NAME OFSTREET. ROMORHIGHWAY ,.,. INTERSECTING WITH STREET OR ROAD PREfl% EOM-r LEPOSi?hl K NUNINtERSF.CTIONLWAf10N0 CO ON /./ MMP pAGgM10ATA i {f . (iFT1YEEN 1` ': •Jd31 IY? T..? `..'_._ STnEEpTMO niWE?T ?)[ y ?## ?9 4't 4 1 iO ([?•© xr I ! n W I F Al %RD• Ay jE,, '"*r ,? owci»zw;`p M"iaosion`oii"I :vo LAHOMMK Drt / ?q® INTE, I T CLS PEF HC[o CK0334 PEf D ro ON wvDVto GL w clf P?v[N CL ?oln[N wrnrU ?` SPE CODE E ' u1i.,? A M nA F?.t.[s 1?• ?0 neEnotsrn.N ?vipl alrsgN ?wr NUN OSIECT STRUCK IN pdufc/st[IVOw a OWNER OFODIECTSNAMEMDADDRESS LWATION INROADWAY Oa ° E rn FEET " EoGe § DRIVERS U1Sr NAME eFIRSr NAME MIDDLE rrb CARS E ? N7 F EAT -ED ORIVERSIAST NAME a FWSTNAME MIDDLE ?v A.ADDRESS ROUTENO.ANDW%NO. CC WA iE nAN w0 3TREET_ AIpOpE53 ROUTE NO.MDBOX NO. -1. USE NA L T _) .1 DTY' STAGE IIPCOOE Df11VERS000UPAiN]N atvA CITY ' SATE IIPCUOE DRIVERS OCCUPATION M nEPORr ronv / i 9 ' ?l'1 C ??nl.• 6n•IC?P h DRIVERS ULENSE NUMBED STATE SE% DAtE OF WRTN AGE DRIVERSLICENSENUMBER STAGE SE% MTE OFS RTM AGE Y 1>pxy: 1 5-' , R ( e p 124 53 ?? w I, y VEHICLE Yp. MuIE IGHEV.-0000EI MODEL VA-0MT) DODYDriLEl10RI, VEHICLE YR. MAKEICHEV: DODGE) MOOELINOVAOMn BOOYSTYLE 130R.), VJr LICENSE PtATEFq. ;.,.STATE . TRNIFAFIATE NO.'- „ STATE UCENSEPLATENO. STATE - TRWLERPLATE NO. ST TE...., f' FF?4 TLG'.ih_ ?I'C Oh ti JVEHICLEIOENIIFICATIpNNp 1lDEBMODELSe NEWER) ?,. ODOMETER (MILEAGE) VEHICLE IDENTIFICATION N0.; ? ;11988 MOOEL58 NEWER) DOMETER IMILFAGEI REGISTERED OWNER ., ILRST FW4T-DDLENAME) ,... .NVVEN.UCE.._ REGISTEREOOWNER ILABT.FIRST•MIDMENAME) DRVE..UcENSENC, A c.. os? n OWRcs OfiESS, tSTREET, CITYµOSTATE):_ - DATEOFWgIR OWNERSADDRESS ISTREET,CITYµDSTATEI pATEOF WgTH, PMrsoF HKLED AGED ... - . .99¢E9 w .; 4 v IflE PMTSOFVEH%:LEDAMAGED ..J" 1nn?.-_CnL?• I 1ry Y - § i E°vir°'KOie:. WAS THERE AUTOMOBILE LIApILITY'NSURµC }k LIABILITY INSURANCE INFORMATION-VEHICLE NO 1- COVERAGE IN EFFECT FOR THIS ACCIDENT ON YOURCM 'F NAMEMDAD ESSOFUAWUrYWBURAVCIMWYW,L , ,•,., _ _ arr YES NO ,, ? 9 NAME µCEW t wME A[LPEJS OFLMWLITYINSUR MPMY ,. ° 7 LP °k%n „ r„ ` Ile (• NAM'ANDADpRE550FMABNfY SIIRMCE A4ENT ,.. ,?,Crtv ATE,. SIP UAB LITYP YNUMBER :A Thr. e n o f 6": 7Dr ut0n 97?9G Y A 1ST WJlR1Y .:..., AGE JN INJUO RY• IWEGEPMArEIII-1FOn ADnrIWM.-Ty AGE .. -. , NAME 1 ?' '. {" .. .. ...._ .__. __.. AL NAME ADDRESS p .a SE%F ApRESS N.H-Ax .. :. .. __ --_ .. ._ BED oo? YE _ A sx . f I, nowA,KK ®I Nweons ni* M My rKw Poc n STATUSO WJU ED MMK FIRST ONE THAT APPLES b} r ' TATUSOFINJURED MMK FIRST ONE THAT APPUE9 M ? OPAJeENDL II VEHICLE PMUn Nd'y? OnuvEN NVEI K;LE d9 Iw0 NWwdsANOlY10 PoAN WLLED 1 EI INpINr O Plut Aq IO fIC Ir O NO KILLED ISCVlnEI IMwonl 1 E H ?.)r P ? 50 60 7Q O, rw. ? 5? 6E] 7? 1 SKJWHORTHWARROWINCRME \ I DESCRIBE BELOW WHAT HAPPENED: (REFER TO VEHICLESBY NUMBER) '• Nh WI E wde earn ,. C .. -. I. rA.cE rHF DUnwErwr (/ ?t ??--..HUIh G } 5' row eausaN Yer.6 r'.. O \ Ip l .(._W?.COr L,,AGg qC ?,. ` eM[INMeeKTON woH.vAr N.MEe a ?. ?I I hjYy6T_ ).c AU Ylter... ]cC__ IOG'* tJtL!.i ,4 IP ,.r ? •- axLrMPtK e"cH Vet..a1 e.?We'v" .hel/HGr 2-_., ",.Tde._.-col ne.f'.I __*Ale.v.o.M.c( dN¢rKw nE m. e" -? 1 ? z F- b EE 1? A wnA p.ieue?.a,?l. &I k -.._._?_?._ .. _. _. \\... .. __ - '? (.t. 't .-aFaY in . ?S. m?. /i... crnrC _.[?l 6/t __.$'CC%I /' .. SY°/r• tTifj _(s '• I ---__._...-- --._ - ? 111 +-.._,a lnh?ALi_./Fy'.ha/»G?err./rA..TTi?`/tlf1 I rt r_.Y , 1 ,_.aA 'c.Hr_ ` 3 he 1t%J ,r td?aV i 0 ;g VEHICLES POSITIONS BEFORE COLLISION wpuN< mw.L INVP.9710AIED DY 1 4 7i VEIPCtC " rXNM a AnA Klf OCCWK 11 § [ W 1"'111 OIIHb HWAYNAME 011 N0 41coH" rI EA its rsMND rT, vq?1lN n! r.p PAiir4 Igroiti- 1 ??*I rrOw! ? EO1 O I ? E?I ? Y? 'rQ ? 0-1 L'JJ1011oWN '!r A I r r ..' J ? Q IU Ilk ? ? E'?1 ? ® ? ? ? srKN"I J I ,L 1 ?Y r¢I h 1 nrAPIwwAA ? Q 00 enoseno rnDM DIRECTION TO DIRECTION +Y{{f;' 1 ry?ildld Y I IY Dt Sti%MW <Ir..Aq 1 f' Q ] 1 srx wA[X QWIUXWAY JQ show DEn A?lI,",-:i.°v.i" sQ f'?W.:;:?" eQ onlrn (,,A.r,.. I r I Kr.r cU'IrvaK.E Wt ANILII UQHTCONptIO l T.Al1K:CO.H.- rnµ-t, TYPE OF 140AD MNVEN• vE HICLC AC IONS 1 1 J ,y L t '(4 .Ir•<Ll ; v K ?;K[IMT 'M rl vnKU KrILCMwCdI VANrI - Vl 4TH 1i 7'41 I /1l, w' ' > , bl nIM 1 ?DA,LKIII rj' I 'qp 3f?I,LB (,A ?' ' `A Qr I 0 [pNnprnNDMAHEAD ?II C] D-1 J I ?fME w7 rj It (3 I Or«r E Jn rR , ? Q 1 Q STOP WI, Q )Q ( ?IT IWO WAY Q P Q OVf RIAKINGM01'ASY NO w } y ry lX Vt}'I(1 )ti t{ IF ` I l J , Q IT QNEI \ J .NO.- 3 ? mu Q ,1 ? .IEIp EK:4 ? ] L_I 11f1N "NLF }D 3 Q YAXVIO IN DINT IU1111 1 I<{I ?'? ? r Q ] Q:AIOW t CMIK 51ft(El C] , ? ^" 1 1 I 1 7 r 1 /lAprlrXi ll[D , IINCNMIG( ? IL.1 It *0 MAKWO ITT I IUHN Mr C kj S ! I? 1 V 1 /'• fr a tlW NKR , Q OAIIK 9rlail ft ? ?IIWP.IIA ?1 1 t, ?l ,4i1 / 11 I 't S (L?'1 Or NI.; •-'1'JYCIFYI T ?lYJlr!I OIP ? e f/A'111q ANllfll a l[rY MA"NG [j U TURN 1}{ V ! 9llilfl LK IS J 4 ?1-L 1A } 1 ?. RPA f(Iq NOf SkIM DUM.R 6 Q DMKIrO ? e Q IV wNAL ? D 0,1WD TWIN Q IT Q ri OMNo ) A? SI 1I rb.r•ry PMin`N WIKK,MSIICI I ? JrICIFY ? 1 n tllllCf R.IIA[1MAN INIFe 1 t ? i ? oT OMPfn I. M fl THAI TIC 1 ,:Lr Lyf? f r /• / Q IT QOtHf. (A[flfY E[r•MAICn a snalm ATrIG11 } 4 ?}?' IM 7't? LY ? 7 ?r17! n ?i I'hC%h rMf ? 1 ? ? ? OR Ef(M SIfN ? I ! 7 i T f r fCLL/C?"ly' fCCr• r y a 1 I ? 0 Q siol f0 W IK)ADWAY TAI 4 L 1 Y If / '4F ? , IpQ II?i G ?rITS (Ip 1 iil ` r I N° N E?YCLInL? / /. I_, , r h a y W 'rR _HF-wo r. ? t] Q 9rM r'nMOU II >r q ,? ?r4 - 5 `it 7 ?,? IEM 1 , v ?.? rL 1 [ i, itl [? I I .7 i y ?i I il?.' ... ___ ? • ,. . ,.., .... I _ ST4A O?-WA N ?i'` b. . y ds E $ li CUIVj PAGE OF -? ." I UNIFORM POLICE TRAFFIC COLLISION REPORT POLICE COMPWNTNUMSER r D OATEOFCOWSM]N A- vfl :22 - DAYOFCOW31ON T u L NON r tUEs S WE A MUR S FRI n 3AT TIME (U 1 [ COUN?O. CITY NO. _ G DPR ?UFR y T, CWNTY ? STATEROUTE Yv COUNTY ROAD ?'Y ?C—STREET O AOM'Cl. PREFI% CUTE ORSTREETCOOE SECRURAL TION eYS(1 ? OTHER(SPECIFY) W '? OtY?>IC NATY p,(; 14020 p L __ S E W -N- CITY OR TOWN ? W PgEF1X EO. MILE OST O A ?? TT MILES?y0 ? ? OF (?1(? S U /?J *Y - 41,14. T .[ .'--.•-`-.?f -..---• 1 I NAME aNO.OFSTREETOR HIOMWA O*? G ?y NON WTERSE TI WTERSECTIOWITH: 3TflEETOflROAO U' 0 RAMP DIAGRAMDATA ,, q hA ?cx q?`5 391 ? ,.'?'??5 D ` `N N ACCIDENT INTER N N %NO INTER CLS TERS n STRE Ufl QA ROAD OR REF ERENCE CR k. SETIVEEN STR EET ANO MILEAGE CO S . OWSTREU ROAD - '. pWT ANp OUIEC RON PROM NEfERENCE ORCILOSR STRE T, TREET DE / E V MKES EE N S E W U ( HM ETr9 f SPECMLCOOIO USE T COLLISION INVOLVED: OF ?VOIC?'VEHK;LE ?VEHICLESK:YCLE Y OTHERDVRITEI ?IIITIRUN SEVERITY 1 TOTAL NO. OFYEHICLES ? VEHICLE•OSJECT ?VEHICLEgq TRMN 1?OlP$L' ?STOLEN VEHICLE NO. KILLED ? VEHIQE-PEDESTNTAN ?NONCOWgION ?HA RDOUSMATERIAL NO.IWURED ROPERTYDAMAGEONLY J . UCKANOOWNE113NAME7sr ` ' ` LOCATION OFOSJECC3TRUCK ,. EST. p AMAGE >? W \ Y\ Q )AX DRIV ^ y u , FEET ? ? ? ? RD EDGE S 1 ?D K v . - pW R3 AMEdAST FIRS[ MIDDLE { Y R STRE ET N ? I. ADp E R. STREETA EW R CIrY STATE ' r v ' _ . . `DP CODE„ -.PHONE NO, 1• E CRV z , SFATE R .ZIP CODE , - PHONE NO. N O ER3 LKENSa w A 3 O . mo.. OF BIRTH . 'A R. N ORNERS UCEN3E NO. C. - STATE S" DATE OF BIRTH M DAY YR IV OCCUPA FWMNAME... ?....:-, ,.; P ONE O. 2 DRIVERSOCCUPATION FIRM NAM CODES > OI LA9 fl 6EATBELT SI EJEGnwI CODES > OI INJU Y % ?. uLU g E4 R C1A33 1 SEAT CELT gl EJECTION N R i V ATU INJURIES - R NE I. VEH.YEAR M IpODOECMEVJ., MOOEL(pNiril0YA1.-. STYLEI3ORRCgry.) - EMOVEO FROM SC ENE RV: VEH. YEAR MAKEIOOUOE•CMEV ) MODEL D V "D d s- Va ? ., . I Mr-NOVA) STYLE([OR-CONVI v PIA O. I ,.. STATE ,., TRAILER PLATE O. STATE VER COLOR LIC. PLATE O. STATE TTWLER PLATE O STAT ' W . E H C V H ICATgN MD LAG ..:. ER L 1 C VEH CLE IDEN IF CA N NU D R L ..... -.:... DOOM R a R E E D _ ,. N O REGSTEREO OWNER- N ,.'.. .:. ..fU19T MIODLE . ADORE . - .. OWNER . ' ... ...::...........:.. AOpRESS OP WNEfl NAM ANC INSUIUNE EM ? '. T 'A Co NAMEANOADORESSOFW3URNLCECO.ORAOEW .; . CIIN :.. ....I: CIA ...,-, GHA .. ENFORCEMENT HG. .' .. . ..... ... A ACTION NAME, ADDRESS & INJURIES OF PERSONS INVOLVED CODES [ - a 3 . NAME• SEX AOE 3TATU9 E EJECT, L. C AODN, U' NA u k NAIRFA ICMOVEDrROM OBJECTS[SUCK(NAMEOFOBlECT3Ri A N T S I W 1 T N E S S E S' A r 1 ;6 ;rrg311MAN A 1 IrtO pIJUN/ Sr lOI yIM O LNOhNSULLrD Y Li FJECITO l I nA:YCl19r rMMAi MaN[ nl WlrS I..P r. rol Nllaz r.lO1AlLYCJLC ITO ,fi1,Mh - iJ iT` ,. JUf Af ON I AL T INO.VIrIµLYCJEC tI p 'Y(} } D e wirn[i\ r ? 7 T ?rigw ac cul E DRUI aJnuL T i o L LL[rorJUnr ii ro xw ? I ti5 ( 7 ? (. y. _ 41gNU1:N WYN LJECTI TrI1F r ?L yy ..u LrFr?F(9<Lr z, + ti s AN nn.r rARU¢ EncnD I }T t TI Lr-? ? I I I• 4"1 VEHICLE DAMAGE NEACH00%,MCLETHENUMBEROFEACHDAMAGEDAflEA %M r rNSTRUC7ONS: 2. SHADE AREA OF SEVEREST IMPACT. S. DRAW APPOYrySITO GROW PRINCIPALDIRECTION OF FORCE ' . DA GED VEHICLENO. I IUSE THIS SPACE FOR SXETCHINODAMAGETOT / 1 In [ ' AR _ ._., DTORCYCLEA ETC) DAMAGED VEHICLE NO.2 ta. [lao[ tD.ttooE OM '4. RasI 2 t 3 Trunk f?° 14 ROSl• (/?/ 15:Trunk aAU _ t?•IS rd [ rs T IB.UMwCwXepe •: I •I) ` • ° • ' ' . ,,,_^ • a ?_-esf°'?.,?_I y tD.uw«c.rrriao. tl.OVwkun VR OFDAMAGE H : VE ICLE NO., I gSA ??// SEVEHITYOFOAMAGE:IOTHER VEHICLEI. OFOMAAGE: VEWClE N0.2 ?T OVpturn QINO DAM AGE J L?OTHER M. V. OHMAGE 1?gSABl1N0 DAMAGE DQ BL OOIERM.V-AGE SEVERITYIQgSABUNODAMAGE 3?OTHEq M.V. DAMAGE R FUNCOONALDAMAOE NODAMAOE 2 FUNCRONAL DAMAGE d NO DAMAGE 2 FUNCTIONALDAMAOE d NOOAMAGE'. TOWEODY Q ESi.DAMAGE T WED BY EST.DAMAOE TOWEDBY EST.DAMADE TO a ?QQIL TO S a.. T .- DIAGRAM OFCOLLISION 'ro:mvYAr axDw,•.F a II -44`i-t o , -:r. 1 ? DRAW ARAOWSHOWING NORTH IN CIRCLE etr.c O6I lr DX .CoNrrrDFPPWgvAY 1 i 1 , `(G Ice PArGACON9nUG1cN 1 ? I I I I--- - ? - -? _ - AXEWEtct . a.yO ?TEPPOBIBLEPowT - -- _ _ I.l' . .I 1 1 _ ` - - __ ? DESCRIPTION OF "• vlY ONOX:ATEWHAT PflOeABLY HAPPENED DEFORE DURINOANOA TH INCLUDE WFORMATION T .qA RAM. E. 1 ' CDLLI$IDN:';ip gSABttRY,flEWCEO VIGtB IUtt,PEOESRiIA11CLOTHIN000LOKCONSTRUCTIDN1 IIREPAJR•WORKETCJ ?T ? r • ? • ? ` ? ? ?G, O?S_? cQ?? e-O_l.i O -L u . Ll2C - 'GiL ?v S ?' Ct : "• 1 ? , _ . . . ? _ rg1?t . ' - C }- ?-- - d ' _Ct"?,Q ? Cts f2i?1nC C?wti y! ?r-? 1A3__r? `4ie at+.•e 1' ? ' bf- w o (is ? DO d ce,s o'(???? e 5 e G r ?1Q ?-?a 1- o+rs 0 oS , o % ? 1 " o c ov OAr C asih e ?oVSe ? ? C? .f _- --- ' ' ' 'A'a.° ,il,r.•`T TI 8 I +. ?. .'. !?>-e.r.^ ."r- Df Y ilL-zrrr:Zl:uve`a • ONE DI EC EPEE VEH. NEAOEO MNE POSTgR.-'-- pry STgEETOR HIf1HWAY NAMEORNO r' WONE OIPECTION ,gsr[o NO .. NCREASIND DELgEASWO ILrrc M CU%E P D OC Is N e E W ? ? ? ? " _ YEb. ND YES -NO 2 _ I J ? ? L 1 ?_ _ I ? 9 Hi q.E • D PFD. L 1 AI p R O J n 1 7 ? " ? _ . PED UBTWA9GBW0 I._IlsoewALX °n Autw OtluLceX dl' JirXg DI _..IDRDe. °n ? • •-.i: ? k ? r AD .r rl n ROADSORFACE ?:•wEATHER CONTHIBU K.TINOCIRCUMSTANCES IMavlR ?? -'. .'KNta wD ••. DRUDRn t -"" T"` P11i ? ,:'?` O°'?rYCf°1°NECII'ciie J , . NO a t? [RWON[N[AD ' ??' "'^ CRY 1 f??1??-"!??_. ?{??I_ I^J_AlC41pa WIHtI OI . I?? TODfJ01FLY_ u_? ?/DO •?..?•'? r©a ? ?Ybe?irr0 'I 1RArM _ NIU[NC.O I?IJ C ?1 ??? n [M[R ?r? [ -? ? Y ?,? ? .._ LJ,? WDM .?-- Lv. ,,,I J ? I; L -? v! r,- ? ? ro ? [ '_°_ ?. ('•-, ? u1ow ? a'uR'tl ('?a (1 ? ar ? _D?unaDDNeRFN«ND . ? ? 4.v °?' ? L=I ? • J irXN ? t KAa. -1 Lm ?f dTn ICa ??-?-, IDD r-, ? -- '^(?,? ?eGm'?iegAP, ..? 1 j? ]j r oL ?ll._ 61 ' T LLT?aN y ? = ?? ° ? ? [ l-? ? ' l ( ? 1 ? a?001tlNT "- 1 t •1 _?°_l.J D wcu ' _ J-1 rr? T__??_ LJ ?? DrKnIEA[orri -- Dmulvevrl ?l, n _ r1°Xdt" OO° ° °r Aae w ?raj? an m+u oMO1nro.I n ..?-'? mvDran i? n LI n GHTCONDITIONS TRAFRC CORTflOI Vnacla".TYPEOF ROAD VEHICLE CONDITION A : •:,S06R ETY rc[XCX qR - ' ' ' . . rt? l 1 J w t vNCI! I w t KH[w DX[ M MDKI LJ° ? i ras oFiecn ?N' 1 u - LJ ? y a M _ I ii[ i? [b L ? 1 t[u [q ^ uv Aim arU?pNM 'L J 1 ( 7 kuo?irTi?i ? 1 i ?r rX)t'0? ? A/nAoIXn rO roreRnOXY »I , loo-?N4°[ Liar iIDHm I ?a?aoera,r _._-_.-__. ? D ? 1 irwNOgm[rRo a? . i- 1 I ?,.-J NL ._ I .,?r I d,NgO?M 11 ? 41NOnKIq ?r[i? ![?XNp a , =vr [ iwN.A Imo[. ? ,W?'.rlursrr tail onn°la°"r'c'I"` rw? CMEM. TE57 YN - [ MM d _ i7 L7 Kr[Gt _ _. 1 N ?? ' I [ Rr[1lUHt[ rAMlLD ©11 w ` ) T[atOMN OIKRItHCMYI 'V;[? yea) DMD[D F- - OIKXIN[ n D?O.ri?NOl"t YfnYll,.. ,OnXRIY[CrYI % % T IS 511LT8 2 ' .rlTi-"iinu e[ns / ??r?,) n.a:Xt7w?? r o. nX qK p?-y? MAD [ Kr`? (`:rwoarc.X[ ? n!.r[ 7-t / • ? erw°p NO a'0O /?I y,R[ A10uN TO aql• ur wr nrnrrlonr M I t; ; n f Il r« R) rx t I ,- I . ? ` a'J'GA9E OF WASJ79VE:TON rnue of No UNIFORM POLICE TRAFFIC COLLISION REPORT CCU! 'LA NI NVLW[N - - _ U I _-?--fNiE flF I:ULLI:iUN ! DAY OF COLLI5IGN _ TI:iL-- , SUNj? UN {5 II.U II:UII FUI SAi IB5E 2h1 U1101 I ?X 1? 2\? IUTTII M1 S L , ' - J ---- COVNII'I:O % GIIY U FII'lr,: J/?` L?1NIDAN / L_L.l_111 ) ?.LJ -' UIJIV L IDUPAL 1'ItFFIA IIO A -G - f O ' 1 ?`AIE IIOUfE CUUNIV DOAD/ CITY STMET ?L-.'?j°ji r/J,L(,/ ?o1N[nlsl'ECIFYI ?IL?:S.Tli•12?CCL O - UM11 1 , U G Ii. :Ip[ET000E p ?7 ???-C->L C,`J n C //J1 []IN L?''TY n?// cuvon rovrt fj(. ANLEC ?y?? D AOF e1V?? m r u21X Lo. rukePwr _Q ? A I AE A'iJO. UFS N[FIONIIIGIIVIAY ( IIJ(EIIGLO11141 Ylllll. GIIILEI UIUOAD a/ LL I 1__ IAM4' DIAGIIAM DATA D N ION NIEfLSF.CiIOt _ T ! e /( UCTWCCN ?lL?_L_ TNFCT ArI?C?CA ?4)?/?fiJl kFt ' -- OE T CC w CTPOE L•,?CODE LD 'JN Y. c iFn,-UUfING s`(A El Ti H(SRp I 111Ef. I TCI CIS LDFN('.f Cfi SS STNFF.T UII fiOgD !1 U .C ANU UIECIKlNr11GM IIEFCiIL -NCE UIICD 5- f I1LFT, / ??11. IES tl f-i L 1/ / / ( Vr.Lrtrr IF AI?I:UL'lG 115! VEIIICLE.VO(1CLC ?VCIItCLESICYCLE ?ONIFrimmal HITAfiVN ToT COLLISION INVOLVES' ? ? ©VEHICLE OWCCT ?VEHICLE HN1f1AIN ?S10LBNVEIIICIE OTACNO SCVENITY N O. IGLLED , OF VCIIIC: [Il 0= ?yEIIICLEJ'EDESTRD,N ?.0.1-LIGt011 ?IIAZAIIDOUOMAl ENIAL N ?POINJUNEU .IIOPENTY DMIAGE ONLY OIDECTSIF/UCKjNAN.F OF OWECI 5ITIUCK AND O'NNLIIS 14-L) .7 [?7(1yf (?? ` LOCAIIONDF OWECT S'PoCII; E EST.DAMAGL ED L! 0 onO':IAY f[er 0 LJ ? no, f.UGf s ; (na vL7i5 r a e Ln>T rinSr -.1E DRIVEF! S NANE-ST HRST NODTE nF ?ovcl-OD PLOE1 WIX, cramp j E ?) I V E siPECr nopeess R G IY SigTC \ ZN COUE ^? No. f }? j5 ? R CITY STATE ZIP CODE - PHONE NO. Id 0. ?? U 1^LIOF E O. n ? Or [1191 L ll rIgM N? ? ' ( ?-T/ATjE I `L% UAIE OF UIfilll YN. N 0. U111VErvS UCENCI: NO. STALE SEX DATE OF IfIIITIf IAU.I OAV I YD. \ , 10. - (r n;r j IIO DRIVERS OCGUYA Y FIHMNA IE DNEN. CODES > 1?1 ISL c_ss IA) SEAT BELT EJECTION - ? k_ _ IN p HY L CODES > I (J) JI 15 C SCATUELT 1 EJECTION NAIUNE OF (jr'? ,L?/ I.4JUNE^_-?/C/ / I I IATUHE OF NJ11111F.S ftT10VkU I H.YFGENE VF YENI IIY: MAKEILKJUUECIIEVI 10 l.LODrLI11ANT"NOVA1 ?S ILI. 11 M,---NV1 f O iO M11 scr . DV: V 11 TO EII.YE- IAAKE(DODGE-CHEV) MOUF LI=tltlOVAI SIVLF:12OrLGOr:V 1 v E . . l Plt?u? ?j t/ol,7rli 2r u iJ'0 +TATE ifIAILEN PLA1k M1 STATL: E VFtI CULOH L1C. PLAIF. 140. STATE iRAILL11 PLATE N0. STATE '•J IC. VII.TE N' `L'O, /V 'E /H/^f /f fO? (' L • ? ? y L VEM CU IDLNr I tAl i!I.U OIIOMEikN C VEIL ULE IOr NtIFI,^,A1 OV N ""', ""', E E E ? o -- - RCMIEI- o"INEII - IA^I "IN /??, M1IIDSLE TIEOImIm OWNCN - LAST fIHST IAIUDLE V LT? o 1N . - _ . DU G3 OF UIYNEN ADDHLSG Of O:INCN -' l file !k(a r r IIANC'L' CO ? Uq AINJNES' Uf IN - NN GII AO t AN I . . . . kN UNESS OF I.VSUIIANCF NAME CO. ON AGENT D Af f? `` ' '- _ ? Gzr.? CIIAIIOE CIIANON NO. TLNFOPCCMENi GIIAIIUE L:ITAV N tl . AcDoll ?_ ? -- -? on ?' ? C.? NA J1?; A6 FIESS & INJURIES OF PERSONS INVOLVED BE% 'ce CTATUO ?-' ?-SIT 5 ur I EJECT. C Aowm, ?? - -- ?•?-? U p I AI11I1GOi NFMOVI;IIFIIOM - wlui,ES' 11.111r"y . TD A N A., H T A I %' -_ Cfxl[S5: - NAIU(i?"Uf ?--? - ?iJf~tiIUYLU 411(SAI -. ? -?-...- IUNIfS `-- I N .ENF NV: 10 W I ' IA.E! A T fl x S A DUiff SS: G6iSkTr'1'NOM -"'?'- - IJU rrN SCI OF DY To _ DOfn:fs S' r r:nm To 1 J D l 0 E 1151A I1t5 IA CK'll fl I MI ull il LIi1.L..D It):h.AI IYrY1r,A1 1 I1 t 1 \ I_.?.N.I Z?1i4 ) ]( 11..:1.J 0 ?/ 1' O CLII ._ U10.?111.:. 1Ir,.Jloll, rv I:IA?: I.I'L 1 ! ll. TAI .('f 11F..Ut1 CI UJ tI D I .I r].L IJI C[AI I:LIi 1'tl -CI%14 L II/ 1.1(11 IAII[B 1. OII f11a U 'klI 1 I J f I'll IL Ell CM) I ITV N LINJ jI VIN llilllJ/. _`\I IIIMILU /I11.:.:ir11.INNtII 1 4 LI . Ll l"DIIE 111.CND 11L I I I E'Iv f 1._ ? J 4 I {?? I J CYO t VEHICLE DAMAGE INSTRUCTIONS. I.IN CnCI, DO%, CIRCI E THE rWhIIIEII OF EACH RNAAGED AREA. 2.5 C REA-05SLVFHCSi MPACr. 3. DRAWAiNONISI TO S,IOW PRNCIPALURECTIO14 Or FORCE. ExAixrc? _ Off"'"?? 'IF u'•"e ( ] ? y ?AYY , G , _ DAMAGED VEHICLE N O.i Nse rw ..Pnceron sKEmunG UAMAGe TO InA LnID.MOrppcvcws.e,Di DAMAGED VEHICLE N0.2 ?IFiH r i'Nlr ,?l l ID Trunk ?Pr` II? F'W I6.T k r ? \ 10 7 p ee ` IB NMerc.n I] OvENlnn n'uu 1 ID UM 1 „ ?\ iU.?. ? , ,] O nAn SEVEIIITV OF DN.IAOE: VEHICLE N0.1 F-JOISARLING.-AGE 30 OTHER M.V. DAMAGE 1 FBNCNONALDAMAOE 4(]IIODAMAGE SEVEIIITYOFDNAAGE:IOrHErIVC111CLE) I? DISABLING DAMAGE 3QORIEHMMDAMAGE 2 FUNCNONAL DNAAGE 4 A'ODAWAOE SEVEIn1Y OFI1nMAGL VEHICLE NU.Y ,?DIS-INGOAMAGE 30 OnIFHL!: ?-GE 2 FUNCTIDNALDAMAGE <F?NODIAiI _1' , ? /(1 r: i EST. UAMAGE 'rOWEDRY EST.UNAAGE TOWEDDY ESFJI-AO TOWEOpV iI •-r?-/ /. ? , To `-"].. `tb To S TO CIAGFlAM OF COLLISIO? I l l I , ,DRAW ARROW LY.'IWING I I NORTHIN CIRCLE I l i ( [{ i I ? F A?u+Dwr rurunrs w r I, ?- I l , 1 i i I .?a?Drr?D.DwAr I.- I; .I I_ I ' i I f / I .wM« mo t I I I 11 /: 1 ifr?? r 1-1-11-Jo VON -E _? r l 1 1 ?/ I .? 0 I _.1 I AS w ..j.. I.Y. i D ! _ ! :no ww Em or I f: rx i r i 3 ECr r I It ,y l i I I I I I I I ! I I I. _ _ HOW nIODAULE pI CIEOR L ? --- --- fl-J, DESCRIPTION OF DNDICATEWHATPROBABLYHAPPF.NED BEFORE. DURING AND AFTER THE CRASH. INCLUDE INFORMATION NOTONDIAGHAM,E.G.DRIVER ,COLLISION DISABIUIY, HEDUCEDVESIBIUTY,PEDES TnIINI CLOTHINGCOLOR.CONSTRUCTION OR REPAIR WORK ETC. 1' ST- /-/--J C?r'7--:: r r-fl.?--51..?C--F--'l.:! Ajs_.-./_E:". J E.._._..i,.s4._: -• _?Ci'f-?' ...+?-'?•Ff•?' .v;.?3.frr1!. _ POSITION VEH. HEADED BEFORE CO 1.13101, - MILEPDSTDIH. ' •/. ,; -_,, ?•? ON STREETOR111G11WAYNAMEORNO -- - NO.OFLN4 WONEDIRECTION 3 NOS PEED a S rE VEHICLE LEGALLY PMKED IF PA :' WASV• BCC''- NO.. ' N D E W t -.... `. , I J. ill+ CREASING INCREASING F _ ._..-.. ? II ^( zLh _ A. 1 L_ C) YF _ NO I C . YF 2 .1 F, Fl ri r ow- _ PEU/BICYCLIST WAS US NG: I? InOEW.LK\VAH(WAY 11nIWlDER ?. )cliW:'.vvAU 1CIW.LWAU( I IOCYOIEnWIE Y( IOiNEH?•'' - ' ROADSURFACE I [CK OVfI .WEATHER IWECKWfI .. >.;:.CONTRIUU 1 TINGCIRCUMSTANCE^u„ -C On[P .-I , q IuclE t g W E ;LX or o -- -DPo; E R-I ? 7 M LL j ' E? op ? WO -AR f °• ` I F o L 1 t._? ,oue a-- f 4K DE uvx am l 1 ? r f Ix ? l oP ;NO . -G, -. __ - _ - ._.._.._ - <. 3I -.1 D Dw > C) FND c. rv11 nrNED C J [:_1 lyr- Anuq ro C-? L__l ?EN.L MlndnPMKWO •, ( C - 1-` ;, rE ,°T? a C 1-1 IEA9. r I of •-1_I. E -._. -. I I .1 ... I 1 - uw L-? a' ...1 _ _. M1 1 . , .... ... r G iw _L..? 1..1 -lp .. -._ -N, . C I.. 4•:.1-_. __.. rt' - [a L.]_[._?----- --- _._ _ - I_? 0 n &OWPM' mmn,c:iaEn Onrtnla•ECnn -1 '" IMrYKnR caa i_:1 r•ASV.? n^,ncauOSroP .nnvAL 1-;1};--1 BW : ', ?- ONERIEIRCIrY, I l fuowpArlW -1 norvEOrW T 1RYrq LIGHT CONDITIONS GnOK p,R TRAFFIC CONTROL No eC! Dr. TYPEOFROAD, qE. GKOK WIE W Mn , VEHICLE CONDITION W • --SOBRIETY : CCNLDK Wr u. 1^j^'1 61pelYD W nrAblod`N [ l _._I raNUa ... l I [ 10 _.1 oHe wxr - Ni j I No -nBuum l , xo.a .. Llo? -Ay ?Mrlr6 ;JI 1?r ._ ?1 ] ? rJ ?7 r ECM _ f J I LJ..' CIIDLJ ;?,?LNIE- ] I nAlvrl ..h1. ?- .o . (, 1 .1.. WOnf ____ ( I I [„-? '•?° a ._ - ` C.)=i _.?_N __ 1-D.___-_...-..- [.. 11Ir-1 ErAgiMrIIDN •. -J ru EO Vp N- 3 ._I OA.X _-.... .._._ .... tr ruSWq L_11OU _.- r Mrn:rWY1E I.)?l.-l- _ •____-.. - I M.Uolll [ _1?1.. :, N... GH?a -7 r- H1,aoRnrrv 1 1"-' Yrrf wn RNrcRNO Tt_j 1Mlrltl f_°CH?MEr . .,r I .?M [ 7^?.? °r.__._. _. I !'f.:]' "°°"--- -j,["1 ??°?WKwD [],>? wBl?.rn _I llrrr ' br ''' ' T"i arn.L ["? "'I rwownrurr la WwlAm'a nwevurv TU.. i W- C.Id [,: MrrTn CHEM.TEST ND ] I (.:.1 a oiriuo n r"L ruicuur . u n 1 J rHD a;' t ' l ? ii ( ( (1'- A? ,m,ortrv . ] I . ... .•E,.-..I OR4n , . . ( .... . . , ._.... 1. I];..) IWLlo [ _) [_ 1 No...... f...1 t -1 II:O R[N"lo ? ,. ?'• . onwmurrrn ._._ ...• rrnrwrr?c j ExTHrna ?i a.'•urm-,mEO._ _... I '-,'... onnnlirCrii' % % TEST RESULTS 2 . X r ,CiH>'HAVlE r rillR ? nNVLNO. IYeT.6flo IVl cn::vlcruU M4l NVUV1U W W NiKMD EOw / ?WOSr.rar wnorNUVrrt uamononr c 120) T' DUIHICAIC CW'V' IOCAL UW ENTOIICEMFNr AGTNCY'9 C01'Y-71UPLICATC Gq'Y:INVCbrgAi011'D COPY Ir 't'1J: R ' I 11'L _, r fit 'vlAA?L ';y?A'?•- ky..' ??un,Im,.y rI....IRwr•71Ddq,>)F-'-•rr nm';^m? _ `n^+e ary5e ?? Y ,11 k A f r ?, J a 1 ?? i? e?5TJ?¢'ID6 b,l?, &;ak I PT STATE OF WA8H 461"61ty PAGL POLICE COMPLAINT INMOEX C COLL ? UNIFORM POLICE TRAFFI ISION REPO RT DATE OF COLLISION DAY OF COLLISIOIJ INUI1 MDN AILS WC SUN SAT - , TIME COUNTYHO CITY!,. . fHWA IBµ ILA [' U H - Y - ' 2 A 1 D 5 E Qj X I T J 'RURAL - 5 e ?STATEROUTE 'OUNTY ROAD k4 LS. - FI% ROUTEOflS1REET CODE bl'HON Q Ap/A CJ CITY SIflEE1 ?OTNERISPECIFYI er_o' / Y N I Oz- P ' L N 5 E W ?IN `}? ` GIYORTOWN W PREfI% E0. MILEPOST •'? } ' '1 C / MILER ? ? ? / F__. O y SA: . ' d 04ANE ANO.OF fl I WAY INTERSECTING WITH. STREET OR R3rB O RAMP DIAGMM DATA T ON z? e I NONINTERSEC N %O IEILRECTING5IR E CR Ap ORREF. ACCIDENT INl R r NI CUS ERENCECROSSSTREETORROAO MILEAGE x L 4 N BETWEEN _ SIREETAND STREET DISTANC DIRECT IONFROMREFEREHCEOR CRO55 TREET ILE. ?7`M1J' N?LIH 5ECI CODIHOUSE EET [JfEET OF - `r J ? COLLISION INV01,VE0: VEHICLE VEHICLE [:]VEHICLE BICYCLE OOIELT ?VEHICLERR TRAIN ?OIHERIWRTEI HIT ARUN ? SEVERITY ,NO. KILTED R k ' EHICLE TOTALNO _ ?SIOLEH VEHICLE _ NO INJURE. Y- l OF VE MIClESVEHICLE PEDESTRIAN ?NON{DECISION ?-AR000SMATE-1. _ PROPERTY DAMAGE ONLY `? - - ry OOJECi STflUCK 1'JAME OF OBJECT STRUCK ANO OWNEflSNAMEI LOCATION OF OWECTSTRUCKS E W EST. DAMAGE ,{{ IY` E v ?ROAOWAY FEET ? ? ? ? RD EDGE S . Y D V" NA T mKIST I D DRIVER'S LAME LA5T FIRST MIDDLE PT BICICUSI OR PL OE SIFIAN CHECKI i, STR CIA. D D P C E STREET -HE' E I ER STAT ODE PHONE NO. ZI CR R LRV STATE ZIP CODE PHpJE N O 1 E SEA DAI Y & R in E N DRI R . 0. H, DRI IHS UGENS NON H ?LJ ? /y 55 I M O• VE S LICENSE NO STAl SEA DATE OF BIRTH MD DAY YR. - X L P E pRIVERB OCCUPAT ON F E ON O. p DRrvENS CCLUPAII N FIRM NAME H HE 3r iY e c CODES 1G' CI ASS -- - - I%I SEATBE T._ -,-. 151 EJECTION ...... ... - CODES ]I Cin5 5 ....... MI SEAT BELT.___ _ . I51 EJECl10N NAT INJUPIR 6CF \Se ` ARE NJUFES F E BY' O T 0 M 6CE f RROMSGEHERY 1 R N OART NOVA1 StYLE (20R{ONV.1 VEH. YEAR MAKEIDOWE{HEV.I OOEL I TO VEH YEAR MAKEIDODGE-CHEV.I MODELIOART-NOVA) STYLE 1208 {ONV.I V • I OI- OY D V ITi.AF y FRWy M. E " VEH. iOLOR UC PLATE NO. Y? STATE TNAILER PLATE NO. rl , ?2 . I VD STATE si l H I VEN.CULOR LTC. PLATE NO. STATE 1RAILER PLATE NO.- STATE E VEHK: ILA IICAIK)N NUMOER _E VEHICLE ID[NTIfICAII N NUMB ODOMETER ?,?? - REGISTERED WNER-LAST. FIRST • MIDDLE REGISTERED OWNEfl- T FIRST MIDDL N S N E ADDRESS OF UWNEfl ADDRESS OF OWNER 1 2 ° NAME AN ADDRESS OF PJSUMNCECe OR AGENT Ha ME AND ADDRESS OF INSURANCE CO OR AGENT (: CH.NGE C Il A1K1NN ENF ORCEMENT CHARGE LIIAl10N9 I ACTION p? INJURIES OF PERSONS ADDRESS NAME INVOLVED cones _ 2 ' S ..s.. .. , y .. r1 \ _ 1 SE% AGE STATUS .... ...... ..... ..._ PIFrr ... NAME N T S ADDRESS L.a 01 D LR OM P-RRS Sf.FHE D TO W NAME. T 7 T AocnEss' v o R N Wxum ScINf nr To S NAM[ - S ADOAESS E E. -1. FR 'EI.E.1 OW To III &TAIUS I I A ' I%ISEAI BLLI RI 1 ?I M 1. NO151-1.0 1NOT EJECTED O R IAN ;P.5 RCYClT 2DEAD SCENE OR- GDE RNAL ?? RNONBI BIkIG IEVb NTBLIND NjUq,Y N01 INU5E U5E0 2 TOIALLYEACIED P R O OTRER DINHO d H OICN HOSPITAL U E POSSIBLE FJILIIIY UNKNOWN A O IAILYFACIED A UN-N. E e YMiNEss I'OSIl10N UN JOW 5 BEAT RELY FAAUIIC EJECTED IF ; ,r "ny ?,? L I d ?Y ? ? I I I ?iCN79" ,? L .} + T ? ' t t 4W, tYi I ' K• ,• ,N. t " 17 1 0 3?*?1±^7 tr+.r'mar? e1Krj h:, r Ir,.- Ib?1F ?3 wf ,??L? I %?+?b+1 Y a w ..E t wg+a ! n VEHICLE DAMAGE 1 IN EACH BOX ECLE THE NUMBER OF EACII DAM"??• INSTRUCTIONS; T. SHADE AREA DF SEVEREST IMPACT, 0. DRAW ARROWISI TOSHOW PRINCIPAL DIRECTION OF FORCE. OC . DAMAGED VEHICLE NO. 7 lusE TN s sPACF sox sKETCI NG DAMAGE TD 1RA-FIS MD,ppc1CL[5" ITCH DAMAGED VEHICLE N0.2 i 11. R d F r?0] S E 1 !S4 7 IS. Y-P StVERITYOFDA G EHICLENOI IT O..IU. SEVFPIIV Oi pAMAGE: IOIH E SE PITY Or OgEBMCA"GL`V N ENOU) Il p. R ?DISASL INGp GE ] ? .111 AGE 1 ? OISAML NG DAMAGE ]EI]cOTHFR M. VA . MA IE I ?DSA LING DAMAGF CL }??-I A.AEC CII UNCTION D GE S 1 ? NO DAMAGE ) ? rUN[ilOxAI UAMAGE EHI ?NODAMAGE 2 o FUNCTIONAL G`A1f A L,1 NON°AMAGf AM GE _ r TO [D_ Y ,.. "? l r, u? O MgGI TOWED OY T DAMAGE toWfO BY EST. DAMAGE ?i4 5 T i TO 4E5 TO f .Y IAGRAM OF COLLISION - DRAW ARROW SHOWING ,a rrw,uRES NORTH IN CIRCLE r T„ 1 DNIRD r r;IM. LDxD., 0x5 ? _ ? ' . ,.,BN„HMKTIDN - D YLxI ,L ..PtS,K AH? ND LHEDLIHDN r - _ DESCRIPTION O_F 1 Oc E VIIAI PROBABLY HAPPENED BEFORE DURING AND AFTER TIE CRASH. INCLUDE NFDRMA NNOTONDIAGAAM ,E.G DR VER COLLISION - `? DISABILITY. REDUCED VISIBILITY, PEOFSTn ANCLOTHING COLOR, CONSTRUCT ON ON REP AP WORK,EC.I , ITO ter. -? f ? L /?'? I \ `U ,c• I ?i_-. I 4 '" 1 A I ?c 1 7 L POSITION BEFORE COLLISION Y NO DI LANES PEEDS EN. HEADED MILE POST DIR. ON STREET OR HIGHWAY NAME OR NO IN ONE .,PC I TON . ) pEGALLY 1 Iw x "? 0• f-CPSASNG OECREASING ARKED CCCUPIEO LT '' L4 S PY 1- -- - S 7 _.: - ._.? _.. ... .. .'. _- MPH ? YES NO Yfs NO I , EU L L TO A, AL CROSSING ED SS ?W E 8 FSG F i-: OM p., Y, ,.. E C <ISTWAS USING. 1 SIDEWALK ] ALKWAY J SHOULDER CROSSWALK 6 C O ALK BICYCLE ROUTE EITHER .. ROAD SURFACE WEATHER CONTRIBUTING CIRCUMSTANCES Ro,} ACTIONS C ECK ONEI ICIECK ONEI C C ONE OR MOREI . - ' U'l( 1 v1R DRIVER DRIVER . ?, O. 2 1 O] 02 O. 5 AHEAD O CLEAR.CLOUDY UNDER INF LUFNCF OF I OF EGARDED N ERKING 'I! p _. Shey 'L . wLNCE o I B -. _o E Ci05 G F ° Ass PASSING RY wxc ?T..... ] I UNDER INF 14' APPARENTLY •N 1:- ] -.WET Rnl NA NO r L..p UGS .. .-._ E - SEE[ -- J G } TURN 1 S O l OWING -E. CFED NGTSTATED P(, S O C TO I - IMPgO E P q. IT G N IS .__.. j LOCATION 1 AlAKING - - LEFT nN 1. i ' , ICE 1 FOG NG nEAS, i I PAOPFR IM1 OPERATING G SAfE SPEED I.R. DEFE CTIVF [QUIP I'6 U TURN .. -: .. .. I .6) ( I y• TO NOT GRANT RIW OS EG S I) -' VEHICLE ., _ SOPF GOLIGNT SHOWING OTMtN ISPECI I -Oirl[N ISrtCIFYI PROPER ] IRSSnESGCROL STOP 7 "T 0 OVEOLATEONYI ) ST piOR r c LIGHT CONDITIONS RAFFICCONTRO 1 C TYPE OF ROAD VEHICLE CONDITION DOOR I ETV $1OPPEDATSI 1 ' ICN KONf INO.TVEHICLE 02 ICHECKONEORMDRF F CLE R FIICLf ICHECK ONEI I 'BI_ OR 11.1 SIGN °NAL L-. r IND. ] IIfi?LfN??`5j?DI I ND L 1 SD Lf•_ I U ONE It- i q 1 DAYLIGHT I.y W.' ] IYrO URAKES i VE IMPAIRtO}v.- I10• 1 T°Ri C°NQ III ] DAWN ']'. IFIp ] nIV 4tE ) I NII lTIV( ] IRO ABILITY INS BEAR OM NOAD kAG LI.H NOT MPA flLO.-._. KT f POSITION FLASH NG ' Ixi nCHANE•E 1 ] - g24K 4. A DEFECTIVE ] HOG EOBN [TY• I12r MERG NGIENTIKAG PfD L... LOMRAMP..- .......FLAIR-HIS UN.-- ._.. 1 1 SIR DK CHEM. TEST TRArFKI 6 1 - STOLE. S' . .._... _ I. i... l gcKINC f L G Tt0 11SMOOTRH ° K_fT [ `• AMBFfl NG LJy - .:. Auer } I SI« N T ES M1 YLU C,vHIO O N?UEI eir S t s a mx un y It 4GNAL NUNIn .?.. 1 ` D AK -NO O rKEn! -1 I 4 ?' e 1 xr:neno '_ nT mvEN tTRL[TLO { _ ADMAN r .. , -, NO DEFECTS I•I T(41 nEFUSfD I :t' •.,]i uN IVID(U -'n SrtcN Yl % TEST RESULTS '1 { ~?l?; S I WvlfIIGA IN •_.FKENtNAMI AIIgINKLK ) nApGf NQ JPOLICE DIIIA,CI1LU RIVIU ANCL iICiLOw lIt I ?' Ef I AT J III'' I: L ]100 ) W ?I 2400 [DLO .. '^ Nv1f1gATN60F1 KEpl.....RANK 1 O. GI NCI I US 0!T` UA t l ONi ,. Rnpf. "N. I DISTRIBUTION'. OR,OINALCWY: SENDTOWASHINGTON STATE PATROL-OLYMPIA,WASHINGTON 0850E l ?A Al A DUPLICATE COPY: LOCAL LAW ENFORCEMENT AGENCY'S COPY-TRIPLICATE COPY' INVESTIGATOR'S COPY 4r I? f7 ` ? r!ti- 1 I 'k 'I I [ rI 1 .; L ja TT lrl?3{ ? , 1 L ,,L? r ' r i k x_vt 4 5 5. x ?T F y !"• PI I. .. ygR ?! swl •I 1 i : "?-?J'' MOTOR'VEHICLE:-COLLISION' REPORT -..-d'! C •? c° d -;? y N0.'.;L"sEDn ?.•}.. '* : .-4 DATE Of COWS ON pAY O CO M1uSII NN r TIME OF GOLLI 510 COUNTY - O/ CITY x0 >a AM TOWN «oI ' OQ PM COUNTY CITY , LEE L E MI., n CITY; TOWN ADMCLB PREFIX ? `e Lf Ffe rs(Sn ^ / J P, yy w E SECTION OF Fp eks `? v S + ZQ h OIVENAME OF STREET, flOAO OA HIGHWAY rv x 1fi INTERSE , CnHGWIrH:STAEETOR ROAD PREFIX EO-` MILEPOST - P li.;NO)vb C:el-k ? 1?y°?• e r NON IN TERSECTIONLO ATION OF COLLISION O v t ' d7 RAMP OIAGRA A O TA y? s RFR EEN LLNo 6 CY, (J?/( ?' ? R F ' , STAFET•ANO OYI !{[((j? rew CP, zip >Jh „Ii ' y ? +r 'COOI ? ?/OZ/, Ou/ w.E,xfs Pf,ECOSf oHIOEn, rv rva uxuu+xx WE. NON X-RD I, D use INTER INTE CLS. F E E rO PE [Y sixE Tp,? W OF /1 ,L n u rl's r'?y 6CC-J (S . ?[, J '^f llgbidl_ ilel bFEC. CODE USE o?iv[wc rO?Of?L fr o Es C. iJ{ Utvl, sow ? a ' OMECIT S(T?RUCKfh,NE OC a., o wECr 3lAVCM OWNER OF OBJECTS NAME ANDADDAESS 1Nfl 0ATIWAV ?? }o C7I rCh P t yy ? y FEET (D [w] EocE 5 /Y ! /7?: Z ST NAME FIRST NAME 0. MIDDLE OflIVEPS LAST NAME ' • FIRST .... NAME . ..,. MIDDLE ...= C(.Zfl Ev[O ILLY, ierr q, STREET ADDRESS ROUTE NO.. AND BOX NO. 'CO USIU. OR ?Eol. OwO.. STREET ADDRESS Z SWEDE ROUTE,NO.ANDBO%NO. P 0 S I77 . , ox o INIUIED USE A CITY - STAT ZIP CODE DRIVERS OCCUPATION .. +AATE i- CITY .. ;. STATE Fo 17.V3-; i /n/ ::....:.. ZIP CODE Ofl1VER4000UPATtON:_ rks rL. l/ 0&//7e r -1 F.. DRIVERS LICENSE NUMBER „, STATE SIX . DATE OF BIRTH AGE DRIVERS UCENSE NUMBER lU1 -Ty- APT- AS?lOB Z ([.dry o STATE SE% DATE OF BIR(1q.:AGE, X VEHcICLE YR. MAK^E (CHEV:DOODQ MODEL(NOI -DRAW BODY STYLE R DR.) `h?? VEHICLE YR MAKE (CNEV. OODGQ MODEL (NOVA-0ART).. BOGY STYLE I2 OR). I L:'I cck , p . LICEN SE PLATE NO. .:. STATE :...TRAILER PLATE NO..::::... STA E ., 79S J,( UCENSE PLATE NO. c..STATE, ?::,.:_:.TMILER PLATE NO.- STATE ;' VEHICLE IDENTIFICATION NO.. (IMMODELS_&N EWER);1 .-AIVERIMILEIpq A -' VEHICLE pill DENTIFICATION NO: r(1SMM MODELS B'NEWEA,., ? ;, DDOMETEA IMILEADq ll._5 yozii6aa7 REGISTERED OWNER (LAET•FIRST•MIDOLEHAMQ :'. ;; UAIVEAS UCENSE NO y REGISTER ED OWNER (LASTFIF1 I OLENAMQ 5 DRIVERS UCENSENO jf lCc)`htun Te r a- ' /3 f1 , - r . uli 7f{ s5/ OWNERS ADDRESS -,. TABBY, CITY AND STACfTQ--u'I9.v :.: DAT OF BIRG4._OWNERSADORESw_.-,_,•.c._..-, ISTgEET:CRYAND STATQ ?;„•";; -pA 'Op r BfTEN:: P. O, t3ox «?a Forks L a? rE . uA T PART OF VEHICLE MAG 5,.; :'-'•,*,,, _.y,,,?; -`ice To PARTS 'OFVEMICLE,DAMAGED !/[ELI e r'° Q ,` ven ?ipl? C w. e.Jift.+.\rurL4?..w L•u:.'wY.?sIF' p EP '? $ fl ,Wk DKIF. : LIABIL ITY INSURANCE INFORMATION•VEHICLE NOT COVET4EREIN OMOBI F L BIL URARCE EF O ACCIf OUR CAR (y NAME AND ADDRESS. OF LIABIULY'INSUMNCE POUCY;NOLDEA - }C1-YES-' El NO rs3 A i bw¢+ NAMEOF WBILEIJ INSUf ANCE OOMPAE(fjj luyyly( %• nrr A. OtMam 9 ? NAME AND OgE35OF ?4 quell F?mers shs. Crc LN&U7Y:INSUMN ' * !` . CE AGENT;, • „g;?y;,l}.yJ;,,u„uR:O ,A4 SiCEin /luv![cn SOX 133?y Forks ?? ""9x'33 ?iLIA?UJTY pOL(I/CY N?UMeE/R 'IA,>r.Fyu Ala NAME TOTAL NAME INJURED ADDRESS - ' I fJ DES ? ilX;i ADDRESS I .. •. x JDJ2 OU E •c v1?, uPE +uP I HPE:1L3' -STATUS OF1 P - aM3?f MAR -FIRST ONFTIMT APPLIES;' +'y A: D E IN VEHICLE o s,su xou ppsy Cf PA43EHOEP KILLED fie+e? ,LI PFOE3TPf NO OuI? E[tpo 1 OF +ETGf ? W OOC a . - 'STATEIS OG IN 'mwk 1. MARK FIR4EONETHATAPPUE4,{A"h yO ?OP ER IN VEHICLE s+e\ O sA urq Pm9t E PASSENGER KILLED II1, ufNOP 7 'gDt4cAi'91TEN ? 5? 6? HOW NORTH BY ARROW IN CIRCL E DMAI[ O TNd q.OR .. wH T PPE Fo- r Yw O ? ru. f f m.•eA .- QPEDE3TRfAN L']1)THER V:HITE IN 6 4'. El 5? ? 0. -•,n. f)ESCRIBE BEIOW.YyNAT)IAPQEN,ED:._fREFE TO HICLES, •. • - n g, _,.E' R'C,!!4!!BE,{?, W - Y??x y_1'L?1?.?! ,,_ L I ,CIE ?4A - aH nj .!h a7LRTL 4LeYrm c k - s ''"° ""---_-_ _ VETfICLES POSITIONS REFONE COLLISION •_L E INVESTIGATED BY VEO CLE L W ON STREET OR HIGHWAY NAME OR NO O?x a", Ndv w E.EO r(wfi Or.GnIO ?Pii„ ?.DOILE _ - D f [ r! ( 61/Ow L IP?P. -,.. Ona 0 T Ef? O O O `• ?x,- x . [R . Pub URaN ? ? ? ? .LON4 oR •°• Penf,rnl,N `1AS No TrIW.:. <..... '!v. froM •.. DIRECTIDNTD DIRECTONp > +,.w,f ) Y/ O IA T-Off, ] T hr nw+?? / OH/.R I JA044RFADE WFATNfp TIGHT CONDITIONS TRWIZ CONTROL ,cwlc. p•n ! TYPE OPROAD+, DRRUWEHICLE ACTIONS tu (?7 I ?K? ?" ti,. , L?'a DAr U,iNT ((''?I („? n v x•DE? r D Moen `' I C7 D•i, , I I ?, G Z DAWN ? I (LJ KfGNALS ? I L7 ONE WAY fl I ? DOING STRAIGHT AHEAD ? "OP ?? 2 `_-11 ."CH 54 2 ? TWO WAY ? 7 ? OVERTAKING AND PASSING U Vl F, J l._? .NOW'hO ] ? I;VAt ( Nf LO ti REE ]fgLB - ? J iO f IJ ?? 1 C I '+.)• CI FlXI DIPr.ST Of [T ` GN TL"'?T 2 ? ? 1 ) ? HAKINO RIGHT 7UIDL L -?f 11 A ON ? ? 1 [, 'LA I J A _ SHING RED 1._1 I I ' } E ? MAKING LEFT TURN U 100-A., ? L nPF iYl T (f 11 F ?^' 1 t!10iP i ? 3 lJ11AS- - . 0 AMBfR ALLEY " , I A ` I ( ? MAKING DrURN C3 ? o T UMTS A ? AA Sf I WO a ?? _ GNAI A ? ! ff,A WT 9Ff. ) D `,C.(R r( 1 ', fA ? E ? SLOWING TURN J "': ,tn.. .f, l r, 4P[C Fr ?? ) ? UPA Ci WFUGMAN IANEB ? IF ? $TOPPED FOR TRAFFICi - - - f .l A LJ OTH'R SPEC PY 61PA ? 1 ? E ? STOPPED AT SIGNAL PLEFO R O S T O P ETO N ? n' ) (1 n r' r m •? /'? x ,.?1.` .?_ -f..L:?:.J?'?'1(-7'.'' ??'9!J"rfl:SNV111F?R?Am^P^ I''??. ,. ?W9l+RY^P.':!f?.?a'dT'?!c•;., ?rtr c?,r , r A IY? 1 I 1 f 55 V ,' r ?trx - MOTOR VEHICLE COLLISION REPORT NO O TE C I.- DAY OF L ISION ) E,O LI I 11 . y(0 pM M C.Y Ilb N ?i?,y? l/? LES ?, QI(R '_',' Cam' • N•,;y AOMGLS wE I% .[ an 17 [ /alt. v ? ? ? O? -G / ? n.... ,?„O F TwEETEROA00 'N•,. A ... ..N % PKEFI 'D .,,,- • ON INTERSECTION"LOCATION Or C LI !QN STREET AND ST ... T /) p 00 waAw [Aw[NNw . [[ro.. an IR[n..,,N. LAno,4 R INTER CLS [ ?Q T ? Jam/ d I - voD ? - n M •[n Iv. r[I L7 M SPEC. CODE USE n ? A,_ GT STRUC "Iww}R}}?ou[ci .Tw -„:•y E ?OF 3 C A ADOPES ,.. -? I HOB [F E -n E? ???,?J K a [., ,. O RS LA9T L STN E I.L ORIVEPS LAST N E FIR NAM MIOOLE 1'A ct?5iN r9 Ae c ?' Crsf3L3 ??-/3E1- E " EETAOORESS-.u „p. R UTE? , ..B _ STFEET,AOD f 5 ?.i:'; _.,!. .. n. v ..rvY HOUTE_ 6AND B ....0• ?7 / /C/U?7 L c- .rFO.N RT 77 i30?C n[ro : '.' ::. .,,5,' TC .nj -. 21P OOE IVE OCCU ATI_O <TY ?>) STATE •?'Z .000E ,4R E S'OCCUPAT 00(( px' _? u ? - IS+Z 8?' / rjELL _ Ns4AE:'!rj' Lr//}s,lf 9 L/?t//C ?„e' ERS LG 36.E •L STA 5 .4 TE ^ "' MBEf(?,u4,'_3 w ?„OA E N. ?A,?? 4 KZ? NOOC M c:'.1 1 e n '1 PA.1 LA .w.. -.. c Mooec 1 'Ir A-1 j? @.a " E - "- 97 cN?d cco.v ur - LICENSE .PLATE-NO..-•b? fV:y. T?AILFA"PLATO NO,, A•. " - h CF 3[,,PLATfNO - TAT6 R LER'.P TEN' v s T 9 ." / ? G.AfA}S? VEH LL OENTI ICAT[ON _NO ?yll 60-_vYP f[j... F(.O M€TERIri[c VEHICLE IGENTIFIClS I,ON NO ,?•,J?19e3y. __ 4 Q:. -'_.'{ _ _ O„E'[i?Pl., 1 ..,.? ?yg? "K 0_2 4s)/ . [Ra?,w[,__ '. kAN "-?OHNENS.L CEMIE„oNd?.??.. &A=R[GISTERap OW f !4y. ,J? sjylPply[Luw[I OR{VFR1hf.10E 9C,N0'' ? , 5 . ?. " O _ fiR .» , fsa - hIN' ?.?046,ji.^NO-3r tyy,(,y,? kDATGr."mrrcN„ aw=art ?poaESS II.L,};;^..11?Set T,,..1?',?ANy __u}y; D roP B ovr'f. .. T!°?OF VLI[ICI:L_ IWHLJrv. _ vNinu. [••lai et1i(/I:: !•1'+1x1. 1 A!?:.9flveNK.: E:D. / IA G - S" /i S P[ Aya R? EAUT LEL TYI URA CE YES. NO, -t ''yiN,• LIABILITY INSURANCE INFORMATION VEHICLE NO. 1 - COVERAGE IN EE OI E O UR CAR '- }`{'? : , n.A -. NA. SEAN, DrOORC39?,OF.?WILR%UW? .1JOLOEflr. w,y. yifY; v:t'JC -r?' a k'?-ywNAME.OF:LIA01 ?G.Ni.S..O.,R?:NNGYi G.O..,NF?? . NwNq!IMt'QoOR,E${,OIS'uweKRryts4w_?tNGt,1rjRR:9Eb!•s Yd'SiK^ ?..pft $"rt+YY,.' r ! ?!4RJE?'F?.5L4Y.NVMDER:yL'.'6.s i:O: XSb`•" Ot !'?i5[T c Tug _1.92 XS7// /G ?? ?3 Zi isci(wider??q r ..e??+,A r., P pV'?Fr wer x DIH u(ar I ?[:r._ I.rer y?.:c , e Lu.:.sIJLYl3YAOIL ?'?.'.%ii•.'?RGAIxd¢ef<^ -y,1p,Yi'F• -. S[ C .Hili[r -LL+ ?e.+. [.A:nwa?i'au'Y:[K C, NAME .Ju*}S NAME . ' A R _, IaT ADDRESS q?Kry?, f TY: TUaOF'INJU [D•._ MM TO TYIL Ep 1 aR E r r w P c. TA.ZU500.INri1R ?? Av I `"1,..o KF!"t ?;.; :?_..CLI a?;A.?.A.'..'7 l?,ih4.__. ... .. ;.r<,1&r .'..C.'? i:flP33 at+ TNAr,}'bl.'w52.+b.leC t:- O. C[f FILL[D IN Iwuw HO , nw?[h NLY[IIIGLL KILLED [ V s I[rv [I Ix?no.l wa ' 1[eaun 1 1 1 - N no OF 1-: 1? E ? g? 6? ''?? -T. IN F] so E? ;.a OW NORTH by ARROW IN CIRCLE ;i1ti p[EC?RIBGd,n6LOHA*IaMPSL1LD/;?p[F,CP4TQ?[yIOLE*'?1y NUN0[RI -NA 1.11,11, LIZ= ".1111112 N aTis! 41 - Per E r7__02T/1J/!/ -.? ,? _//77i?iCT--•3 ?7/sue E3_ _SOE/Tia!'d? W},?pAd s-----d"r? LJ f k w4 vc?+, sr c std-£/iVJ v erica M I. Y-IQCS?7?U.c%- QF.-co.?K.2r?Ti ' iBa I 1 _,. •" n. J'li 4 [..N. P.. .,.-. / ", l/ ! ? ': ?/?'I-'/?ir?.S/?1? .. t ?/?JY ..-. I ??? i,9 nv 'R , qql? •_' 7rg "' K?fi VEHICLES POSITIO DiBEFORE COLLISION , , ??w[e ??' f[anawr[G 1 } S !1 ,(. C4E [A ON STRttf OR MgNWAY NA 1. 0 O of ? I No to D[RI ©p.? ?d 'p??? t, :,' u / "aLr? ?? zi?s : O ti4 I I,' LL FROM t ?' ? P[O[fTR4N 6T00 ? Aar!?.- r 2f J=? is ?1T't".[? ??CROn1n1G ?lir ?wJ? _" ,J''? [O er UuNO . t > [ w o II?J a l?l0 eCJI ^ t / asu«r ca ,?+wr rN .L,' _.LaNr co.rdrwNn t -cowr?4L-y,?la. u;, JSPG OrnoAOa; :. ?' arn?[ni v[N 4L??TIDNe ,y?, ,ly . .N ....._-- _-.Y?nF--' -- . nr.N,.?) Iw_FNr t •- .EN [. s: ? ., LL v '?:Y •? f Mnl? wn t 1 _ DATL16Nr E, 11 ?)316NALf 1 n ONE WAY -el wo 1 GOING 1TRA16N1 AN[ AD y? ?y 1 I ORT ) NCI NINO )DAWN STOP 61GN ! TWO WAY xOV[NTARINO ANO PAa[IMO 0 x El +uY ?',',( ) WET ,? SNIT.- > C, DUfK ? > ? I.L. rfION > 1?J R[OVOn IInLE ? > ? MAKING RIGHT, TURN.-, j 7 11.:x- •p{ A O , t[T C_l A I e_DOw A? nn A CJ I-rLA U A ?IL TE"C1-,NGF E] A0 MAKING LEFT TURN 1 1"'r ( I(C''?? rLr 1?1 c[ s? "'`.nrn Y ? D raD rr ?rl 3 ? ru[NrNG AunrR ?, ? A-1 o5 Ej MAKING U-TURN '. 1 e ?. •. l? LJ rC A E-11 T lgNr, 0 A U, RR SIGNAL ? f El 11.[IT ;UMN L_J A 1-1 U FLOWING -I N tON On MOT 6tE O MntRV ! q?[CIr• T OVIICtH /ILAONAN LAM[] T ST4PPE0 FO CJ R TAAFI C --,T ,.. A... n.. ,r.... n ? ? ? 0 C] r ? ? 6 NAItO ? f ? CT S n60 N 4 ? S ? STO P[O IN I I ?? G nm a Nn IyMq?mM?? "` " "iy? r A Ak'Arr wx 4 1 f I &; _, %T ?f!.h1V ??_4??}'I"4'?{F. .,?.? ?, Mral IIS. Y IY 1 ft .. ?d'3'Fp?Y- ti{ln I' J ?+?I, r t? L,. .`? ru)&;k- 'R"^"r'1 I ? 1• ^'?} i i?i v.-msEU4.? STATE OF WASHINGTON PAGE U OF No. POLICE COMPWNT NUMBER P{ 1 NIFORM POLICE TRAFFIC COLLISION REPORT !!!! PATE OF COwSgn O o?• FAY OF COLLISION TIME T SUN 1 M011 2 IUES S WE A IIIUR 6 FRI 6 IUS % fq OUR) j / COUNIYNO /' CITY NO, l,F/^ fHWA COUNTY ?STAIE ROUTE ?CWN1Y PO AD ?CRY STREET O ApMClB. PflEFI% flOUTE Ofl 61R E E i LODE RuRM SECTION Je ei!3o6rJ ?OTHERISPECIFY) UU ..• - ? Y Q / O L E ?IN CITYORTOWN PNEFIX ED. MILE PO6T MKE9 OF ? A61 U S?s C ND. STR 'ORHIGHW INTERSECTING WITH; STREET OPflOAD 1ELL- R- DIAG AUATA T ?? 02 N V, c .- .. • Q GT'LnR MI. A v6142 W¢J 7t OH v AC CIDENT INTER N %TtU INTERSECTING STREE T qEF. Ufl _ =-R N BETWEEN MILEAGE T CIS. EflENCE CROSS STREE TOR F . 6TREET AND /•J REET OISTANC A CODE 'f O. E DDIHELT NF OM flEFERENCE OR CROS65iflEET ?MILES H S E W VrrpgElH SPECIAL CODING USE ?FEET ? OF SY. S u5ati y?gg Ji N m COLLISION INVOLVED: ? VEHICLE-VEHICLE ?VEHICLEBICYCIE ?OTIIERIWRITEI ?HIT&RUN SEVERITY NO KILLED 1 TOTALNO ?VENIC...ECT ?VEHICLERRTRAIN ?STOLEN VEHICLE f OFVEHICLES J . NO.INJURED ?VEHICLE-PEDESTRIAN CRNON-COLLISION ?HAZARDOUSMATEWAL ? PROPERTYDAMAGEONLY -?"f e?vYp x OWECT STRUCK(NAMEOF OBIECT STRUCK AND OWNERS NAME) LOCATION OF OBJECT STRUCK - EST. DAMAGE V " ?ROADWAY FEET C3 ? [:1 [-1 PO EDG ? a '" V E S OIWEflS NAIAE• T - FIRST -MIOD DRIVER'S N.-, FIRST MIDDLE TIC BICYCLIST Ofl PEDESTRIAN CHECKI ,, .,,.: ,... D. Cove Pavl o?pN1C D ` I / ?` A / : R A SIAEET ADDRESS ' TR ? , ? •: .:.,. .:_... ... S EET ADDRE65. A ! E CRY _ E ATE, ZB' CODE - PHONE NO. CITY ( R .... ... STATE '. R ( U r ...ZIP CODE.:. PHONE ND. fi - o ( on?? ?N (Y l? 4 N ERS L ICENSE FIG. ST A T E S E% GATE OF &flTH N DRIVERS LICENSE NO 0. . STATE ? ^ E /{ ^ A ./ { 8 O. R OS? C ' 3Y SE% DATE OF BIFTH M0. DAY YR I I E /( I I O onnn/J ry11 ../E_OCCUPATI N FIgM NAME PHONE NO. 2 DRIVERS OCCUPATION FIRMNAME PHONE NO. - E CODES > I]I CuU,%Y HI SEAT SECT Isl FJECigN CODES > W) IwUflr NATURE OF CLASS (%) SEAT BELT 157 ELECTION ' ??}Y?. INUt IRIE S ED I-FIE3 y ' aA .? $'°Tffi FP SCENE BY: V? TO - VEH Y A EMOVED FROM SCENE BV: TO t Y €R• . E R MANEI ECHEVJ MODELIDMTAIO AI STYLE I]DR.CON .) ` VEH. YEAR MAKEIDODGELNEV.j MODELID-NOV A] 6 U12FK NV,j v D c Q l7 D(2 v E VEH. LTC. R TE W. 0 STATE TRAILER FIAT NO. STATE E VEH. COLOR UC. PLATE NO. STATE TMIIE fl PLATE NO. STATE y (0 V1 64 I . I I + C VEHI LE K)ENTIFM:ATNJN HUMBER ...... '.. ETER d C VEHICLE IDEN11fK:ATI N NUMB 1 - • r ...,•+_ ODD ETEII?s:n "?•, ¢ y M - RE05TEgED OWNER-LAST .. FIRST _ MIDq.E - ! P ? l a N REGISTERED OWNER- ., F RST MIDpLE' . ? i o. V`IIA A) ,?e E ate O R t ADORE 95 OF WNER O el ©a?a.? ? s ADDRESG OF OWNER C •,• 'I$' ?? NAME Al ADF-l OF ?R/JI`Fco EHT D/ / ;7 l E i 70A NAMEANOADORESGOFINSURPNCE CO.ORAGENi K' C ?. - CITALgNNO. ENFORCEMENT ACT CHARGE CI ATI NN NO. Copes ' d NAME, ADDRESS & INJURIES OF PERSONS INVOLVED SE% AOE STATUS _ rvvLn z ] %U AT s EJECT. I L+ _ NAME. •? , . D P NATURE OF 1 / 1 REMOVEDFROM - xNRIF6 A.)0 A.) SCENERY' TO N. NAME I/F VVSD Yi5l?AY5T1'. T s ADtUI?BS y1/t/??, I 6 T pU(IPIFS' -f tl I ? D R ' 5 } , / SCF R : 7 TO ? w NAME: _ ADDRESS' _ N Kt IIRIE' ' I N BD OM SCFNF TO S NAME. . S ADDRESS S N L 41 o I ' P IIW S KU M2, . "- To (IIBIATUS M$ (]IBUTPQLTXJN I]I BaAIRY CLA59 TAI SEAT BELT I6I EJECTION C ]. PA6. I.NOMJURY S I. NOT INSTALLED I, NOT EJECTED O BCYCUSI y ] T.OIHEq POU1gN olt ]DEAD AT SCENE A.NpAp15A0UN0 ]DE ADONARRNAL IEVIDENTIINJUIIY ].NOT IN USE ]U 2. TOTALLY EJECTED D S OT.F E ] IBUSIAOIORCYCI I DIEDINHOSVITAL T. PoWDLEPUURY SED UNKNOWN ]PARTIALLY EJECT t UNKNOWN IF CD B WH.( E N B ON UNV1pWN 6 SEAT BELT FAILURE . EJECTED n _ + ,1 I l? C I 4 S 1 1. 1 I .. - 1 I 1 ? ! l ?h31 T - ?A?S tlt { , la1 ?? j1s ? r j, ` 1?? I I ? it F } ti ] ?? ,k{ }G ? SA f4'rno! •,oF r ??_°?rs ., ? ?i"TM"'?'?N/t„"?'?L??,'?ji"J?? yI? r 1 1µk I I Sir I 'Fti Y I f O 1 tSau _ffi uT¢ 2 sHAOE AREAO EnesTIM AcT INSTRUCTIONS' DoRAw,wROROwlsliost.ow PwNCwAL DUtECnoN OP FORCE. f, DAMAGED VEHICLE EFORBKETCw DAU ETOiwIAr:ns•I.wioRCVCLES.ETC.I DAMAGED VEHICLL NO.2 r ?', - 7 lO Hap1 I I ta.lba0 l_ - t A 1. Raol\ iK. MOI Y ?? a 16`TvJ? ? a ? to -. 16.iMk p 12 An 1 e te.UrWercArrbos , tllb o.,• o oe i 10. UrNarunWa r a f ,0 0 1T.Ov,afun rte. ' t IT.OrMVn SEVERRY OF0?1AA0EE SEYEWTY OF DAMAOE:IOMER VEHICLE) BEYEWTY OF OAMAOE:VEHICIE H0.2 , p., d 1 QDISABUNODADIaiE- ?QOTNERM.V.? AU IQpSAWNO DAMAGE DQOTHER M.V. DAMADE IQUISABUNG DAMApE 300TNE4M.V,DAMAOE 2 FUNCnONAL DAMAGE . NODAMAGE' 2 FUNCMNALDAMAGE . NODAMAGE 2 FUNCTONALDAMAGE NO OAAAAGE EST.DWAGE TOWEDBY EST. DAMAGE iOWED BY EST. DAMAGE TOWE,nAD BYIt F57 Ef. TO I: I S?D L/V TO s 10 :?:. .. i AIAOpAMOECOL11510 DRAW ARROW SHOWING " f _ -II- I I NORTH IN CIRCLE {R RD Dw L i ?' I _ _ _ 't PEOs,wArc 1 I I..L. ' . POADwA _ ? °" nou L I I I t/o?? d eA _ I e.LO ATE PA00/ALEPpNTOF I'I I I I??I i f 1 1 1 1 I IyI I- Ys° ?v Wit' DESCRIPTION& DNDICATE WHAT PROBABLY HAPPENED BEFORE WPM AND AFTERTNECMBH. INCLUDE INFORMATION 1-17 OND-r. E.6 PRRSA A ' COLLISION ?. DSAp .REWCEDMSIBIUTY•PEDCS P..IANCLOTHINGCOLOR;CONSTRUCnONORREPAIRWCWK, C.I !? , ?'? Ens mss' Q, rL3 t r 1Y { • _a -. _??' ?.v'T/? e/? . ?P e? ? _?rfJ ? ' , Cpll__ N JI1 ' > ,; PO ITI NBEFORE OL I, 1, -'-+ s - NO.OFLANEB 3- PEEDS VE IC - POST DIP. ON wiREEi ONM HWAY NAM=OR NO.•°?? IN ONE NE DIRE DWEC IL' IwBvE1° ..a .i..r•.+c tMP PARKED Ae, VFII. 1. MEAOED LE NO, INCREASING DECREASING OCCUPIED W. ..PN 3 "NYEB L 3 r 2 Ob?''ii OF''?T C l ?, ?' c• [1 (7 PED ? !_J l_J ? ?RwyNO ! ' ME-cpaTR 0.ECO,wF/p 1 - -', PED/BICYC WASUBIN6 I 9?Fw I Nlw/ L-J Rrg11 'L1 wAUt al R?ie? AW,E I I - :. ''. ROADSURFACE', WEATHF3t4,..12;...::-CONTRIS LITINGIR?C4 MSIANCES rf;-,,;,Ly,•„a I pawVY?,?EE Arna?' ORO ICNEIX ONq ICNECK (x/Fl ' pryyER f+4 ,-- KCIE yyy? Np. - 64C °fNO, 2 ND a ?' ? °e,RwrRAREAD ??-'_t?W I. ?? ?DNDED Dip-; _ O ? aGN El 0- aroY :>1 1 wEr ' o.T. cDOm am ' RID;M.t ? ? D,E kog- ?D?0 v. Q_?C D - _-O?fl Ana -- - C? KF-. •-1 FGO-- `?. , EuM (-1 I? mWPFII naj? tlR r Y.vJq DDKD,DR,;K, n c*rK IsPECrn -- RISP[C%YI- ?"? i?,eG rtaR °P°? wviDRlwip,m I! ?T? rRAr°n°EFC°Faa c LIGHTCONDITIONS TRAFFIC CONTROL-. _ACNKAE,_,TYPE OF ROAD; VEHICLECONDITION :-_ SOBRIETY ;, j,. ?a? ?T? aKwu ILKER wq t W vPKKAF -ICMEDA wEw I V[rAO 2 ICO C EO , NO. a .. ICr.E wllL- - d I?,? 9aN.uD ?, i? -AY ? AT' , N' Cwiwrurtnl 0,71 Y? II ,?=? ? !?? •1 AIYItY a atM,M . N - ...,•i----- ---- I^-?" wN __....L''_t i ____?._ ?,. .1.,.?. ?. unED _ ? IIJ P Ioa,KN r r• ° Dual _ I I nm _ _([]'L eAw 0 3L Du? Vie, rmwND x .. . V ? uw,e61oKn? ?.,.1. ? -, : nFn'wo 1...,!_? .. _ - - - _?"-.? .-/ rnrum•? wT - awro A a ? wrmvi t C n s?oNU. L_L t Arras ? C e? tureD K'D e . CHEM TEST ? el--' I Imo" LI t ('? K Cx I -?•"? . TISI OrvFN OMfA 19PECIFYI 1! ' 1 e(? O, ? r) '1 ?/'? ? AOK [CTa ' ' 1 ' Y?at RTRtAlD ". 7 ! 0 t r -df:iAfariv.? 4 r c t+asED , _ jai % % TEST RESULTS . 2 r , . r ,n,a a. IFS'. . `,, 4 t< 1:? I I?-7'A ?rV{ _II* 1 M `A 1 7 1 lI tai I ?: C I r M? F 1 1 T?? ? :? 1?: I ? ?I1I I r.rA '}•i" 1 . 1 X10^' x '`l+' +r: . ?,. .4 S??tA:n -'_p?' `: I•I?+ -+r ?;'.?', -;, ,r'"1.':, M , " .,_',,:"} 0?"""'"''"?..'""' I..+Ir.?ri'.' f ? r IF 1 FdrW' , i ??rr laj} !pro r? Y ;? . ? 3rd E _ r I/ ?TE Q? ?7171°IIa ?N.PAG }.waal`?(7. _ L' _._ ?. 1 d POLICE COMPLa NT NUMBER UNIFORM POLICE TRAFFIC COLLISION REPORT t 0 OATE OF CCLL:SeC DAV OF COLL•SIC. TIME CLUNTY [IO CITY NO -R T S i E, AtO? r0A _ __Y+. Z y?,/IM _ ITE]'0 nEU y-HI?S U SAf N'!ti HJ ): /Ous AN iRAL '..FF Z COUV.Y ?\ SiAfE NGUTE Cp{JNIY FHOAU L]CTYET-ET O ACM{IS FREFIY HOUTEOHSTREETCCOt StU.ION ,Y S LV ?O'THER (SPECIFY( r /? ?- 0 lam" L N S E V[ N LTY OR tOYrN PHtFA EO. MILEPOST INR9CCTIN G'MTH: STREET OH ROAD Ly FAMP pAGHAM DATA ,??••,, ??yy NAME 6NO.OFSTRE_TO YIGHWAY{{f---yy" I I TE I 1 I NON TERSEJT N % ACCIDENT I[ITER NJN fl0 LERSECT I 518CR ROAD OR REF.- D INLEACE INTE CIS. ERENCECROS. STHEETORHOAO V J/-'?--JA Y i N bET-KEEN `. SIRE'cTANO / SI RELT -Si, DIS fgNCFA ORECTN)N FROM FEFEREN? Ec-ESSTPEET S CI+L I.UD NG USE I y'A_FLgEi ??? N S F L Q ? OF VJ vL? I l f? / ICLE-VEHCLE VEHICLE-BICYCLE Orf1ER(WHITE) NIfLRUN 5' LPITY CCLtJSIONINVOLVEO: ???IIIVEEI ? ? ? [.O. WILLED TOT LNL) EN CLE?ORJECT ? VEHICLE RR TRAIN ?STOLFN VEHICLE NO.INJUREU , .II OF VE GLES ?? yEH CL-PEDESTRIAN ?NCN COLLLSICN ? HAZARDOUS MATERIAL ?,,"FERrYDAMAGEONLY CBJECi5T9LCKIVAME OF OKItGT STHUKAN00WNERS NAME(. LOCATION OF OBJECT STRUCK EST.DAMgGE 1? ?R OADWAY FEET ? ?? ? f01U. EIRE IN F DH:V'cR5 vUAE lASi rIRST MIDULE - DRIVERS NAME-LAST FIRSTMIOOLt 1 F &ClCL45T JR PELE9TNAM CHECK) 'b I ?sc?,e ?_d A STREET AO?DAEr9?s ? ` STREET AOO:it.3 v4S E CI r STATE ZIP 06F PHONE NO. RE CITY STATE EIP CODE FRONE W. LL uoe? C21 .fi fi N. DRI EF'.VLICEN9E NO. STATE. SEX I DATE OF El rH N DRIVERS LICENSE NO. STATE SEX DATE OF S RTH 0. np. yv Q• IAO. DA'! rR: s 7 RIVER. OCCUPATI FIRM NAME i'.. '1 PM NEN 6.HCN DRIVERS OCCUPATION FIRM NgnIc t3N ee P CODES > I?1 wunr ElECnon CODE$ > Pr I:uuHr N) Is) #" CLASS SEATBELT IBI ClgSS SEAT UELT EJECTION ATUREOF )A) NATURED INJUPt£3 -FIE. RE.-Ve. OVED - AROMSCENF9r' TO FROM SCENE RV: " TO , VEH,YEAR,R, MAKEIOODGE.CMEV)' MOOELIDAATNO'VA) STYLEIZD-ONVJ VEN YEAH MAKE(GODGE{REV.) , MODEL( DART NOVA) STYLE 12Dn.CONV) • :) Hr { E V 'C 7J `p V / L?•2_ ? ?/ • • iCf '•7 v 1 VA"'kS tlA 3' E \ M COLOR -.; UG PLATE NV. " STATE T-LER PLATE NO,. STA E E VEH,COLOR' UC. PLAIE NO. - STATE :.; TRAILER PLATE NO:. STATE , , C vEHICIE .NUFlCAtION NUMBER., ?,. ;;?,.1, .,:; O METER C .'. VEHICLE IOENTIFICATI N NUMB ,,, ODOMETER,., L V 72 7-7-2 "J HEGISTEREp?01 ,nU1-LASTFIRST.., MtODLE. HEGI9TEREO OWNER-UST „ FRST MOOIE V <.. '' I O.' 7GY '' N ADORE9s CF ONNER .,.'. .. C. ADDRESS OF O'NNER .-:. •.: .,. L L- 2 NAME ANDAWRESS OFINSUPANCE CO. CH AGENT - t1AMEAND CE CO OR AGENT - ' -_ ._.. .: CTtATIONNO ENFORCEMENT CNAROE CITATI HNO. OIAR- . - ACTION - Y 6'?:.. NAME, ADDRESS & INJURIES OF PERSONS INVOLVED c-'s - ?s ?' S C SEX AGE 9TAi119 _ EJECT, 'r' NAME: _ C ADDRESS U rI TUREOF -- p INri1HIE3, jc?N v;prnnM TO A NAME _ ?. T AOfIRESS. S NA, IJHF Fg F IICr ?E tFjv FlF.M TO •} W NAME: rt T.. ADOHESS _ __ A Vl, N NJUN?FH <C' W:V Fn$?` : L To t,,11 f 111 E AJ:GPf.F. y T N zl i ,fault' S• -a- To " L ttkk,', :£ . ? } Y?,/ Iil:•r iv9 (:1=•LAI 1'O^J:IJN JI' v rL \ IAl iAAI IICLr I.VIE,EC:`CXr -.) v lr{?? a 4' I TI'RSS.. EN I Ntll.lJUI S, DLS Il GIfIJURY 1, Not ,f. IN9TAI.Ll ROT EJECTED TT f1AT F BIKT -U AU[M >. UflrI USE t1DTM1YP ER • 1? U4l tT V 1P' I ` /. DTIR-o. ION J UE AUO'I AH •/AL fYDF INJURY t LEED STAN AI I.Y EJECTED T Ill IUEDNIH05VITAL T.IIDS.JHLE I!IJVRY 1VRNOIYN U NGWi11F _ l .FN •? + Y I E DN1111f,w I11_d_] IOU AOr01 CYf.IFI A l?j R,I`OMIION UNKNOWY Intw.ELi PAIL IJ I.JEcrrO ,•/. mL . .. vFt-HClcnAlu Are P ? 1 ?Ylr r? ry WPUCAiI! COPY. LOCALLAWENT WAYHIIGMRSTA TE PATHOI.-OLYM%A,LVA•.nI!tOTON OPaDA ORCCMENi AOfNCY'SL•CPY-TNPLICATE COPY. INYESTIOArONSCOPY INSTRUCTIONS: 2. SHaDEA.1ECr EEVEPESE MP?CiVE CACn DAMxEp}RPI: -?, I?aM _ J_OF-ARHUWISI rOS OW PWN'CIPAL gREcm,, OF FOPCE. Q rJ ??t ?a WACED VEHICLE NU.1 USE iN 15PACE FCR SnGif,"IM1GORMAGE (OiM E15,MOi0RCVCLES, EtC / (- V _ la H°P,1 I DAMAGED VEHICLE 402 ??I '?, lU",P TTU?, ..`?-•a. ?.? .1I a u'ewu«??m . 61, S , :wn AIINGDAMAGE VEHC E O.I Sf E YC AAIA4 IOiMER VEH CIEs SfVERI YUFD O EHCL O2 T ? I FUNCTIOAMGE Q J OiheflM V DAMAGE IQq 'UNODAM C.E .AGE [I " a OTHEHMV.DAM 1 OUAdUN00PM FUNCTIONALL`AMAGE ? AGE J ()NODaMAu aQOR1ER!A.V:DPMPGE _ FUNC110NALO AMAGE TO'HEDa ii EST.UAAIAGE " A[-INOOAAIAGE 2QFUNCTIOf1AL OA+.IAGE afTNO DAM}GE T _-OWED by Al n _TA ?i'E; W EDeMAGE 1 . , - ES[. DAMAGE TOI-rirj-'L,S S6a,41 1 ° -.,,,,,y t• y o - i . Tp S UTAURAM OF COLLISION. n; .. - ?I^. L I- DRAW ARROW SHOWING $ ? 5 - "onr..EAruRE° I yT.,? 7 NORTH IN CIRCLE I }Aa• ? wb? 5 . 5 s?aowAr ?aL ?J ?L ?14 r•r t- ? 1 ? ?/-??-??J Da LOCAL I - r E HUae°LER}NTOF , A wCi Sari I I - 7 r . I j _-?. - t TAZZ 11 - \ a .PC K DA M ?dNS E 1 I I- i i_1 n .7 I l j '? I ! , DESCRIPTION OF 'Ll '.-COLLI S ION 'OLSABI4TEY HtDUCE O VIS NIL?ry , PECESTR AN CLO MWUCOLOR CEONSiFUCTONOF gEPA,R WONK, ETC.j OTONDIAORaM,EZL.ORrvER ,v .. ? ` ? ? 1 } tti52S1D.4-0 ' 'f2 - ? •?Yzlieu_?cukYlt.._?.9J?Covw _o,+lp I.d_?_f2.1, GI.U•ue Gar : _.-ces?,D:I? l?sc;YTQC2 - } -.7 Wy ..?:..51??•?LT.?';TC-._?i` LC AL?Q,. }.L ?w? rf_LZ1.1-j f17:L .t r. LSD V'•1G ?^?r e-. } I G't ZI. G/i Cr_-['LT.r _. `T.'G f..`L2•,G 04? 4?o fv1UL??0. o? -- ~ 1???• ? ?? ? _ ..- . ,{ O ?_W p L1? ?2q-12tcC y-? C?_rY1:R' SLIU.QTG Sl » j- ?? l1-%-.-sue m. ? 4uo?lMlLtt <4'? `? 'l JF ._ ..l... GzC S :a.'?. ..7 vim. PD TION BEFOR COLT(SNO • VEH HEADED OF LA . . . NES NO SPEEO.R VENICIE FPARAEO MILE POST dH ONSTREETOR MIGhNArttAMEGft.lO. " " •' INONE OIRECTON INCRE,V$ DECREASPq ... Np TEO SefS PW LEGPILY IYIPS VEM . ' PMKEp 0 1;%EO W __.! ? LO A zlieih FAIL ? _ •L3_ van A YES NO YES NONO FEU SlREET Z-Ce^ aR E?! E j + V I EPDM ' PED/WCYCUST WASUSLVO L-.-isoE f. 'Iw L_ly,gp ?? E wr 1 Uw - --?0 ,-- • AD - ° irT ' A . IE ,RO SURFACE.I omEfl .: -,WEATHER .,,L ,.:;..;: .s?,•,-,;},CONTRIDUTING CIRCUMSTANCES •- ' C a"R Icn[c 5£w CY P ACtpn° . , ? t E W+[ ; ) W ?? ?,?Z pwFR I?r,EC% E OR -AEI.. ' ?Y .vvec Or J InuulwF TNwa 1 ouaw.0 "NO' -' a?/ `? :m eNe t? eAr .:. r ? '•. ? I9 UN wa ENCE On ? I a ? n= °' AAEAILI 1 LJ 00 ! IX•1] , ^ ° ?_-.? J a CTI,- rt I LL b!' °..?? J _ °,µ T ? ?' , OTn°avEC6 r om alrarrt '-le?, P ?-•.EETOr r=a "--'- ev ; -1 ° E ° l l° I MS? forr ?>?J „«xEq gI U GHTCONDITIONS ;TRAfRC UONTASL- ",vncee ,; TTPE CNOFE ROAD: :.VEHICLE CONDITION -SODRIETY rc .D'?n Yer«ce ! ND __ a"EC° r . . rn wPEi ar 'rvE.+c e .A4M1.` . mm w "_ - ?° ° " k l sa N Icnec. avq LJ r c soNra one Gon 1 r l L I E war Ro _ I r r _` y-I_- ? weave l? , am s J_wr t `i' Two r? >rvE - 1 -T - ( 1 L _-C ? . ' _ _; , I - n[ w?O C,, 1 urne -, ? ? ,? rq Aq[, ___ I ( AR Da09rlon . I I e ? ? m°' J ? l, ('i' SST , I ooa «. I I pP ._ .__. IR!nKI _ ' o r°ae°T "" ^'° w.rlvr . E,H rrtuwfo cPlveR _ ADA °*w•a . ) own CHEM. TE ST ; _ n IPr,?T'OtUnrA , IiaC `I! rrtL,OM o L EH,. Cl- r. /"1 Yt° ! w.,rAOi° h?a! u!c ?Dir•,nI•?1. ' i 4a 76 TEST RESULTS 2 W _ JAL Cr.K,A.SNauea .". ?t 1 _.-? r,?e?. U11 ° -CJ?P uMloHar,T r ANlobr X C4 I:?OU ION OH NAL COPY' SF'AD tO' 1 E. It v0 rep 169 ?Ij. X o N F [H s.r 1 VE°00 PR u r 9 pAVAUfi D,k cou+rYf .., aTY. rowN.,.... f ML-2(? Grr rowN. :.... .r forlr (Er c^. sECtaN I+ - - 61e12am 8 p(?pDFForks 1A3 ,0• v:v,n:fiVENNAEOFSTPEET, ROADORHIOHWAYr,ci..i <!:.. WTFPSECTWOWITH: 9TREETOR ROAD'..::, PPEFq EO ,MEP091 ?y/ ?,r?e, ?,r„i 9 xcDHMD Hogachiel Riv r road (North). at end of old road: {rJY'+ NONINTERSECTION...,;NO DOLL N RAMP gAORAM DATA ?• ,E. ? a E. 5h (•'•.tr 4y y DETWEEN STREETAND STREET -, ' + ?~ r.'r' i. 1:tiA •'b1 ', , , i O iENOi N HFww(r.HOUm (AUbERBRDDf. NON %flD trop °tlA l`? Ond Of r0$ ? © AAObca014n¢MREro9TOn OEnTi (An INTER INTER Ot PN(nEKEl CFO!!]TM '? ° ' %y -TER]fca „Er ©® ,At trailhead'of Hogachiel backpack trail ? ? as Roq-n IRy3( -o[usd.wwAV( ° ?V(.?LE?vEnGIE ov[nKLE -- ?OMERIwN[E .a7.n- ene roa ave SPEC COOEUS 1 HD[(! > I-?p,D RD•wo..lw, 0wpy, under wheels. .- :F OWECTSTRUCK MANFIOEDeIK14rAUCK1 .. - OWNEROFOWEOTSNMIE MDAOORESS • LOCATION . .. IN ROADWAY IFFY ?©..,IG^4.r'wo?eIENL`i It k _ r • • IE 40nE MM It IF n DRIVEAs,-,TNAME .....: FD NAME - MIome TIwD'w! ONWERSIASTNAME. FIRST NAME MDDLE. ••;•.• •z.•?.. wE•C wv0.VF0 FOLSOM Tyler C. cauaon oR re R, A 5TREETADOpE33 . .. .. .., ROWENO. MOBO%NO. WPE T.. ivM STREETADDRESS ROUTENOANOeO%NO. 15016 SE 51st Street_ I-E V CITY- ;.-STATE .1 JPCOOE ORIVERSOCGUPARON IECIXLId+M CITY BiATE EI=M ORP R 000UPATION W Y Bellevue, WA 98006 Oral Surgeon R[°°XTiORM N f - --: -1`.' MIVERSLK;FHSENW[SER:. ........ STATE SE% DALE oD I AGE OHNFA9IKFNSE NUAISER STATE sE% DATEOF&RTH, AOE OLSOTC96NK 47A 1C ` 0 2 58 n V IXI YR, AMItE1CNEV.•000DEI: AKIOEI.INOVA-0ARTI.[',-, IbDYSTYLE11DR1 .:' VEHK'•cYR.. MAKEICMEV: DODOEI. MOCELINOVA•DARO BODY STYLEII OR) V$? ' .1979 DODGE Ramcharger 2DR-Utility - ?'A", ?.! ' LICENSE PLATENO.; STATE _:.,„ 1tWLERPUTE NO,, ,. r,SfATE;__ ..OCENSE PLAT ENO . ,STATE.. , '. TFUULERPLATENO. STATE URH 519 WA ;' VEHI IDENTDICATQNNq _. .,...,.(1p1/MO0EL91NEWERI IR+ODOMETER IMAEAOEI VEHICLE IDENTIF1CAMNt1O...-. ,l[DOSMODEI..BNEWER/ METEA:lM4.F l0E ,. AlOJF9Cil8723 1210.9 ' +ti •. PEOISTEPEDOYR[Eli?.r.h,.ILASfiF[Sf?L110p1.ENAMEI':. w .+i+ir:iDRNEIISLM:EN5EN0....?.., RENSM1e,ON4ER:,.'_ ILh9T.FIR9T.MI00lENIMEI' .::_..: :i. WVFA9LICEN9E[1D.. rc. t :' OLSOM,TylerCiPhyllis E. LSOTC96NK & FOLSO E792M9 OWN_AOORE9S: S,,,••?,L- :..ISTREET CRYAN09TATE? Y' OATEOFgRM [WNEnS AGGRESS...;'-•, ISR[EET CITY MOSTATEI OATEOF BRTH ?i 15016 SE 51st Street Bellevue WA g° °? PMTSOFVEMIClE0AMA0ED ,21..:.,_,.,..%S-{'LL...S-.1e ART9OFVEHK]EDAAVOED u...?.. _ A W T ERE AUTO TOMO STE%LERAN MCE Ad LIABILITY INSURANCEINFORMAIION-VEHICLE NO. 1- $ro WASRE wE OR"Hl[ITYNSU I.FTYINW rouRCM ^- M4 J?-t?YES ?"NO r• , ' NAMEMDAOq ES90FyABU(YP9 MAA CEPDLCYNOLDER v?^^ A ITArE yr, ;/WAEOF UABInYRa RANCECOA4ANY ?. - »•<:{ 1s 1bovA-1. pnited Services Auto. Assoc NAMEMDADORE590P INSURANCE"EM>:_ L „-.. .... ptY -..'.- ;.•„-'.!_i! ... 'UABIUfYPOLK:Y NUMBER ?,,,...... - , .' United °B3Auto.obile Assoc USM Bld .San Antonio Texas 1010 7 84U 101 ' - rFR[PoPtFORADeiKF"A.LNAFSI e-` 5T NJURY LV 1 ADE INOW U_RY J i:. - - ^ 'I' "AOE ' NAME ....a. wNPfD grelnira,NME .. '.ADOf1ESS .SE% ADDPES? M E r ND AKws nAWe] 1.R ?1t waArt9PEONriE ®? OO??OTtl ___ L?J A4in.Tipn EV.[DOCIpIr ? a 1M . [fAUw qN•v AtACiDM ?. . • • •, STATU90IINAFED ; KFMST ONEIHATAPPLIES ..- 9TAIU90FNJURED MMK FRST pJEIIMTAPPUES :. , 'O WVENIGE 0[l . Nov DaA- ws E O- WYEf•ClE IX[.FtM NwmFwo . ?M wAn ?.. MAD I+•MRfI WYIOPI I?G,M°MAIETC IT ?ffPt] KIlLEO 1 KMVR INVKKn POI wp''i[F CI t I 'OOTMTR WRITCAN 0 50 e? 7? DI R .c nrtl.nl ? 5? 80 70 sti ' S[ OWNORTHMARROWNCRCLE OE900BE BELOWMMAi14PPENED DIFFER TO YFWCIESSYMMB[ip. Pol MOC ErK.,.w O I We had taken our son $E friend tq ttai]ead? ! MdlrtW 14,tICil ai fix, ' ! eta" ?,TD? \ Bogachiel backpack trail on the north side of E the BoEachiel River and had driven to. the end o x =T ^?? tfie old road. Tha road had been rain-softened 1 '-------"°"" and when we started too back rip to a dace where }y, -- , sre o aturn around, t the edge of the road T ---?' r „co ,speed. The car rol3ed down a s eel 15 1et hgli and-c`ame?o reat?in the-- ver, on P. drivrvs or aria side a6ou 3 t from the i ?IDD A _ / I I E*b edge and-Sti abbot 3'fbit of water. Wo'k'earned-later-that-th6-road'had-bve washed 1 -ahead of where we stopped and that the pla:de we f did stop'was-in danger of-washouc-also: ---- ?. VEHICLES POSITIONS BEFORE COLLISION 4onL•A(! .u.cu vfACU n.An,.°wu INv93TIo DBY A WI IE04LY ]ifHOID lIONLY.AptO WHKI[oCNKO lTATE DBY VfHK:IE N S [ W W STREET OR HIGH WAY NAME OR NO DA[crOn [• K! NO f MO ®IAMOL OFDUC• DMA O ? O ? ? O ? ? ? ? ?:D„FF 0=1' DT KM O 000 O ? 0 ? ? ? ? •MRO ; w W Tlmn O O 0 ? ALONG - Aouwo mom DIRECTION To ' DIRECTION a .??t nl M tSl•MW/SUNNO 10NOEWNK 20WKKWAY OOaIOMOFR •0? w4K /? ?NRpiiw'0K e00THEn u wHD ++1? L IgAp SUNfAtE. YIEATNER LgNiCCMdT10H5 1MFFI000NTROL IMCKD,fI TYPEOF POIO ?. ,KMH D'I"ERRIEHICLl ? '" y ? vIMFD. Dr,11 v'GM! b "CU?D] OA'NWII• VtKE[ ,CNKK Ont Oi MOMI Y{-'L„? 11''j' F 1 .??JI 1 DAYLIGHT 1 510,145 1 ONE WAY 0 1 0 OONO STRAIOIIT MEAD MJ?h ''• I , 1 <L..+(,_rM f:? ?I ? A y ?• ,( ODRY 7?RNMNTI 1 0 DAWN 0 T 0 STOP ww 0 r 0 TWO WAY ? 1 0 OVERTAKING AND PMSINO ,:(LI „ I 1 ':? }• 0 1 (Mf It ! OYIOWI O 1 0 DUSK 0 O 0 YIELD wiN ? O ? RR"Em OAD s..E 0 0 0 MAKDEOnOM TURN v'°RM1C ,;?1 J i 1 ?? 1 ] MOW DMIK SinEEf N )) 4 ? ?E • 0,on • ? LONTS ON 0 • 0 nAs.,Na RAO ? • ?IENCHANOE 0 E ? MAKWD LEFT R111N al y 0 ! f O'c ! 01D. ! ? LDAN', 5-ET ? ! ? IV.SM.A -E,, ? / ? uLCY 0 1 ? 4ANIN0 U•TURN R! I { 011 I ,,If' ? ? 51YCI.Y • ? StnEEETOlOHTS ? 1 0 M NG1AL ? e 0 TWO WAY VNF.S ?? 0/ ?0 aoSTOPPfO W+ND FOR TRAFF } f1EA,.ON FOR NOT SEE.IOD+hDEA OF- '[GFY ? / ? O,fICFR.FLAOMM ICl,I ul T , LY - y 7 Nw,[ No r .LIKw ? a Un?amliar wit g' arOA, ? • ? oMfA TP(GfY 0 [ 0 fIMATfD ? 1 ? StoPPEOAT AMAL LNI SroF aD" ' first time in this region. ? 1 X0 gYD[D ? E ? STOFMONFOADWAY ZtI, V f l TT [ NOM IFG m 7 V(dV10[D ? 10 ?eTMTMM LJ TNMFICLM[ % [IMS]N.Me ZY.. :..V t :fiL{'Y w` 'IS •YIC ADDR[eir 11 Y• _ f P " ]' ?•. .,L AOI ? [f 0 PAPE? gIKW t aboV e• : ? 11. O TMR j,r - - I" IYti I ly`?t}Y I '"?'1 ?- In'S r... ;:?^.?^w,ir'y- 'aY•'},?"9. ,._. ;.'i .? . C?.sFE:I!'?FUSTf•?•••. I Ih, a { I + i •A?{ T r L rl, t n a f "MI x R,,,..i.._.... .-.., ate.... ..,.._ ......_. . ......._ ....,,. ..._..u?_..; ?a? w....... .... r `. 1 I r c LA Tt' r I I t 5 1 t I POLICE TRAFFIC COLLISION REPORT TRAFfICWAY Z raKt comlwNlNUmue PRIVATE WAY _Dyllb f al l. a - Ilene <oONrr .. _ A/ 2. ? 1 f? ?s LI I I ,.INIb I I. ,.I I?EJ.I - rte/ / A/., _ ' ? P tDW CIn NO. ?rNMA Z ?N ?e ?IN c roe towN NwmlaNO bstn(loe NCNwwr 7-- ?5 w OF i,vto or, 5 INTEeYCI NO w,IN SteE lOp wp NONINI-CIGN ra noun ae Tlxf a5ooo / `? .[TVnlN bSTwNGIa 1e eOm eN e{NC CV t t Fr'Oir ?! 2. P, rl \J /V S . OSSS p((T 1 ACCIDENT M.15 ?. rln OF 5 N'?D MILEAGE COINSiOHINVbv[D CODE e v -,A -R- TOTAL NO O NO[-il1ID_NDINNeID? ?YjADI ?. 5b(N r.my'jM ( . OI ViN CI[S ppO.Felr nAMAO[ONIr I'" l QS IaaasSIRETO..pf1A0p epMnpfgrlgNC! RD ? ? ? e oancrstvuc.INAMEd oax teIK. ANDOwN s.w•II lsr DAmACI sncw eopr+D SCe - f rvle'SNwml UNIT NO.Ir Sr UNIT NO.T ? VECLE f4DFSTRIAN HI ? ?PEDAlCYC115T E TN[T ADne1S5 PO.B 2Q7 vStt ADDe[SS Z r STATE r.c NpryE NO D i Twn I L!/LGD??' 7 1e 511ClNY NO St I 7 A E 7y/?ct?mK3a6Ck u?q, m b i2 " I ll INYNO Al DA .IN Z NT ? ! eNt °C(u' 10N / '" ?l(/CQL??E? ? R AT- 1-NAME.-NO j . ? CHECK (4 vlN cll. w.-Ylr ANO1NIV'v + ?CHECK(.,) vrNKU wsAN wT : p ?7 CODES? ] c + S ! A „o Sn.r ..-. N las CODES III, + 7 c, ' S rxT.xr p ?.c.n. Z IN OA7 ? ..MT ? ? NN . t wv -CNfvl y ? FS... ? N..n NoD EI DwvT NDVwI s?. [ '4 1 NFLFFll ?.ma ? <'. ? :lx. • 7 r l , 1 C v ^ _ E 1 1 AI 1 a cy Te sun wue. Awnw IT.I H w A vlNxu lpK,tKxr C l/L .-IFE. w.x. I ? D I E NI Iel N I I wl r mlDwe 'N?ILL° Iron NO O wr rrsr wlxwlssbowNr. 2 N NAmla lrlablNSlrAr.cuo a . '? - ?YWtii.U.f/d oAel• pA :c E R ...nwx s • • H T o. . mwrxoc AwlMir ?HMNUD (r .lo. A,.eQ iovno ? 1 f ar? ? Towtosr G11 nD? A .1 f AWAY DIAGR f COLLISIO rxs.rn w T Lw".' IF n . DykKIZIPTIONOFCIXIISION; I-Y.nl uL.n.Ma55JU) PI - .11" - I -V ?c?l diz$?ru?d c ?i4Asib, SCc4.E--OtI?K_ . t i-.?-i E?h-20 ? El._ A7,Q?GL?1l?R?321(Sa,E? ?D.C77,tI _ , AME. ADDRESS IF INJURIES OF PERSONS I OCCUPANTS /WITNESSES 1 ode w :i? - NVOLVED' 'CODES 1 7 9 ? 3 6 - ^ D N • w r 1 . oIm u ¦sn a r. A M,rIN - Wr _.__. N Id . p. •M . ?W. ? nN . ?7. ?t.N,. A . ? DDT„_?? r r.rl.ib .. N?i..w ?AAU ?u[I ?'°.wxr?w ?w . m.S ".1° x.r ?.w ?.`I?11"4 .. ?. '( a •N• " n' f?rD ra n Dena nlo.T .l.po„n.? o.l x I rn l? 6 J ,n ti lA?. a&?? .ter "'? k T ' } I r I w S r c +? ,S i I ? EJ ? I .. .IS. ., Z ? F ? t - . ???? '? ? ? _. rswl n' _ I I I 'i i . _ __ i i I .. ?.\? ----? N I ( ? d O ? '1 ?J cC , Z ' l W . . j.? i .. O ' i U O I ?; U O M of O I rn o r- N i M. O (Q ?? F- .4' (tl_ j V ? ? . i ? i ,J/ i .. t i h. j i . ./!i.. -? v>.??1;?; ,J?4t1 +r? ?. iti ;,??:^,v r'? n'. ? r e? ? "?? n ????,i?+ ? 1? r?rj5 ?` ? ,,? nn y?an ?,?,P :r ., ,i „u??. ,?' _. x`,:`kti .??,,,..? v ...? quo-. i D r s ' RAFFICWAY' POLICE TRAFFIC CO ON REPORT XT Polk nA NiNUMaFq[ ! / , PRIVATE WAY 0 oreou a eo n,r ' ?f} • . 1u i. -lui. Iu3[ •00 NOUeI u ?-E- /` 1 COU IY CI,r NU. I,w.A URAI [ C Y09 TOwrv flNO MSIVtN 04 NAGN 9( ZSI °I" Q ' ow t3 °•S f !lc c vE t?Yu/c? fo, { 3 % °W23 GN ? l D r? ON / fRStC1ING N,In: 51Rtt1.1-D NONIN,fRSf v <1o ^- e[rwttN'-'^ #i0! S,enr a?? ? q[rl; [ ,i Mllf q03, /`•///? D. 50 . / (v DR t rFRN .CROSS t51MIlt ACCIDENT q.Mll[S s (a11/D/ •I+ r{F, fSr+I( MILEAGE f W o' CODE R P DIAGRAM P•IA COIIISKSrv NVOIVfD [R 1v ,! NO I RLED_ND. IN1V+tD? ?SNIIAGE ?NTagVN wNNDtlv1A4 IO,A, NO bVlNClfs e014+!YDAMAGIONLY ?TIRE 0 ?v!a[{ IN IN RD - tv 1 R(fl RgpApOR,nrFRtNCf M[ OM CROSSSTRE[I OAp D TS OBItCI SiPUCA IN N,[OE [Ci S,RUC'<?HDOWrv[95 wJAf1 Isl. 4NAGt SRFCUI CODING USE UNIT NO. 1 UNIT N1 2 DRwlRS NAMt Q VEHICLE ? PEDESTRIAN ? PEDAICVGLIST 24 I , ID I 1 NER'S NAME N51 1 srRlu ADORtss D ,+lf1 ADDeess cay ATE et I U R OeCUPATIDN MNAMIaggNINO0L OCHECK NIf N Y' C) CHECK (?1 NOFE OR .. CODES 1-* 7 < S Cl.N 6 Q .,,.w.N[1 Q '' ° -ell ? ; ,. • 3 o ;n7^' ? .,.SVI 41 EB:n °vt ? °L.,. ° nl n • r MA e?I II entvl 87 RIL% n •1 snlepoge ,?}}JC1?.NOV f E r D vAI l d O _ ? sA,IuRn•nno suf H vln R l 1D RNKI IDtMIlICA1KNgrq 14 rvl 6 -Pubs 1:333 nasn+toowrve+ IAS1 nesr IDDU P ? L v[nI Ill N I I I I noN'NO O wNlR ,ws1 rnv s ADD+ISS a ownu W N A t E NAMIawwlssalnsueANaco aACIN, /1 7?ur?lAL a dJ r/D rJ / t/ u DAASA i ARIA ,.N?yc ' gAM•W MGR vN[,.pNN CN Du ?"/ NA•GE e,arDiN 1 o, > •G` wl?ii ?+IMAINIO ? ADSW?.Y ?+EM•INID I r?DAMA t a DR I Oii 3 C ?OT S rOWIDeY, W4 Z4<16416(s ? A_=l I w•r er f DIAG FCO 1151 ,'" rNieMiRrl Nele:lioYO°i'" DESCR IP71ON OF COLLISION: IVSlsvne[uNru aNlnnNlvssAerl "?xees 00? --?t/LL,CoAD LE?TLkGG!/6-_ Uc fi?/T.LLfr¢F??S 7U--- ?e 1124 NAME, ADDRESS 6 INJURIES OF PERSONS I NVOLVED *CODES I - Z 3 4 5 6 OCCUPANTS / WITNESSES ILM1f sanlMfNla sw rOR MD',.ON.1 N•AU .MS n f3 - . .. slv AGI IAruS v1. 'N ' n 311 fACI . Darn A'ti° o' •M a EYI"' ° " . °; C3LY A NO • Dans NyuR a R aoY D r. Q.Me ° ra<3 °LA . Q ? Q :°. . DD.n u,a•A..c O•rKU3N..u •.m ".',? fir K 3 r r. Q.,.e ?F °'"' °['Dm• ;;:" ° ::',,. a.oct D• wr"c, Oc[DS••¢"lo ru<un•no o.nc nro• ARr•OVIDer o•n Ar 1 V I ! ? r Fml??,%,. •iWY: k?3 rv??A Fem. Y., Al 'AW5 t ? +kG a ??Arh ? ` J r ? r u 1 f ( . I' II3 f rI-7??v r. ?I l '??.? wl +,4dk ?61.? .YSyv 1'? ??? WSP I.K IRElO) I ? ,4. STATE OF WAS INGTON PAGE ( DP / No / POLICE TRAFFIC C ON REPORT ?TRAFFICW) rou NTNUMIER PRIVATE WAV . Dg1E OEC ll N DAY O llmf COUNiY . ..._ .r m0 r WND fO ,IV N 'f., IDSFRWp HOUR) OTTUNTYND, CItY NO. I- 2 I C IY OR iDwN N Df DIN feNO Of STPFF 04 WGHwgY CLS DU URAI . S ADftS Oe Dw ra'DE ON CvI ( /ld INiFRSECi NGWNH:SIRf[TOR fNM NONIHIERSECiI N RWTE-1REf L75790 SfCI ..??ff P14FFie ?/1l/y StRFft O INE F E PETEf.% FO. MITE Pp31 1 IS,ANCf6pIRf ItOMRFEEREN ,CROSS S E I 04 NEARf5l Mllf Pp51 2 ACCIDENT H 5 F MILEAGE [ asmP puGR.sm- EF I OP t 13ull CODE lJ CIXIISpNINVIXVfD; EVERITY: TOTAL NO. NO.FALED_NOAN1URfD_ DSPIITAGE ?HIGe RUN INV'wioirl .RD SEC IN SlgEi ghOAp Oq REEREHCE iH IMEP CIS C?05551gFET0R ROAD n ./ •0 (T VEHICLES PPORRIY OAMAGt ONtY DPFaF IRFD DVFN`CE CBJtCT SI1 UCRINWE.1 II] -.. AND OWNFP'S NAMEI ESr.DgMAGF SRCIN CODIN4lbf is UNIT NO. I UNIT N0.2 DRIVERS NAME 1,61 NRSG MIOOIE PIVFR'S; 0 ? VE HICLE D PEDESTRIAN PEDALCYCLIST U.SI IR D R U J GP L -EITn BRRd ' 1 uFErADDRFSS 62 a OA Clrr SAGE DICOW PHONE.- D 1 r SIA1E I COD I? f 7 3 0 R Nf 9 2 N DRWFRS CENS NO. "ITT A AT RrH I D9IRASIKHS t NO. GF A,F BIRiH " vwP R 0 OCCUPAIN)N H 6 9 ??' /n oY , e 2 -l -NF NO. . C EYES IGN HIGH t , e/ F / o E R DCCUPATION [ 6 PHONE NO. EYES -?f1 HEIGHT e, 3•[ Y D CHECK (.? vIH aAE AS?N n%novFr of AnomilA` O ? CHECK(/) vEHItt A ri YA` I N R »„ CODEb? 7 0. A s n 5 F c1 u. e's",°I?N°c` E % E S AN Un ovffa N0 EI%HF CODES ? + ] ai' A innm 1 5 °c'c`` p s r t z ' 1 11 . s e y , _. ry D NYy ?I.D„ D N«%.„cI ? u6 D ib?n O ??2P ? 1:°,?v E DODG lrpm e9 ? A,. E D u,TE D m, D n„ Ku D" 'NV I ?_ I [?CHFV.) tI IDARI?nOVA) eIY1F ITpR?CONV.I ? 6 ` A2 2 . H to 1 nFV.I MODEI IDA iI:-0AI v [ ? I?at,H sA ? r . oR uaH Pwf . surf RAleaRAnHO. s,A, H .eaoR ' N e n 4 " I l?Nl?e O. CO /b(o nHIaFl rrI NO. .t 6 0 S Rt41SRRF00WNFR: IAf1 St MIDIX[ plgN[NO vm un A I 3 06 N q 17 O J7 G.F 531 13 I [P '? .9 odz= . O R tR: tASI Sl IDDIE NO. N_, ADDafssvonr.Ea W owNFR ?E// N E AmE DRIUOINwRAHCICO oR AC[Nt u H G-7rJ G- R O? ,l7J. DAMAGID ARFw Dn.N?H6 ' ' gAMA4! MG f wcroNN cHAR I NN° N u CHARGE' w." , p ? D ? T pAN loioilo? Wa tSL ,AGt IOI °wq AWAY ?RfMNNIO Rlvrw ?REMAIN[D esElobNM1Ge erD. KY e b ^ovrt°er: ? nwiv°er: f QQ D TIT ISION: iHE[ lbFIMINT iFUUSURr ('AA.''=`H DESCRIPTION OF COLLISION: IlntswnfruNlu snnlE NEC[ssARr) V LL / /i,&a.v4 Dnl /fQ/?CFxJ FteSH ? GDC'fuat tF 2 TE?D C7A El i v0. 64 _ . EC3)G yf/SST cJ Ce- &f1Ff JS7 CdKGG T.C62 - Q,f? TKCIC >CYJ (J/STEON.OFF fd H. D? Q/UL'nJ_..-- i ?wva? s?s to q?{.fcK QDtlAI _. _. .. NAME, ADDRESS 8 INJURIES OF PERSONS I NVOLVED ' CODES 1 - 2 3 4 5 6 OCCUPANTS / WITNESSES Ta.-mlio zlA E Amt !" SITE AGI TAru IH nsn. rxa . ' o A I%+•IS.i N AGURI OF M ly D Am e D [.6w' ? N' r s"i ? ri'.,y C] A W A DDnfi ? N A[Ualp NIDfROWD?e DraclDw: E ?N . Dn. A r la.nf N I «vu,o. E•s e DUw Pwr.cr H0 AGaa N- nx er ?Ame D?"'^' D"oNfR ?? ? x L CSO KR Dnfncao /GS3 1olKUgq D /72 •? J•Dp HNf DAna nro•1 ArPROVfper Dqu a ql y [ ? d - ti n ( o IS . Irk.: t _ n ax x. ! c ;F s APfda ?', Mme' A ?L t 1 a A - T POLICE TRAFFIC COLON REPORT ®TRAFFICWAY !. U PIX M PRIVATE WAY oeROr?al N N 7 r N <ounn ? (ay nn! .ooNOURI j D . i MKT R ?wNi I cou+? clfrEa. iNww ° `L?' Y ? en-ease J GrORIOWN RA pNpE pN AMf6N0g51REF10RnGNWwY w s rclsts pOU,E ? MILls or ON C. fkO TT N,FRSlCI NG WTIn: SIRFFt OR ROAD 7'Y D n ' NONINIIRSFC,ION -^ elrWFfN SIRI[1 { M 1 LcYEL V!!J tANCl ID RF ROM trlR NC l. CRO 35ST... MNEA I.. MIIF PO51 pP[il% { MLLE POST ? • SC) R -,? ACCIDENT Mllts 5 f W OF MILEAGE DR AMP DI MIA - COU1310NINVIXVID Stv[vxr M IO,AI NO O K LIED NO.INIURlD ? YvIA l ? n116 RUN w MD" W INn4 Cts @05531R[[rOR?URVMDOR ISRHNC! ?D q V{nlClFS p PRORR, DAMwGf DNIY ? N3Uli[D ? Vlp<tt OBIICI STRUCK I NAM, V IDe- 5WILKK AND OWNf R'S NUAE I lSr.OwMwGf 5 V $ SPECIAL-IN.- s UNIT NO.1 DRlvw sruble: Ins, IRS, ml F UNIT 0.2 p VEHICLE ? PEDESTRIAN LJPEDALCYCLIST 1 DRIVFV'SNaAt: LAS, IR I M 1 3,RFf wD ! 6 e N wDOVISs e' SA,E "peon Pnone o D Af P 1 CA 23gZ to •yPl R - DR ICINSIN O? s,A,f IF N ? I Iv I.N. NO. An DAF eIV N I «cuPAT aNl NO. lrls .-I ItIGNI ! .-I MO E OC CUPA,ION I-NNAE {P-1 NO [Yfs w CH R . IGnI EEIGNi ? ECK( vtNlnr AS:N iMnYn Auo,wRlA' CODES?T 3 5 e ns n n ,Tin I nKr, y„°,°'u' ? CHECK( ? Np FN nr •s •N fMaovngwPgTNFRA' CODES ll? * 3 ?.s: Y • °?n;,"' S IKCTro« 6 is K' xn , Nl os f 7 " ' ?Y IN . p er b"I 0 S ?T p ?c?e° m e. 0 H ? ii I VEN YIAV -K IDDDGt CNtVI fI IDARI.NOVAI 1". p DR : _V) Y I v Mo4el I AR , N V 1 (O NOVA I N E I . ) v.l 6 V NslPUn sun AniR -11 ND. suD H vFN CgoR A IIAII 3Rn - - NnICIIIIXMIIICAIIpNNO. c L YINI LLIgN,I I A ?fA)I /J i l l l l l Rg1nR I FDOWNt R. N51 RSr M t PrrONINO Z 1.11 O , R wnlP LAS, IIR51 M u AoovFll or owwee `72 W N AmF{wOD1135gINSVR,NCICO OR AG[N, E u N DAM•GI ARU ,.:".,? ,... R gAmwuoARu -31 ... orwecl U , 1 t I l f1 DAMAW ? .. D eIOP D AWlY ?e1mNMD ? Aww ? OD " REMNNID vS O?O tO? e I D I r wwA er ?lW:`veY: { s e R M1. I sy.1 -CAN -IN DESCRIPTION OF COLLISION IlnE SUrne,uMwl sNtEl lr rxas5ARr1 ? - Z - - - T.Af,ICD_TD_LVC(?o?ln3s_ tl_?xr7 ! I -, WeO1 ACro+s Ro t P - L { Im._ ?< . .._, I3 _. - I- ._ ._. __ _._ .._ r - t FT w_ual.??? -S1JAf IlocJ_OEtnH. ,?Rls!M OVU (oMtcHd I I .._I. ! .1 (. I .; .. 7 1 ?.? I I ? 1-.t.. I i. ?. I ... .__ _Gn.e. .0077.0. 01-tu1_ . ACno05. T7u.._Roa - TRAU'(IIaQ ___??r.1 ....W? .S`?rC ._G'1?MnsKMtAT_..__ „ 0 IL L W eT w., 7C O_ - _ NAME, ADDRESS 8 INJURIES OF PERSONS I NVOLVED *CODES 1 2 3 5 6 OCCUPANTS /WITNESSES 'I?ie`:oaeoia r?R:w ,ml i -sa wa ums ';, -- ---- nsn Enc, P , N mens .Y u ta f. T ... -- N ,mt Arw a . mW1D IR nn . ?Ame p?Kr p"r':R. ? m: p ' l °P -.. . Dn.r« ?+G q,Kn sN,w•I{e,N. c X I.DrAw DM N oi , u N.. , u r Q sP,loac ? sflNii. " iUKI Au ac "p,me ? o•n?Anwn ::"??:.D. U: ?::NSP ,P.POVIOS. MN L13 ` } ?RDT ?41N?3 9/s ----------- ? t Lrrsf?e 1?i MIL ISSI Se?•se•/ e- ? e IN THrS SGNDR M?nF`T„.N,wo 7Rc fr J % Hosj.ls C - STREET ADDRESS ROUTE NO. ANO BOX NO. PERSONS wFnE STREET gODPE55 ROUTE NO. AND 00X NO. 6 9 13,Vo L ./G o, c 33 ' ANTE" p.l d 11Y STATE 21P CODE DRIVERS OCCUPATION CITY STATE LIP CODE DRIVERS OCCUPATION R A/ we'sm 4 3 w01f r a. C c e .C 793 - DRIVER'S LICENSE NO. STATE BE DATEOFBIRTH AGE. DRIVERS LICENSE NO g3o STATE SEX DATE OF pIRTM AGE cvSclC 76 r f? I S .-.?- e T L 4/,F I Al BAY Yn VEHICLE YR. MAKE ICHEV.DODGEI MODELINOVA-PART) BODY SFYLE ITO .1 VEHICLE YR. M A RE(CHEV.DODGE) M1IODEL INUVA OPflr) BOOYSTYLE120R.) OLDS ?vjL?,sS 2OQ / •? X71 LTAyG p/c/(vp 20o LICENSE PLATE NO. STATE TRAILER PLATE NO. $Y3 ?S k,,1/ STATE LICENSE PLATE NO. STATE TRAILER PLATE 10. STATE 6G yy6S s VEHICLE IDENTIFICATION NO. VEHICLE IDENTIFICATION NO ' REGISTERED OWNER (LAST-FIRST-MIDDLE NAME) DRIVER'S LICENSE NO. REGISTERED OWNER (LAST-FIRST-MIDDLE NAME) DRIVER'S LICENSE NO. TcA?sev cvverH J ?seK ?TSro 1'HDrt s E A2IDA/t Re TT 3830 OWNER'S ADDRESS (STREET, CITY AND STATE) DATE OF BIRTH OWNER S ADDRESS ISTREET. CITY AND STATE) DATE OF BIRTH PJ, aX 3 30 d l•vvo.v 1,w 4-1 /o oY L3 Ct P O. ? Lco? M. DAY *R PARTS OF VEHICLE DAMAGED uin?n"v1[w Cir 1O PARTS OF VEHICLE DAMAGED (i?a vtkw ?°?r r° . t RT Fe,rDe A ff0tT? vq,t TC4 S 200 JX00 NQ VEZI S ..._ {q?ti : - 1' ? nY LIABILITY INSURANCE INFORMATION-VEHICLE NO. 1- WAS THERE AUTOMOBILE LIABILITY INSURANCE COVERAGE IN EFFECT FOR THIS ACCIDENT ON YOUR CAR YES C3 NO Tf8 _- NAME AND ADDRESS OF LIABILITY INSURANCE POLICY ER NAME OF LIABILITY INSURANCE COMPANY C L 6 G G "0 Fa-S KOKOrT- S ^i,R c? Set?/ EE S Asr ?tlE Qd/SS Y NAME AND ADDRESS OF LIABILITY INSURANCE AGENT L STAYS Z1, LIABILITY POLICY NUMBER 1ST IN.IURY / NAME '/V AGE rri,un"E O 2ND INJURY (USE BEPAPATE REPORt FOR A00 i -Al INJURIES! NAME ?0 AGE ADDRESS F ADDRESS N ME F ATURE AND EXTENT OF INJURIES ? ? r .1 NATURE AND EXTENT OF INJURIES ? El EXAMINDID BYOA )DOCTOR' O NOCE R 5 OCTORT n? DOCEOR'S ENAM NATION OYOF OIRE STATUS OF INJIJRED IN VEHICL MARK FIRST ONE THAT APP LIES STATUS OF INJURED Nv HICLE "All FIRST O NE THAI APPLIE S ?P NO KILLED [n[ ur?ou coa, NO ?I[ KILLED Is[vio? u our n urt, 'r IITHIA L1 ? 5? B? 7El ?o .,, ? 5? B? 70 MOTORCYCLE SAFETY: ED HELMET USED El HELMET NOT USED MOTORCYCLE SAFETY: ? HELMET USED El HELMET NOT USED •. SHOW NORTH 0 R OW IN CIRCLE `CA ?6°""" DESCRIBE BELOW WHAT HAPPENED: (REFER TO VEHICLES BY NUMBER) vo l L/43 wcs7 OX our`K,t ._ 6t/314,, A)O I. -EA MDH VI-11 KD sr•ow ,! W ??- _.. ,,tti _. dLLeO dV77"" •JN nnaTwwiR..n.YRow ? BHw ?r^,p? RoJho_ d- NA X? 'V0 -?? ? -- - --- - ------- -------- ?I VEHICLES POSITIONS BEFORE COLLISION INVESTIQ TEO BY VEHICLE IT S E W ON 5TREET OR HIGHWAY [TAME OR NO. ,K ENT D P[CTgM r[[ NO Y[T HO Y[I KO HIE[ ° ? 1. ? io11 l Ko I:aAI ? ? ? Due ?s. ? ? Jar ? L3 ?:aIX ? D3 ? ? A wA ? ? ?C ? ?ArrLKI.1 HEAR-M, ? C] ? ? ALONG FROM TO ? PCDESTRIANIPEDAL CYCLIST WAS USING: ,?uo N. [?w, ?Frww A?,?cn [?om .?mX A?- ? • A ?. PEDESTRIAN/PEDAL CYCLIST CL07HING COLOR: I?o, A?,a J?uI. A?ne A? [°. ROAD SURFACE WEATHER LIGHT CONDITIONS TRAFFIC CONTROL TYPE OF ROAD DRWERNEHICLE ACTIONS ?p'i . [CA [ Yr••K:i «PNn GL?AFYt 1 j?nAYUm1r IE.In YI„ « o?? N C A wM w[e.o.reonwn[ E`r [ ?Y. r I? UIw 2 ?pAWN ? ?SIGNALS ? I ONE WAY ? '? ? DZ I OOINO STRAIGHT AHEAD i. I e ,? 1 ?ORY ] ? nAINrN6 ] ? DUSK ? t ? STOP SIGN T p TWO WAY ? 2 ? OVfRTAKINO AND PA551NO r Hr, .i` STn ? 1 ? FAR, ] E] EN-B, A ? DAnK.S ONCY C] ] ? 1E1DSIGN ? ] C] REVE SIBLE LIGHT ? ] ? MAKING AID it TURN E ?]?SNEW A?r0(1 5 ?1IO11r501`IET ? [ ?IIAS„ING R[0 C] 1 ? FIFIAP LOOP` ? 1 ?YAMINOI[ri TURN Al R , , I I ? A ?,C[ 5 ? SP•FCRi1Y1 S ?51 I[f DIID, ? S ? !LASHING AMSER ? S ? ALLEY ? S ? MAKING U-TURN Vr • ? ] ? INC- T ? 1-TY C] 5 ? RR SIGNAL 13 I ? i[9 TURN LANES ? 5 ? SLOWING 111???JJJ A A HA?RA1C R ROADWAY SURFACE TYPE ? I ? OFFICIATLAGMAII ? T IAA to "Y DRRVEW ? w r ? I E] STOPPED FOR TRAFFIC '{' ; O i I •n I.I Yl ~?~ ;L?1 ',M N :IN •?• ? I ? OrHI.n, SV[CIFY '1 I[???,0 [.n! LJ ROAD SEPARATION 13'r ? 2 C] DIVIDED A'vl,?? 0 ' I ? :TOORPSTOEVD AT SIGNAL C) SIGN ? [ ? SYOnI I ROADWAY FL 51 . I? [ Iy1 OrnAr[IC VY Cd1TROl ? l ? UNDIVIDED .e.r p r l1ARNN D IN ? N, ? TRArTIC LANE A N 6l INL DANGER 010 COLLISION OCCUR IN A CON5TRU11ION ? YF9 On ROAD MAINTENANCE AnEAT ? ? n:n:?n roeliiMl 11 I ENTERINO El NO . i - WITNESS NAMI ADDII b[Y ADE IO I ? 1i ? ?IF ? 15 ? SACKING - ` LORD Te ?S c]/ f 33o ? ?OTH AWAY _ ? O SPECIFY ,r ]T/ N ..P?... ........ .........,?... ?P.wrn , InLw DMI•unpA or A epuwncuL VI-11 a AN. v[wtte T HE rRINCIrAI USE OF W,PCN,S FPS TRANS. r ? ? A r )? e? Y, N?1, Z qeT '? -ts ? 9 a n j?, / ? 2ZTU,a_ . -,.f DRIVER'S LAST NAME ?43t?T NAME MIDDLE R DRIVER'S LAST NAME IFIRSi NAME MIDDLE T u o MSTRIBUT1011 ZRfETNOT WASHINGTON STATE PATROL.IN2 MARTIN WAY, OLYMPIA, WA OA501 SHEETING TO LOCAL LAW ENFOPCEMENT AOCNCV WHERE `. Dr COWIb 51IT.ET NO ] TO DEPT OF LICENSING DIVISION OF FINANCIAL YOU" ACCIDENT OCCURRED y+ ISPONSTIILITY OLYMPIA. WASHINGTON AII•-01 SHIFT N01 OUR COPY WAP.An.I,1 P•A[ 'Alf M1 J ;:1 I L ?",i 1 ?.1 t(wL ?.T T t I I. Gt i I ., , ""'M IT7 w z h y j ? Y t f- ?5 ?` t 7L r k , ' fl 1i ? r t r' L 911 '1 c 5 (' .? 5 i A s t car VVA rvca i cane FADE OF NO. 6 0 9 7 a POLICE TRAFFIC COLLIS ON REPORT TRAFFICWAY roaKt[oM.inINFNUUefR ,-:'- ]I PRIVATE WAY 'I VP .4?y. rv MD.a 10 -„Zw- A?- w. N r I I ., I Tr. IUS[]?HOURI COUNIr F?Easo COUNTY NO CITY NO iHWA ?WBAN ° ?N ?E ? N CIY OR TOWN NNAEBNO.O SIRFFI OR NGnWAY 5 RWIE ??7¢O ANUS ®5 ? HOF F2ZATNON ON o iNIFR5FCI NG NYIN, 5IIIII-AO NON NIf RSECTON OftWFtN StRF[I [. 5T ITT PXfNx t MIIf POST O J 7 DDS AN laO RfC .CPOSSSIRtF ARf51 MI, PO mxFS eome'S RE t W F[Fl Oi ACCIDENT MILEAGE CC:h OM AM DATA - f COIlISgNINVIXVFp. ER it ??i1UGt ?nTx RUN TOIAI NO 0 RIIFU?NO INIUR[D.? F $IIXfN wNpgpl" xA. 1 .1. c. . a-5... SW ? l ief OV!«Kl[5 m ®vROVfPIYDAMA'vF ONLY ?pSUIT[D ?VFw CIF Q OBIFCI EIRUCRINAMEOF OIACI STRUCAN -ERS NAME) FST OAmAGF S 1 ,V k AS z? UNIT NO. T UNIT NO. E? ? VEHICLE ? PEDESTRIAN ? PEDALCYCLIST ORNle'S NAmf. Lxii NR51 Ee'$NAME: IASI T?? l yx n, SIRlfIA - / a vEfl RF55 .z . SIATF -00. PIgNE NO. D n ilAlf N 98320 41S R __ ORIVlR 51 C[NY HO SIAIE x N R I II l N NO. AIE x If YBt n ° ?a I o I V -_ OCCUVAIIOH IEIGni fieM NAME •vI,ONE NO. frES (:NI E occuPAlloN IRMH [t v,KNE NO. fY[5 IGnI HE WHi : 2 R ? CHECK (4 vE«KE[A :N FmR ANOr«FV ? _CACHECK (?) A N N,1 A ANOr CODES IF. 1 3 o a i tl S I D -T:1.c d CODES 1? 3 aiR' , Sn 5• A +• " Z IN ull L 11 p • VII Vln YEAR MAaf IDODGf.CnIV.I A) Slrlf 1]DR v.l IIOARI. Y A 1 N .1 ARi. VAI Y I ` OR ?L E H x -' . N . « OWlJ 1 Oo ,EenwnNO. 51AiF swe W I N VFwKIFIIXNTiIKA1KN Np. i V «i lEl N G C I 3 YI{RFOOWN[R. WI NR51 MiDIXF 7- . O ? I D wN{R. I.NI -IT W 2 ADOVUSa oWNIR N AMF4ADDH5OF F-RANCICO OI -T R n F N,U j-,?46-6 o a I fI0IfMNND AW?y fIMiNlD 5 I ,G?OY1t1ii VRD s ?W yDly. WAY BY f ^ N AI _ T e+."I IXi I" DESCRIPTION OF COLLISION: IlnE S,rrlfMZN1AlMRnEauSSARr1 DIAGRAM OF COLUSION• 1? _ -? _ O E41F ?S._W3S? _G??ONnEP QAl_+?liG4iE16VSFLRDI.?._ eeRE.o OFF IHE tGyT SS._ANa-IF??N_C1?ME. ERfRfF SY GI C I - r .xT,t s. RAF?D _A?STtSJV - _ _-.-j- --{. ?. .. _J. -, _?C.K NIC:RO55_'CNE. - I - --?-- - - Gf?tE Pwb_. NC+B 7HE_.DRsVE_R_7NBFJ -- 1/bH-FROM TF1E SC6s!E?.FAK( ?St &mov 6o TH L . - . - eaED sHBP DCGU E ' E .__ ._Mz o._TH _ _ ,.- .- ---f?6zsc.zNG._JTAr.L ?fr?- FA. ? S_ R__RESUC.'r OF__Nts-.B61a!.?G_J.trrAYFLG4Tl.D. _.. 1 7 AME N ADD RESS 81NJURIES OF PERSONS INVOLVED 'CODES 1 - Z 3 4 5 6 , OCCUPANTS / WI TNESSES 10O;: I,[DM'N:; N w'i >` SE.- icy zeros "?" A , YI: Wive IFE Mt v , Daf,S. _._ w14e 'O , i,Y ?Ame ?AwR, ?,.,... O.I. ` No ' m ? Auras, una ,}MU+w.DM ?AMB Op , ?m . ? ? :" ,MI , s, . 1 ?ItOF .I ,YS ?.MB ? ` ? r . ? »: ? :.'rv. .o X cA ..,r, a,, •+s,.AYE-a ,.. Y P BAUGIw .n ,n .[.na, ,... uo:r.,c.»c ? R ND FY:.II D.rlnrnFC»r n.n ?Q ? ]r ].on rws _ b f5j,{eve YE N?JS. E p I xF I Ilt + c. p )f Jl 'l b 11 n11•+?µ1.111 h- _U I '1:'S .?:f?' !,i! N.?.. Ax :. I at Yj + + I + r, r ? 7 i+P.t1r? ? t I Aft 9 6 060-04, -NH A¢tvE.b,FgY ?pLSYpIJGES PAGED Or B A - 1570 , ? g-c= 75 D l 33' D- E = 18 , 4 E - F - ,r 3 T"arA[- = 315" ^frr.r.•ll nnnrrl?l nU ? ?rrr in ?/ K^ a? ?I /$1(rE '+t 04 Y?hF?? f ! r': r! 1 ta."d 1 5 1}y`) %y >r a ,1 4 fr1"1! i 4 ;, r ' ? , "r t r' ? a ? ? ? ? it s i 1i ?? 14 1 ( r? 1 I,r ' 7 ,h'i tl 1 .'J y F , 3 T Y, 1 4 ? r 2 I? 7 ;,? ?J v T Y _....__. ...._... .... ,... MOTOR VEHICLE COLLISION REPORT _-.... N xl,xA. I, o M . w" " ?AM "ref e rSon D No. X : 3 ITI ®rv fj'<inAVN ON 116 16fA/q ?[ ? ` , A 6 ?•?D ?w DA .......I.- a a,f the deD end S, I, [A,[DTINDWIN„RLLTT A,W[[N LD, Or Op All axD".owa,s o".?`t?s,o«`oc:; o;µN`a .....x,oo[. 11 -T OO ID w .Ci e7 I,, of 10" -r 5 N. D.aaMPTA • c uLSR/AN y ,WT,MD?n "?,' -n D ?o xY =„AD[ El I j9TI1EETOxI10A ?, f%/ " s NA a a ? sn c0 G_/?T 0 pNMg0aE0T AVW OWNFA OF.-corB NAMENiJ•}f??1Eb8 yer he Ul!' Z/Pc/n'rrr <n6r/PS - - ---- - ' -VHIYf?:@ks4T B.., .L.:1b'i:-..:: JB$211AYPdJ.s'r.:1i .r ,..,;..; JAg46fu 11 MDRE o "" of 0 s •":vJi6'iiilL4t?LNr1EE+,u• ....,?iH144LE ,.. LvirKebau GI%stav UJ)O COLLISION DR N WD ROUTE,NO ;ARD 80A NO, :. p FbS _: :? R T STREET ADDRESS .:ROUTE NO. AND. BO%NOe.:: FER_WBIE Su EA I1ULFEc . OR . •. 1 -::„ ... .A gIT EE Po.8ox2oz w , E.FATE e 60 Cove CITY STATE 21P CODE. DRIVERS OCCUPAt{ON CITY.. :STATE ZIP CODE DRIVERS OCCUPATION /?Pinna? b'nDG, cf832u Im. AGE TE SE% BATED F BIRTH E DRIVER'S LICEN6E NO. - STATE SEX 1!OATE OF DIRTAGE , 1. pNVER9 LICENSE NO. STA X M DAY YH M y?/tRK?GU7y3o3 DAR 1 BDOY STYLE (T DR 1 VA L (NOVA-0 ) B DY STYL IT Dfl.) E MODEL VEHICLE YR. MANE ICNEV. pODOEI MOD . - VENICLE YR. MANE (GREY, DODGE) MODEL (NO ? I /97•i l.G';nn' c7t-O ?NC7; (l ?r M?•TGn HGWJC- STATE . TMILER PLATE NO. STATE p T O .LICENSE PLATE NO.: STATE TRAILER PLATE NO.. ? ? ? q??. VEHICLE IDENTIFICATION NO. R CiI3S177322 . _. - VEHICLE IDENTIFICATION NO.: :... ENSENO ' REOISTERE OWNER (LAST-FIRST-MIDDLE NAME) OgIVER'6 LICENSE NO. . 8LIC REGISTERED OWNER ILAST-FIRST•MIDDLE NAME) ORIVER <ebqu Ctustav ('no W?RKFGU7y30,3 W;r ATE OF BIRTN , OVINERBADOFES1 I... EET. CITY AND STATE) GATE OF BIRTH u Ar rR G OWNER'B ADDRESS (STREET. CITY ANG STATE) o DAY YR OC(. ?e wa QrJnnan l1 !SIN. /?O.BO Q C2 / -0 / 10 PARTS OF VEHICLE AGED .. .., ....: HA [°I,TfYai _ °? PARTS Of VEHICLE DAMAGED h9rNnvLP f ?T.so _. _.._.,._. ...: .._..,.... .-I.:w?_. $ Tv An*enne s ?j0r _ _- 1?1 LIABILITY INSURANCE INFORMATION-VEHICLE NO. I- WAS THERE AUTOMOBILE LIABILITY INSURANCE L9 YES El NO COVERAGE IN EFFECT FOR THIS ACCIDENT ON YOUR CAR NAME AND ADDRESS OF LIABILITY INSURANCE POLICY "OLDER NAME OF LIABILITY INSURANCE COMPANY ' utw>w;r? Inxotw, •e JX „A,E ' `R ' L sh. 9P .Jnax, • Pd.e9; ..2c?2_ V,*,Xrebo? 0.L• ]IP LIABILITY POLICY"AUFN NAME ANOADORESS OF LIABILITY INSURANCE AGENT CHY - ,.;; ITATE, :.; k,i[lelOsL, r,nCe 9/9 N.L./9/h,9le. lorl/An/ Ore o? y7Z3.'' Fj05/Z-OZ-B AGE RY ADE ]NDINJI.fl1' IULE9TPAHATEREI'DRTIDR ADDHIDNAI INJURIESI ISTINJU AM N ... .. .. ...._ WNNiD NAME 9E% ADDRESS M NF ADDRESS M F NATURE ANO ?? NATURE AND RI ? ? E%iENi OF INJUES EXTENT OF INJURIES DID INJURIES REOUIIIE NAME PS OM.-A: EQUIRE NOM EOR 'S EXAMINATON BY A DOCTOR, 1 O EXAMINATION BY A DOCTOR) O THAT APPLIES ONE THAT APPMEB _ ._+.6IATU9 Of INJURED STATUS OF INJURED MARK -, 0.., I HI J Dx I 1 ixu u'rb I« unvs Irv 'N ? ox 0ir.wnv0 i« uw?s rosA'q: ?ry1 I'+trN?G Iurvpl [ouxLn KILL ED "a , IA r NO KILLED ,s[vlxR ,uwoxl '^unA ?N NO - ?IAS,{rvD1A ssf ••R4.n vA W c l O 70 ? rrn,l,,.., 11 5 13 60 7 wl,HU„ ? 5 ? 5 ? omrn MOTORCYCLE SAFETY: ? HELMET USED ? HELMET NOT USED MOTORCYCLE SAFETY: ? HELMET USED ? HELMET NOT USED SHOW NORTH BY ARROW IN CIRCLE M?N«(FR TOMFHICLW B:N,LW9FA?..,,i, [ O r ve l o?D tv y e _ e% ti ? lz [,ItDD,IWI,x? , w . ov - Corvr e i « > :.',A[xr[xKt.xD KW DA [1KND IA rN..MADW Tc_, tvr r .9rPyynC( _Jos- ServFain rdd le of_Streef.._ WI 7-V a,rle r e . tU DH A -?? '_ = _._ . u./o n??hP..-/_?ifoof.olf.nfo>or /{vl?isFr.J mfb Cave lilpp I l7 !2 +rrC..v P. l!, D #! e/e etri ca l . D nJ/end II es .TOO_ ?ONI. t%TITd /]'10 f01• l'+rCJYI?e Ll. F1 - Tl!rtnteFane v// doluh the.LineS 0 O / jr. /;Ir F .. cent( YhE @??e on p? 1 .P1t•_GL8a tle&..._Co- eit-' rp° G , INVLOTIOATEDOY rt?w[oal?.?D •Xl sr lr„ VEHI FORE COLLISION B CLESPOSITIONS , O„ sl cI rlt o ?'? ul ?i? r vw ? OW E OR NO ? O ? ? t . VEHICLE N S E W ON STREET OR HIGHWAY NAM 1p r ? ? ?iMKE LfSI O?,ION MO c-, ? ? ? c3 ? ? ? ? El ? ? rx,rr x,,A ? ? O ? TO not 1 I ? ? [3 ? ALONG ?1 owtrM FROM M I?tw 1?u A' L?r• r?n N, AS SING ? . ? .. 1?N ... U u _, . . PEDER1,11-' PEDAL CYCLIST W •?A[,I.o s? i?:wi niir `iii ar,Nrl x. r,0 Nrl lrlnL ,?uI ,xNn 'PE GAL CY CLIST CLGIr11NG COLOR ?R. ? ' lI RIAN PCDL WD LMIVE TRAFFIC CONTROL ROAD SURFACE WEATHER LIGHT CONDITIONS • ...:...:.... 1MA cA,r O' OING SinA1pH7 HCA0 vOAI[OAII b NO1 DAWN ?1 C] SIGNALS C WAY G ANG A6BINO I "O Fl N ??? T ? O WAY ? ] ? Ovf RTAK YURN KET ] ? SNOWIND t ?DAF OMIT C3 , C] YIELD SIGN ISISLC ] ? MAKING RIGHT oAn RN , CH ?tlAX)W 00 ! LIGHTSOIIT ? 1 OOP/RA411PL ? % ?MAKINO LEFT TU R11 I ?"A-Nt1GN,& E] I [j 1'1, ASHING AIJRIR ? S ?AILCY E] I ?MAMINDUTU %?If.C S0 5A'f Gp1Y O WAY' 1 (3 S [] SLOWIIIO DY ER TW #?j` ? M'Lcl, I ? "lolIY [] I C] AR SIGNAL 11 ' ? LANESNTIN STOPPED FOR iRAFIIC f AGWAY ACTkR ROADWAY SURFACE TYPE C) I ? 011.11 .1 ILAGMAN [3 I ? C] I ? ORWIWAY A ?,? r. I UNNR. ,cc," FF TION ? S OIISUPSIGMIGN L PED IN ROATJWAI "? ? ? RLING N STA D [I ruJ,?y, ?AIN r] I ? ?•? ' ? ? . ( ?,, to"mo.r,^+'?'M1fl..??. "+'? '"?i.", INNS ? ?, "IAA - ?m I I ?': ?? ?y1 v Y?. .JJ ? , 1 1 ?? ? I [?NF r; s r9 vs. P 17! ?I'f § ., .tom" .'" . ?_. ...,... a . :.:.". O P i ¢• y ? lti: ' E I 1 of GTON GE I w,ININLLM fR a. _ SHIN ELDM [nVlp - `NAV ?u eAN T AT E ? TRAFFIC ION REPORT 0PRIVATEA nr POLICE7RA Lou, NO. oir NO. •• .uI>'.[ 1 a FFICCOLLIS I O couNtr N vOU,EOR1 ?D us, v'M HDU4? E y Z 7 s C 'A , I [fi O¢ NiGHWAr / C oPnOr COW I NINE6N0 Of l,P MIFtY?i /(O? Pr LIT O¢t0 N f`atrl E D T , 1 pCCADEDEN IA ¢AMDAIA .P tpNIN, ¢ / rv? .C?i. UfWe9 ols ?•N O tSfC110N t R1M RvOAD p{t¢f B nE5 haft, n 6 1 NG N,H StvfEt 04 vOPD MCEOE D ?v?leiREEI PIV?O?O 1Nn45[C BfiW[EN N 4F5, M1tEV 5, N IN,fR GE'+ L wxED1H1 I <¢OS!lt PEt, a ,naU y E 1. DsPNCtnD¢EMitsr4 vt[s4t w VE N f Or I , E • ? sp IFPGf VtgENEN S,t<UU CODING W 1 rZ ifft ? PkSUtllp f1, DINAGf ? PEDAECYCUST G No 1N Ot¢IIfD . ua D ? PEDESTRIAN . f U11 pNIN4drt0 ® O R,v04EV,r DPM.GEONIY S f y c o,n[NO ? ?VEHICEE ',y',, pvlnrcFES OwNt¢s N.M[l UNIT 0. 4UCa R ,AS, ?! A .MED, OBI[G, l1 pNO OFF, FC, ltFF IT M W-NINE. :an a UNIT N0.1 ?, °5 !,¢fE,? ¢ESS 1v0 EH t¢lNAME: rJ? 1.,E L D ER ? I B ? p D fd ? [H I,pp4E5s -" 'NO. - r z?vw An ? R u NsE NO. tT[s GN SI?I•I?E?J 0 2 Blv 1 I B2 tr •,O W aWJ OA' D" [ V fIPM 6¢HONE NO. N M h1Gnt ?1Gn, E cuv.nd ?° 85 pyg? E! v'tovffdA HE¢ a 73 LIZ SO vEHInE.spotM^.v, SNtc, DN vnoNEW MNanEn 4 ?CHECK I? sr, ' r+ acuv.,,oN , CODES ? a:a ' 81 ? w ? 3 IuDLct , N04Al W IF Of .EM,O,HEO. F 6 y??n v wci C3 e? ?CHECK I?1 reHttEPS. i'?Mr s u1c off .a,? NI ?.MS.nAHEV.I Molxt,D i ?c: ? arva a ES?? ' , Sa [ ' ^ coo ns ?wB,,,v.,c ? ??ai.rav.? 'H ,rFE,z DV ca+v I E L :!?•'• ?: eO E,DOwt rntv.I H vtn. ca ¢ ? tRSA 4tH rFP¢ N M[(v n.it NO. !,. 1 ' I ` ': - M1DaE T I G stA,[ C r E ipEN u+ WIER; ll?- i HC EIO N,INC., 10 2' •`? _ ' l1 M?DD ,¢HDIfNO I o T FF 2 Nl¢ 1 S1 5 nn4[DOWNf¢ I'll /N N d OWN'. AB9"+', 111 DD¢tlS ? ii o•Hirn ! SDPM ?. 1.101 NCI CO Ov.G N1 ?vW.NNtD s v d msuP 1 Nonen.DDVtss ennaet ? n, ? ?O'YE ^Iw:1G ^DWtD eY rtIMENtu EMT, NtC_!!I•?T/w uvMw?D N1tA a M:°o:iw cnwGl lr ?vtM.1NtD D ? wA O1E1510N: lUlElW 6?/ •. ?I 9' 1 °wA EXRIPTIOTd Fee ° f v [ ts, wMncl °Ww.veer I unEO ,n VLJ['I met e?E/?'If ?(/ r ,•.'.: 1 s U FM Br. Cf?!'~_ •-t/G.M/^IYR OR ; C ?,,,lN[ull:p?I? ? x? T/ATE '?S,snoly ?? ?`?y?'slog. ? '_ t• i 1 I -_©NTO????? ,p0y '4le?y? ? i ,., DI R os,?D t ? , , CRO ? G H ? P.. iN t q Over M, D ~ lBOMN S J 1 _. .. Nr,n 2 w ? I .""1 OFPERSONS„,NVOLVED stR Ir??jF,fp??,t,, al JURIES L!W lNlHin1111 PMe ? 1 ?~ Y?? fl't n4P e NAME•ADDRESWITNESSES io¢wo,,wP E l.er f' , No r n OCCUPANTS ? R1 ? I '4:'A1n 11 X11 fE, t? - .»I .Pm.Ed , F } A ? ?.Me ? fF t4 ? I.• •? Yf ?' nrw, ,.;o' uil9a?rer .td °tr?j i T??r. G'I , A ? P 7/ 5 r?kn'% •4 1t ? I Y! r 151 I. 1 fl?rlr f+ It?l I f h'1?."?it Jr ?i ' E ! , • r "?ab ill ! r r u I { , ry rr T r r k ?a i? i I r _ ' t 1 E 7 I r i9 i'? y 1 t, s {1 Yy F If ?r I ? r -? E+,r; ?r. t ¢ Y•. a y POIICE TRAFFIC COON REPORT I? TRAFfiwA>tj \Z,.# n"uMN BE4 n%I ? PRIVATE WAY ? Au orcaus o i- -- ;In?'6w ti.lRi i 1• umf IuSf ]WDnOURI zz? courvrT dEF 2soti couNrr NO. / CIIT NO. Hw QIURBRAN WN 6 O.Or SiRf[r OR rnGHWAT OF C1Y M,us s Qw or (f??CF/? ON N P-5 J?QSJ PREFIX Roulf Sin ION Z 7,7''/'O rviFVy[CUNG MtiX: SIVFFI09 AO nlnN I IN(ERSlC110N Gif. ..? 4R[rlA [ . MIlEIV3? SB •'? 6 B[1WFEN 514Ffi 6 514EE1 DI,IAN<f 6D 9E?1 ONr M4 Gf FCµ051 SivFf1O4 NGe[St tulle ACCIDEW [5 N 5 RAWY DIA 9AAM'A E MILEAGE HO 1111 of f-C/UE ST CODE COll11INVIXVtO SFVG rr HN6RU AGF ? IOIAI NO ORIIED?NO IN,URED_ ?SVIII N ruNDnD,+ 40 IMf Cl5 I f CIIF 14[f10 ROAD O4 q[iGFtA3 CRp5551R[fIOR ROAD '4] d VEHICE PIRrDAMACt ONLY ?RE I'D ?1 H 5 Z7¢On• IS - -- 519UCA I rvAME Or GDI[Cr ST4UC[AND OWNER'S NAMFI FSI.OAMAGE C- E J F7 ?O/r/L7? SRCVLL (:ODINDIAE _ UNIT NO. 1 UNIT NO.2 Q VEHICLE ? PEDESTRIAN ? PEDALCYCLIST ?t s Dvvee INAME: wst nesr MIDDLE D "-E, vv FIRII - I -E 1 ^ 7 ° vefa AD Po 13 2s7 stem efu 2 Dlir / R T 2.F E- •• Sl+l .t? F 1 H ?'?ssE TI> 3??C,4 W 7 I V v i f NO. AIf Ill D1[FB Rllt MD . 4 2 - oeeu4At oN AMESHgNE NO. fns Hr1 `_ E R oeeuvADON mN e°ergNf ND. Ercs wE Cnr r<ICM ?CHECK(?) r+S:NrMnor roaAr?olHteA' QCHECK (V) s+ OvFE Or AwO1HERAl A 'f'"' CODES?' ] 5 ( ai° N 1 t CODES? ]? fla AS; 5N 6s`; a w ? ?;r D C) AM ? 'W . ow- ? D e1°^ uweo.D o zs ? "•:'v ? ? u s:?. °J1 ( 6 v[Hr rM.t l" CHrvl tnWfllq`gNOV'A7t- ul]De.corvvl v/ ! r!l/ly ///v/ sr or.*"q. ll un+1 st l E H r 1 nf v.l mOIXIID t.NOVAI I44 v,l ieO'^ ?r it/ ?JSS'a A 1 [v RAIF NO st 1t C A vfn caoR N Af ttt IXNt rICAr zlRlll ?? s33 RfG15D9E0OWN[R NSl 11 pIXF ngNl NO vln C[EIGNHrIA I R WrvE4 1 rl 11 MI f 51Z Z1,c1'e,5;,7 DDnudOW A O W . , rl NER ,Si9?lE N E wNw .s a AM ADOVfss fr lNSU+ANCI CO OR ACIat S _ R u I DAMAGED N G CHAR Gt Q ?TpelvfN W 4tMNNID E) AY i olo-.' MVAY .O? r ?iluflu ;+ s v^p4NOe1H DESCRIPTION OF COLLISION: Ilne suonfm[NrAl srl[Er Nte[ssA4rt _ I "fE?rE-.J souBo?r N? t . I ° ' . 6.414F fv?co7?g?`E??/ D .rV rrL t' I NAME, ADDRESS 8 INJURIES OF PERSONS INVOLVED *CODES 1 - Z 3 4 5 6 OCCUPANTS /WITNESSES '4 swntMl NlAS SH ADanoNAl N•Mt Fn sl .___. .. AGE Alu .- sr. s r n ui .t ... e _.._-?.. Mrzv Ru sect un. I N•VI - FND 17 2 r w A NO 1 No s?.R ?AMe 0'.."o' ' .?.Ni Qr:° 1 I .r<nx .N. . Slw.• .;"a'+1.1".v w r.R.. ?.MS ?° ".'a?rn'.e ? ?: Q^.:l,M ? 7/•. ?.?? ?t? s F RRS D ;//,/y1 gv --Z ovfD y tf ?r"V'?' I , r » At 1 L T ?? F ,fr a *; u 4 t ? I 11 ? I r4 s l ? - ?IIEI? a l? 1 r ? 1 1 . } ! ? 1 ! f ! XS c r z k - j., 1 ? h 1, R f r I ? r J 1 I i i t iT r? I i - j I,, I '; C'1 L H 0'00 ?O Q O NN N J ?V ?x U ?F '? a ? ? ? ? .P ?( 'i A r k ,rY i N ' r i ? 1 4N1 A' l' R ? 'YJ?}LV :A 1Q1A ?? !. Y ? 4 -? ?? ? \ 5 ! ? 1 - r , L 1 l p y ? I V? I 1t ]. { ?! 1 1 `h J l f S h I ? B .t 4 ? ? A M Jf' 1 71, _ r - POLICE TRAFFIC COLLra N REPORT ]RTRAFPICw5(l-' c wi „eon, Z PRIVATE WAY_ _ (2 FO< Us N IMF COJM1Ir wCOI1NrY NO. City NO. iMVA O .. • 1 .. nF1b0 «OVR ? GU4S•N i Z0LIO -YE r sv v G GI G'" a Yoe iowN HwenN,..... oR«e«w.r Cu OUif o4 r / ON GSLO OLILLIP. RD. J aV ??? n I1p ES ?s aw C?or ?j I) J k'{ - iNIF45FCriNG wirNSrRffr OV VO•D NON iMivSlCr?ON R4ti1% f MRE POST, D?/ E 5ulcr• Ha«w nFEWtFN C Flu c u uefFr a Rv S _ - I .} DIS •NCFaURM [EFV CIg151reEtrOR rv!•vf5rM4[e5 ACCIDDEIN ENT 4MV r• -. '. .. i 4 SJ. I ??O rfFri N R 5 f W 04 C 1.( al f/?GIBEilDAEGE I .. 4 40 S?p° CIXISKNINVOLVfO? SO [?llfD-N0 t4JUVfD i ?S?t•G[ ?«ravUN \n?Ue/e J'. ' INny CIS. C40SSS14EF109 ROpO? al ?' s y,, OVFIIi C?lFS j ) GRVOR7, D•M•GF ONEr ?ef SUIrFD ??i011a"r V ot'er//? ??.. yEyOnnCISIeUC+INAM OBIFCiSrvUCVU400WNfv5N•MEI [Sr OAMPG[ SRECWCOpNG Ibf.- ?. ?. ... '... UNITNO.I UNIT NO.2 0VEHICLE 0PEDESTRIAN 0PEDAL&CLIST NF 1 nesr ? DervFRSN•MT wsr iv ? It D R5'A KL/ti « rv?T •DD srRfn •oD4tss RFSs 4 _ Gir SI??f lie CODt > O t D, V SI•if 1 C E orb 7 _`ic y L ?r R _ D4NFRSIrcI r+o v.rt I N R u -NO surf onnael4rN '' ?KCEN.NON vM NunF a RrgNt NO Frf+l wt G«r I«`E G E occu.nrloN M NIM[ a vNONf NO. FYES ' DGNi H GHl w s- Ay t 1.' - -1 R a G CHECK(,') ytNl<It •SiN •.MVOiNFepl G CHECK (,l) snNfeROV[[or.rlOrN[cp' K T, CODES ?' J cis iFMVE 5 I .°.. 6 T„?°."`..u_ CODES ?' cii vFN nl•a sE i:."' S I4< « e MD?Dr .. n w 2 Irvl? a5 ? tiE ? ;N.FE Gr ,I! ..I, °, Ib ,3 n 0 'All 015.11. G .E.<IE G °iAR 0 G1z+! G ? I. ?h ? 4?F r vEN .t•R • . IDODGt c«lv I rnoDFllD•4i.Nw• vrlF It DR <oNV I . I A «ev I al IDpvr Novi Kul xc- R?. t u•lt • ue N•n No •I H vw ca 4 N l n . ivi 04 A/ 7 u T N«KItIIXNNrK•r10N NO I i v l iD[Ni • I ;,r" eelsneeoowrx4 wi nr M?DDU .«oNt NO O ?sn4D R. wr nev M? ;"4 5 - - wI . N e wO4fssaow"lu N Y n N E . •Mea•oo4esav ?Nwe•Nee eo n•uNr R 4[SSRiRS D4 S j2 ./- W/NSLL'LJ ir, _ OyGf •4f• ' - '. ` w D•M•Glo •RtA• cNUN CN c«•RGt o..i: o."MMr 21 YI ?• . !> D•M•Gt ® °ev1 0I.-ID C] E3veM•INFD FSr -.1 1 _ CD1l $1 A.AeY ?lOwlD $ Y . MI DIAGRAM Of COLLISION Iw+c•11 o4r« DESCRIPTION OF COLLISION Ilnf slmne wi•E SMII teess•eYl -. ' -TT _..r T. LW uN145.JJ nr.4eo? _. _ p X)04)1 LE b..l wAb. E7YA713ou^'D ON nJE DoSE VIAL-we& RDAa !15 7?7E 1%EY12E E _/Lpur RE?7 A ?u21? TOJ3l£. (_E?r JNE.P_/SSEaES_ S;. -. ;_;._ ->orc O!?EaeD-t1E P?JsSE?GO2 rqur._ >? ..L f , ,Y A -, rl-f ??I.C+ 1 z0? 5 ONO n414-i' --t-sco -!&o 37 77YXh?y P T r -„, 1R NAME, ADDRESS & INJURIES OF n,RPEf IM1Ni•I SMNVOLVED £ 'CODES 1 - 2 3 S 6 t l ?. 51 nII M1CV'A OCCUPANTS /WITNESSES ;D. •DO l su •cI rnus "`,:" . •'' .: 4f sH Inc, N•" S, e5422L7Jf L• 9-LCL31 S c 1 lir I i 5, , + t .DD.HS f - J? -? /r n. BC ,?Rh1r IU^/ ` na`R. ?.Mn"G%1" JA! i l t: .MI (-? LLJLF ,J, ???'SI-) ?.IAr W+ ! IC 7 7-I" ?. s _' s •oans r7..?D=J m?Cl2?R 1 A i r •'n ,1•?? ?}M°Nrve.° I4<w .Mn C],:" G ;(. G :..v. ° 1 zE-TTY ,.°' ,.M G.un G ^:." G r. ? :.'„?. r 1 }? 7 l + r8R.7?,+. rte, L v .;7 d r i nJ f i* I I," l ' l?? I? 1 L I r .ti ?Tr , yr p? .rR•F ,a y S >f? ? t POLICE TRAFFIC COL N REPORT CEjTRjgHCSgr Wl,ct NG„ „• r., xT ' PRIVATE WAY - lOSgrv . Dar OI IX ., ? s o I B RIR rwW n Ilm 1 x.DDiquR ' COUNIr COUNfY NO. CITY NO. IHWA ? ux AN j 2 c, .. w, S E E S i i PtfIC e uau SECTION tl ?N ?f ?tN• CIY O n OOf [ITOR"IGHWAV i 8 m%IS ? » ba"r 0 01k C CS aDM WTf OR I 4 zsiyo sx N RLCIIt1G VAl". SIxIFI OR WAD NON NII../CJT- _l/ BEIWErN /`/.?ro L.?s.xtP[-% ?/o.(G.?Av :?'. PRFf% f .- milt POST a, i.3 / V I mRiNRU,CI CROSSSIRIETOR N11.11,MBE . D if c rR0 ul itlT f ? Oi ACCWM MILEAGE ?ro P DIAGRAM WIA G SIRft10RWADOR"`RENCf - xx N NVOIVID SFVFR ir: ?Sy I?aG[ ? COU- N0. N1UR[D ) Iq xrllFD N ?rrvrv.Ittl N INIFR CLS NTERSE<T,N CROSSSTRffTOR.. T ? TUAI O. ))???? STGIfN (Y VF"<ES ',IJ.J. V4UR41v DAMAGFONIV ?WS ?v!" ZSO I ct Oe,E[I eTRUC Waal Or OBI[CT SIRUCx aNDOWN[4'S [UMFI ES Damn 1 ? ? s 512CKl CODING Ibf UNIT NO. I UNIT O.2 ? VEHICLE ? PEDESTRIAN ? PEDALCYCLIST urvtR's NAm usl moat Rrvtv's NAmt. usl IIa MIDaF ` EU ADD4Ess yo P o E aooxtss ,R /• z . . SIATF IrPCOIX fN0 ytoo D R CTV SIAIF 21YC F ' U4n(RS uCINSf NO. lAT A e I IvE a NSF N 5 AIF DAIEO yBIRTn e Z3?t51c. IU l?A S? E 1 PATION amt, YlgNE NO N KC [7 1 frfe WEIGHT f.IG"T LCCUYATION f6RgNt NO. q[II lSq"I LO' S-2` t R . \ U 11 ?CHEGK (.? mnorllaE ANa"fpA` ?CHECK I?) x' a A CODES ?* J M 5 I a "; a, : l 5 r. e CODES ?' J S Z o o Q N o r ? K ?,. .. ? ?? ? `- [ r Ax tTa c mODEIIDaRI.NOVAI ru VDa cDnv l T v rEaR mxAF l Pc"!v l I DR. vd IDAPI NUVAI I \ ? ? E „ ? 5 4 lnA PIAN"x I'C n SIAIf IP lfx Ra f NU H CIXOR t I vF A altN IaF ` `- -- C q[IIXNTr11CaTIONM V L tHKI[IIXNIIN A N PL 6-z o 3 d 2 r( It E A R ......DOWnfR FAST fINST MrUDIF P"ONE HO. P1GrSRpID .-I. IASI IRZI MIDIX[ PrgN[NO ?A E O IN u ADORlssa oa«Ix A x s Ex Z ` N ? .G N-D-11Ci Ir+SUp-CO OR-- AlI rN.u R-1. OR , N ., i .. • R D M[ ! ? • • W.MAG1 aRIA OTIO S ? ISI „DAmA<.t 57 ^.T ' -? r? ;Yalvl [R _r pl MAR,fD ryJ Atr? ID Ar C3 1 ., ?.Ui WArN ?RIMMNID -T ION[D AWAY BY uriCix?rG ih ISI''r.-A. f JAM A .GI F 'K_ I'_1o11 S `1 LLL??I Dx CA'1"ORI" I DIAGRAM OF COILISION: StaII II"tAGVI By ARROW it?? 0,?, DESCRIPTION OF COLLISION: Iust suPRfmrrvTAl sNlITUN[ctssaRrl VG.,, ? w?s?• 04-5 K?KOtMsA Ll?awc-ci n NoC PFk{1NC A ?O Fe E E ?Ot() TH M, . , C? oL??TO6 LiZTENVr.wJ Zo '?onLa 1-coo\.?A v?P n •\ 'Too ?ATF: ?,wn RP.,J \NZO p?TC-11 NAME, ADDRESS B INJURIES OF PERSONS INVOLVED CO DES I - 2 3 4 5 6 OCCUPANTS/WITNESSES'?OxyplTl[Aw A°M Si u. act wus °t,' ,. RnIR wa s: + f Tqr, 1 aDIxYU ORI OE Y MXi A F ??,,, . ? n ? i .Rill "RIOT :)^v ""? ?•":.'?' . ?C, W' ?' alNVl lr HRI CA NAT H, IVY41 w ?' ^'''?aM LI;•..'?ii x?r ?ir I F "" ? A , ?, r R 'HIPw.rwl.IVl r •.• 'A nR X O w:l.r• r.e?.r L,S -S r^.r,ii'.Par„nU , 2?5 L RI U rl r L4.r „Rl 5 A pWWWt II • . •u'S5 a•OArIFY aW DaT! t - A d ?4 .7 I P, ., wil •P r 1a5 ,+1i,T .. oS•F'!F*',Fi.`nYi'(ti"'R?"' E g C•". 1 h ?'{k (-?. R L T r ? ' ? r? r ?? , Y , f17 ? it - r , T { I tl I I t 5 r 1' rFF , w l ¢ A ,''I- - f MWEitr ::: _ , . , _ w, y'f, ? ? izTr"'?F rear ? ;? ? '?r _ K ..?;'k._ d? Y &,? y S it 1 ? ,l + k 1 jD? ? p. i ? 5 _. ?7 ??'^ 4 ? 1 ? ? ' ' i? F ' ?? ?? ? ? - ? ? +rr k" ? - ??'? .. v? e • . ,hM1 , tK ? q r ? ? ?° ? ? ,r `? a 3 ? .. . I - ? ???5 ? j l ^z. _ rr S ? . .:? i 1 - n: . I ... 1 __? - .. r _ '..? "G 1 .. ? .y 1. i ??, ? ? l? I ?1.?, ? . v ? ? a ? ? ? - ? ? ccc, r ? v ? nro ?m. ?o j . n.UO ? O M ? O . vo.. o ` ? ??o ?? ? 1 . ` I _-__ iG4,?,' ? ??i• ??i._„15 Ll?lk hh.;?fi?{ ? rC. Y0:' n i'( ! ? - ?? n ? ? "[ ??:?1i ? -i e e??, j 1 s _ .a kc:l n , ;EE A Z zu I ? L ;fl J TR POLICE TRAFFIC COLLISION REPORT LN EalcfcoMnum NlaxofN PRIVATE VATE WAY Du oEC R a o D%v TIME ???•a, rw, w,c Iron N ul Illlra Oyl I / V courvn V n?y`.1'JV `V cnurvrr NO. anNO. rNWA NA °U? N IImm uN °E • f[S ? `3?1 °w 0oiRC1rYnON rIlOawrvh w.I S1I'Rfq`? ,.Y_ NW ON iN o?WE1 Lnt Y Cll ROUIt OM 1rPt[I c3 -,7s o 1E I INItY1fC11Ny W1IfU 1(RFEI NONINItRSfCNOrv 1•LL2y_f-1_C ,nE(.I 1 I ?? Bflw(FN SIG[tr 6 SINfEi IRNI% M,IE POST ?• ? IANCE 6D,R II .-El- . CPO GEt 10RNEARE k 1 F? 1;? C3 Of iI xI J? T?1 • LIFTS N 1 F ?l V lJ ACCIDENT MILEAGE CODE RAMP DIAGRAM DATA cOlu-,"VOLVfD: SfVFGIix: -ALNO. (T? NO RMED_j le? _-NIURED ?•Als f ?NIIBRUN Cf VEH1 ••I 0 PNOPfR1Y 0AMAGFONIY °?RNESUIIFD ?ll I<[E ?lisiw wNUnRI IN INIfR ClS C 1F45FCIING SiNEEIOR ROADOR IrtikNfNCE Z7??O ROSSSrR[[IOR ROAp 7J OBriCI11YlIC[INAMf Of OB1ECr STRUCK ANOOWNFR'srvMEf) Es1.DAMAGE iPECNI CODING IRf $ UNIT NO. I UNIT NO.2 ? VEHICLE ? PEDE5TRIAN ? PEDALCYCLIST q Danles?FF mt IAlr NGSI e-?Da TI - ??-?a`?? L R sK U ? s usI R DRI,? r R'N L• _ 1 111r^ • ? SIRf1+-7,o P??. ? LV E"? T? (`?( (?KT1 4?Vls L S Y. i ? 1 ? 1 11 (? [ Q R ( ? y .? / 1 nQ, CE SKU `S ',)-I 1- S1F% ha M D R.. .. I v rvR' ""N. A s AE " 1` l DAI 1 rtMNAMfIRM)N[NO. [TLS GNl GNI TuF 5 E R H1 a?Ps?. FIRM NNAFd PEgNE NO. EVES NRIG? IEI 1lll).IIE.LLL ? CHECK(,') ,nE AS:NUAViovrrA ANOrH[R'N ? CHECK(.) <EE AS AN rMHavrr FAir Arvolnrv?E CODES ?+ < n S I e Y ' 13 C, r.f c, l'ODES ? T ii s I, a s""'„ SJ - ' or ;l,M.P .oP. Am.INA.NCE ? PA IDODGE c-, S ' ? Cbkl. ? ? C3;.,. .-A, SITIE IRDN CONY) l 0- N,l..cl :yrF ? 18.,1. ? . 'DANINOVAI A• ? ? °'vFi. *0 CHEV a I N. ?""• ,• l? p An[Rn ? r C vN c ? m.%- gTIONNI, 1 J L CNl,i1 A I NG1rt HDONfAR: tA31 IINSI MIDOI[ S ?m c s Bcw2 NgN[NO, w tY: NSI NRlI MIDIXf g ?t s NO. A ID ADONf15q OftFtN Y * N E a NwY NU CO aAGtNr aADDRE R 5? ^AN a , ??h ? OAMAGI MfA I ? ?AM?FD fA DD (? r n'?j' ' +' 11I' ? f30C10 AWw v ? RIMUN'D 1-. Y?R1Gv.5a S Ar ? OwI^EV ?YtMNNED ?IDwtD Lir DAmAU f ? ` e INIXCwIVNWIN OF 11151 lu DIAGRAM CI N 'j .1A ( -? \4?nw 0? DESCRIPTION OF QCOLLISION: Ilne sur mENIU NN NFCnsARYI Fr,1 ll1 T'J. ?•• DVN{)< pal'R-h r'•I?I 1. LC0?6A.UC. v :...i C0rmvv^ K to Oh T,-St T? y wai-Nt ' •lwdoQK'-th ?brvx ''-. rl.. N D s K uQ TTmn41TKS N NAME, ADDRESS 8 INJURIES OF PERSO S INVOLVED ' CODES 1 - 2 J A 5 e OCCUPANTS/ WITNESSES AGE 1- N I ?. Ina .:, 44- tLl NMN ¢°l1Aj •I h Gp (? ;q zICt 43 ' ? A h0. FS • : uPI OI " N I NMO+IDINOmN tl ?, 'ni. a;r ?: 1. 'r,Ir r NAM 1 ? X .1 .-..ANP .NAa r 1` PIJw .F?c aVl I ? ?Ly U (y RANI NYS I? ?f / ? D 1•Ar-?? J I 7 ,( )tl0 rP U ED . D E -7 :1 1 ?E f{ 3 y y aMli? D?'y r v ?V ? ?Pr --- / ` ' '" r?? ?D . f l-' lam! .'J't i9'nil lull/?4 J'J' b""fi.;?? 1 r drL 1sfn Fh F w l f't 7? t +'4t v I) I I ?i r to r. if 1 ,1 , . . H h I ,d Uk... .v e. ?E 5 10 r I >f" `I E . ?P ' 1 l _ _ 1 l I' . N v J f r? F POLICE TRAFFIC COLLIMN REPORT W TRAFFICWAY POIKF MNIWfDfe PRIVATE WAY LP DMt COUNiv -TY NO. - CIfYNp NWA 8 ,if Ur CUlUSN)rv ECOLIi N o IUSE ]•W nOUPI ,PnAv ..n, r.P +.' L" wA """ ye K //_ URRAr1 C? RAt ' r 2 1 J t', C4 GNWAV ?s J x? CES e0U1t0R5 f ` A % Nun °N °E °IN CIIYOe1oWN r00 vtFi OV M 'o WGf a vv,: ON ?? ??K K.IAI,-/< 3 ill 3 Z4zso y , CuNG IN 51vff1 Op vOaD/,' NON lrvifvSFCDON N / PRfI% E MRE P061 J .J+ N StRFft A SE 1 Vf'Wn E 7 I IREE Di51ANC1AD VFCi ONi vfrly CR 09 NFAVf5l Miff Pp51 Mi [5 N E 5 W ACCIDDEN NT MILEAGE RAMP AM WIA L OF CDDE :n C?eUf? I 'n O OL-1NVOIVID RAGE ° Hl; Q' N NO NIUVED?? °SP A N Mu wrvonot" INRR CIS l' ROAD AOSSSiRtfiOR °vROReiv DAmAGFONIV ?eFSUIt ?vF?'CIE Ovinltt(5 Q G O rtC151vUC%INAME Of.-T STRUCK AND OWNEV'SNAm11 ?„? [SI.DMIAGF SRGI,LL 0001, ? EI S :. Vo UNIT NO. 1 : UNIT NO.1. ER'-E - ° VEHICLE,'Y ,a O PEDESTRIAN ° PED/ CUST' v 21 5.9 NERSN,Me usl NRSt mi D w Lia 5 i rNR : Y cNc Gt,2E ] RFEt AUDR A 51P1[1 ADDRESS n "'?(J? '? 3-vT,v 1 h YA l3 LA _'U? N? E / 17 Z ul. sulf eP<oa Pnonl NO D , F P `502ri 7YGr VNC , / W /? f R 32G 79rr- f l3h?iNN o.v WA cl Z . A A , Dxntxs ucfNSF NO WILL1 7 MZ 5 D•R n R WA F ZA. ;(vim . V iG OCR 72 Att wv % ?D rAIR H - - GNtH 1 IYFS - E OCCUVA1iON MNAMFIVNONt NO FYfS Nt Gnt NlGA, E CuPAI MNAME f. PigN: N01 7Yc.'Y9s5=i15y , , L 'r Al " ? C ECK I?1 aA` q?A ° CHECK'(,') vtn nE AS:N tmROYF[ oEAVanfe vtn clf ASAN waorff oEANO11x l v ro }t 5 6 's"O CODES S N a CODES ?? i / 1,, lD, " ,: ii " R S 11 L < C-*V R ?,f?.E Z N ^ A 21 Ovv ,? V; f A11g ° s O r ? 1 M{1 ° ` I K7&`7;rroN °° M ° ?S.fP O„ 1 H V I MODII IDARi. VAr £'1 ?v:L>. I IR r v. W 1 V a DODGI ( 1EV v 5R t ? E n iy73 I?Rh •rc-f"' . E H IY$d GNEU LI/f .cJ 1A a c D? v v IiUN PIAI" ZE SIA.. uIER RAfq 51A" t ven /' G -- C W(a C 14 L - 3 LL1q f1J T ERRNUEKAIK%r NO -IC L vtni 1 E: I 5 /v 1 a D 1-7 A51 IiR11 MIDpf' te N 51 MIDIX[ PrgNl NO PIG?SRRIOOWNtP WI C7 W L/. 11 •1?c:. aTH` O W . 1 WN A LN - 1 r Z -01111-1 1 N E ?uuu FyE..CI i E i SSiA'iR5Dl2i[74fT as IAGN a,DORESSa mwR fco C 1 R .JJI?v _ ?Ff?O •Z4'I'?J S/ Z. 'Ij9AAI6E:$ Cr ..? TNy D,MAGE •plA NJ v ? iT/?l _ DAREA• ' E -? M?iiryw Cn,vGE f'- v1Pr? 5 I5? r' ='N 0vIM N'D ! Ll WA/ IO ' U O r CnaeGf D,m•Rw.f E 1DP " t ID f5 DAmAG R r I 1 i V ?r4 SL GDU Iw:voer. P ? - lornD ar: l UqTr $ 1 DIAGRAM• OF COLLISION; rr r C.11NOR" s,aF1 Ntgsr? i r , T - i- I F- DESCRIPTIONOFCOWSION IInE SIwn[MtN1u 51enlf NfctssAxY1. _ S.E A? ..VwD 1$L.71fJf fL ,E+r oN.' Su..tL/ E i? VL Nrc i , I. . .... . .. 'As c V E11 LC?S . T?•+0 ... A A) RTI} E2.e ! NACU. NJ ?<A. f . bQivAvjA(• V-5 OaL4 Two S. %d' i IA[I? ._ ` !LRco ?? `1 Fyr rwu Sr?TEVrv V o vL- _5LLiA i,v7 - - ADD ESS & INJURIES OF PERSOINS NAME INVOLVED ' CODES I - Z 4 I T 6 , OCCUPANTS /WITNESSES ,a wsrv 1%u •Mw15 Z11W 5 M.. M,RIM } NADIROM °,MA ??i ' ?f. v ° w ?,i O Mr r,0 1 iRl Cpl '?" j? EucE•? .R•r. A . , n•"E•?rul... IA•nvlD mn?.afrwl ..+,non. " D•n '? ?rz? n L?-sr•?'/. Ai3 z i I? ? ' r? (?iy ?X ? " ? . E N • . L.: , ?' rF,: ,.4.,,,,.,r I r 1` Y b? yy? 1AU .F r I :'ta 1a E ? $?u f ` R ? Lfl'LL •1 f.? 'M' I:?; mw ., TR„, v y +7( ! r,,,°Qf65 e>, l' ' k'St'I"Y?F rsd Z. r L L 1 .' ?, X 1 5 E- 1 /+ fi '. C j i .. 1,1 1 fl r / r If Dr? J SL ? , L A,, r' r ? I I E ii V 1"?' Fj STATE OF WASHINGTON PALE I OF I Im, POLICE TRAFFIC COLLISION REPORT VJ TRAFFICWAY Pol¢E COmpuIM NUmotX PRIVATE WAY S AT o. au DMF couNTY DA xH p I ?fo Iv ?X IL =IgURI u O X x R , ; :,°"I., 11 I LI OO Ss FL zsD N -Nn NO . OTrrvo, A Z- p?yaAN 4 Zi ?N ?E K41N DITY O410Wrv fSNO f10N HIGHWAY MRfs ?5 ?w 0OF $Cin?IIyS ON l3ilnnprl LAnE FOUlE 0411R[fT COL' SECII iC'f ClS PRI% N 3 1'Y.JLo Irv1fR5EC11NG W,1 SivfFIw ROAD NINIfPYC110N pNfFl% f0, I ft- 1 eI1WFFN i?AS EI s 1'0l vxnl -5q l DI IANC DP IlfS NF SNENCf. CROSSSIR[EI ON NEAXF51 Mll POST ACCIDENT W P pIwGRAM DAtA S O IT OF ( MILEAGE GAS 5.1 • CODE' CIXtISq v[Nliv. , To"NO NO %RlFO?NO.IN1URf0?% ? SVRIAGf ? wuoxDl" INIfvSlCRnG SIN CE IOR ROAD O4 REFERENCE IN1fP Cl5 CROSSS1RniO44OAD Q IJ OF V[NICIFS ®pYOP[RlY pamAGEOrvIY ?Fp[SfDi[D ?VtncLE OB1[CISIRIICK(NAMEOF Oe ECI51RUCK Np OWNf 4'S NAMFI F5I DAMAGE ZyGSO SPECW CODING bf R g 9 ' UNITNO.I DRI^S E O N1 a51 MIDDLE UNITNO.2 VEHICLE ?PEDESTRIAN ?PEE) CYCLIST DRnE43 W51 F15 ml q 12, 1?JESL C_A(2-t ?. SIREFIADDR?SS 001r-ST, jA11911 Z. 11a 2 as41 a4 M tl Rd. fET AUDGF55 387 ? -T1 lIPCODf MINE NO D 1Y I SIAIF CUDE ' RLA A 17SI 7`?6-462 R QJ.Ic£rLG L13A -7GS=3297 DFIVtR'S°CEN. SIAIF A EO e1RlH I wFN' uCENSf NO. SIAIF SF % pwIF OF bIRIH 1?UE51GK82961? iJA F ?1? 18 1 G?eST 5Ct339 DTI WA l= D 3 1' 9-7 9 Z OOLL"..'" JRtk?1 FIRM NAM- ePIgNf NO. EYES Nl-1-..; -- 3w? TSB 5'S° E R OCCUPAIION FIRM AMEa PHONE NO. NYIGHI HEIGH -? C "f1 " IIZ S T ? CHECK (v) M IciE AS aN Fin NI oY FA 1N l ? CHECK(?) i A Mriovifof AN`l,_, vnFA ANI r 2 ? CODES?T D a A • i 5 e ° - ° sl ? CODES ? * D cI 1 i 51, e - 1 s I w Ifs S7ASi,c Uo?n6 W „v WCE,VL 1 SS• J ? AMN ? ? 28hI ? : ? u YCI 1N' ;NTWRIRDM El O ? ;'koR ? `.Mi i'r x D MAKE IpODGtCMV.I q Nsf E II IDART?ngVAl f 11OR.CONV.1 100 P1J L) E E v AgDtE Unalv1 V?, c E 8465 w LIaI All NO 51- ?\ w/a Vfnq [ OfMIFICAIiON NO. Y[GRn4fDONNER: IASI FI951 Mlpplf -1 NO L vFnICIFIDN1IFl A I I ISIf RtD WNtR -1 . : Y-?? 51 -DT NE NO. ID ADD4f35 CP OWN[R W N A lR ?I AN C A5 a EvNA(•ADpRESS01 NXS1rRARVCf CO. ORAGFNT w Iy.L FAa•r•tcaS PT •,b,,,s,--.4 R KEM rVISJL.• 1. T'oE,on54.••?, • iwcliON.E r? w ?i??M -.1 IN EA pAMAG(D AR ,dioliuii 5 ui -11 CIUNCL ? 1wv vN fAwrvfu fFE ARL[ f? vw ?REMAIM° J" ?wnr :AM i Y A ?` (??-?Joe? s f L)7nF ? :wv°Rr ? FE Dr f.20Doo-° Is DIAGRAMOFCOL LI SION: D uVII M ri ull NL41n iIRnR NttissMrl ' er Ax4ow ?.. DESCRIPTION OF COLLISION: IIRf SWVnm(NIU SM[I II NFCf55M'YI 1 • To5••E,.Y.n TeAwII 00-1 Z. TRn.A.I '``? FIB I¢ExY..,...A -z WL" utoll : ? ' " % IAA D t>uT oF 1 AAK ? lJD l- E r, 2 UCL•Zlb . *- 1 E \iR.ww..S W . ZI, •DE? l STATL? Sl..c ?.dEFL SLL Z. Jc-l , G ' NAME, ADD ESS 8 INJURIES OF PERSONS I NVOLVED F CODES 1 - 2 3 4 5 6 OCCUPANTS /WITNESSES ?EUSilll i.DWOiumiu iwvrfRi i $I% AG( ,IAIEn ^.; ;" pi sr4 wa N AAU ?SNi l . Sf+ l w" 796-415 1- 1? - - -IU %-TO CA-4L tlXa-E s c.., taA R °F nE o Y? M M v• R Os. ' ? 1X . ? D "'N,. O . >a 4YC 4h H Z4lo- l F• AE KIRI55 D L:EnM I.A NE (3 r11.. lJA w(a n@ RrWEVIOIROM?- ? ""'[];!, , ?:` ?n° ° H wW N O AD Mf SS I N "? NA u150F i,? IFEI IIr ? AM ? uKl ? I? . ? N ? a :II ? ?"•. X qT 1 OIKIR)r IItA•u 1 R uw AtlN ? w'.+ o 7 NO ?cSo 5-S DISpAlUy4 o l?l?ES %KI ARYMD ?n?i owns%I wl b 6-1 ?Y AnNOVID er DAP ?1+ + '."_ '''t` vFl ?'?.I syY D?.f nl" "?' . 1`'?y HvEV Jvu y L y ? tl?? (1 r } }??T 9f? s t ? ? ? l? 7 Ir t I?4 1 '' ? rc ?s I T ? E h} ? I , l ? I 1 ? vl r _ , I 1 ,I t, Y i XTF F I (fly I aJ I F l A? 7L I , / y r', r ; 4d J L 4 1,1 I i) 1 " I .. I a STATE OF WASHINGTON FFICtALUSEONLY - MOTOR VEHICLE COLLISION REPORT NO. - DATEOF COLUSIGN M BA, YOFCOL I SIGN TIMEOFWLUS*N COI,WfYNO C ITY NO. OurNnN TEA RAM ml ,u I,AI I rn ,w NS PN (O Ivt[ COWRY , CIIY.TOWN ? FF? sin El?--L M?Eb OQ CITY IOWN ?r?+ DFr.?: ,:ti,:. ?,), . "` ADM US PIIEFI% oUlE arblN¢wolw ? Izr?z? o BECKON Ao?On 1 1N1,415 STflEELROADORHIlRNAY REFISECTWG VnTH STREET DA ROAD PREH% J EO MILEPOST , M F r NONINTERSECTcNLOCA11ONOFCOWSION BETWEEN ! STRI.c I,:nU SIIIEET !TAMP DIAGRAM DATA ,?, NUSrOIUUUUS. ncIAY N?I WI (t[ .v11 1 ?nLMIi[Af. ©® OF I „'o.rturh ?~ T INTER INN EI CLS ? rirw rrU[InI URRDw nIrLS ITS ('/O/ ; N411 ONwv«vt0 I ? Q QEGSIFCr ? SPEC. CODE USE ClfS I OfvFN , IISgN r rvI ry ..J Qvl nCLE V[BESIrr Ax $MwCIX (] , G; STRUCK : 4_.. IwAIE Oi m,FCi SImKq OWNER OFOWECTS NAME AND ADDRESS LOCAT O L N ?? ?a I •-? NRDADWA Y r??1 w __-. _. __ .. -. -.-.?._.__ FEE( ©L'L foot S n ORIVEIIS LAST NAME ,, ,,, .. FIRSTNANE MIDDLE an DRIVERSLASt NAME • FIRST NAME MIDDLE EKE Caur. ? • STREET, p ?. ROUTENO.mowx.NO ?U STREET AODILSS NOUTE NO ANUDO%NO / but - ?1u, 237{. /?d .:xt: t f A '.-_F CITY STATE zIPCODE Ofr tlSG., IRON. CITY STATE b-GGL' a11VLIS000UPANON M _ OflIVERS.LK•F?itlENUM ..:.i. STATE SE D TE OFW Ii AGE DRIVERS LICENEE NUMBER STATE IE C OF WNTn AGE I i e xs ,v VEIIIGLE Yfl. NAAEICHEV.-0000EI ODELINOVADARR GOU1.:IntIVW1 VtI-EYR. MAAEMCNEVCODGEI MODLLINOVADA111) BODYSTYLIIIVIII LIC F.MSE PIATENO. _+y, A S TE. TRAILER PLATEND. .SIpIE LICENSE PIAtE NO StAIE INAILERPLAICNO STAIC / 1. . ^ - VEMICIE IOFNiiIOATgNfgn:? c.11BGBMO0ELB6 NEWERI DL(MtILIIIMILEAGCI 1EN10lE IDENTIFICATION NO. IIOUtl MODEL.S6 NE'NtRI pUME1EH IMIIEpGCI f1Ea3TEREDONNEA V3TftAST MIOOLE NAMEI O110 S1ICCNSCNO REGISTEREDOWNER IIAST FIRST MIDDLE NAMEI UN VLRSIICENSENO A 1)7 ? . OYmERS S-.. (BTPEEI. CITYANOSIATEI 2a S'o r r237 na l.N -A73 J e"Iy?m, D IEO WRTH ' A." .11,11 OWNERS ADERESS ISTREEr.CITYANOSIATEI DATE OF bnI1H PAflrSOFVFNIOLEDAMAQ(?_,. , ,. rOlE«Aw VExRE PMIISOPVEHICLEDAMAGED 4L f F f LIABILITY INSURANCE INFORMATION-VEHICLE NO.I - was l l. E IO4DWLL?u'CCIGNf- [], YES ? NO COVEf:cE EOMO FO LIARLOYINSUI I ON YOURCAH . R N AMENIDADDRESSOFLLIsII RANCEPOICY'OLDE. NAME OF LIABILIT Y INbURANCT COMPANY . - - J II cur u bee ubUT /:{LV °. c37 71, / /1•f ,/ -L r./' P ?r)!(1 ?rl %r. A;v N MAEAN ADDRESS OF N S U A IR NCEAGENT r U UILITY PO CY UMIfER /J nn.[ ? a . ? ? ? EMAMS ILII IST NAIIIY T -n U ;ZTLFW. lt nFrc« NAME AME / / )( /J LL ESS .:' Y' A" E ..I? ° M1?A .i. A'A7?%i•r?'; / . ? O I _ .Mw AlAxrurA n ® N.u1'? I I, :,,N4; Ylrf ! L. 6ENX 1 :°ul?iia - ter. ? w:wl •? I / V ?IAISI7.QEH'A+REDM N FMIjI WEi i •PL ES SIAIUSOFINI REU KF HST ON[i t P LCS f ' • v? ??[ , I. we [,?• / MILEOIYYN, a OVEHICLE .a nlri 4nlxr , r, r «LILD r i Aw ll r'n ?i nRYAN y •.w w11t1 Q ? ? e? Rf_7 ip ? 5? 00 J(]. -. SHOW tgRlll OV ARfgW N CIRCIE UESCf11BE UEIOW WIIAi HAP!'LNED IRCF[{i i0 VEIIILII::. UY NUMiiC(11 rWtt? altbin'At l'?q[II?IB O ? ! . ? ,. noN ' ??I-d.`rn? rIl.Y4NGw - L-0 IF VEHICLES POSITIONS BEFORE COLLISION- w : . u a• avLUlr, rtD Ur ': w ;A I Cti. .....? ' D VFNI«E N S E w ON Sint CI OH nAUr a1 M> wars+x. ,w eM. r'N vwr .ix ? ? ?, .I? DuY ? 0 0111 ? ? ? 1? (Z .Arv^,I, NIMN ? ? ? a f ' o ? o ? n ? ? r _ nnNlMAw ? 13 ? ? 'LOnO ' 1 t? f St 04 DIRECTION TO 11 DIRECTION KULSIN14a WAS UYMI t?SAA W« ??„A,rNAY ,? N)VlfNll ,??,•, ,? 1;?JNrLIM N? F E T - ROAD auVACE ?, YKATII(N LAl.rt cohanau,,,.41«. C.lihNl« rvf•L OF rgg MI:I.HvuIn.LL ACinmb Iwc. onl Y A.n c. uA r . ? wF n'ow.rw • ?' <,ac. nhr.w MCr. ?G•awAAl I r41 GArI GIi Cl f'l ,aHµ, 1-l, ?,r?Or,. 2g ? UtA« ,NIA IJn ArILAD ra, I •I?Y Cl LJ 1 ?IYIY { /?} - 7 ?M.FrwT ) ? DA WM1 17 A ? S•U•!.A.N J ? Iv.YI ? ? UvI.IIIA«IND Ar.ll1. 1'. NU Y?^ P ?w!T r r ' 'p ] ?TWWVA J ? W(.6 f1 , ? .IIU A,h ? , ? 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"+?Y"'q+Y.,!.?'_!+r-•^?T ,.,?,,.,':'+arM'41im..411m_ 'Alild .?. r rte.,?l:dex.?><+.u?.,M,a.,.,.ti.?icti,?s.,.,?-.r •ti nrr?r+?s. `?r.?x?.x fmcare?utBSfsrs?, .dTnYS_ r?. ?t?mcrr,#? ?rsV?Wa dexi tsl?ix.?vea?? ?rvl$? r _ ,,. _, IEf"' to fn pr 4 ov II: cl Q M. i} O I I'arno IL H rd N Iv.a Io B rR::' 1 = ?-'P STATE OF WASHINGTON mrlL at usL Unfr MOTOR VEHICLE COLLISION REPORT NO. P LOOWLLI cpLL SSUxZAN w??Ffr.?s COUNTY/? CIiY NO. I""I !!!..L ? / :IC:i? ?.N U/ ??rux .Dx Nxx ?N ?E ?N ` FLI' .'. F z?° pF , LcILt o ?OF ON lJY f£c 7/fG LaL[LIINOWII»F,R a L Lt?c? ?Ar. fHL ` x. [ /.c ? ?R w? y IXCIt,?;x!?"o`t,?.wl`y".?:y'?I Fo'i ?Y)"./uw?La BxaMp.F. OF= rvt ` OBJECTSTRUCN OWNEfl Of OBJEC TS NAMEANDADDf1E55 rAaD n KF IL cwE UN • DflIVnEPS LAST//NA?IPE. - FF I.P/'^(,$q//j HAVE /._ NIGGLE ?C ' ? ^ IF I'll - N • e DPIV/ffl?5L,A.STyN/.ArME /yJ ?fl FIH/S//i(/y/AME ? ?• NIGGLE 4 L6?6?T? ti/LL/L I^C ?a/r(/,!J / ( ! Y ? % A gOUTE ND.AND BO%x0. T EST ADDRESS UT O. AND NO. CiYY A ;Z1 RIVER5000I+•MIO 1 Cu ?r?G Irox, roRN CITY STATE CODE `Fc'/?fi?cis ` ONIV- OCCUPATION i7 glVfflSL ENSE IJO. Sr E 6E% u?CeRCSZ??r ur DATE OF BIRTH AOE '? •? DRIVERS LICENSE NO. STATE ME% GATE Of BIPTN All VEHNA Y AKE?HEV.GEI N0 -0AflTI BOOM STYLE OONJ {{?'rF [ Y / VENICLEYq, AKE ICNEV.11 GEI MODEL TI BODY STYLE II DH.1 fiTATE T fl.V MTE NO. STATE - I PLA S TPAILEq PLA TENO. STATE VEHI LE IDENTIFICATION NO. S' 303 VEHICLE IDENTIF ATI , I TER DOWHERILASTFIRSITMIOOLE yA4 OflIVEfl5 LICENSE NO. flE015TEPE00WNEq ILAS flET#110DlE NAMEI DHIVE RSLICENSENO. OWNS ©9?QISTgf T.C YANOS'IA... </vs ^?„ PA TS OF VEHKL OAYAGFD T/ lL••/? +OATE O: BINTH rx/ , pIF j? OWNER'S ADOPESS ISTflEE T.CITYANDSTATEI AHTS Cl VEHICLE DAMAGED DATE OF BIRTH u I ? ? ? ? $ I $ MKV LIABILITY INSURANCE INFORMATION-VEHICLE NO.I WASTHEREAUTOMOBILE LIABILITY INSURANCE COVERAGE IN EFFECT FOR THIS ACCIDENT ON YOUR CAR r?= NAME DAOOPE550 LI? J[IM'OLICY yOER! ?_*L? r NAMEO[LptJHANCE[G AY AND AD NF 0 BLITY INSURANCE AGENT LIAfl LLITY POLCY NUMBER Dr I[..x.,GroRI FOR p 3 / FF x. ISTINJURY: AGE }NDINJURY HM . .p xal lrvAr r AZ YES ? NO AGE M F FDADMI1.1 wl•INIa UGNI CONUIOOMS INAI IIC CURINOI "IF U1 BOAO DRIVIAVEIRCII ACTIONS . rrKU Cr u,I` I?D•ruGrvr K»H.Iw, v.= »P rmcRFwl uaM r ' &ti ag:?. a ?uARN ? I ?{ICNAIc n I !we warQ ICJ }I.J??L( ? aINC 111-6.11.1-11 ? 1 ? oar / ? AMNING 1 [] PISR ) "'MGR ? mow- T?u 1 - i I n ) MI ? ? UVI R,AKIN6 AHU IA651N0 D' Aa f,Aflr NI VIRM ? •11 1?1AgWNG f ? Grr IS ON B r1110 SI4N ? B ? POAU ? I ? MARINGRIGN IIIIIIN ? S ?SIVIM F?/U: 1 ?tNlli111111 ? + ?IlA4HRl. x111 n !-1 + IIRCrr•NCI ? 1 ? MAaING l[FI'.NN Ifl ? ILWMIPAYN ? E ?OrRla +QI41Crlr 1 ?STNIIi III:N1{ ? + ?Il•LNNG AU•IN ? L ? ALIfr ? I ? MAKINGU TURN ? + ? sn41? ' DOR Iw _ _ ' ? vicli. _ _ .? ? ? Aa M[uFAI. ? B ? t;J i`?uilN ? B ? uxwlNr. - A CH,LFUAL"TT+'?^ eo?Uw•T wal:Ll ? ?ul4ll xnIMMAN ? / C] Ue1Y1 WAY ? ? 2^i,Y L..:1[ ?O; pR.Kam b (?}...I J 41I.AfSIG Alnc I I , '?' [II alMrl'a ? • ?OMIR.Sq CI/Y 1a0AO ED'V II110? ? IF ? Ow-flal?H SIGNAL r: vu R o,D»PI n.n. , Q ? ? IF ? SvIn1oIN RDanw•r PEOESTRIANIPEDAL CYCLIST CLOTHING COLOR. -[j u I ? v I ? N . [3 » , ? F+IL L!. I 11 . IM VEHICLE Pls+os Ix IH VEHICLE M Y[HICLI N S l -11R IUNOLO A NAM?Fr 1 Lcc J w ? Q %'Kl ? ? ?WL,- ?U??? ? ? ? ? ? ?Lxlx» NOOO- ? El ? ? LORE ORpSM1ING IRON i0r PEDESTR1AN/PEOAL CYCLIST WAS USING: I ? N 1 ? a ? +, . ?! L ? .0111.1. 1 ? 1 ? ao ?H?LIRIUF n? ILLED I:?vtnll Hlw,rwion? caws r C] r[D[s,nMN FILLED ? :: - ? 5? 5? 1167aI,,' MOTORCYCLE SAFETY: ?xELMlr us[D ?HLLMI, RUl usln MOTORCYCLE SAFETY: ?rH.IMI IUSIN ?NCLMEI NDI USI r, SHOW NONTNBY AARDW iix'HxILN CIRCLE, 4IrG-I?B?FLOW,HAPPENED: ]REFER ?IO?I [j 7. WHAT L° a A""«w ;dpi R" 77, V `? e ?vV?f/ ,mac ?L/[?f<- :, ?II/J'•(?11 __ .. ??/may/?/n?cc: , c??r?.Cc <?/c? //•• T z _ C.4e -- . -- VEHICLESPOSITIONS BEFORE COLLISION u11 ?'. vlx¢u p.Axr[pA., ' -INVfsnDArfonr ', . •r y.., t f 7 7 Z , ? r tr` ??yy I 11? "d4 ? 1 ' NA2 t ,d ? ri d n. ?ry u II s ? t? 'd a ' f dt.? , ? IS I {? Mr"? h I ?k?Cr, ? L a1 t.? ? ? I 1 r ? + I - { ) Yi t owr , r ?? P IfI II. .v _ .r,._ r- POLICE TRAFFIC COLLISION REPORT MTRAFFICWAV POIef C_NI.__ 2 PRIVATE WAY DArf OIC l N ]I Dui 2 °? rR ]Ix MN AID Iw% ?, HI FU$"-.oVRI COUNIY SEFp E b01.1 /? COUNfY NO. CItt Np. QU 2 . c rrogrowN QN QE ?N on FroRflcnwnr N w ROUIf Oqs u LTR .1 ?s Qw OF I?RX N OIJ ON INIfg5EC11NG w11H'SIREF RNOp NON INIFg5EC10N yzCSO ]] (o 1 efIWFFN SroFFi a SIR[fl DSIANCE6D Rf?lF RrRf I. CRO5551P1E1 RNEA%SIMIlf P051 AC[IDENi MILEAGE NFIS - F Or ` CODE • ` mfl% MIlE Po51 ?] [/. Q RAMP DIAGRAM MIA COILISIONINVOLV[D. Sfvf RllY: ? 1 ? COIN NO NO AIIIFO?NO.INIURFD1 SNIIAGF On116RUN rurwio xni xs vtHlClfs ? q0 RNR 11 SRf ORROA?OR %iERFrICf IN INIFR [US [AOSSS IR t RO 1]] PPO%RIYDAMAGFONIY ? RFSVII[D ? vFaCIE SIX INAM Of L ]t CI SigUCx GK, [Si.D ?cW?`R F?OEt: - oN1b. pu.D. 's OC oE C D SPfCW COOING USE __taB U) - L E v C£ 3 UNIT NO. I UNITN0.7 DRrvfR']NAMF: -1 FIRST MID Q VEHICLE Q PEDESTRIAN ? PEDALCYCIIST 14 'S NAMF: S?IP[f r ADDPFS] JV tREf gxf55 Sia ZIPCODE ONF No. D Y SIAIE ZIV I , - 1J U 8 2 W ORNIR'S UCENSF 5rA7E R E LZ R W M. I V IVER IICENU IArf IX OAr[OF BIRiH D r rq _ OCCUPANON NAMf6PHONF ND?es gM C [rf] vhlGHr I[IGHI UU E OCCUVAIION {I NAMF6 PHONE NO. S V21GH1 IfIGHi EYE 2 c ; o R Q CHECK I? ¢It AS Ax Dnviorrf OF A,M,ourtRIAE M.n ? CHECK (,,) .D 5 e ;; v[H IA A A CODES ?' J ?, Ai SS In m C IN, 11 / QO ne nr .vl Q YEN rEAR , VIA, DA, ? 11 M E NOVq I 11 v.f wLLlR- NO S1AIF H N Y C vFH,RtID[NIIfICAII NN Ux51 GISR%DOWN[R: rIP51 MIODIf I-NI NO L Xl ISIIX[DOWN[R C-Top, O W : 1A31 rIRSt F ENO. " •? I] ADEYRI.0ONNfR 1 N A O-R, ?]I t.l E NAMI.ADDRISS R-A.ANCFCO OrIA 1 AN R ]] WMAW AREA we g D _ r iN CHMG! ?b • C,IARC JAMAGF AREA ? ] [S NxA., OAUµI ^Exrv ?PIMARRU IG? iia IOw[D ?AWwq OR, III-All IO \ NN[D Ioeono` ' ] f Ar er. mALU S _ DIAGRAM OF COLLISION: lu NAI ,I SK?o[NOXIH SNittIr AEC[SSARYI ROW DESCRIPTIONOFCOLLISION: Iusf-NIMIN1AlsHr[t Ir NIC[-RY I ' '® UEti. 4( WAS MOR.rciBOl 0IJ f4aUNTgSLJ TRPl RD, AWE) F ll -ro t. ?1 E.C+O'C•ZATfc A C1 iRvE? STRS KL1.1G A P ?R bWLER POl E , ZT l(1EN SPUW AROUN f ' PT WEW-7 Ove-re ANO wzllfJkme, GCIL f t l A RAML V:C WCE, B ORE ISOWL1t SL - To fK?"-r, TN PPS5P-M&F-Z XIJ VEHr W-( F(.E;p THE ?c cm4L p . NAME, ADDRESS 8 INJURIES OF PERSONS INVOLVED ' CODES I - 2 J 4 5 6 OCCUPANTS/ WITNESSES IiDV su.HIM1"'"` ]r.n OR ApgiroNN NAMI]I A SIX AG( IAIU N ' „ ? %SIR IXGf , N AR otv`t 3?F$$=?J 'a3A ;: ?- X972 AH DAM ]5 DR lLA IISLOUJ ?57 %G d 6? er n AM. Q r Q„ , Q a Q A H DDRI] (? ,A° lwl +rwluf QAMe n:xQ^. H.n?: n.: Y ? o ?,,] IcAI x w YH rAr ta nr,s ul.e. CIA- n,d n x n A Kr DSPA1CIRU WKI ARNND DAII (Y%fORI X O ?I ro ,.rf. p A,KOVIp er 6AII ti,; F IN i XG ?' ? tom;'. NI'R9RaI'xpy .5#?D:1t?' M ? 4?r- ,: 9 ?'" -' 1 "',reD ...; 26? P •., . , _ , _ UN ? l AfE of WASHliVGroiV PgGf OF J N TON N I '?$Lrr,? .. .:, ' qE o o. ' POLICE TRAFFIC COLLISION REPORT POI CE COMPW r N UMBER N DgIFOE COU PRIVATE WAY D y rs I AY 4, Wx u ' . OSI. IIMf COUNTY ..-. Isu (USE Dxrory0UR1 - COUNTY NO. CItY NO . BUR AN { j.Sd// ?N QE UIN CIYOR TOWN E ^E ' ^ ' RAL PM E6 NO.OFStgfEIORNIGNWAY (ti l5 M RO . AVlF3 ©E ?W P[a pF UIF ON SIRE SECTI N E I ' / F /L V'/ ?J INIEREECIING WITH: SINE ORRR D NON 11REEC110N ON/ / • vt? ZG 7"S/O. t Y1L/ G vjS PRffl% EQ. MI LFPOE(. S /JL ?/ 7/HI f 6 DISIgNCf 6UINfCtION OMgfiERfNCE•CROESSI I OR NFgRESt MItEPO3t SiPEE1Z /jGf. STREET Qr?Q MILES {y ACCIDENT RAMP DIAGRAM-IA FFEE OF S p? MILEAGE F PR OIIISIONNVIXVED: FVfR rY. xCODN IOIAI NO. NO.KIllE0??N0. INJURED ?SPURGE ?HT •UN IN %'RD TEE REr R RNEffgfNCE f4 HJnDe[Dlx INTf CFVfHICLES 8 ILLED No - ZS TY f ONLY E 55 ji Cls CROS35ip[EIORROAD 9 OBJECTSIRLKKINPME OF OR1fC1 E X-R ANDOWNfR'S NAME] ?RESULtEO ?4HC[ V - \s' FSf OAMAG{ SRCUICOOING VEE ' . .. 'UNITNO.I S DJ 'X'J?'''f'lC F.r%Sdn IRS I UNIT NO.2 ? VEHICIE ? PEDESTRIAN M ? PEDAIC YCl15T ' D rvFR's NgMF: - ?? ?? ? ` / ust iI MI ?? SINffIgUP4tSE G • G E,RFET nDDNFSE 2 )LJG/ . ?Ps? •. A./d ?? • CITY ' ON ' SIAIF IIP CODE PH E NO /D II IAIE ZIP OD P ? v ? ??' -? MONf NO. -..• ONNfR'SICfrvSEN ? %?` 2c-, ?^ R STgrf /r ` ? r5 % A BIRTH I IVF ' LICENSE NO EfATF% OA FOF tH a z ? Y j6 mD .. occuPAl RRM NAME 6P NONE NO. y{ ? EYES W[IGHI HF GNT E OCCUPAI ON FIRM NAME PHONE NO, 1/Al 1 EYFS WF G ? R /? ?? R Hi IEIGNI Q CHECK i . vS ,y. _ c FASAN FMROVFFOANOIry[lµ NODES C] CHECK (?1 FH CiE AS V A FMROV[F OF S nl O o i g aAl R 11P • y .. ?` L ? S 5 l a iolrv 'c Arv Tl r w ctroN [ f G/i B h7 URni ,s Yl l CODES ? + $ [n v[ N a y o ovc,c.t A55 T NJ s clro { ?Ii . `"" e FS N AmFUTA VF oYEANVDm MA (pp Lj AUPUINCE O wY I, pGE.CHEV.? MOD4?jpo ENOVAO-c"IZDPLJ-COrv n ?i?v,[v 0 M ? e?i ?F n VI n , - ly. 10 q1M I F. HFV1 N-0DELIOAAI.NOVA1 Y{] C? QFc1 / / V "'b ' V n.CIX R IICt-P LA E IEN I ? § ?, v S AIF iRNIFR RAIF NO. VgiE FI VFH.CIXOR lI A •t r ' S?J- Il N A f , , 4 ? VFH CIF IOFNrR CAII NO. 3 2 F H VfHCIE IDfNiF It NN . Iz;•3 GiX'/ 6,Ir E R[O ERRfO Il. P S. 1. OWNER Wi RSt MIDDtE I i l l PHONE NO. RE IETE 10 WNtR: lA3t FIgS'? MIDDLE H NE NO. REMAIN[. :? s unr NEp33AR '"n "" ow \\\\ rra.' ?i'\ \? 11 -4?s ?f rP ?,.%%? 2.. ;r OCCUPANTS/ E R I.J AWAY uRLMNNFD I EST. DAMAGE II ? ^OW{D sUeOtl WAY BY f SCRIPTION OF COLLISION. IUS[ SUPRFMfIRAI sry[Er Ir NEC[sssgrl .?<' rdlPAs ?e)H i s" va :/P ,Di? .4?.?i?e/1/_ icrt'i' /t r•?+d eLJ Pri l"O>`>? ae•/V..S'/rrS' 'aJo _ , C /bdL/«rey ftr ..r./C L r .. All, Ir/J. i7 E' L•w?I•! ?•ia/[ice % o.r.!ei.z'S..yi_?/cl-_. ril,/Fr' cr?a.: rrx,/./.? fIK,AFrrLJ/ T S??r? . OLVED + CODES 1 - 2- 3 4 S 6 I I '-1 ? 1 r ? 4 , F 1 t I 1? I?l.?17?1 ` Yl t I k,r I x '. II '>...?JP: " E OF WASHINGTON ,.,u OTOR VEHICLE COLLISION REPORT N to<LLI 1-112., v. cool rY ' un c r. O , ?! r s ?,u A {.r I'T : tz;` a:3 , J?•?'fe,- COUNTY NO. YNO. ' ' ° "e r ° moo,, ." N ?E ?IN .o"" Na , NDHw.r u Flo ? a, l c , A ; v ! n -H ? rl nno ON ( ?L 2x d W ?° Aw, n Ln ( wD , p ? „,Nr r? E 3 z7iio ' ?7DJ+1 /a I S3' rw•. lrn tr N. tro,i ° ?? ,;. ww•Y,rvoun t Y n wo;D" a L[r x. :° Dr SOD o a p Erf o.Y :w",t " ?:'o' "u?t[Fpir RM ,rA ?? l n ? 1 1 Y L ,IE D I Nw L ?1 = o ` ? " ° .L IS ;ln M o.E e op ta,o,eHrvG?.M.LDeIYt, 8p_LDKIrv oni 1 "nn o D as' 4° o VECTETflUCK ,uE O/DNE[i u[KS V`OWNER OF OBJECTS NAME AND ADDRESS[' rAln Belt[i At , OoE VSt S IIV ED'S LAST NMIE FIRST NgME • MIDDLE .t ?DgfeS M IIlc ?ris ?/ u0K0 rN,x iwD Uns E f DRIVERS LAST NAME FIRST NAME MIDDLE 7.. 'R T ADO REss ROUTE NO 'N° ? . AND BOX NO. 13 121 S FIE A°DPESS - pOUTE NO.gN°BO%NO. :1 Qx z? STATE ZIPCODE na h wfh /3 la DRIVE 'S pCtUPAtION et-,ree( CILLIIIIN tr TI... CITY STATE 21PCODE i l c U? DPIVFP'3000UPATION 11 Efl'S LICENSE NO NO. STATE SE. OAlE.l BlPT. AGE u enr ? 8376 OPIV ' ?e?i and • EMD773MP bvA " X73 ` = Eq ....... NO. STATE SEX OATF 0F BIRTH 2?2 X63 Pc, W ` jo i3 OE i .HICLEYRI ICI EV:DODGES MODEL INOVADART) BODY STYLE 11 R., ?? G i?eV-L I-.r TONK/-[• .?2.C?Et't? (: DOOGFI MODEL (NOVA DggTl OOY VEHICLE YP. 7V& I}Oq.l ST ST TE TRAILERPLATENO. STATE ' ?? LM1 k , I U bb' W EHICLE JDENTJFICATONN ICENSE PL?E N0. STATE TRAILED PLATE N0. STA E 2 3 W w ?616 VEHICLE IDEN T IDN NO. `z A- fj ISTE REO DWNEfl ILA$TFIR$TMIDDLE NAMEI DRIVER'S LICENSE NO ro o a s7u . SC• rn? 2, 46a?Z, PEGISTERE OWNED (LAST iIRSTMIDDLENAMEI DPIVER 'SLICENSE NO. \ SELiAnQ a.s LLfjG L v FRS ADDRESS ISI......ITY ANO STAiFI PDAT E O R ' . .J DATE OF IRTH .0 A V ?_ PA s, lieli l; hi ?e[ .I, N L °` o S L, o ' .IASI LITYINSURANCE INFORMATION. J? WAS THERE AUTOMOBILE LIABILITY INSURANCE EHICLE NO. i I COVERAGE IN EP ELTFOR THISACLIDENT ON YOURCAR AYES [:]NO •u AND POpgF55 yL rv. OF UABIUTYINSUflAN 0 HOLDER NAM LIABNITYINSURANOECOMPANY E .,L,S C?I.Y.-c'?2 sr.rE :x -(- R. Y INSURANCE AG F-u'Ue'lers EAND ADOR L LIABILIT AGENT LIABILITY --_j,-_.._ G f m is T?s ArwE L e L3rolcan f Uf DH .'.rlr A cBJ? I6`1?(/ O O •? s, lD V rT,_A AME AG TOTAL INJUUNRE ED }Np INJUPY: NM111,ATt,MIT M.-ITIBRAL IxN,IHI NAME AGE ODR(SS SEX ADDRESS SEX ATUPE AND K-OF INAIRIES M F ? C] NA RE ANp TE M F FS PfOUIRE I'D NJU ORS -NATION Br A..HH, NDOL ®O AMf O EX NT OF INJURIES OOCTCHIS EXAM NFTISH BY A' O ® O ?? STATUS OF IxAIRFD ?°, IN VEH CIE ?r+ Np ILLFD r,o??"::. K MARK fIRSi n,s,rl 5ir?nl? ONE THAT APPLI N°IM H- I ??i"•.'"u ES ro,lx ix>yi, 11 ?? I D CTOR, STATUS OF INJURED ?.. NICL ? r, x NAME MARK FIRST ONE THAT APPLIES O1Ir'"isu+' NixNn NWR KILLED O ? 50 so x0. ?..,`.n ? ? s? 6C] b17aE9^:n MOTORCYCLE SAFETY: ?HELMET°SFD ?HELMFTNOTUSFD MOTORCYCLE SAFETY: EIELMETUSE° ? SHOW NORTH tY APPOw IN CIRCLE ?HfLMET NOT USFO '. . n .L ie r ° ' ' 0 BE BLOW WHAT HAPPENED: (REFS P TO VEHICLES BYNUMBEPI _ rn _ . _ ?I ver ?, 16? X l d[ ta, <o ?It. tr"tt w^ , D: NMM.,,, ? ? cram H-E LL:c?L? (o I rac?ed rl d 4 dl -?? ?f . P ? . E.t,ct-oss 2E,a?J Co?•YI't. i1i 't'? O 't Sto ' - M,IHO,"Iww,. , , t.L ?r.I P!?I L '- j4 I q ti? E to l _ .. U-s Uwli nq ..hor ' I F F1 I O h eo ?? 1 Fronts 5 c IcOG vtd wcs . - 4 l uL. rA:.L.d ?- ? I ,. f!' •F ._Kv}ab(cl tU GO?'Eda ?o e. C.o F..irk•t'e rfof+ - i n _ ... T7e for. b;..n ( ? . . - J C;...,r, ? P ? ..a?IC ro LLC }i n ---- f ? - ??t?, ujo lcs STe ra " i + .A ai,. ,%V_al f?+ar vz?nrE, I Q E.Lks sfy.edi 1, ? 'y L- r VEHICLES POI71pNS ORE CO LISIO , •rt u46 Yh IA rfw w: Yal/al i C. 1 o •T H. o. - Y ... N IH)wt" . ...ION ltgfp ODUDNwAY NAUf OA NO. 1 ? ?? +:,? Ir N ' ?I rn -b ?' Ir;?1T. •o °?n1??N?D? mil' .?:71 w,I g1 ? ? ? 3 rood D^, ? ? W ? R ! ? ? ? ? ? ? ?w., .?R;o„'H !! .fi {tlw ? O Y ? Lo ? ? ? ? ? ? 0-H, I ? ? ? ? Al D w"" ?" < R ROUINa rflo TD 'EDESTRIAN/PEDAL CYCLIST WAS USING:.?Mn F ' ?.. I?,„ ,? w,m ' ?.lo ,?w I? ? • ei ,?:.?N FQADA EDESTRIANiPE DAL CYCLIST CLOTHING COLOR:IQn• ICONDHIOdi RD•D w+r.c( wE•r^ie - F •^/ • •?, (p? t?LrY.c JQ. tKArr•c coNinDL 06 1 [03 Q HCN 0 .Q. ?? rnE Dr PO•o rL a,e WAY } ? TM ° a?@ DRIVlRNEHICLf ACTIONS eoING{TUIgNTANUo ? } ? OVERTAKING AN P ,IGHT, E] DN IT 7' ?.- A ? ] QrIElDt14M R j y (RS IIE ? } ? RUAO D ASSING ? } Q uA%IMG RIaNT TUR D R%SIAIIt la M l , ? `a t ? tO„ 7 F C] IC! I Q IL•MnN6 RIO ? NI[ALHANGE ? ? Il001 AAM1 N ? I ? NAYINOLfITTUR {?YIC rI ' ? fI R( [ftlGHlf OI.(, ? 3 0IIAMNNOAMR,R r 1 N t ?Yff IT ? 1 1L FY QE QRRM l GNA { I ? q I ? 1 QuA...GU TURN t pwAY CHAKK ADZ w FAL(Tr11 I ?? ( N E OIAN?P Q { Q fIOWIMG ,I rlilr ? QOIHCI,x LAf 4AN ? 1 1 1 MIT 1I 4' ? G JL u„s f> m t'' ? ?? 1 ? 1 • 1 q VIWAY ? 1 Q 110111q I0R TRAI/IC Lr• Q E ?0 IIR IIIC FY RO U{I ION E f^DIPfq AI SIGNAL OfgF C] 3 Q fignlq IN q q Ar ??gjE"Y'aO Q0 i ?1 Irc ? } 11 ;4 {"h\ ^'?t' VCY STARTIM6IN G, nt S l?. u ? ` c ti;,r Ndn, Try l ftu f 1 ll V? ?""'' ill °t•'' Y = r? + Iu" / :I t A ? • STATE OF WASHINGTON IaAL USF ONLr 'R MOTOR VEHICLE COLLISION REPORT D B;1 LusF OxE.I ,f NO. x 3" f upx° rs'° , i rxl E r HM 'u NO. H? x cwxlr - CITING. couNTVNO p' x?x 7] x.o, ..C° r? Fer • •e c o /(o "44N nuRl ..L ' "° po OW OoF HrL+?rI v)rno rl" ON C- _ d 031 ° V ^? offr?,.F,rnE[?N•.101 I" rI. IP°fz7iio L RJr p ..??jx ITw °lo ?wo Mow"ttFr.rlxd•V ^ww. R o,i, ???? } II.' LE' oaEns.RM'L°- v T H.NEOf oe.La NcM v'OVBIEP OF OBJECTS NAME AND poafsscr M,MR O °ca0[usE •?Sw -,07 e1 or 3 1 DRIVERS LABT NAME IT'NAME • B 1 L NIGGLE N Og1VEP'S L0.5T NAME <//?? / FIRST NAME ST ETJADOR MIDDLE 11 THIS co"Ilo. IT ",L ?QCS MP/?VCL QI"JS PDUTE NO. 0O THE 3 RED I' PDUTE NO. AN°BO%No, 4• IT A II CODE PI(?J,N SO1000P C7 { ?I D I\C. I.I VGd [ronr r°xu CIT .'Y?11{..??/(? STATE {I? 5`9 ZIPCODE OPIV/E?DB ? OCCUPATION ORIVFP'S LICENSE NO STATE SEX, DATE OFB qiH AGE 1. 1- ?'+- 3zo lr; r' BRoGK QA? ??3 4p rcCY BA rq DR ER'S LICENSE,NO. STATE. .yATEOEBIRTN.._..;AGE,. VEHIC SEXI LE P. M EICHfV:pppaEl MpD L[„GYA-0APT, r Co14TEM 773,1 PW 7 ??! DQrfl11 Y6 Y EI J VEHICLE R Prck. up LHfV; OOELIN VA-0ARTI BOD S1YLEI pq (uLIy /?f L E„ STgTE TRAILER PLwTF HD. STATE 7 ?A-,O tAr Oki" ,$UJq,E,I r+/E Z331 u / d fEPLAT STA E AILER PLATE NO. STATE JEI,ICLE IDEN?TIi1......N0. •V ?E V DM 0 WA J Q VEHICLE IDENTIFICATION NO, • ZOOD 61-r`7 L' IEGQISTEREp pWHER ILASTFIRSTMIDDLE NAMEI W OPIV Eq'S LKENS ''J E I 1 F•7 rGC/ I? O REGISTERED OWNER ILgSTFIgSTM-0OLE NAMEI Z RI ?'•el sm-let 0.?VQ /F__ I ORIVER'SLICEN6EN0. 1.',. N sAOOnREss ISTgEET,CTVq„DSiaTE1 L••A?f ll-('• 837 Dori5 Co.4?'E•yQ 773,4 ?, W P•0,1 ? •?? DATE a.B PTH OWN ?j?1((SAD?O/PEfS ?t ISTflEET,CITY ANDBTATfI L A SOG V(I.N IyCLf OAMAGED Qµ1 ?GGta ?A /O O3 lp VO^ J4l Or T R;•r t nNOyIW{}• LE OF BIRiII -'1 { na. OVf? r,N ?r I: Y[+s? t A iB Gi VEHICLE DAMAGES 3 ° P Le t Front ?ydu ,YxI. , LIABILITY INSURANCE INFORMATION-VEHICLE NO. I . WASTHEREAUTO4oeILE UgaIUrY lxsuRA„cF $ 4M?`ryD AODPESS OF LIABILITY INSUgA„CE IDLpCRY DLDfR COVERAGEINEFFECTFORTHISACCIOENTONYpURCAR H a ?" "' urY GT.rf OYES KNO NAME OF LIABILITY INSURANCE COMPANY er AME AHD ADU f O LIABILITY INSUPANCE AGENT Clrr sTArL JM ILIA BILITYPOLICYNUMB R rT INJUPY; y ,= AGE ZND INNRV: AME NSE MrA•ATI F- TO. A...".HAL xuR q1 TOTAL AGE DDRESS INJURED NAME t ATSJRE AND Sex (TENT Of INNMIFf M F ADDRESS 6F% J D NAI FS REOUTAF ? p r 0 ® ? , TURF AND M F M NATION By A ppCTOq. LI-?+JI EXTENT Oi INJURIES ? a STATUS Of INAJRFT-M'",IR1111 E RS E%gLNJUNTION"BYDU pHEpC ATOPr ® QNAMR'S 00 IN VSTATUS Of INJURED An%FIRST ONE THAT APPLIf9 NO CLE ln? 5?r ' , Orr No. %ILLED a IN G? Dr'Oh,B ulHCrn EwMfiNi0 6E) r IOTORCYCLE SAFETY: pHELMET US1p q Q ?? ?HELMET NOt USED MOTORCYCLE SAFETY; ! yOW NOR TH e; AR ROW INL RCL[ ?HELMET USED HE Wee NOT USED cwlA. xrrrrN,p "•N O DESCRIBEBLOW WHAT APYFNEDI IPFfEq TO VfNICL-_ NUMBfRI ' •v «.I Lvor d? to f,, ' o :,24tH' •Sr ",? Id-i 9 h w ! 1 down - opf ? • -?? ?? r p clmdo teed Lr.IIl n+x cx".. 0041'1 f' R00.? ? Q'4Y0$$ .. '- I?i,pL?Lwacl 101 ?rivcv Z Cuw . `- y y,` ?_ W 1 f ___-_ _,.O ?) Cofa.h y ?fy Vlorl-L1 . W 0.S 1 t Rd.KCI ' cL?l4G(C 17{o r Z ?. -44 It CEntroasl)(ti Vallicji 1, rr S FAnt"tt !?oaf ID? a __' Nai'1-61ar vulll9lc, u+ws sPe.Colin9, r ' `-. ?.ktr n ?JUo•E faM!:??s S'c/ara ' ?• , I,j`. EHI LES POSITION, B?F?RET'COLLISION?'?-"""- '-'- 1111 a ? It -?IE' F E ON fTR([i OA NIG„WAYN•M[OR NO, ` r, + ft I JI } I •Kl Wr W ° I[Nn ?IIr ANO "vlllr r?wp 0 x?CL1pMry1B N I I A I 1 J WvFA ? R er r`nd' 4r,,. 6i! ? O ? l.?l:4?.° ? 11 ? 13 proOt:2.a ??«K2 'N ? Yr t , t a I Il, .r, ? O ? ? kxo ? a ? ? ? ? p wr,°NOH F 1E L '' IY?. CYCLIST W DESTRIg/pEpgl D'tI" FROM , n3 USING: t p 40,,.1, C° L DESTRIAN/iEOAI CYCLIST CLOTHING COLOR: I p e ,?, ' 1 p _IA" f p ?, , ? ' ? ° iD"II l ? -'T GDIIJ KI p,H„r r?„ ±••;f ••r,o .M '?i:ii"wiiI I"l ...IT y RurxlR ucHrcONmnoHf ,Aq, •?lru YE CC 1 „??t i?? S'Ji ?y. ?; " KCONTRDL 1O TYII OI ROAD 'aPrrip"il, iiil^'r1171 "". IT j J1` Ir+?I... !? "r tnArl?CHr ' <,1<.0„ v r o,r?.,yr pRIVIRNfnKLI gCr10Hi 1 'f) Jll1 ^J ?r ' J ' x` Yr,KL E ?n•wx p r„[?pfcHALF "0 f E %xraoNlo,4ofM {° y 1, S U Ep AMw„c f t l w YO1 NpD T I . { ?[?- E p«It ?dif" ? T p Rb UGN p ) rVrO w•v E W OaMO ARAIa„r•NEAO '. + t L f 0%A_ fpfNO'"INC .0 .....Ow'IT ? T avlllOSIGN ? 1 ? oV1 RTA%INa AND PASSING 1- J5 IpJOD s p•w%u•uT ? 1 ? "o u"ww i ?C. f? ?ucxn on ? f p...... NC"En ? T ? MA.NO RIGHT11114 ' t UTHIA t? Yftr/vr I ? ? ft,1Y'ri°I.... C) t a " C1 IlOg1??4?G1 a 1 p 4A%INa LIIT TURN 5,11-1111. :I T y d . VIWrr ? R•tNIHG A4.IR t ? ? I `T '•.f C 1r j ' ? t°PrIC Ir 1 A{GHA1 ? t ?l[vA /, I1 1 L RO•U4AY Cs•?q IR R E ?/q ? f ? MA%IHOU TURN 1, N I ROA°wAV WRIACI t111 ? 1 p dIrCI RiILACUgN 0 Lra?t IAN?IVRN p E C] U.N. t`?? 1 ' !E Lip ' ttlil.?l } 1 1 I 7 1 DAIA— ,; E J tidl- I ; ?' I :4c ?E ??., nl D [?• ? E ?OT IR Vlt ,v a Ro,o LIP IE .IW a 1 ? STOPPED 10R TRA,F.c v 4 t •i 11 ,iy ?oJ(i. ,? )5' 11• w '? C 'f"!" C!f a E a "OFMro TEaN L g If _ 5.- _.5 ,: J d rANI = 1 , k i y j T V 1 1 I L." Ap ^ [ J K g 1 D, ! 11 wSPI•N,HV STATE OF WASHINGTON wG N I D?p ?. ` POLICE TRAFFIC COLLISION REPORT U& TRAFFICWAY ^AlCk camnANRNlr . -1 11 ' { wefe 11 T,T PRIVATE WAY ?I DA EOr au n D I I 4 AY qm I .aR ipp IIOU41 COUrv1r CUUNrY NO. CITY NO. IDSIR I' $ j Wx t l a IO `URB% r N , LZSV,J ICv p QN ?F C YON TOWN NM A NO e Of Ell y ' • fit' . O txGHWgv Cl5 RWIF Ox SI4F YNl(5 QS QW Or / Cl ON INIf4YCNNG NtIH: Sr4f[I ON (fin x' G ??? Q u S ' NVNINIfRYCI ON PREPI% f MITE Po51 l l.r, +- ; / -HT y Y/ DISIgNCF6D afCAtlnf EIWHN /s? kt / ? S1q[fl fwRF51 M1(FK r F S r r X rJ f RAm ACCIOENf DlAUawM DATA rEFi ? MILEAGE HI R k y, or tooE C«lISION INVIXV[D' NIrY fY• J • .RD I [45ECIING SIR[FI OR ROM 01f NilR[NCf IOIAI NO. ? NO.KIIfD?rq.IN1URfD?_ ?SP IAGE ?NIw4yN urv4HOln N IMF CIS CYOSSSIPHi Oe ROAD EYVf HIClFS PROHRIYOAMAG[ONIY ?U%61nD 084°'`1 OBI[Cr St ,, L d7 gUC K INM1EOr OBIE_r 514«K AND OWNER 5 Nw! EI 5 DP 1 MAGf SHC W COgNG IlSf S UNIT NO. I UNIT NO. 2 f rvFgs NAME: IASr N4sl Q VEHICLE Q f40ESTRIAN mIDIXE 'SNAMf R Q PEDALgfCLIST O41vE4 ? : IA51 5 I4 J ?fFiw 55 IvFF OXF a 5 L J •' Y O b / f 4 _ ° . cur ( EIAIE -1 Of ZONE NO D I ? Y sun zlvc f vNOrfF NO - t ?'f. _ R piNER'S UC NSfN slwlF T r ,q f% N N ? wFR uCEN5F N0. !I SIAIf 5[% «BX1HY IA 6 / MD AIFD.. R «cuvwnON 0 oj? w ?'1J? /•? N^q V EYf OHl E r HfIGHI r <UPgIION HONE NO. EYES WEIGNI 1K G111 ? 2 s ? / 7 / CII ? .S .SAO R "( " ` Q CHECK ([?) VFHKfFwSwH Uw rEEOEwnoIHFeM UCHECK CODES * D ir5sn S e Avw w? r ?f wv° °re I x.c n[ [cl?a n "`°r a CODES ft. 9 nii'v[N ? a -I I ' I • N q( n a «n a r l .Nvc.c T . ? s? ti _ o1 'intpEr° M ? wvwuwNCe Q Kf ? Sine tol ;7'-Z7 1 T"21- ? .m Nc m nv wm%E IDocu CHEV) fl1DARl NOVAI Sr Ylf IV D4. Cply l r wR ac I O ' . (` +( HE 1 q DART-NOVA) ll I D onv I ? ^¢ ? ., - W N [ PIA E -11 nI1FR Nwlt NO. qlF H vEN CIXOR F2N 6-N///66 41,- _ gfNG AI ,? yy !"Y!+>. vfNKl[IIXMI[ICAIIONNO. 3 6 9'F 3 W 5 6 0 o L YEHICIf D NInKA1I N mc15rtefD.-B.. IA51 PIRSr mIDgE Plpnf D I v Rz. N N ?? O f Isn4[oowNfR. lASI Nesl MIDIXt H eflo ELGl,S lQAU1p W r '„ Iwxssa owNEe W w r wNF4 '? ? f3 hod s N ' n { I C G ,?' awoBRfssawweANC[co «ACe L ? p E Z11 uuA?FZ3 SET US C 6 R ; ?. e . r- ? C r/I /C ? D.•/wAGI Aeu r • °wc?oNN CHAOCI cnwecr Y t"tl?'"c tAiAAGE EA / `i0lf0 5 ISL DAmACI ? Aww ?RFMm ED 1 I M '• ?^wwN F5 A D AGf __ w p ?Rtmun[D i=v 16 L 0 7' h o ' Er rdG- ? AWAY BY V .. DIAGRAM Of COUISION; lu u cAIE NORM le sWfiu MUSWrI I Rr ABROw DE1RI111010F COLLISION: fU51 SUPHfMENIA SMfrIr NFCrssARrf ', iy •?:'r ?' ?" '? UE'N/Cl f,?/AS T',fyUEZirJG Toa FsT - - Iz _ _ :vA 7g TNG--' fo.PNCne - lc FT nr/YC'- IfGR a?WN / ? t ?. ? ? pN TiYC G!. FT Sl9C- - I(X'f:dvv i ? z ?;Ls I ? ? Q S.y,•.// AQp.?,f -?G?6 Tv ?'d'T ?Ntq oN / T:5 ToP : ,: ' ? ' ,_ .. /B Q / ? ,, t ? Y IA[u FIAIUSI": "I'"?! I ?! Ie.4..1. s. lvlbi. 1 X } >>+pY S ? ?? t ? q "? ?, ? #Yr a ti• irS+s??N fyn'?`.?i1 ? T ? e Ir? N# 1 f) 1 ??? +;} fit I ^f e + YEpi C ?? F r Ic+ F t ?f W -?.1 nvr L I, 1J r ^?r `l?r Ya Rra l t ' 9 util ?,.. -A { r?rY + ?? f T s c7 P t 4 , ,? f 7 °d.ro$:N? ? n `! fi " ?Cs?' '? l ? r`??.3 t? ? I ???1? L.rtlzra+ 5 ? ei r ? ? I ,? h, 4 I I 11 t f I l?: r E z ° I .: ?.(I f ? ?tid., .rl a. r.; t, a h1w 1 1, > l j W C.. 1 . mo ,J F v? q - I POLICETRAFFICEI NREPORT ),L-;LTRAFFICWAY PIXlct mNUMNR P,9/VATE WAY . Mt Ue IME COUNTY w (USE]EWNOUaI .-,. -? v.. n .m X ? C?UN?YN0. hND.. ENWA :^ pu eAN l 3 . 5? • ? 0 aAl ?N ?N CIYOR rOWN NNAE8fq.0ieiafEl09 HGNWAY / ? Avlts ? g1o J? ? r ON ?. I ? CLt ORS 7 I ? "'? Z7 Tl?d ? '.. ? C/E ?? ?Eroga?-SD NoN wrtasfalw RREfu ED Mne vosr t , 3 HJ./? aFrwFfN SIREFia SrR[E! ti? ??.., ?•!'.!'" . J aO55SratEi RNw! Mlt R mRES N ES [ W / ifE! OF ?? ' ACCIDENT MILEAGE CODE RAMP pAGR Wf ,y(:• .?. a.y,a ?A,.l ?'a, a r+?,? ..•• !CYtW?X: R CIXUSgNINVOIVtD: FXIrY: 1OWNO. NO. KAEfD-lq.INNRFD OsPaue! ?HI e N 01 VFNIClES ® ? PROPFRIYDAMAG paY ? YIESfIlliEO ? n w?? x-0 IMEIt qs. .:K 5 t 4 ce tAOSSSralAOR ROW . aS. /Oi rJ v 1] (J J'L O 001KTS^.'IICx INAMf OEOBJFCi SlRUCR ANDOVmFRS NAMtI EEl DAMAGE SPtC \COgNG -. UNITNO,.1 :%': •: .. ....._'. UNfTNQ2, ':: pvasKaE:a QFEDESmw+-.. p.PEnAlcrolsa: :• 9 Darvtns NAMr. usl I ? Rn a•sNAMe: usr I D ' _J - e E ADO RE ADOR e 2 D , -/ C/G? S D r LJ O SA ?P irgNl NO. L R ..11w1IE C!/ J D 7/ rf E OXrvtPSUCEN 5. IR - " .! i D D s v 3? G r3 „ I =s = n OCCUTAiION NCNNwMEa /!1`r- JJJ J FY[s IGNr NEN.nf E CUVA110N f1aMNAMta PM1NE NO. MS r il[IGNT j L. r . R. ,,l O CHE KV) veN E : N A ? CHECK(,') IvEnlne AsA?DNaoW oEw mFa CODES ?' S R . s 5 N 6 y"?O• CODES ?* 9 9M' 1 . srsrtN S exclloN a s•wrv n 2. . ? .Et 's! w.41.DM p NRAAw. O !'°A.`E O 86. ? N"-u O VOW 0--ow O M16. 0=9 O . e. VFn. Y- MARE IDDOGtSnEV.) fI IDARI. AI srYD:Ia DR. G TN ?l E .) EIDAR AI 1 .) 9 uv? yy/ '° S Y. $IAI t A DVU LR MlE NO. H VEK IX Lll , 6 1 OJ f: E"i h VfnICIE IDfNnfIU1gNNQ L vEnl DENII !? 1 D19!`!,B i I E6! i 5 3 5?i ?i r i i i i fly XWISRRFDOWNFE: USr lN51 MIDttE u TT AC PnONt NO. 0 w 0 1 NRSi I ADDamaf ovmER • e NEa .SEdM ? I? DDN Cr INEURANC[CO. OPAGENt AMEAA N R vrJc? wMAU AaE ;? niO I .? ARu ,.,N.w g .rD DN, D.DE crlAR //° wAR D""`X.E.a N 19 pyl • • ..s+ ::. S sI. DAMAGE Q WAVN ? ?y IK 9tAWW0 aVEN ?R IO?OTlO? FMMNEO 10 MIYOii ` , D "Al r 1 J IoweO = .,. u 0A 2? f Y. YI eYl rn RIpy0Np.CpE SION: Ilse strruMENru slRnn Necuwrl D.Iy5????AM OF COll15_IONT .,afavu l ,, C ... 9+cr LL 8 _as p y, , ress .._ bars/,:.1?d T?.AvJ,c9 /qtr/..t>a?? s?Gr? /.? -L ? ' 1 ^ -? ` E/l•..a o .P 2 W S FNS/ 2? . !0' . .... ` _... -. aI JF e G 6R90E' ? NAME. ADDRE558INJURIES OF PERSONS I NVOLVED ' CODES 1 - Z 3 4 3 6 OCCUPANTS /WITNESSES is A?DI^rEla u ww ii wl AGE ur- lu-?M -«i IA ;WT W exci ?'¢v' O1 NAMf:• P IS-I S A DDas CO // .. ?. NArp. - - i A p AM Y R. m, O '^•. O'm i ll;v. ?N .MrOeeJJ?'a/` ._rBJl?!/e .rte/ ' ell I'r-Il I/ I, 0M"OH... M ?A x ? .Nlf ? .. N A.. .- INM?1 OAALL ?ci? ? ?n Y.vnl •IPgD+farE N.AM a.AnR s -u? / fpy, yyD ??D DArt a-rwlRr DM n nr ].DOWN .0]nH CfID ,,..II ..'..m.'i?!?"?F•?SEI'""?R9QI3 ,.-.? . ......... .. Hr'.,.C,. Y.l.u, r .z• .. P..,_ 1. RPM \ .?..•,a 1,A ,I. 01 ..-. E . r A-e.A a- e v x •R ,„ . I 14U. POLICE TRAFFIC COLU5 NREPORi I[11RAFFICWAY EOtICEC n. NTNUMRFR j] PRIVATE WAY D 1lOD N.. D,T W l TIME COUNTY COUNIYNO. CIIYNO. pNWA MD ?y S "1R IW !- MI : (USF ]100 HOUR) ^ CITY OR (OWN- -- ?N OF QIN / r - - NaAElN0. Oi 31Rffi0R NIG M WAY CIS I gOU f! R I N M"'N'•r rv•.. ( ( J ' Mlf3 ?3 ?W ?Of i-. I??VN(.'N OI• I'1C / ? £ (! . ry SQDi? 9SfRIN 1M +N: Sigffi OR ROAD NON INIFRSFCTION pREfIK ` EO. MITE POST ]] eERVEfN WCf? .CR OSSSrgkET 9NFAa STMIIE R STREET 6 STREET V S E MllFS N ACCIDENT R P DAG4AMWiA ffET Of . S „ ILE CODE E a ?I O?' I.T ISKNINVOIV[0: SEVt RItY: P K NO. IN[URfO ? SgifUG[ M11f lly ) ? a 9 I R ' INTFq CIS CRO . CI D _ Cfy-Ols D ? IwAOR4KRN YDANAGF ON[Y ? pE5Ul1FD F N ?qo ? VFNICIf , . S WORROAD Cf STRUCK INAMEWOBi[R STRUCK AND OWNER'S NAMfI FSi.DAMAGE SRCULL CODING 5 - UNITN0.1' LIMIT N0.2 ' :. fl vKUlnc .. n DKnc n.1 r, .....- ,. .. ?k Of' I/ f W D I- l7'Alh w e( O, ip -- , S etf A w-? of [ApOR SS > IGIkJ_ r IY ) p ZIPCODE ONENO, D I i i r Z off Iy8 D.11 SUCEN3f 0. SIAIf x R w F s N - rn I MD, DAr ,,9 I ? IV U N AI e1R1 MD ? RAY ?r OCCUTAIION FIRM NAMFepf ONFfq ? . Z KpQlua 6 c? uses EYES -T -.1 ?iL ¢0.7 E a UPAlION FIRM NAMFe PHONE NO. FY[3 IGNI ie IGN . QCHECK(.7 vrNnEAS Ui fMROVffof ANOrNEa. ?CHECK (? 'VEiE CIEAS AN EMRO F 4 CODES ?+ 7 a x isn 5 N1a DN a V j Z Y E OFANOINE : CODES ? * D aiiv x ?? ,w ", 1 nM 3 fwc, DN a u4n ]] wwa e, / t °: ro M u . ? A".M "c, ? uw ? s.?. ? H.A:f Q 2 VfN 9 K IoE.D Q ArEWn"u ? pct ? EaER. ? W ? :: .Y[A MAKE IDODGE•CNEV.J tl (D i•NOVAI 51Ylf IF'Drq.•< ' 2 'U n3 JI { yN, rO E nruR ( V.1 EI IDARINO VA1 YRN m? ?f lK E ? IUI SiAtF (4AILLq MIE NO. SIAtf / I"I vFN. q ?. - yF/ I1 '[\CO /Jp [? 0371 (x,J / IJ`A I N A , V[NtCIF IDENTIIKAIION NO. C VFNI t I Nfl l A 1 N 3 ?: I ', I IP I 1? 16151 I I I I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 I I I 9EGI5(f9t00WNtR: NST 1195t MIOIXf PHONE W. , O W 4 IS RD WN[R: WI IIRSi MIDIX , 7 ADp9t5)O OWNS N A WNFR ?. _ MFeADDAWOFINSI.,. Clco.--r VLAuO ! / LI S W? DAMicmµu R I AN R, _ ]] 4 ?i`:. R fro. A r CHUG CN0GE o"p DAMAGED AREA 1) j, ° Ibiontii l3 T. DAWGf .,[, ?DAwwv ?RFMAINED - ....... ORIVtN ? Aw.v ?acMUN[D est. DAMAG! TDI I??' ?) to Aw er - IJY NJ U e S - 1 DIAGRAM OFCOLUSION 1 f I Dare NOgrN DESCRIPTION OF COLLISION (USE SUPPI[MFNIAL SNEFTIr NfC6SMY skuET lr fttcesii,RY{_ erA 4pW .r ,..,_ __ _ 1 ?? ' ?T ? 4 (-_I_ l`l! _ (IWl .Z. _LJiT ?,F?U6wNG_W6S7 ?/3 cvA+1 ?' LbFT_7u.4__ ]e r I I I I I 1 ?E CAn1 vti ay 71tE TR?F1C[ @u C'gvr!?c!?P?xfyc"JC L! j NAME, ADDRESS 8 INJURIES OF PERSONS INVOLVED FusF swnmtNru seen * CODES 1 - 2 D 4 5 6 _ OCCUPANTS/ WITNESSES a.l [w ADanowl NAMesI •six AGi urns "„W" D•' +arn ?'nn uc.. r nl» 3) NA1Ma'. --- ?l'""t 0.111.. ?U. f. ENrnY ? AMe. 1U.K1 .Q ?,"::,u ADD.FU .. __...._..._ HOArpR a.-._- R aovfDl9 0 ? O ? a+ ? ?- N " r y a' ' T e ll' } ?., i T ttr A F'}+.Ak?s, '1T? 1 gli yEyy I I a t p T SlL M1.H t '(? ?U?z Ts? 7.u L 15 rklYkd `GI kl; r p.eq Ir. I 11??R *k `.Y' !r, AY xll.?1' E 7f? 1 f 1 ?' i ? 10 `'? L 1 y 1 ' I ldt ?? I1 i ? B 7 9 t fl ?? 1 4 1 ? 1 i. 1 f ? 4 ?, nr,' i t* 1 I ? ? y ? A ? f I li 1 .1 ?? I + 1 'r f 1 1$ ??f`L 1, k Si 1 ? 1 I : f k 11(( . N k It y ?T i 1 - 1) r r' r .?4?X 1 . .,DAZE FCOIIJ wN r • YU N...,... F __ UME US u... ...,. ...,. COUNTY COUNTY NO CITY NO. n E !. r r cc)0 4R r10 11, • E]'(OHOV9) ( 100 m? /(o Nwa ?ugeAN x - y ENU 4 OE O'N ESNO............. O 319FFi pR 11 G11 AY LfS ? 1 W ? OF GIrY pR iGw pp 1 l1 ?? 1 IJNOA) ONIJOSr? OAFS tom I IRS A O ORAL 4 FOUIE0411R E sfc oN 3 Z . INIFRSE ING MirN JIRkEI OP W NpNINIEASICTION S oov PFEf A FO. MRE GO31 `Z] j I - f? / B[i3YFEN O SrRF[i eK tU100K, f tee, 1I y- 1 P.t g3 DISIaNCEe u ON OM PE{ERENC CROSS SIPffTOR NEA9f51 MllF fV ACCIDENT InttE3 N 5 [ W L.GJ F[Fi OR .t`• tI o I MIREA E coDE RAM' DIAGRAM pAfA. A. ,?. - Y , CIXUSIONINVOIV[0: IVERIIVI IOIALNO. ??NO.INlV4ED? ?SPIiUGF ?N IERUN N?riOiRS m NO RILIED Pur,pr X?RD 9 rINGSPlf O ROADORIrtFl AE- N IMF CL5 CAOSSSTR!lrOaRpAO _ R CYVEHIClFS PROPERTYOAMAGEONLY ?gfl?lrFO ?v[NiCIE OBl r 1R ????? ? n '' ?q 5 ??55 UCXIN-, O{OBlECI Si9UCX MIBO Yr NAM, f1i.DAMAGF foc??NSS/OL S -uG I?-rYo-w?'r? s$ SYFCIAI WONG USE . 3 UNIT NO. LN a ... DPlvexs DDIE ^?y UNIT NO.2 : •.? VEHICLE.. , .? PEDESTRIAN ? PEDALCYCUST DYIVk95NAMF. USI ?'? yg--•- .. C1OSE7,UAc??os &IY,'u. IIAII z ol]f PHOnf Np. ", ? ???? 'ZlJ?• Z2? YNO - R . SiA1F fX DA e91N ( DRIV R' UCENSF NO,• fIRN NAMfSPHONf NO, tYES IGHt MIGNt 'E OCCUPATION {IRM NAM 'K (V) VFNKIFASµ DANOV o{ANOIwFfa:? ?CHECK (? IvlNl[ + n R i 16 •ss ? N l Gyl! ? Misr ? n2 t ? .8G p v?f „ BgrPoM ? MA9f ? G E{NEV.I IIDaRI.N(rvgl SiYIF I]DR.CONV.I N. TEAR Y Y Ap?uuu 2nk. E U N A N SIA M 1RAIL(A-IENO. MAIL H -.COLOR 7 ? ?) /T /T C fICA110N NO. I 16 iB12'O I I I I ' E ENICI IDEN IGII N N Y T fR: Wl {IRSi MIOOIf 1PN0Nf NO. _ 17-. Sq SAE o I REGIS 10OWNER: EAST -- SfF/LJe W N A E OWrvER f3 SURANCI CO. aA AGFNr ?/P???S-fr. 7au??Ss>vv0 E R VAN - AwAY Bn U - AWAC)f BY: 7', DIAGRAM OF COLl1510N;' 1u u MlNk I ae a ogrN DESCRIPTION OF COLLISION (IISISUPPI[MENIALSNFEr tCl33ARY Ow _ 3H[E11PM[iSL1RY BYQ P I +?r??.?j--(?olE-; I ? ? ?? ? V :I l?c?iecc ??`s c,4s:?tva o,?.Qassud?<.ds.: 5-41 X-0 _ I I ? -?--?-?{-•'- -?-- i ; .? . { I_,•, SufJ.Ati/.k/?PUo ?.er__StpEaF?'uwy._. _ T- f R,vQ 41?P??Deu? . /'act _.. + r p 1- ?-I I I I ? ?z,p?_ ?-1'Ac?T•Lo?ilrr0,(J..1/E?/ Q .CIE ?a..?ESr•._.-. , 3 1 a NJURIES OF PERSONS INVOLVED + OCCUPANTS/WITNESSES Nu sLrnlMlNru SNID CODES 1 - 2 9 4 5 6 TOR ADOIIIONAlNaM151 SG AO[ }AIUS ?N - usCY' '• N+w: vw N.i' wl a[va. Umr rRr+ ... v '. NAMI: iq °1 YIN eY• ?AA1e. ?i Lq. ?.." • ??Iri' ?{rQi,sR I r Rr B• " NNnI: ?'?a. N Y ? fii r ?. • ? my ? 1r:w3r _._...._ .._ ..... ?._. NON r •gsgRY11' .. _. _ 14rUR1 OP __ .. ... .. 6QNf AY. ?AMB ?Y •. w +vcrnr.n sNwfaaAr„ awrno rrlNCY nl ,is 1.A--„ m?::+ ?I:::,v K10 SrAlCNlO IOI .• ............. _ _. r,r F , ? 1r .gel p v .. k ! 1 STATE OF WA IN TON E of No - / • POLICE TRAFFIC COL NREPOR7 C6VAV RAFFI Roucf .U Nr NUMBER f .- DArE Or a PRIVATE WAY NME ?I ' ! IDSf ]fODHOU9 COUN" COUNTY NO. CnY NO. -?7 rW. RRIfD??lJO.INIUREp. ? SVIII MIANO. ?. (] PROPERTY AGE ?q- RWq OF V[WClf3 DAMAOEONEy ? RES _D ? VFNECIF wwRagrxf Cr SERUCK INlK?{. AMf OEOS1FCrSrRUCK ANDONNFkS NAMF) Fsr. DAMApf UNITNO. I UNITNO.2 R NAME: IASt i?R i' t DRIVER'S NAME: RE r„DOREu Sr !F 41 CODE ONE NO. D 'S UCE SEAIE E% BIRn iV GO%Y/f .U/ I uc NSE no. AVON ' NRM NAMfE NONE NO. ??? 1 ?'vI AV I V . nr E occuRAnoN Eyfs wElcnr NE'.., CHECK (.? vfN 'lf AS AH FMSiOYFFOfAN D,ERA R CHECK (,l) $ ° K i s F O sMO.x CODES b- * s a 5 IN, .1 ?.MBUUNCE n ;gKe n rn- n .NNMF .. .,,,. ___ J MtE NO. SrwrE H v n. aoR L s?yy G/? I F v C VfnICIE IDfNrx L MIDIXE ? I R1pNE NO. N Srfq pOW h/ <yyc? ?°, /.t/?YO.tJ f} E /S R agape n gI-Pof. 77 r i t / if lJ Nr ni q1 fit?rnJT __ D y -- I NAME, ADDRESS 8 INJURIES OF PERSONS INVOLVED r OCCUPANTS /WITNESSES ?o ASDNaifD?ff:rR?,.MS?..? CODES 1 - 2 3 4 5 6 1f 'M I D- 97 f DACgAM wrA Nr INrea p ? sECrl srRxoADOR aEF CU C%C635RfERORROAp aCW COpNG USE IVEHICLE O PEDESTRIAN Q PEDALCYCLIST ur Ix G' / GO ss4u RC NDN rAIE SE% B? rN Mp. ? o„Y 6s F NAME 6 RrgNF NO. fYFS Vhlp,l N;IONr VFNICIEANOINFRµ K vssNUNr 5 F%oa 0 wiN ? N if/f/I .5'G Y.AO?Grl w fM«F a ??f ?&W.. o? ?r.; {NFV.I MODFI IDAxtNOVAI NV I I I ? I I ? I I ? I l fr fIRSr M?ODIE L? N C E ?RFAWNFD _ gAMApED?ARrA ESr. DAMAGE rp•. ?D rui'orio:, S $ S 9 ' ^ e 5_,..:. I . X11 ,? INtfR CI VnIN. STREETOR Reap NON NTERSECfION ,Q/NND/I/ P....A f0. MILEPOST ST 1 .; BE1WffN SIRff16 SiREEI '??L?? 'f x T,L EiS ANCf 6DR 3I 4f RF ,Cgp535i4fEtOR rvEMfSTMUE P05 ACCIDENT RAMP pMU_ IA r V MI ""$EakE?, Li STATE OF WASHINGTbN RAGE k Gi t No.' t ' POLICE TRAFFIC COL N REPORT TRAFFICWAY RDUCE ..'NUM-1 I PRIVATE WAY DA EOft%u N„ P v SI N ,ME COVNIY WUNIY NO. CITY NO. IHWA Y ? + t. IUSERbO NOVR) •,O': ? ?'r- ;11-504 /G ?U RAN r C]. ?E ?H NCIIYOR TOWN F6N0 OESTRUFORHGHWAY I- 0 CIS gOUif ORS ? 1 'fJi rlA?L'i7 , >' M ES S ?W ?Of IJQN ON N A a? `f/?.1LJ f fJl Mlf S F W / MILEAGE ' FEE( N OE '•} CODE CIXIISgN NVOEVtD fRIIY: ?SPILUGE ? ?HIT&RUN 'RD N NG SIRff YROAD NtitRffKf F`.I O. O.RIIED_NO.INIURED ....CM IME CLS CROSSSIRfET04 POAD ' TOT tt[3 m ?IeRONR1Y DAMAGFOI?Y. FIRE FI STIX[[N ///•••EE4 00J[CTSIRUCR INAMLOF OBIECTSt UCA AND OWNER'S NAME IRJ VEHCU: (? 1 [Si.DAMAGE SRfCIaICOD NG USF -1 E' F L r nl _ jc INE a L u UNITNO. I ` UNITNO.2. ? VEHICLE s anvtR's NPVne: lasr FIRST - ? PEDESTRIAN ? PEDALCYCUS7 ?? L STRU ADDRE SIgEEI ADDRESS e Q Gv SIAIE LIP CODE RHONE NO. D Y SIAIE d Ci R Ir ORNER' UCEN NO.ry SIA11 E% A -M I I N L ENSE rvO. STATE AE UIR H g? O Cf3 _ lo oar rv.! V g OCCUPAIK`N NAME 6RHONE NO. IS GHi rflGHt E CwAtION FIRM NAME R PHONE NO. EYES WEIGHT EEIG t - z 3 _ R ?CHECK (.? IVENCIFASNFMNOVffOPANONfR?CHECK (r7 FR ,„,,, W .11 ttE ASaN FMPIOVfFOF wNOTHFeµ ?7n v? CODES ?1 3 aAis A irin:Wl s u O P? 'SA,°R'Or •cU CODES + 7 ais A i+inM"t 5 u1nroN 0 f?D+relrv •DU P t , nvlsf I<I -7 NOVA i°'H ? ?w.hf. ? ArNAANtf ? ul,Cl ? C,86. ? verr[,E ? r.D.wY. K fir PoN ° DD-Gf<NEV.? u6?.10DE1?D?xlm° M ! 4 L I I StYIEIRD4-GRJV1 .Y R MNEI HfV,I MDDtIIDARI.NOVA) Y I ,) •DM - ' .Z N p+. CO NT R E s<„HE... lIC(NSf PUT SIAif tRAIIfR RAR NO. STATE H vEH.CIXOR y A 11l I EHIOF GENII-T*NNO. C VfHK DfNi CAI NN ? ?E3' t 6230 L i F i t RfGISRREDOWNfR; LASI FIRST MIDDIES RHONE NO. O ISRRED OWNFR. LAST NRSI M`61 _ N fE G N owNER ?I 0 i TJ U J? , E NAMEAAUR- VIN. AN—.. -UINI r 'E wCFLb"?CTFT- 14 Q R Dx I l_. oAMAGIDAR A R rIM" cHARGF aA4u ,N„S„A N gAMAGfp NEA y I T ., T Eif. DAMAGE ?^W?Y ?4lMAINED • 4fM NNFO APMN [SLID °??f fTOP S AW YDRY ?S ?S iOWfD WAY ? 1C ?GTIOii, S IS R E DIAGRAM OF COLLI SION DE ?uRroRrrl SCRIPTION OF COLLISION: IUS[SwRF FNTAl3Wlf iNECFSwRYI y SS A Ie f R T T j I IT NT. y1 PRccc?o? r ..lJ P?ETe ,+ sr ,o- f Pa poLC 1 re cs rre SGT lyc Eo^a o,J.._ - ?-F ?- r„'7Po??E7 o P 11Rn,Rnt? _. - ? . f'?G ,GP.ERfr/.vG ..T•_ ; HE . Pc??...L??dEO On.1.__ 2P R ! or_..7JFE vAsN ' TNrt TP? 3'r im ` ac/s?GG/fir_ ...... 1-IFIN- RI p.Ay./?rxr `_/v&r Gko e S7,9 reo 7Hs?i .SILL IJ?H... 'LCp/f? , NAME, ADDRESS -INJURIES OFPERSONSINVOWED 'CODES 1 - 2 8 4 5 6 OCCUPANTS/ WITNESSES ip is,DwDlifwrr.u euuil u,l Ace urU I", -°A- 41i+ tyYyy -ii NAME. . .. .- NO .-.. ._ n" •.rl i. Rl StR f1iCT „firtl" A-. 1 NAMt M:.' u-- 0U." ?- ?My ?1I, iHk s? a .r n 1° Yklx y fl. ADDnst Iu G, ._ _.... MoYror ?AMe ? "I??.n. ? a S NAME - I°% ? r. Fir ?, No AGIrvCY NAN 4f1 W . . .. 1 E fr ?AMR ? W?"I [iEOmE ?: ? `- Attvf of ISfrOAi•,Ei L /A . l RADG OR KEURPAI- Ia leueRlveU wrf EV RIwRI AN'gViDRT DAR l?(?II p ? •??` X I?? .d.. ` ?''le? 4t?A d sy>?^ E k ?? 1 '? . A ?T ?:4p+_? nra r i b T, t? d POLICETRAFFICCOLLWON REPORT X'J INAI'NCWAp Iq ?! MNI NVA PRIVATE WAY d?ic^y ;J A. N a9 R NL, •ID w ? DmF rvsETDD o CGUNrv JeFFexsor l:gwrv NO. /lo Clrv ?IN CITYG4 fOwN NAMfBNO.O`,F314EET09 WGHWAY ?N ?F . NS MAls ?s 1S'" F 3r, ON baxAM.1`I FRW 3 tCDON INtf95FCTING VAM:SwEETp v0A0 NONINIERS PPEHK EO. C ?1 ` BEIWfEN .,] U I 519ffT 6 1? QZ STNFFT 3 DIS W SDI9 9! .... SIREt 09 NEARE TMIV: MRFS n S E W p L FtEI OF 1` ACCIDENT MILEAGE CODE 9AW DIAG9AM ' COll15pNINVIXVtO: E91rv, ?SPIIIAGE ?HIT6PUN NO.INIV9FD KIEO NO nuNOFM I tR Oy O EtD133R[flORROAD'_ - . tOfAI NO. ?9E S,IXEN Ci V[f4ClE5 ?,PROM9rv DAMAGE ONtY ? 9ESL1l1FD ?VFHKIE GSA STRLKK(NAMEOF0NLCT5TRL<KM,DOWNtN'SNM,f) ESLIDAMAGE ? S SP[ONCODWG USE : ?-'y,'•{•IV }+S1Y',1,(`. 'n?+'U ?? V.- ?p rf .Ka^x?j - . .. ..•: UNFTNQ.T ...,..'. ..''=-?_r-. ` :UNITNO.21-: MVEHICLE?. :-::•.?PEDESTRIAN ? :. PEDALCYCU>T ? 4 ?- 3 LASt IR DRN 3 Lv IL D4NEW N• NSf I Rro oLr-+I YI I Jolt , - ' . iL ss Rt. 1 Boys-// 02 sArf ` A cI?SS 7N8#SrIO Gtr` (i w?' R ((//}• S 3 z/ gitCK?? t WE 1c Co ROOM )tA E Wfl M ioior Inc ? BRow c ZD ?A M GJ3' °"?, a --AT- uti1C. NAM11 NF NO. E f5 EIGHt I[aitfi E R -.A- tv, wMNAME PHONE NO. EYl3 Bf K,IEI [ HFIGHI •9Y 7 ? Akl((.1 A ,HER.A' ? CHECK (r7 YEH CL AS AN FMPIOYff OF ANO,HFN. D To. N LAA Foe Na ? u°ba ?cbR. =M ' ? ANL91ANCE ? MIA O ES:n. E}'W"..fu ?, m A41.A) S,,6A? 1, 1 r H o n U g czll?d WA A W-% o PI V IX R Grh. QN tb7 ---- Z VEHKlF IOENtIKAipN NO'+ c:cizil !of' ! izl 9; ?/i331 i L EHI S•LI /I?'S;SI /IO;/ SIaI?l3i I 1 I o- LAST FIRST MIDIX! 3 REGISRPFDOWNf9 LAST f143T MIDIXE NIONf NO. wE1G G e O 7 £rySNO W ; Lowex-s A F ADDwuaow+eR A °/ [ S.W y C c tF • & S` z N E S S [ S 9 T. S,W a NAMF.AmRess Lr lNSURANam. GRACENr R I _ S. TE. Vh'UK Cent a is W none ?' R-k, Ain 1 > 'K "" ? mF 2 l yrA_ CHAR •? CNAOG! L o . D . TOF • .101 olI DAMAW W. 04NFN I I. DAM Y ?RUA.VNlD AWAY ?9!M/JNFD IO?OROY E IO?OfTOTi ) ® Eowfo S 7.5' E I. DIAGRAM OF COLIISI)N <i°tTU n!(ISS•Arl I sru.5a'Iio DESCRIPTION OF COLLISION: (IKS[5IAatMFN1AL3FRlTIFIVtas yl _ 7_ L i l? P--OF•} pDU r- ;- P°.t? Pr-(?r r..m4.k?YL? ?L?ET?fiKYh_ 7 T t r , I I •tb ? 1 - l "t'1 ?' '{ ? ` ' IS I_! I ,,_.I_ t e ?_.. yNO oY cye [S-_P Etrl -e•. e.? ?._ 1 ? ? ? 4 ? .iwlo- re FTIRVLS _s?s rFb - Vek..z._ ? 1 f ,y_ I, ( 1 - W.n('Y1G19 SaY... "1}V.__.q/tln '/...6!.. k?Y..:LS.._o A--_-- I r l j - 9 B INJURIES OF PERSONS I NAME ADDRESS NVOLVED * CODES I - 2 3 4 5 6 '- , WITNESSES IUfi3VNIMlNlM )Hf IOI Al1d110NAl NNA[ OCCUPANTS 1I )I AO--.....-. si. STATUS . rl. 'trr 1N -?," Y also. .incr '"+c•: sM,N 1„Mr a LLrML' i M-7 - •7.73 F 13 _ na. :._ k. .MNtf ._ .-. ""m. ?Nw 97?Mv 1 " AMK. ?u 'o oe, 7Y ?(3 ff ^ . ..-- .IU9f W- MovLOr AMR D,olc ?,«,. ? p. C'T{iO'3. .D T 1 ? v / r HALL ys? h!syo D 4 C• s? .?. o --IT 1 -4 1 _ 4tcc- _-. . ' _. ,uw?u 6ahe?.lrS E.?N _ ._ ? »:.°!°'..? ENE er. ?AmK. ? ? a:.. ??'' A':?,. _ X ?NHSnp.V,NGID,r[lr)N.Mf•FAN IEAnDGFM •T G$'p rryS (y?f 1 o- lar 't°S 'D 1 gq (]l f?n ° O?^4e10111 Arr4DVIOlr oAle wS ?t .f •v M p'SVraL+?n 2 .' R?.L Ew, L tib-i o 7.. I f'TI fi ?? 40A _ ?, 1 II (v 1'(^q ""1'1 I , M L T j do r RDP IfI ,. IUSE I40n0[I4) I I oa ?><??? /? ?URBRAN At ?N ?E QIN LIIYw lG1N'?N 1r?\,? F6 NO. 0I51,4'[[tIOR MGHPWAY OF V/ I ?o? 2 ( 5 W TCLS AOMJ? ROUr 45T SF ION / K , ? ? oNN Sc1A?/T c S 1" INIfRSFC ?N fl U4IpM % xsoov { 1-H 3[N/FfNF45fC110N !oI STREET eK,-,Pwo1 Or p". f0. MIlE W51 -moo/ I - 11 51ANtE6 IR ZION P F CROSSSIRtEI RNEA4FSIMIIf POS ACCIDENT ?? [f r5 N 5 5 F W Of j? MILEAGE to I CODE q P DIAGRAM MTq C-,ISgNINVIXVfO: FPII l rUMrIOnDNR IOTAt NO. NOKItIFD?-NO.INAI4t0- ?SPI IUGE ? HIT6 RUN D IN SRFf O ROAD04Rfff4tNCF Irv IMER CLS CR01551Pf[IOR RO AD T ' a VfHIUfS m pRORgTr OAAU4E0NLY ?PfSVIRD ?VFNCtE ? • ZS/S'O ? y (? YI ODUI5T ST4UCKINAME OFO9IKT STRUCK AN00 NAMfI ST. DAM GE ?'acr'N55lOLc,[5 -u??--,-po-w? S $ SKCDY COOING IRf _ . .UNITNO.1 UNITNO.Y '.'. ? VEHICLE. ?PEDESTRIAN ?PEDALCYCLIST S D4NfR5 ^''y WI ilRl M 1-1 Q?O,D?SD.v C?LAcIQIA ? • U4N51 ?? f11 ID .. - SIREfTgpO4F55 ¢a 4.osdusa U 1PS k, 1/• UIV 4 D S"IFFT-. _ pSTAI[ IIPCODf PHON ITY SUIf P ENO. IP F?N?.VO.U "flJ/E• R •? ORIVEPS u- SI iE EK A I -- ' UUNSF NO.' STAY -1E DIR ! YR, ?. 13 I IP. P OCCUPATIpV NAMf6PHONE Np. EYES IGHr HfIGHr 'E OCCUPgrION FIRM NAME PNON EYES WfIG[Ir fE:IGHi ? 2- ? L CHECK (,I IvtHlcif ASA?lu aorifaAEMIOI?ER.'N C ' " ?CHECK(?) _OVEFOi q IOT ODES ? 5 1-1- 1 a ;; - G n n« Era Z CODES ? 7 ,[ e; s Ix 6 5"`DAi _ f s H41liRiFS J7 Vf ?M ?'f H_YlAR f cnfv.l RfoA4r.NDVA) SIYIE If DR. CONV.1 K VI.. YWP nv.I MOOEE.NOVA) IED V.) O'^ t 76 Y( l>D? ld1Jl1 21 5 E ??e D L F SIAIf - R fR RATl NO. -70/ w?. 51AIE H -.-IT c q H A N wl [ YEHRCLlIDFNIIFICA1gN NO. L. VEHICLE IDlN L 2 6'$12'0' E r RfU15119fDOW?•afR: W1FIRST A MIDDEf P-E lll. n A of IS EDOwNfR: WI fIR51 MIDIXF PNO. H E R D S .OAMAG! DRIV H F REM Nf6 A =D DWAY ? f NN ED S DAM..GP T 3 S AWAYe A ?rowro ar: $ rt D ' DIAGRAM OF COLLISION .v n EC[SSARY) e DESCRIPTION OF COLLISION ME 5UPRf ENTA[SHEET IF ECIMARr1 _. _ ?}) pace 7 : /eCC +y l . e/fsrilvo. ou,?letc?(/.4«i5 il Ee F ?D -? . .. o .?- Qtr It ev4s B y oF ® 77 - u a y Su J A vd ?ei4 U o .er: Stp O !?OA9d!<J9y _ 0as?zw?c(psRLVC? ?` ?1?cErCoc?A77eAJ 1/E-N• Qf1n*677V Ir. 0 ?..! I I-.; ?-. )._... _ i..;.. • /D U/JdJ-..?r4.S - t7?7D.YEA.?.e/O.e 1 NAME ADDRESS & INJURIES OF PERSONS INVOLVED ' CODES 1 - 2 9 a S a inM OCCUPANTS/ WITNESSES ICR?ADDIIgrfAI NAM I AAKI N YI? SIK AG! i r Ki Eq p . r A Q 4 ADDRfSS Am4e w N SN ? AMe ?i?L r r • ?.Ir? ? N,r C rr NAruPta ..,__.. ?? _. ?Aee. ? ? ? S r .D 7 ErSY Yt aF ,frNf er ?we. ?r. - ?u ? aI: ? "NEA -.I ... M/, CIY4 NAweRAHI X 7JfJ? 0/ors eNIGW .AµHC+ rf K.1 DIypAICHtO 14 KI ARRrVII DAA.77. i_ E p 1 1 `` I i ) ' I.- .: II??11 t L 0 14U. TRAFFICWAY POLICETRAFFICCOL NREPORT POl¢E NrrvuMMR PRIVATE WAY Uwtf (C U N. AV vv _ _ AY IUI N._.. I'D15 IH. Hr. w, rv15 (USF}.DpTIMEr10UR) COUNTY COUNfY NO. Z C11YN0. {N'ww pUv 7 A I _ S , U4Al ON pF plrv CIfT OR TOWN AMEa NO.OF51RFfTORl*H- MllEi_ ?S OW 0O1 ON N iCT CLS AIMI RWIIORs NTfR5FC11N WrYf: SlRfFI Oq ROAD NON INTfRSFCIIW BEM'EFN -111 IF STREET Pgfil% FO. MILf POST DISIANCEa M FF .CROSS S1RFf RNfA4E5r MIlE POS MILES R 5 E W N ACCIDENT MILEAGE DIAGRAM MIA Q? fFfT OF .S. CODE CO 51 Y NO. . KILU EILlE: T.T. .T.NVOfVFO: NO D-NO.INIURfD_ ? SPIIUGf ? r DJ7F1 Avuslrv 5 D IN1FR O?5 I 9 9 Rrvct CACSS 51¢(E[O¢ROAD 81/ 1 _.l. . Wv[nln[s Q pPROVfRIr DAMAGFWIY ? ui4suL1E0 ?vE°HiciE ??U ? OIACT 5TRUCn INMAf OF Oe)[CT AND OWN- EST,D AGE f UNIT NO_I UNITNO.2.'. 0 VEHICLE 0PEDESTRIAN : ?PEDALCYCUST S pfIVER'S NAMf: U51 iI43f DNNFR' NAMF: IAST 1 I l Pr ILLD 5 'EE A 4 '?AIG4F'S' r)• Rfft ADON 53 tY SATE ZIPCOOE ONF NO. r -? ?y? ocG D R ca, Slwl[ IP • DRNf '3 UCEN STATE A) N uA Ylq Hr I D 'v. I V N UCFN rv0. AI Sf% Ai AeIRI YV. AVI. D } . iIgM OCCUPATION wMEa N[NO. [Tfs IGHi fEIGHI I E CUPAIIW NRM NAMfe PfgNE Np. [YES IGHT HEIGHT :' 2 6% L os el ?? 4G] ?j l (e K DQIU R ? CHECK (.? -Ctf AS AN FMwoTF-ANVI R? p CHECK(/) ' WnICiFASAN FMPifir"ffAFA=', '!' R "'A1° .f 5 NKnDN B v CODES D•+ a • CODES ? 5 n a„ 5 f% 6 3'"Oi, }., ? ?l WN VAJ IN / ar.- lW- ? ARN%ANEf ? M ? ? L' ? 1.1- v°' p AN E ? Y W, ? C18"'.. ? ? 'B'F ? 74 Hv H, lAR f100DGf{HkV.I Z -0 IDA4T.NOYA1 SIYlf Ix OR.{ ,) G Il) 314 7 0 E H. fwN MAF 1 tV.l A'ODEI IDARr- VA) I .) Z lKf PNIE STATE I4MU4 HAIf NO. 51 f H N I N. VEN. 9 A N N. ?[O Es351 ??? I . ' V[HKIF IOfN11HUlION NO. F. id!6;5! i VFHICIE IDENDN INi ! I I I I I 4(GISRR(DOWNfR: 1AS1 1-1 M-1 PHONF NO. O IS RFDOwNl4: L51 N451 MIDDSf 1] 7 ADO4f55 CF O'hNf9 W A OwvIER _ - Z N E . ea AOORESSWINSURANC[CO. OR AGENT YLAoO 1 / U s Wff R A N 6VAAG[0 A4fA r r- ,. QAAUCeO'F.RIA - f0?0lTOUf3 __ aVwrn«rw l11. DAMAG! CHARD ?AWAY ?R[MMNED CHARD[ ?AWAY ?REMAINFD 2l.ev4ww EST, OFMAGE I O?rtlOii•5 a f To«foer: A) Y[7 Ar ?iov+EO BY. r f a DIAGRAM OF COLLISION 1 su M INDCA"40W1 ,. ! DESCRIPTIONOF COLLISION (MI SUPPLEMf AL SMEr IF NICISSARY) i7?AUCcc VF?N?•1 [J?s FA E4 W6si' ?ov+? ? 6,?T c rA+ . ...' _a. k 1 . , _I. ( _ • _ . . .. _ _ __.. . „ I i}iE OU 71rE_T/L?aIC CAUSIJG__?0_.Oi1WA'JQ LA7?7!?oA- CEJ?. . ]) 7-7 _ _. .. ._ . F 70 I 1 I4 NAME, ADDRESS 8 INJURIES OF PERSONS I NVOLVED ' CODES I - 2 3 4 5 6 OCCUPANTS/ WITNESSES Iroiimrll[MRFi:LT?w.SM'1l ii irR ?c[ uiu gISTR. Inn 5. NAA4 NO. •roPe3s NAlpRr or. IN ea ?AM e. p'c'it"r ?.1u. . ? U ? U iY;:. ' P AMe f _ _ ADnerss FI-111W RIMOV1DrROM ?AMe ?RA%I?c'wo"5. ?R ?NP M NU . ,. .. _. _ ... ANNISe NANVFW ... 41S INInY ?AMe ?"ANf?co •?N ?n " SnGAT gIK1Y3wwle eANV n X wpLl OV 10 NQ FGIN[Y tI A 1v1 [01St 010 ? ?l/!JUyID (? ( L(? DAllW R11WT AFroOVID e1 MII /' S. ? C }401 NVS ikE PRIVATE WAY r owrE c u N Ar mulirv NO. Grcw. I ID$E ]E001°DR) couTMrv IMVA / U 4 /? pD uRAE Ctr OR 101YN 1 pN CIE QIN NAM?NO Of STR[EfOR nWwY RU5 NOOIEOrS / Mllfs ps OOF I d ON 3 uQ 11 S ? ?O? INIERSERIN A)f StRFET04 WM NON NIERSFCIION p f ? ]] gf l% f0. MILLpS ? / O / BfrvIFFN SI4[ET 6 SI G - RffT . _ DI rAN E 4 CW 55SiREE RNFARfSr MIE 1 S f ACCIDENT RAMP AMDA N /? Of MILEAGE ODE J - SEVER IYi 'y B COllISpNINVOLVfD: TOMLNO. NO RIIEED??NO.INNRfD,SL ?YIIUOE ?H REIIJ lulyowom 'N IME CIS CROSSSIRff104 ROM D etrvC( OVFN ClES © ]l pppppERrv DMSAGf ONLY ?RIFULIfD ?VfnICIE R OBJfCi STRUCR NANEOi 08 1 ^ ( JfR5 RIKR INDOWNE45 NM1E) FSI,OMAAGE SpfWCCODREO y : ; f r r < UNITNO.I. ORW R NAME: VST IR UNITNE7 'p VEHICLE DRNFRSN F: usl p PEDESTRIAN. - pPEDALCYCt15T: ]E - ?+ p e ( -- SIREETACORf RIET AO .. za /?J2 z IY s wrE zlpwof PHONE NO. SP w gB 49 Yy-2y?q D Ar R ' . P?E RNFRSUaN No. M srwl w nq I D.r ! G 3 ( I plo v A r el N Ar I ? . a ottwwnoN fepffOW NO. EYES IeHr Mlenr E -AnoN {rM NAMFC pNO14E NO. E E I - " Y S feNr lrHf R r O CHECK (?) v Hl Af AN E° Ir ANO-.AL CO + W C Ll CHECK(.,) ' VFHICIEASwN D.W IYEE OIANO1Nf 9 DES P 77 S D rroN / 6 n rN r3rtr . CODES P+ 7 n s sr 5 u 6 y ASSr inMN' [ndi Y ,?n It Q `r /",a R S b MO - o ? . RMNAA ? W_ ? X81' AO „ " p -YEAR MARE IDOOGf?"fV.l FLIDMI? ) 51YIE1)OR..CON J =W .D.. ? AM.IRAN;E ? ?;la ? *L,.E D .;M?rE ? N s:?.. mower I fV.) MODfl10W1 V Al D 5 /9?B ?oFZOI f ISOA4n P 2 Al E ? PIAIE STArf gAIIFR MIF NO. Slwl H vfN OL q. ;?R?e12 rZa?(e 93 u/? A ( VLHICIf ICENTIIIGIION NO. F!/ "11SIA 'C 15 !o! ty l i! 4[GISRRf00WNEa` I Hl i V IDFNIIEI I N r l I l l l l! i I I I ' . IAST RSi - DIXF RgNE NO. KAJ1 S?/ PKK p P SZE.. D O I R f OWNFR; f FMI MID ADDEE550f OWNER W Sa .w e a 5 6O.A NfR E ??pp `rl NwMEa MDxss orlNSURAAKECO. aq ACENr A?f+[CCb"'NTA'G DAMADEOARU ws.r R u . 3 5 ?N Dr l rn .N CNARO! J, CHA4G! ] --jA. ?] X 1 5 D Or fat. PAM S 0. ? ? WAY RfAWNfO. A TOwEO ^RMN lomo ? WAY ?RMWNED OMGI fS w. rT 076 ' Y A O W.Y.Y. v S 1 r • ? Ar er• $ 1 DIAGRAM OFCOIUSION ufx N Y ,_ I ! (7 1_ ?.- ? t ? I 7 1 I I ? i i ? - DESCRIPTION OF COLLISION IE/+l SUPRlMEMAL SIrrcIfWRSSARY Veh.xs was 8.as'?'b?DE.,id_ mn_,D---- oSew9/h ?4o1 as{ Q ._J ._. oI1,En9-._al.newY(_o?_CsaRyc_RR,Gen. I I o..l_ . hEj ......VeI>. well Ll -A _..... - a. a CKgss a-- t po . c, 1, ES It a-PYxcX/mn.c% 6oEft .;_. ,-- S?NVOLVED u' t CODES ? 3 I suraEME OCCUPANTS / WITNESSES Ia ADnrKNU NJ wesi NAMEGJng/Zldh,_ _ _Nf... ._ ND zy ooc,s - _- IH RTN u?r. ' ' "4.' ` 5 _ "..'civ sex Aef I AT i "i Rfsl4. Exa J / 3 NAI -"L.4 iaRess / 1Y 4 A G en RE x( VC e q 25C4 tr 5 ti3 9 K RE pf.rl. l 0- pC&IIE.. e F e a _-- 7 na, s N AM." 461 , Z A.1- f„f G Arw SoAe / 1 / % D 2 ov r. AMe p I o0 • ° D Z , ° I g . .. O 0 N . .:II. .. ADDfJItt ... _. ' INJWil1 Mve )fGAlnp OflKlr3 Nwwf IRAN[ eAOMW AW SEW 11r. ?AMe 0MK10C;O p- p-.wv vat<w MR KIDIYAICMO IR dSf.wr ] / SAQ x?m IOI A4RM0 DAHd M10RT ARMOVEORr Wry (JR J? ?D F4T' /?? ? xD .. ? =kAe ?Ipp1I POLICE TRAFFIC COLLIS ON REPORT L[v TRAFFICWAY --_ roucfcaMnAlrvrNUMeER / E] PRIVATE WAY nwA !? DA EOr WI DA, uI nfnf U91 COUNTY ° RWIl ?,F N f N Z 11F5 ? 5 'N ? Of ON POST NONINI[RSECIION ETWEEN TRUE a STREET 4 3 ACCIDET MILEAGE MILEAGE CODE N+115rv --- SRf O4 ? ? SPII NO INIUR[D / [ SSIREETORROAD ' TORM NO. FIRE,, . VfNILIf aVEHICLES ? PROFFRfYDAMAGE ONIV ? RfrED ° Sif Z$ 000 i ?r.OAVnGF OB1Kr5rRUC%(NAMt Oi 091Kf STRUCK NFD OWNER'S W1Mf) SPECINCOD NG USt '. y 7 b UNIT NO.1 UNITNO.2' ? VEHICLE ? PEDESTRIAN ? PEDALCYCUST. DxnER•s NAM :. wsr I4 ID u RlvfRsNAM: IASr G ` affi ODRFSS SIRFEIADORE A STATE tIPCOGE PHDNE NO. D Y STATE IP P GIY R DRnea u [NSErv . o f s1Arf (?/H F DA EARN ... `r. I v Iv uefN NO. SAtE DA1 Ell H AlI .. a PAFION FIRM AMEa PNONENO. - IGHT HEIGHT E O CCUPATION FIRM NAME6 Pn NE NO. EYES WEIGHT HEIGHT e C ui ?o s R 2 11 A ? CHECK(,') -ICE AS AN EMROrff OF ANOTNE4" I AN r D CHECK(.) vfwnE •saN MP .ut ° ' "I ,° ?+ 7 N j S r b'i'"° nY «I CODES C c roH iH ODES ?+ D p %° 5 V 6 i w ii iv / 2 Hr"n r.a DAr ?u ''?C""s rt. ?; F°`T S w ° °P ?u ? ? rq " y °" < V H O v r 51Y1E 11D4. CIN ) fl (DAxi.rvOVAI OGf{nEV Y ) 1 xO A, A 7D lI N N F••" [ ., YEH. Y[AN EIDO F z 7 ? E Se I /? O7 1.UR RATE NO. STATE NSf PIA ENO. SiNtE H v f".C OR r A Il A N l E ? ? I n/ O C(/ ? n E IDFNI fICAi NO IC E C L V En DE If CAII N? V H L R E 5RE OWNf4: ? tASt nRSi ? MIDOIF, RlG15RRE00wNFR: EAST fIRSf MIDDY PHONFNO. O / eL s h///? W A OWNER 5 5 ADDRess fR o 6,19 N /.v .L E D wMea AOOnssalnwlANeeeo. C4 AGfHT R SNA 1. OAMAGfDARM " O ? o gA/AAGI N[AA CHARGE ° 1 •1°P a CHARGE er • S LSE. DAMAGE DRIVEN REMNNED C] AWAY ?RIAU'NED Fs1.ONAAGf i Td.orro: 5 r ? EST y„ I El % KMID S nr: S eY / ? A.- DIAGRAMOF CULLISI N: u u e nAl -All rvDRr DESCRIPTION OF COLLISION (ViESWRlA1WFAl SnFfT11 NfC[S3ARV) ?HEern NfCtSSARrE_ er ARROW .. _ - 0/PivcoP_ 21 T r ??r?irrc- pikT I I I ADDRESS8INJURIES OFPERSONS NAME INVOLVED +CODES 1 - 2 3 4 5 6 , OCCUPANTS/WITNESSES ;a 3.o nOMNfu"ASM "ii SITE AG! urus "'w" ""; atir.. exa u;;. . rv AEG— R ?AM1f D[i1R'D'MO•.?N °ruLi. rvAMI. ADe.fss ..._. "Alm w • ,. rfOr RBOV101 N .. ?AMa. ?";;'D oaf. ? tix ?L.N.. A NfAA?UY _.. SCI flit: ? MR ? ? . ° " ?10F K R[w, D. vfs 2115 NAW aR? eDA[ O. A[:fgCr " rct015PAi MD KIIMl Ax.IVtO D II gPIP0R1 RORDar DATE DGAF x TCaSO E 0 ,2c5 ??/3 6 ERGO s. mr s ti ',L a r??' Tl'?:ti?' lilt imp 3 ^ C fir' ? 4 t L 4 x w i . 7 1 w W O r 1 ?! W CD x e 1 1 i i i MOTOR VEHICLE ICOL IFSM REPORT NO _.w.•..,-..da .;.''.? - "-:-. LSw 3v '. TEOFCOLUSON DAY Of C(JLUMON TRAEOF COUJ30N COWTY 1HNpOO pTY NO :?w SIIY rvEa wID INV Iv Mr , iPl -113 A4 / ?Ep°plN1 J k 111 PM TY IIY,TOVDA u„yf16?W MILES (sum + p1i. TOWN ApM CLS PREFM nanE DRS/in7E,1T(WD?E IpN ?1? T ? ro`occw°EPi 4L L?kl DF i^!N /O/`I ?Z/TES ? 1 a L I L:M1TENAMEO11I TROAOOAIYONWAY NTARb[:CiEq WITH ¢IREETOR PR 110/0 EFI%, J EO MILEPOST a8 L 2 rl C'I'P NLs . D a G N p NON WTEREECT?AY1lOCATgN Of RAM COLLISION P OIAGRAAI DATA / rR -..? [JN•?IT 1411.1•' /F4 J??. ' - BETWEEN - 4WWETMO T SIPEE A D7''l1E vv,',""ES wL<lwo,w3r nrww rµ M01 2C '1 ©© W?,V POS,Iq,MAEIOai DRO[h,.. V. AT aaF. INTER WTE CLS NnA3EnKW; © Lr )O M L e k •4 rl. ` . O• - fANrSg1l w,Olwy !YEF, yENCIA VEwCM VEIKYEBK:vC1A i[}OTNIn PaMTI SPEC, ' DFYtNCL°[3 ? [jE? NwCLC OMECI VOKY[rRAw []vEre[LI gn1'SIIIK.M MW?p4AK1N- OBJECTSTRUCN M•w'UYdIWCI R'wNIU OVM1J3(M'pWE018 NMAE ANOAOpRESB LOCATgN EDODSI p TO PEPMGe%CT IN flO )NAY p FEET Ir IN. IXBVERSLASINOAE •FVg11M1 MKNILE , C'NX OEYVER9 LAbT NAME • FINST NAME E MICIXE i wEANVp[V[P f J S' e (?zMr?? _ [Dwad+GA 9cyr urn J/? G40YTor/ 't STREET AD _.. IIOyTE NO. ANO nD%NO. •pPE lNw twO 6TREFT ADb1 SS ROUIE NO.AND 80%NO. P SMP[ - o H,4` BYfF2 JC,,?.o DuuA P1r ((??J CRY STATE: AYA GOOf. buVEPSCIGCUPATgNsE1MAr[ MC, ?7C. `' l cyL,3ph CITY 6TATE LP WOE. ORNERS OCCUPATION {( •c ?'- ,J1 PLrOn110PM ?n(?( tip q;M of-1? JA^ rTp TGrI WA, `J83/ ?IFYk?I. f di IVERSLICE1dii-OLN 6T If A DATAV IMRIN AGE b1NEpB LgEN¢E NUMBER STATE SE% DATE OF 6iR AGE >•1.YN>. 9v Eo1 ul ` i 37 110 T- J-c 41.2 I/3 . O 1 :tf 1 kTH o r VEICLEYFL 1AArx (.^HFY.-0006E1 40DELRNT"ART1 WOYSTVLEPOF[I Y0CLEYR. MAKE(CHEV:DODGE) MODELINOVAOARTI SODYSw E110R.) •' f ' - l `i C c? s Ll[' 72 1 FORD Pic;tup LICENSE PI.ATB NO STATE. TFWIL.R PLATE NO. STALE IJCENSE YIATENQ 9TATE TRMLER PLATE NO.. STATE • Z 't b9 CL1 R.. n lc rnC Y 3 G i cJ r> - - vEHK].EIDEMptC;irt)NNp. IT90 MOOEIS NEWER, E UMkIER RAA.[AUEI VEHICLE IDENTIFICATION NO. 1195BMODELSENEWUH DOMETER IMAEAGE ! r-toy Sao ?sl?., z ? r y REGISTERED-M (LAST.FNST-MDOLE NAME) [MUYEEIS UCEN.9E N0 REGMTEAEDOWNER ILAST-FIRST MIDDLE NAME) DRWERSLICENSENO. ?+ ty t S.13L G , oM JD t S 4sE?o PI ?, MO NT • C-ERSA0OMM ., (INEET. CITY AND Si TQ DATEOKBNEH OWNERS AGOpES9 (STREET, CRY AND STATE) -. •? TE OBIRTH 11 ' T _ Wr YE •p y - t P Sac] VET OMAAr3ED ~•?? t) PMiS V[HgLE OMAAGEO J ?r?C ? r y r c r cQ ?cri $ f Fr-Frori -r Rf LR FFNDt-2 ". `AIR z .. .<.. °r.,w' i WAS TKIRE AUTdA09lE UA&LRYNSURANCE /, / 'V ?^ •'r - LIABILITY IN$f„1RANCE INFORMATION•1/F;h11CLE N0.1• GOVERK1E NEfi[ctfpKTNIB ACGL?ENT GN roun CAR?it[-,?NSclrrtl. I:I wES ?NO Y-)` NAME ANOADOgEr•550F4ABIUTY WSURAMEPOUGY M,1 DE11 NWEOFLIAM WSURANCECOMPANY. - ll$ - N,•1E AAYAAY O,Y aMTE SIp /? - I n1-1 /i1YAIAVCI4LLy I-rS CMS/IAA, c " NAME ANDADD,1[SSOi3lABARY WSUMNCE [ ?. [nY S,ML WBILRY POIJCY NUMBER •? r F ISTN.NRY 3NO WJLIILY; Pr3?[/ E IronAmT W-SI AGE \ .. NAME y p.le rNUK?fn NAME . x0!_I_? ?, 41t r / i•' AOp1E5¢ .. 9C% OuMM4S5 SE% _ l AT m I? t t • l.molwa%M1 A 13 . dDNAn%swd1A9 ^,.?.® I ?tOlr6..-. •?.. ... _..._ dive, tnrlRa? \dt+. _.®? rv• --_-__..__?-. ?}3 I 1 h1? yy? ?wbTTU9 wvtAYa MIW 'PLSI M illATAJMLIEB ¢1ATUS OF MJLJnED NMARK RRST ONE THAT APPlJES } y -... ' ?DA NA J> wA4.Wl NndNE ?[AMn N bNG h°NwNp P ABM 1, .y 1 y ry.?m N r ,t ?„ NNA WIL SNO ED 4NIHI WNL"AI laa[wCMG1 din MG KILLED ISEVFPEI 11A1YDn1 IIprEwlCl is t P 1-? WNORIRNh ANLOFNGRCLE I DESOABE BELOW WHAT HAPPENED.(REFER TO VEHICLES BY WMDERI 1,9 •T A I.. \ 5'To? rEP 1 f 3 n AwN".A iv° " F1P/c VC H, wsls ..Tr L L iM C!VT boon<( !)lPr.c? ,vti,M ?'uA KwM wrMDI.\ 5 f,r cI -, °* .r IµFMwna.w ?:`h:Iisat t\ >(a L5• !`'(PN? 6?4h_?2. wq3 1?rn?C?-lrLf well'--- .rti?1 , . I ?. PIAAAIEnfAi•vNrc?EANDMK)v1 ? 1d nr+o(-oJr 7r 1JriFH_ ??L, ? ._ DAND,Kwd ..A « MNAY ' -? 1 2 r•- A• Ewr'..v..• r .. c Yti1JS SLd t w)YS ; , ,t• `•'}.` ?: x?ro ?. ? _... ._ .__ `' .. ._ •?==?e.h S? / /'LOLL OLt __R?9i ciSr ?0__.S)?F c'?l... ? ? r J ?iLC_ °t iJ S_NPErr(.y 4??ai, 4? A P.9n etr n o: •"} t _4t L '! ? . _.. .. ,,,, ?r,... y,,,,../_..- ... s. 7E.r/• `[7 ,.J?)-[.n 7!• b /) /' ' f/Y "1 1 ,a ». ! ?1T..Cef'T F ?riT l'fMtler.t/> Uc?.J?/ ??'M ,t Ayer. 1 a 7)xd,? Mcl¢cIT '` / I LIT! ?Y /..!.?43 p"54 ec/ /Nfia_A?I ?"T t?'7 LYWk r '? `? ° _? !Rt Lf?'e?T•! 2_s vn fp ?.r/?T P2 LePr ,1 t r 14' t ?.,., P .?ei / ?," 'A :??t/r/rdr hit rean_E/?cgriQ,:'!^-.or!_Lef!T ? ? r &II?k"lw VEHICLES PC?TNOINSBEFORE COUISIOhi ?-?^? "oDtMM.. L r KP•.,EOw.s "a' "Y L ??'' L VFHCtL y s [ w ON STIIL'tT GR 1WIW LY NAMf ORS MnCI?W , AI•wor,0 DO HL Ph0 • vE0 vrr•CIE OCCLA•tD I / L J ,E L N.t ! M ??roIC[ NO .,- o n C) ?wlc't. oon ? o ? 0 0 0 ? r moo:En ?13 ?O m I k 1 f o o ? ? ? ? ? ?r ?` r e I NaE,wK ?, ? 0 ?At tvq ?-- Y-ry rryrTgM DIRECTION To DIRECTION PEO . '??JIY [Si RLW WASMAAYp 1?%m-A __ 1?wAlhwAY 10 01qMA A??,MAini 6??'K,KEwwu°. S?OTN[R nDAOSLNFACt rJ1 AINER TAM CEMEUNOIyt rMtIK'C'Cw1'M4 Kn,cn M1 TY OI ROADMA^ p1sV[RYVENICIE ACTgNO J f[?y,?' ! y.? KNC.OMI NK1-1- MC1 N.vA ?w N1 K1IFCn0w 0140111 - ? 1 ?? W? ' '?'E4 )I .`} 1- Nw[Ar 11L1 luu rmY wx[ 4aY hoT ho> 1 +r r .v. LF . ?', \ )?. . 1 O 1 1AY1,tiN ? t ?Nrl%YIT ? 3 (W v-5 ? \ ? ONE WAY )K 1 CoWn Smww AHm "• ;' ? 1 on, . to AAV.q i C3 LHw,1 7 i'ry ]1 EtDn w1 1 rwo WAY ? x ? OvTATAKNO ANO PASSNO .;S r r T 41.. [?fy ..l. ?.i ? 1 ?Y.[T Ro7NOE S OBANn 003 L, 'J "i'DWA? •1 ?11P°OV??IR[ ? 0 C] uAKU: tRgM TUnN 'N?Ht ?r 4 t ?t? ,w J - ?d?.Y • ' ? A ? MEnCHUgE ? . ? 4G LEFT TURN 'r •, _? ? D ? B""'" ' '0100 A OP^L L ;. T* 4J A 0 ALAlMwO MD MIN ' r I?^''?Y A ((??•?N FLANwq -MCA ? E ? µ"Lfl 4PI pp0 F1 E ?q 4MtPguTunN T ? ?;••. ' ORATMYI S IrJ•} 1?w ,I1?M I J .( ? 1 ?O +t SNLA. 4J? \ NE11 LYWT1 i.•J « IL.JI Pw 11YMLL ? 1 13 L!T 11A1N Id ¢ 101 ''LO++'I+D I+Q 1 I rh5 A? '1 ?• ;.y yAaDNIM Apt AIAq DA•A1rA o R•A "AnW N I..A A1`r AArrv,T•1 T VMEB ? T ? STOITf0f0111nAffIC ' S a[uv0•w%w wraArnAYyl'KI Y MYY/p r N?A•?,•••r1tl, [WYIE'kA C) , ? S[nARAYID C] B ? pq if OV(W NIN ! r ;' ( 41 •/.? k LE(, y- TJY? ? 1 ?p bNO[ll ? 9 ? SIOPPEO N ROADWAY •i(' 1 .Q tt[}, 'Y Y Y/111 /r Il \ y-J •.rv GEG ? G ? "AllIC10µC J l iJ11r 1? 77 v4 s 1: 1A adA ? 4'... un.',YF,sJ t'J.,?e `? i..,•.n AS ??PIA x t?1 -k T { J Y I f 1 `?,iJ MOTOR VEHICLE COLLISION'REPORT,. ___ NO.-: DATE OF COLLISION DAY OL Jry L rLl - ii 23 9?' ISION.. TIME OF COLLISION A TES 0 p C TY NO COUNT 1 l 2 is l/??• •,•rr ((C1DUNTY.,;:_. EC?ITY, TGWN ,. p! M Il T ILES CITY, ;TOWN ,,. -. AIjLB PREFIX HD U iE OH?S EET[o?E .tiEGTION FYV?dSOYI Y11Y1oY? • ?s ? DF . . y Lam CoO GIVE NAME OF STREET, ROAD Oq HIGHWAY • w,G„ ..;,; INTERSECTING WITH:STREET OR ROAD , .,. PREFIX ED MILEPOST ?a ?o?L121I I?w NON INTERSECTION•LOCATIONOFCOLLISID BETWEEN STREET AND STREET RAMP DIAGRAMDATA \ K n,35OF[, Ili] ®E DF &,nno'-r\ ,scilallQ?..oxlo.n,,.Y,.~L..:.,r.... o F 9a/0 ? ? ` 0 OL? v - « ~ex Mx,Ee. •?ven,Gtfou[Cia [+v...... ..... o, 5PEC.000EUSE - , - nM ,G ADncOL[ or ?. L l ` Ea Y' OBJE(?CT STRUCK:..:rv.:. I``w,,.e \rn\ w.aer 1trrx ...ER OF OBJECTS NAME AND ADDRESS ',..-..-'a-.. LOCA IN RO ? ? ' O N OQO ADWAY"'"'-'r IM,RGCmr xarux ? IJig1T\q ` Q\ r? 910Y?? YO a l -3 FEET -S W OD DRIVERSLAFT NAME?_::i FIgST NAME . ,u..?..MIOOLE:•. 1!(lar5? Gar F•"E•[" .,`,,. OH IVERSI.ASTNAME FIRSTNAME - MIDDLE -:y STq EETAD0RE3S .;G: --.•: s_ , OUTC NO.AND BOXNO. ?O • STREETAUDRESS :.:..:. ROUTE NO. AND SOX NO. . STATE. '11, :....,,21PCODE ? W 5 ? h 8 ` _ORIVEgS000UPATION ? T t ? '! '=w CITY;-;;-;.; STATE .. ZIFCODE ... DRIVERSOCCUPATION o 57O Y 45 . t3 9 ec +cs \, •,.. DRIVERS LICENS NUMBER 311 6')0 2"11 OE}o 25;4 STATE 131d 5E% " ` DATE OG BIRtH 3 It, ? pG^. "DRIVERS LICENSE NUMtlEfl STATE SEX DATE OF BIRTH MO opr YE R AGE E. 5 4 23 YE HICLl Y0. MAKE. Kwev.ao , M F-,rA ODEL'.1-AOAAn: P. BOOM STYLI:. RPAI -, VEHICLE VR. MAKE K~av. OOODN MOOFL wov, ou,n BOOYSTYLE RoF.E, LICENSEPLATENO•. STATE TRAILER ATENO.. ' STATE;;;;:, LICENSE PLATENO.' ,STATE- TRAILERPLATENO.. 'STATE. ,24252 llws? VEHICLE IDENTIFICATION NO.. ., Hw MroaLaaxtwan, .. ODWl ER IM,u,wl t=10GRT^a-712, 96t•5&-4 ,_. VEHICLE IDENTIFICATION NO : ;.,IwMOOE nlwenl ,, ,oMETER VHL[AUl HECISTEREDOWNER.. _:. IUar.MIT DM w.Mal -.ORIVERSUCENSENO. REGISTEREOOWNER ',. ----A- M, ,.... ORIVERSLICENSENO.,_ . OWNERSADOHE55 ISD,EEI,CITYANO TEE ,_, .: P.a.6ex 6S lie S E -ElOF BIRTH, MO DAY YEAR OWNERSAODRESS, .?; ISTRET,CITYANOSTAEI,?''.,. DATEOF BI RTH MO UAY YEAR PARTS OF VEHICLE?AMAGED ., ?, i .? Far,M,raD Osr 4 300,S._o A OF VEHICLE DAMAGED 1 Is LIABILITY INSURANCE INFORMATION-VEHICLE NO. 1- COVERAGE IN EFFECT FOR THISACCIDENTONCYOUR CAR ? YES ? NO NAM E ANDADORESSOFUABjL"NFNtSFRA POLICYHOIOER NCCE OF ABILITY INSURANCE COMPANY J ; _" - .. r ? 1? S ? ST. 7E ? ? r#AME\ R5 N 5?4, E01?E F'L1. PY]'X ('a? ROaa1S Y` IAgSh 485?}LSP ] O? S . NAM E A ADDRESS F IABIL(TYpIAIR.aNCE ,:,i.'v.. ?T.Ltrv*i:ai :...?T. ?iir -' [I'-, LIA8IUT'POLICY NUMBER,,,?.?:r L /ST ENJURY??'..2,?y-J,":'..-..:a.w S.n.??:??_.,vf?...r. .?•riF-ui.a :AGE 3NDINlURY:y,IUSH SEPARATE HEPORTFOR ADOIT UWURIESI ,u>;..isL AGE. AMl .1-1 NAME ^_- AODM1fSf -- ;SEXY A-S. Am, - M F iMF n n „ RARI{OP INAIR[D'-SS.:v._....YARK PMiTOR{T11IaT?IML1iS E.,- :, 6TATUSOPIILIURED ,, MANK FIItiT ONETHAT MLI[S :vA'?,' ( y tN V{Nltt[ nOx? ? IH VlNICL{ ? KIILFO e0 N I I ry I I' KI LLEO Nevlli u n O+ DF7 OKxT rn ?- N . H IVRIiF 111 ? S?MI 6? 7?ri OTH:H I,RI.E IrI ? S?I Is L?y ll SHOW NORTH BY PROW IN CIRCLE w e _, OVCY?c:I YOq? l Come ,_YONT\U DMr ?F.? . Q? 2 YU?9 ?_ 9 ? vcl? Lc e?©T 3 E h? ?510?q p Its fla .LOt / . wc3-- - -• . w, hDDIh ?J?b1? _+}.E•,te_ WJD . }j-O - ? L -ov ? ? -41`e row ?o YY\ rogE2sa. VEHICLES POSITIONS BEFORE COLLISION Hues IcAT[OEY L : •• e?~ n [ D VEHICLE HIAO :a. i„ci r D Y? ocew,i L. O ON STREET OR HIGHWAY NAME OR NO. Ma?,:O viii L / aA IYOtIRI •.. ? ? U ? O ? ? ? t ? 21 'FYEa OVCT 26 `? IOTNIRI ? ? ? ?1 ? ? ? ? ? ! PI DFfiR1AN A r1] Li ? J'+w1:H_. SL:.vy L a SuL'L\LM , CPOSfIN6 t .V d+rtt: TO LONG ,-FROM - -':J..MM.[aYA=wva 41C P[O[STRIANWA3 USING 1 . ?FM.AL } ?w ] 3 ? .L. E ? r „ wt ROAISfURFAC[ W[ATHFR LIGHTCONOITIC" TRAFFE000NTACII. = TYPE OF ROAD ORIVI?N[HICL[ACTIONS -E r?11xD DRV ?``'.2:a'v }?RAININ6 1 ?DAYLIGHT } ?OAWN r!•KL ? 1 ?61GNAL5 rwKLr x'•lxi ,rwi,. ? 1 ?ONF WAY Y L E Kmc. Dxa w•MI,I ? 1 ?GOIN6 STRAIGHT AHEAD ! J [ ? WET ] SNOWING ] VDUSK ? [ ?f T0131ON [] ?TWO WAY SIELE ? ] ?OVFRTAKINOANDPASSING ] ? SNOW A ?,- A ? CA ( Dry ET ? 3 ?YHLDfIDN ? 3 ?ROAD ? ] ?MAKINO FIGHT TURN 0 U a Cf S?Y ! t SO OAH STRFFT 1 ? a ?FLASHINGRFD INT FRCNANGF ? A ?ILOOPIRAMM . ?MAKINOfEPTTURN ! i : LIGr 15OFP DARK C] I ?FLAI-1QAMAER ? S ?ALLEY ? S ?MAKINDU-TURN G S A/ T STRF[ NO E Uf IJ' .HT1 ? A ?M1HSIGNAL WAIT It' •I 1-11 ? A ?TUR ? B ?ILOWINO REAV)MFgI NOi f • , .IIMOM 1MC[R i EG'T.7- ? 7 0UFFICFR:FLA64AN ? 7D STOPPFO FOR TRAFFIC ? A 0=11, SEPARATED V ? A OSTON,ln AT ON STOP SION SIGNAL ?y?T I[? .,.... .. GL l;T=?'?r?? '?J '..10 -l TTic f 1YR FN _NtR ,?q?a a? .A?JI J99i `.• ^} ?DIVIDFO E +vbi Q* v ? ? 9 ?STOPPED IN ROADWAY . ., ESKTRAORABTIN { IN `KF M1 WFYN All 57??',r .?.? :..!. ,. v JAI 1 `??'? ?, - Arrf ' ? Sail J #11 tl ? .4 I uvi? t b MOTOR VEHICLE COLLISION REPORT DATE OF COLLISION MO OAY O CO „aryl Fn CL• E•R FS sAi TIME OF COLLISION CO NTY. CITY. TOWN G- ox w NOMinuNf APET uOL MILES E CITY, TOWN G -SEF b .... G1.. "T°5 of I??IIU(Jd? w• ox IVE NAME OF ST REET, pOAO OR HIGHWAY [• INTEflBECTING WITH: STREET OR ROAD Dom NON INTERSECTION LOCATION OF C 1104 NO. COUNTY /a CITY NO. '. ?xuwL AOMRGU PREFI% -E ON STREET CDOE SCRON DO© P FI% EO MILEPOST •,{„/ _ RAMP D AG DAM DATA ?- BETWEEN -• STRSEOT AND fnp, 5 hIL tS oo E uTpxe 1 " N x .. A, . . A O CnOSS t o Ha u [fPo5r 0x IOEx, Er nc uxONARx < xsE-N: F ®® NOtI %RD INTER INT CLS l • lO OF EET TOLL YON IxVOLVEp ? vE !? ?Or Ex N+NxN TOTAL xO OS ? , SPEC 'O USE . CNFn ?v[ [NIC LfS []] ? f .. ... ?xixux OBJECT STRUCK . (NAME a B+ECT s C I OWNER OF OBJECTS NAME AND ADDRESS LOCAT I ION +1F0 <osT Q r N RO AY NOAO _N OMECT FEE[ S W EOOF $ R DRIVERS LAST NAME .... Flg6i NAME MIDDLE F MONE,N+N • • , • wENE "OLVED DRIVERS LAST NAME - .FIRST NAME ... - MIDDLE - IN,n?1 C/'TO?lPS 0 i J OCLO/l CS 1. STREET ADDRESS. _ TOLLISION OR ROUTE NO. AND BOX NO. MONE rx+N Two 6TpEET ADDRESS f SS S /?[??;? ? cp• .-RE B WERE IN,DRED LEE A PUJTE NO. AND BOX NO. CITY .:.:,, .. - :. STATE :'. ZIP CODE DRIVERS OCCUPATICN BLp+R+TE • COL=E CITY .. .:-. NEPoNTFON ) WA 2 STATE ., -,. ZIP CODE DRIVERS OCCUPATION iAvevoA + 3LO s.?, ??IVCn .:. OPIVERS UCEHHggE/?a?A1BEp STATn /E SE% DATE OF BIRTH AGE •L t'?,Lj 4'? N EX DRIVERS LICENSE NUMBER : STATE S DATE OF BIRTH AGE rr- Lin-; 17- _ W 3 7'6 VEHICLE Yfl. MAKE (CHEV: OO)GE). MODEL (NOVA-DART) BODY STYLE IZ DA) VEIIICLE lF MANE(CHEV: DOGGE) MODEL (NOVA-DARTI.o :BODY STYLE ORJ 1C!'8 0s"eA U DL 2Dp_ O LICENSE PIATE N0. STATE. TRAILER PLATE N0. ,. STATE UCENSE PLATE NO. ?•bs v • W,q, '.' STATE.... TRAILER PLATE.NO.:.. .',.: STATE; VEHICLE IDENTIFICATION NO. (1868 MODELS S NEWER) ODOMETER (MILEAGE)) VEHICLE IDENTIFICATION NO. 11966 MODELS A NEWER) ODO METEq IMILEAGO A :46 737lX7 /olvs . REGISTERED OWNER (LAST-FIRST-MIDDLE NAME), ,: DRIVERS. LICENSE NO. REGISTERED OWNER (UST-FIRST•MI OLE NAME) - DRIVERS UCENSE RGCit H EP?I:Eti La). J ?. ^cC•C 7-NC-w'7S2h0 - NO. OWNERS ADDRESS - (STREET, CRY AND STATE) ,., DAT 01 B RTf OWNERS ADDRESS \ .: l rJ6OTLO 1 7?fiuAe: I rL, 9gs?n S 2 (STREET, CITY_AND STATE) OAT OF BRTH A. D11 lEAl L PivRTS OF VENICE AMAGED ? PARTS OF VENICE ?.. FCO•.E. QC-nZ- JLIiUK LL'C1? ]7Cn,.. TO,N,oAN VE?fE. a O REVUR VE'LnMCTLE , /? ?U -- LIABILITYINSURANCE INFORMATION-VEHICLE NO I- WAS THERE AUTOMOBILE LIAIRLITYINSURANCE ?. - COVERAGE IN EFFECT FOR THIS ACCIDENT ON YOUR CAR ? YES ? NAME AND ADDRESS OF LIABIUN INSURANCE NO POLICY HOLDER NAME OF LIABILITY. INSURANCE COMPANY, SOC)I ti32. + p AE( I[r.. \ ..... :T. E Elo_._ 3Gr?"l b4!u.0. L`.JA. 9$3uZ IF1C7iAJA CASul?iyf$UYET/ C01 NAME AND ADDRESS OF LIABILITY INSURANCE AGENT Br•TE xlp : IABIUTY POLICY NUMBER ? •t A7 RYD•a6"', I TLJ$ 16,1uC. TAE:%MZ W•'!. `(SS8•. 01-5e -loo?YS - AGE NAME 21 D INJURY: - E. TOTAL- NAME ? DRIVER IN VEHICLE +sLING Hen ds+e p STATUS Of IN UR MARK FIRST ONE THAT APPLIES KILLED R[v[nII x+uN n ? DRIYEq IN. VEHICLE ?PASSENOEA NO IMIN O,, p?x M ?PABBENGEfl OPI E,C ? KILLED ly( [N[a " I_NOUI nO ALPoWUR+F ? PEDESTRIAN I . _ _. ?DTMER 4'JRITF IN ? 5? S'? 7 ?PEOESTRIAN OF I } EIN ? 7? SHOW NORTH N ARROW, CIRCLE OTHERLNNIT DESCRIBE BELOW WHAT HAPPENED; e? S? I d REFER TO VEHICLES BY NUMBER) WHAT D 1.11 pIA OR R M - ( A J l ry A PENED .. 1-1 , K • h n _Y-l. ??''p7?? `TrR?'J???11J)a.e ?A/ -?c,w? Q AINEn ORI 1 CLLII_[L.}?:Cll'Y7GtZ.l:?? t-MIG.+'J.L'-Cs 1 ?1P1- as.Lt?1?ci??_LG?i LY C.Sr LL:allt?s n ?. ` _lO.L.`117 L?1 £!?. (,L:.?]Ela?1?1!64= J, .--. -7 _,? 7.. t .„ ?/ ?y-[cam, .5.?1C?C_.,_'t11Q.4try.?J. _ t' F p M?h ? 5. ? r I ? lrt, ArAlilwxwx .? I T ,y T VEHICLES POSITIONS BEFORE COLLISION o o L vlncta vewue n.AUp WAF INVESTIGATED BY ? `. C L `. VEHICLE N S E W ON BTREE7 OR NIONWAppYDNAME OR N0. OM uatav L +xdrq Llo+u'r A+AM9 rtINGE OCAP,[D [R ' 7 4'J [6 NO Yf6 O YES O ?eisL ?YO K! ?y 1 "o naKB ? ? ®? DOSCW F1t1.IfS F DxEGT o ?? ? ? o ? o ?OCE ®aE,l y ] NO 47" Em ? ? x M El IM +r El El F >xENFf ? ? ? ? P[MONAN ALa+D ERp6sINp _fDOEA DIRECTION.. TO DIRECTION ,l J IJTTtA 7.?y PEDESTRIAN WAS USING 1 BIMWAIK f W l WAY 1 BIIOUIDiR I El,_ tO• ! VxM•Ap..O[ ,y `` YYSS y_ ROAD SUAFACC, WEATHER LIGHT CONDITION! Ol FR [ ! 1 E ?y1 y! I A'+•ECA ONFI TRAFFIC CONTROL 'IUHCA L, TYPE OF ROAD DRIVERNEHICL! ACTONSE I ( h J r?Y r ?.. E II ^ rs E+OF1 1 f4lU9.d rg iENKiAG ttxICLN F. E[CIR?O[E+ ;xM1 IT Fnfc.oNl dluWq , r 14 1• J I,. Iv+' ? ? ®aEnT.U 1 ® DAYLIGHT NO, M SIGNALS NO 1 O F ONE WAY ? GOING STRAIGHT AHEAD Tuf I 1 DRY ? 1 -? kt DAWN E] ? 1 I? Y„t K I J ' ? ! ? Wt' ' ? RAINING ] ? 7 STOP SIGN II1/p??1 I i t 4? Il E ;,v t I C) SNOVANO S ? DUSK ? 1 ? YIELD SIGN ? ] O RTC[IWISIBLL [:1 E ?? OVERTAKING AND PASSING I? 'BHT TURN I t 1 i Y 'fV Y"' _l G7 ] ? SNOW A ? f00 A ? lpHf6 ON ET A ] REV ] MAKING R HANGE [3 1"'1 1 ' ® ? ICI y DINER 0 RK.TR/FT ? ? /HASHING FRED ? A ? h?R j A E lJ MAKING LEFT TURN •rL ?nr. 1' ?• i .y ? S ? aG:iurv ? ISMGrvI S ? OORKt NOfF ? S ? FLASHING AMBER ? S ? ALLEY ? B ? MAKING U-TURN J 5 LI 1Y I i Ir J S ? STq[[T LIGHITD ? S ? RR SIGNAL ? S ? LEFT TURN q ? S ? SLOWING f 7 r REASON FOR NOT SEEING pANO ER Y E] OTHFR LEFT T I` LANIII T II?E' " KISKCUK[D vMgN, dE,AECIgNS, ETCH BPEGFY ? F [3 Of fICf.NfIAOMAN ? T ? SYOPPEO FOR TRAFFIC i I ?2 Y rM E H ? 1 ? OINLR LP[Gry ? 1 -1 BEPATT ? [ ? RD TIOP a ON ONAL I f J +?i rf 5 pp? S ? STOPPED IN ROADWAY L Y jYTE, f J 1'y T _,-- -, TJT f"7 NO 6,'C SI ARTING IN ?III??^?i } r ?p L-J f 1 f i .. ?J7 ] U-1 DFD I TD L Tf IF C LANE •A f f ?1;`L4'Mt'1"f'sJ _ ,.l,.v 1.K ti•17fi? L Jh{R} r;j 4 _ . I ?h Ar? La 4' Texx yR f FIT u k 1 DATE OFCIXSON OAY O COWSKW TIME .._. . COUNTYNO. CRY NO FHWA D^Y YR. F SUN 1 MON 2 11115 WE TINA S TNI 6 SA1 , IUSE 2+OQ HOURI r U"AU --! ' ;• CWNtt @::Q?CDa- ?STATE ROUTE L-JCWNTY ROAD C]CRYSTREET ?OTMERISPELIFYI O W ..,- DACLS, PREFI% 3 -.'.' ROUTE. ST1REETCODE.. _•, ?. O? CV - Gj10N ^1 4`: N 3 E ?IN CITY OR TOWN I W , PREFI% E OM. MLEPOST O.: ' IJ MILES ? ? fl-LBriaaion _ E A: 6---. _E ..-NAME ENO.OF T ORWGHWAY.:--.... _ WTEfiSECTWfi WIA1: EIRE Ei ORROAD n {', U. 0 . RAMP gAORANOATA '. T a Xx s P i : - T aea NON WTEASECTION 1. ly O , ACCIDENT Wt % IN1EIi5E WO iR E Oli OAD AEF W E QS N' _ BETWEEN N ---.STREET AND ?.-?????. f~ _ STREET MI &E.- , ERENLE CROSS6TREF,TOAROAD + . _ - DISTANCEARODWECTION ROM REFERENCE ORCR -.H. S N 3 E W ._ I ?M NrnE . SPECIK CODING USE i• ' . ? E 6- . ?VEHICLE VEH CIE ? VENCLESIICYCLE OTHERIWRITEI HIT ARUN LJ610NINVOLVED: ? ? , -A 5EVERITY - _ _ ?STOLENVEHILLE TOTALN C ? H "- tlf •_` n ? _ - OFYEHI LES ? VE ICLE-PEDESTRIAN ?NW COLL?S , a AZ PWUSMATER AL, `•_ 4 a PROPERTY DAMAGE ONLY OWECT6TRUCKINMECFOBJECTSTRUCKANOOY(t{FgS NAMEI..: ... "'- ^•..:,,' J' t,' :i .^? LOCATION OFOBJECJ 6IRUCK-- - ,„;;,. ESt. DAMAGE- % 3 ?TiJ.Ci: C^YLL SDIIt - . IN •... N S E W - ?ROADWAY FEET???? ' • DRIVERS NAMEi T,- -:.,-'.- FYiST-- - ...MIDDLE-- RO EDGE S ? pirvERSNAME•LASI fIR$I MIDDLE;JIF BI(;C SI OR PEDE511LAN CMECKI D'? R _T?i:h^t. Robert 1112 EE,1 •: - R ".. _. , Y , 61flEET ADDRESS.- _.. i STREET ADDRESS V . :TV I E. .4th y ?. R . CRYI?L .: ..'.STATE: ZW,CODE- PHONEWO E.. R CRY::. STATE ;•A PHONE NO. .-zw coDE mantori, in. Sb::55 N p ORS LICENSE NO.. ........... ..STATE SFX DATE OF ORIN-?., , N DRIVERS LICENSE STATE' D MO 0 Y' YR 1 1 O.. _ ATE OF &HIM DAY Y .1 MO. ;3 .1 . T DRIVERS OCCUPATION FWM NAME .. .. :... ... PHONE NO. Q' ONVERSOLCUPATION. FIHMNAME _ -ir Eoeir^ Lircraft Co. CODES > IDI W SEAT OELT ISI EJECTIW ?,_ :. CODES > IJI qRY lA, ' CL 53 SEAT BE 151 I .;' TUPEOF MJURIES FE•cinl lccerrtiora e T1 ^.i!t kree LT FJECigN 1 NATURE S IN.FIES ' 1 R SCENE EW: TI:Cn •i T .IpaI' ^ " ? RPOM SCENE S . VEN. MEAN. MAKEIDODGECHEV,1 MOOELIDARTi10VA1:. I STTLEI20RCONV . j VEH. YEAR MAKE IDODGECHEV.1 MOOELIDARTNOV ,. STYIEI2,DRGON 4-.. IE'1 VEH FUTE ND.- STATE TRAILER PLATE NO. STATE - E_ VEH COtEIR.... W. PLATE NO.: 6iATE - IR ER PLATE NO., STATE b rp•, 3 1 : . a l: Z`:' 7511 h 1 ? A T - [,' VfH 1 RKICAIKN! 'C VEHICLE IOENIIFK:ATI ......14 ._ OOOME . i ? REGISTERED OWNERf LAST ..,.. ,. •- "FIRST.:. ,..• .. .. ... MIDDLE'. - REGISTERED OWNER-.LAW .,•..: :I FIRS .. 0, Si7er - YFi1.@'Y.4 D -river o T c ADDRESS OF OWNER .. _ .:::._ ., ADDRESS OF OWNER!-. ... NAME ANDAOOflE FWSUMNCE CO OR AGEMx. -. ,. - ItTTT , u , NAME AND AODf1ESSOF INSUR CE CO. Ofl AGENT. ??'I ?' 'a 'ae Insurance Renton ka. . . :: ... :.... .. CIIAigNNO ..,, CHARGE: ;z I N .... a.. _ done A c710R J , :. ?...?? . .. I l 1. ..ADDRESS & INJURIES OF PERS.,.ONSIINVOLVED . NAME - 2 + 6-' , ?'" SE% AGE S1ATU5 N ALI EUJECT ' `..I NK1E: y ' C' ADDRESS: 1. ;V NA UR OF RE O FROM P ; ?, w R6E3. TO NAME' N T ADDRESS 'S f' NUUlBE4'. Sf. A iR TO W. NAME: T, ADDRESS , N '. E, SLINE Rv. TO •. NAME: .. 6.! S ` I. '. A ni 4 nn t ' • SI, u E : Aye r J' . To . ? . I _ N IAIUS 1 ISEAIPQAlK1N IJI WJURYCUS4 14ISEAT BELT . ISIEJECTION v? • D . ED UD ADM FOtc ??µ i 9 IC I M Y K = ,' 1 SO ? ?WU '••. ?? T? N E U . E I I ; IRU MOI C O p1C CLEI WI DRD i1 L I. 1 'O 6 BLE RY ?I OWN jNKN A NI1NE6^u E POSIT MNUN MOWN 6 SCAT DELIFK URC % EJECTED s? S f t T{vC d l??,y ji?` il , Y1 f l f I I 1?, I.14 :ty ,. luw al K; ? 11 '?A, ? ? q 1 ? + W lnwt t ,.ta -r>r1v L ?? r h'1 ? '4? t I S• a ti t irk dd ?,µitiFa.r [ r S+ v +% wv. "m W-1 w _N" a v' { JS J r- e ?4 3 4 r ry f L1 I f 1 Y ?? I wl Grp ;? ESL... , : .. I ' ?-. '. ., .... , , .... _ .., -, :..- I,.?. ?i .. r' -71 ?uw p, VEHICLE DAMAGE 1 I I, ?' l w Y .??.?n•c •.v•. LMLAL Ln NCEMENT AGENCY'S COPY-TRIPI.?CATE COPY?•INVESTIDATORJS COPY . i 1 1* t14 ' I ?a i?T }? ? w k bvktvM J`i r? ?? e'+y' I I , {1 t ?? y','E. II 1111 ,.?,)f; •41 ,,. ?+P..•,T?,l, y„ ` SI y tel.;.,, rv?I?,1.Ej,(, i 4 f 't^ - t t L l Fhl r.. uS Ai '1 S? 1 '-?y [' ?1• .1 t ? 1 t ?, ' EACH BO% C nCLE THE NUMOEfl Of EACH OAMgGEU APIA 1 SHAD . E AREA OF SEVEREST IMPACT. 0 INSTRUCTIONS: OggW ARROW(S ] • )TO SHOW YNINCIPAL DIRECTION OF FORCE DAMAGEDVEHI CLEN - l • 1 • I O.1 ,y H oaa IusF THIS SPACE FDR SKFTCHIVG DAMAGE TD TRAILERS. a>D DCLfS ETC1 I . DAMAGED VEHICLE N 0.2 I F Nml E Nam ' N N L^! IE T-1 • ? • E .. ' ao • t _ SE i Gf VE CLE NO.E 3 Um MirUa I ?a PIA EVEHIT ' ty? H 1 I wT"r'Z 16 T- v n. a a AE 1 DISABLING DAMAGE ] O OTHER M V pMAG ] FUNCTIONAL DAMAGE ? NO DAMAGE A E ' YO DAMAGE [OTHER VENICLEI ? OISAIR. DAMAGE Q THE. LIN j NO DaMAGF AMAGE ? iUNCTIONAL pAIAgGE / t SEVERITY OF DAMAGE VEHICLE NO.t } ? BLI'a E V. DAMAGE ? -'3 T-ED BY. and Is Chevron Esr. DAMAGE _ TOWED aY sT. DAMAGE E 'U pAMAG CTI -.0. AMa cF ' N 13 TO W D •. TO 1dn, { TO i E BY DAM A EST. TO E GE nl.?•, DIAGRAM OF COLLISION " I _ I 'I?I ?I I ;. i •..j" T RA ARROWSHOWING r ' T"T +? I " ( • LEE ? 1 I.. NORTH IN CIRCLE •; 1 I } - ?I?- tkL 'Ill PATCH 0 ? I I i I _' ?- O ? AF;: LDLLHIDH -I r 1 Ditah' '..L1 1 I I IH I i I•. -L- I i l I I l i l { DESCRIPTION OF 1 ?, I 4 (INDICATE T PROBABLY HAPPE ? COLLISION NED BEFORE ,DURING AND AFTER THE C.ASH,INCLUDE INFORLU, 1Y INDTONO AGPAM, E...DE{IV,n DISABILITY. REDUCED VISIBLTY, PEDESTR IAN CLOTNNG COLOR CONSTRUCT ON " E a , I ORR ?; - AIR WPnK,_FCI i?^f: - Driver inforced this R/0 that he had been up for several hours and had ?uet,leit a ou ? . _? p ot_er ends_at_the_Dose__v_ellipa_Ranger_c_acrp-ground:aad ras getting pery tired and xas ldokin _ _ g_ -Sor_a_place_ to_pull P- I _entered-the.ditch.and. struck-the_rock_vall_.causing_heuvy_dacla e to th _ h . I g _ _ e wa icle - ^• T k POSITION BEFOR COLLISION .,. NUO E ' HEADED Eros D ONS ET ORH n I N w G WA ? ONE C yrn G O C F NG DECREASING .. OR ALLY D ^.E E i OCCUPIED D 1 11 "•Q 1 ?ElL Dosevalli of fi g 1 E H YES ] 1 1?1' t . r?l E .. LiLfh!-'A ONO --- 3 °1 I[ 1p 0 yp r FDIBCYCLISTW RY I I WALK ]i '--n AY ]I .I SNOULDE I_,I ROSSwAt 5Q?URN R UNMAR Et 8f ip E5 G A - p _ - ' ? elc Y RO E IIT .. .RDA SURACE -. _.WEATHEfl . E OTHER I- F ICHEC%D EI C FC E CONTRIBUTINGCIRCUMSTANCES f F N LE ICHEC ONE OR EI O T O RIVER .. DRIVER -j 1 N Sn 7 DISI FR S D.2 p] OE i GOING .. p E C 1? ER INFLUENCE OF ?f '"?7E E? STPA GHT AO L O I 0 ?) I I ' f OYEBCAS T qp ??? JINCQBO _?_'.LJ__QD Y ??Jly SI NPOFO wAR V 7 O ? J WET ?NM-? I]U INFLUENCE OF B /n - GVE I CENTER - r ?I E rl ?? 7I PUOS -?--`-? A£ IE LY I_?5? FE.NT GTURN f ..HOW ] OWING nI?p E%CEf ATED FAILIN TO. ?N P r^I ? r I ,T . _-.LJ_ S EED L. T b? ER RKING nA 3 L MAKING ! I ICE. I? FO! 1D fL? ?J EFT TURN ,ACE SPECD AS' 10 _I IMPHO LIMB OOFq TIQI 6 I.J I _ ' . 1 UP. -??fF?S[pylP e. EF-J rUTURN ^' J6n ( -JEEEJ DDI OTG -T RAY qE ((( ???1 ?1- 5 EGARO I P If I ' - ? ? D E YFCI T REPII1 CieVl 64Q1 H Bu ELOWIND -- - SG r (( IMPROPER I L ) PASSING G.IS STOP r ?' I [SPECIE VI slcNls crvAL L lJ EDwR NO OV1OLATIDN L ONOITIONS RAFFIC CONTRD ! E Y-, _ I inArFlc` ICHSCK OHEI. ENO. 2 VEHICLE o> -TCKONE A VEHICLE CONDITION SOBRIN NE OR ORF VE SIGNAL [eO E C H E ND ] OR STOP SIGN r? ONE V IfoCONf11iBUtk?D1 I[ CKONEI r?,J 3G Li 1? WA V L 1 Ir?OA LGH ? V , 1 9 ?SVL J. BDA ITY ?°?-? pAPTIH.N F _ R K 10-1.41-HE DAWN 1 1il 1 f 1 ?]? (IE [Rb LE ?jl? HBp AB LITV ?EI STARTING FR -LU .LJ L: II 1? L. SGN _ ROA I ] .?1 ME OLIGHTL I .. S,- NOiIMPAIflCD?? I L: ARKEDVOSTON 14 ?] • O ECTI' flEIT G l?_,EDOP RAMLGF VE I BD SOBIIIFTY -1 IENTEqN 1 G nE LIGNIE ' ?^ '- O PK-i PELT ?61 AMSEq G E 16? I ? ?AK OPI IRA /ICI ?J.14NT{OX L ' L..) (( ,, 1 R WD N r? H NT ALLEY I iMQOT1L NKING 6 DECKING FFN ? ._. DAPK-{TR(FT { j (-T _sIGNAt CHEM. TEST L] EIRNIANII N ?p No?i ,_ .., LJ l ? L liA[[T ONTi I ,. FLAGI.EAN EP _ N I I T[ETO N pTNffl lv[CIFYI or 1._ c° ... _ t 1 L OIV OFp 1 L L ]1 11 i NO DEFECT5 1 I TCSTRE(USfD THE ' I EI 'K I Olgln lV[CIFYI INVf ETIGA,EXO DFF [CSR {Na4tAnAHK N% .1 TEST RESULTS Z eAOG! NO OLIC6 UIHAILNIU lIL! A { I V[U AM" ARRV/D Ct TWLOED FLOW CFI-?ah R? wEao 1 GAE GOr GtH'iH -. 9 0 1 R AGENCY A Uk S. OATF OI nEPONT 3 4 MPROVEDE UAEE IN f X ? aeae 0812 8 I ms IeunoN: ogmlNAL eaPY sPMp?,a..,...._... __--_- _ --- __I I I r •. I k 7r '?a?Fe ? nt ? 1 ? c.l ? / ? ? •, I / ? 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MOOEL?y,Iwovwo,wT„1 SO°Y SALE 12 1 -` MAIL ?yi 4 OD 1 W, ?P j?. `/9 SeR ?L v - r ul B 'sir E n wl - .7 Rlnstilr/1 Q .CDR LICE?SE; PLw L' LRAR -=pLATFyNO._T?TEy CENSEPLwTE_NOL TE T.ALERPLATP?NOy •"STy.T?Vwr. LLB "r •yrv. ?'`,.. Y%HCS?SJPFNT' FATlD 'V9.40.?9!up:e•?'lgt oDONET[RI yW l VEHICLE„ ?TIFICATIO _Oi.i.L19SS• .AA '[nI ODOMEM_ _ „i D ^ D T ?WNVP(FAS,T;jn!q?+lrp_oyf ?y.? 'j10t1, ER LICENSE -_ . I F.k -" •- • v ? ? ? __ ,l;y;. .REGIST E° [!ER ?,. .. P.[,nu,s1 cl'..D. F.RS.LICFNEE ?O-?, e .Mr. OWNEgb'AOORES w +1 ATE O RTIV Us V ?/ yo . lY 3cY i -' °ATE. PB RTjI . ' r .PAgTS:oFiNEH?4EiTFNH!WSD17ti?'.?"'?. ? `+4 'MCC Iffy :• ° n i or'ic [. PARTS:OF.VEM.C4E. Ow. GFD r.+:.-.....w..s.. .,?. ..,yyy ro q•? .T. ? RS" ;,,!- tl0? SI DG'S-' •• $_ •• c ^••EW ._rcci t,. LIABILITY INSURANCE INFORMATION • VEHICLE N , I- [KWAS THERE AUrorG-EL D I YI SURANCE VERAGE EFFECT FO TN CCOE O YOUR CAR YES 1] NO NAME!WOADOHE34.ORLVIBILRT11f6URANC P?ONO LIGY C EP - "- •L`••[ wooA[„"1d.S ?,N E F'LIA L1TY.'1 URANCE CO P ?. ' rvAM€MIP:A9APF"s?EEWBR:ITT.A4!RN+OGlICEM.;.rrt.w'c2+L... .,,, ".76:_. S e..rA,::.<. 2t LI IrYPO r+v HT? +q' wa.lwv .OL,.'\W •sN/6.fd0+?. E 2N°INJURY I 1 R.'?Y i Isr nuuRr'i .s,l ?...dT q. .y ; I _...?.?A.,°??..,..•..::.,,.,.y..` E1.i{ro... ?,..,.r: ? ,. ,{ 5N. R'M - NAME __ MF ? ' .°t •y A,1 ADDRESS MEF AD DRS tX-T 11 q 4?-.fJSi T ?',PF?IpQnCS`5 'fr,?R...MARK FIRST ON[.THAT AVPLI86 ( S ATUS OFITfeTCO?' f11 KILL® n o N CLC-MAR F1g9T0 GTMq,T.APPL1Ejjjs,+1 O +d?• IN- J T 1'IL.,lil• [rwr,. O' 1 ,I sl,? KLLE orN Nr xo ..?11. $1] w ?? 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IROM TO Li PFOF TR v,.... ar.-1 CL AM umrw In eP . ,n_ w..,w,. )? .v ?'I ; ^ . . { { I ROM?VRTK+Lq LC!4.1_ Sri Sii ;,ULNC f,CgNOITbN{ TRAIIIC CONTROL. Icnrc?o, Ty [ RO O I OH FR/V6111CLI. ACilON4y,_?.,,ri. ti. ? Yy ICY Y 1 _ [ ow I/DAY L1611T 1_ 11'1J }S IONALG 1111 El , ONE WAY •rl ho 11 No.) ?°NT AHEAD 4 1?. t? ,t i I. 1 1 1-1 a]Ily } A11 N0 T D.W. 1_ I } 1] OTOI• SIGN 1?1; TWO WAY Lf? } Clpl `O-•`V•1f.^I,I°TALKTI iN1 fO.1 ANO {•nSSINO I 1 } FT )1-, 6N OWING ) 1? DUSK 1 1] YIP.LO 6 GN l.tll El RIVFRSIRLE E I l 1@r''? ?1 NOA4 IL?_ ) ? TI°NT TURN'. 1 ' 1 ?)6NOW A1-1 f06 w I? LDIGMT{ON[[T C A L I FLASH NO RT.D 1J A 1] ILOOM?nAMPI 1 I q I I'-J MAKIN° LEIT TURN 1k jl, I.1 c f 1^C! S1_1 1•TP[CIFY1 S ? LIaRi?fa Oil T 1_ S TLAGNINO AMgIR r ALLEY L1 11J L 1? R, O ('I ? 1__ •I Cj 1-15 1] MAKING U•TURN I WAY GNI• _ A NN KIONAL LIFT TU NN 1 n C7 LOWING I, I?f +11 ??'• • `-? A 1 O Ow-NIRT LI ?L ?? N[Afo•i IOr?NLL({ [I D M fN. T {Nr CITY J r OlIIC[H/rI.AOMwN [6 P PR.? . [ A nLrn-`Toi? °IOOPP:h AT?6NT;?FIIC :. C,f r:ft lr L"1 Ip-v wis fo , F- ?? _1 E ARATFD C] D Ll ON.I. KInN ?+ I..•51111V. .1 [J r7 , IJ'.^ f '? f ?; C:•1 1 1\ !L_- 1?1 N IT 119 ? G TOPPPR IN ROADWAY i ?x Jn l {i INOU /??ly L?. I?T-l o TnA rFIE -? I\y 0,G 1D IT An rN G IN urFCL N a - f 1 ?y NnrvlmR n afA. ' .•? . _ +.?,s?+.ta. ,,._ , , .• ?;,, ,.r, ,aacgxna•,--?Mn•-•Tr....T,T.,.rMw ....u,...,,r,.,rr?w,._.:..:.,_.t?.].a.cnuJ..l . _.u-_.__-- I . . y? ilk I.-. MOTOR VEHICLE COLLISION REPORT DATE OF COLLISION U Y D CO LI O - NO. COIL CITY WN TIME II COL 5 O I A !'1 MITE T COUNT NO f ' , I S - OWN OF CITY??, t'?l•.'.11OF I)AIr/c'? /V? A O X N•` YY •' 01\ " ?/^? L M1+O? •V SL1,lIDN ? I ^, •, GIVE NAMe OF $TREEi.HpAU OH MIGIIW .i.unx -I AN . INTERSECTING WITH: STNEET OP flDAU.: VH E}Tir'rkOYC !1 MILLPOS .?, Y - 69E -KV rr :., I?I-,1t - - En x n I U 1, ycr - x rlwuroNOwe D i!? lyp lJ IOF '°r uro . .. ,. rr>rur RNr rr e.sl _xx. W.' ,?tJ .x ,.QQ L ? ? L]oHrUr xnN rr ' I SPEC f17,Ze4f? ? r, Y ?y ORJFCT STRUCK Eo.Oelc.s AUCN. ?Y.OWNER OF OtlJFCTS NAME AND A9011E55 LOCATI N IN H.AUWAY .._. N E - . - -y ; pHIV EHS LAST NAME :.. FIHSTNAME MIDDLE, r my DRIVERS LAST NAME -FIRST NAME, -, _ MIDDLE I A y / wrr axwex ' -,. ROUTE NO.ANO BOX NO, $IREET ADDRESS ROUTE NO. AND BOX NO. °"'"•"' > STHEETADORES$ I Y / ] e xwxenr tr? ' CITY STATE:ZIP CODE DRIVERS OCCUPATION a'••^•" CITY STATE .:. ZIPCODE DRIVER$OCCUPATION• E ' car. rux xrroxr ? ., ••'. DRIVERS LICENSE N MtlEH STATE SEX DATEOFSIHTH' AGE. ORIVEHSL CENSE NUMtlEp STATE $E% 'DATE OF DIHTN AGE "' vEH C[[vH MAKE rv uVUCrr hIOO'L in v° xH BODY STYLE UCnI - V NCLEYH. MAKE sv. -ocvA MOUEL BOGY STYLE" LIC[NSE PLATE NO. ETryiE TRAILER PLATE NO.';. STATE- LICENSE PLATE NO. STATE TRAILER PLATE NO,;t -STATE Y? !, tC h/ VEHICLE IDENTIFICATION NO OtgME f M4[xc« VEHICLC IDENTIFICATION NO 1 ODO lE 1 G?75lS'z//? - RfGISTEfllD OWNER srrlxsi rF rvwvel DRIVERS LICENSE ND. REGISTEREDOWNER.- srv nirM wrr DRIVERS LICENSE NO , 5 A111 OWNERS ADURE55 15THEET LITYpN TgiEl GATE OF BIRTH OWNERS gUDRE$5 1 p tATEI :OATEOFtl HTH H-Ay"j.Y 11 t H PARTS DFVEHIC..LE DAMAGED n <t[ PARTS OF VEHICLE DAMAGED -. ?? Tsr For.os ;5 'f' Crp PEY rNV Witte ?> ._ f{, ::. INASTI] LIABILITY INSURANCE INFORMATION-VEHICLE NO. I- COVERAEGEHEINnuroh+otlaEUpnafTY INSURANCE ?YES AQrN11 RTd:IM L { OVE EFFECT TOF T1113 ACCIDENT ON YOUR CAR NAk1E ANO ADONES$OF LIABI TTYQINSUHq.NCE POLICY HOLDER - !LI NAME OF LIABILITY INSURANCECO PANY NAME\S,?/5%!L?/`S D/Nf5 CO" - L rE ,- ?. -. II NAS11 E''ANUA00pEL10F LIABILITY INSURANCE AGENT' CITy? 5 TE ZP LIAOILITY POLICY NUMBER '6 ! IST INJURY /11'c /? AGE 2NDINJURY: I- SEPARATE RFPORT FORADDITION OI0kL AGE ME E ! ! .. r AOUr ES__?__ .. .. SEX' ADDRESS __---_;$EX, .. C At F STATIISUFINJUHED h1ARK FIHSTONE THAT APPLIES - STATUS OFIN>UREp MARK FI KILLED RSTOHk T11ATAPPLIE _ IN VEHICLE 0 m IN VE NICE r { I, '] qy 5,? ovI [ J.ILLIED 4-, LIIDW NORTII[YMgOW NCIIICLL_[J1 ?lJ DESCRBF, BELOW WHAT HAPPENED; IREFER TO VEHICLES OY NUMBEP) N HMY \ ? <'?7??c./?r,:?L.? -c-?;.c??-a,r^..[/•? <??2L-5,<?r? 1 v.?.:. =?E n? Q(..? j ? srnr+ro -._ __ GZ?IZCC.?/LCD... CL?.?ie/G.C-1J r__-_._?.-__ ??r. Y i !1 Mr W111CLES POSITION IM-Ul I: COLLISION -.J Ir17 HAnlD ,?,M1 rx. xxxln w«x :i INV 1c11UAlll rV '0.E"' L ` }? 111l, r•' V f" VEHICLE T-OF 1 ( DIN STREF7011111GHWAY NAME OR NO, 1 I? ? I r t t 1; YTfI 1'I 4 V IYLUrI -J T ?r -J?(L'??L_-_? r - T •g wrr arrt ? -1 ? "v?44 IDTI 111 ^ [? lJ l J In lI r? ? ? ? ? , Y •' { la PI.0E 5TRIAN 7 ^ [ 1J ?1 " r7 ? ALONG ---_ _1 -ORo f r.t l' .+- C1 s,urw.I° 2[J C?.CH...... . FROM A r?., li1RVl•k Lw :JF !' ,? 4! tyl \ 1 PLUf5IRIANi ASU1ING 1 C F? _ 1. L IJ 1 RUAUSUn FACE IVEATNlH LIGHT CONDITIONS 111AFf IC CONtIIOt -4, IYFE Of HGAI> ?f STIIAACTIONa r,rwrrolarrH 7 ti 1111 ?rq'?VI 'AV r 1 ?`I.INU ? DAWN rlw4'. r., r DIIIVEHNEIIICLE ,. I V'I. x r r t f' 1 Mr ? ON[ WAY 4 Y GNAL$ 1 ?? I111Y 2 ? tilt ?' -1 •°' I ?i'AII 1IAYLIC TIT r? xr, I x?/,I.. r.f OP LIEN L-1 IWGIVAV ? II ??!!77 I fONlG IUIIT AHEAD U r ? yr L?OVi:(ITA XINOAIID PASSING r t h-!,,q? ,yam h 1 { ,ILI .1 n5N0NI%G 1 ?DUSK ? 2 [j- V I L-1 U 6.0Y ? D [-]POLDLrrl C1l LJriOA'n"-" 1 D DMAKINOIOGHrTwIH { r OIVeQsrr?r ; ?1 !IIIS?HFIT D A CJ 111ALIIING III i1 A IJ1IA IF 1?1 r• ?AKIND N 4 I'-? Y1? I11y`y A fE ] • 1 A U 0 A MAKING L( L[fr rU(IN y lIf I DI A SN IIG \IITR ti LLLY E4OOPP I AM M y n U L? [ 7 ?aiiviiimrns O n nl IhH:N"I [_? a ? uvu. ( utwu,a J s' 1lnf,ori rnl [r. [e Gn a 1? Y[?;v <e'r ' ,]rr (]s J. P J1,?}tF18? ! T11, 1 ! I ? ]Oman I 'II,IT.NA•1 ??OIV HIf DII {I ?? ? [JC rI"ll-FO^NHGA AIY I I trl JUN I 4,y ini,r rr ? w I STATE OF WASHINGTON I N PAGE OF o j b UNIFORM POLICE TRAFFIC COLLISION REPORT POLICE LOMCLAnJ}NDMPER -D DATE OF COLLISION DAY OF COLLISION - , ?t M?3Ay _ y{ T SUI11 NW 2 II..S S WED° INVP R SAT U'EOQ TIME - COUNTY NO / CITY Hp. fHWA 'j - tl '-1LLlf 5 B IHQURI J ? URBAN CDUNr y 1 L1 iddi ?STATE ROUTE Z ? r - ^\1 QQLOUNTY ROAD ?CIIY STREET O ADM CLS. PREFIX g0U1E OR 5iRFET.'•10E S ION I S ?Oi ERISPEC F I YI N .3 -Z `,3. O I te ' L n N IIgqSI1 E W ? N `CITElYL(O?RRlowaNC n PREFIX ED MILEPOST /)?. C IO MILES ? Lry ? ? OF -u.l. L_-- J 4 U N EBNU.OF STREET ql HWAY - IL INTERSEC T ON p TING WITH: STREET OR ROAD U. MP A DIAGRAM DATA `ON_ ENSE N 0: ...?I ' ACC PENT INTER NOI %.RO NIERSE TING STREET OR ROAD OR RE /? M4EAGE N T CLS. ERENCE CROSS STREET BROAD BETWEEN. ._.W ? AND 9b F. -..ry 92? = TREET CODE 'Z O ISTAN CE D? TI NN FROM REFERENCE VJ LR BS S1flEET. ult?w SPELT C t ' ' MILES O / ?I n.J? •..I qVr pltlgG NO USE , . lt0 ?FEET KV ? ? ? OFT-/.__ WTy I fNGZI '• '. •. ? . . _ {{{???VEHICLEVEHICLE 1 COLLISION INVOLVED: ?VEHICLE -ICICLE L ?Oi EP [WRITE) ?IIIi6RUN SEVERITY IF ' f TOTALNO. UVEHICLE-OBJECT ? VEHCLE-RR TRAIN -.NO.KILL OFVEHICLES © _ _ _?STOLENVEHICLE ED ? VEHICLE PEDESTRIAN ?NONCOLLISION ?H O. INJURED 2RpOUS MATER AL ) x •, ,A PROPERTY DAMAGE ONL OBJECTSTRUCKINAMEOFOBJECTSIIE1?UC?NAlNDOWNE0. AAMEI LOCATION OF OBJECT STRUCK OF.,-__.... EST.DAMAGE c+A IN 9? ' .. ? ? Af DRIVERS NAME T FIRST ROADW FEET Rp EDGE 6 N ?8 _ 0 - T/?/? -. , MI'D'jD'I`E DRIVERSNAME LAST FIRST I" I-LIVESIMAN CCNECKIL] V L : : . IY . . (A L7 A ? R. STREET ADDRESS R'. b uC J'IA_JL-L?_??.f1L [?• " - STREET ADD SS - E CRY G I I L ?E STATE ZIP RODE PHONE N0. E CITY • 4 R R E STATE ,.. -co., PHONE NO 01 p k 1 j - ?j N ERVERs LICENSE NO. . 75 - STATE ry , L SEy D,?ApLE OF BIRTH N URiVERS LICENSE Np. SATE ) y1- l _ BIR 0. +/? I N U k DAY Y 0 5 DATE OF BIRTH A\ D E/G 1 Y T T' ` ? 1 q DRIVERS OCCUP ION F Hm AME 1 vl • `? \ I I g N • k ?/ D IN? J ??' ? l•?r PHONE NO. j ORV flS OCLCUP.A?T .ONE.. FIRMNAME.,-,_ .. PN HEN . IL TV J i (? CODES >11,R CLASS= °I SEATBELT_ _ "I EJECTION- CODE$`> ODE$`> JI BUR AZURE OF I CLASS- _ I°I BEAT BELT- f?l EJECTION `I NJ RES ?? N IUREO UR ES F SCENERY . TO E H OvED O •.? E VE YEAR . "18 MA KEIDODGEC EV.I , MODEL IDART-NoWn STYLE 12 DR. co-.' S??AA? A - 2nd V FR M BLENE V,M. YFAN 16 RV. -=C HEV.1. .. TO MODELIOART NOVgI.... STYL 120RCONVI I)ar • R, R VEH. COLO IJ-C?PLATE AO. n. STATE TRAILER PLATE NO. STATE `?? J ?S ?b E VEN.COLOR UC PLATE NO..-. STATE. ...- TRAIL EN PLATE NO., STATE• M I C l VEH lE OE 1FICATIDN MBE. .: OD + e ... ,. pMEtER ?2(aL -I 3_7 IZ7 153?? C E VEHICLE IOEN11f.-Io Ell C lDg DDO AEIER LLq 16 9 SS l ,;. REGISTERED OWNER LAST :.FIRST MIDDLE o q -3 k' N o. T Lc). gOC??t l E2A?E-?? N REGISTERED OWNER-LAST_ FIRST J.•. '... .. .. •.. MDDLE • ' ' _ ADUREBS OF OWNER . ....... SAA(c O• z ApORE55 OF OWNER ` ;. - L ?•.?i -571:5411; S OFINSURANCE COLOR AGENT .. •a ' } ?'? D` NAME All von ESS OFINSURANCE COO GENT ^ LF ' ?L.1 VN "' LHAROE \•,MVy I-I?.C .1?? , TN Stsmu f CTAI ON NO..- ?` ENFO hJ RCCME NT GHPRGE C.IAICW ?( ` F?? vs lam' f LL O q NAME, ADDRESS & INJURIES OF PERSONS INVOLVED ccooEs 2 G ° S NAME: T. NOORE55 -_- f 4? $ MJUR ES OVq rHOM - W BCf NAME. -- TO ? ? --T- ADDRESS' ---•- ? ? ,.• ICylt'r N I E S N IEM vrprli5u N nlf J SC(NE NV TO AME 'I'-r'?• S A Ovnf,$ LJ = i E n' I FI--- 1T -- LL 1 K ?( V 5 1 ? I vC6TRSU E - ISI 1 9 lil lEnt POGIIIOH S IHT Hr TO Y { 4 C J{f ` ? .1 # Q 2.PSSEHOLR Sq pL `TiAN OTHER POSn. D n JI HJUNYCLASS OMJUNY 2pL AT tit NN[ ] Or 6pIBA14 NGIHJUNY LNON OSA BLIND 75- RTLI NOIINSIA111D ,NOT MUSE IlICJECI ON 1 NOTEJICII. 2 101AllyfJ[CIEO l,j{ Ivj D e E . e VOINE N11NfSS YpUBMO10RCV-LEI n OLIIOrJ UNKNOWN il DO VAL ° pED OSPIIAI T.II'OL•fA[i URY 4 UNKMOVI tJ PARDAILLY[JECTEO i 5 SEAT nut TAlly , EJECTED : :A I L' { .Y i':JE"'iii\l7) Ifui P,GE Di ..•? k ? LIEF c s?iyr - UNIFORM POLICE TRAFFIC COLLISIO COM[KAra NuMDER N REPORT 0 DATE OF CMLI$ION DAY CF COLL$ION NO -_ -- A M 0 r ((?JYH T $UN VpY tuts Lr F SAi lu,' aT p^HpUR1 COUrm NO WY .T.? f 5 COUNTY-??-" _ 1 - 2 D W A IIIU^I' B??.' _ /? nU EAH ?STATEROUTE COUNTY ROAD ?GTY SIREEI?O _ kURAL POUTS OR STREET CODE ..NGN AYr'Nb?.(F ?v L-/ / L_/LVC ? OTHER ISPECIFYI L (!?7 N $ E W, ? IN ??yy??//?// CIIYO iOVlN PflEfl% EO MILE POST? A C MILES ?_? ? ®OF. _.Q[ I Ll L i(, . _.._....__...... .. ... V Or ?(O I E A NO. OF $tHdE?ET OR HrGNWAY ?INTERSECTN3.1H. STRECTORROAD IDL RP.MP DA.11-DTA 1 T ON T. E`7 1? I o O ONIMER$EOIION N ACCIDENT VOTER N'-O"'NFL %.RD IERSECTING SIPEETORNOA BETWE D ON NSF. I /jTR 14 JH CLS. ERENCE LNOS55 pg ro N EN •V'•. smcer ANlr?N??-L• S[-i `1(? EEr coDCE LX?J Z 4CJ x OISTAN'LE DD REC]IO-lH0MHEFENENCE OH CR0.5551 FEET ' J , HJNDEFinS SPECML0001NGUSE '- • ffpp7?{{? ICES rN7? CBS E W C? I .. rZIJ EET '1L-l OF ?? i.O -... =._I. a? :; COLLISION INVOLVED: ?VE-CLE"VEHICLE ?VEHICLE BCYCLE Oi ER11' TEI ? T6 RUN SEVERITY. ?tEHCLEZECT ?VENICLERRIPAIH YYYY?`"`{\ I? ?$OLE VENf.LE O. KILLED OFt [tiff E$ f-17 I?'l NO INJUPEO ?VEH CLE-PEDESTRIAN ?NOIJ LOLL SON ? P1ARpOUSrAA ER L PROPERTYDAMAGEONLY 4WECT STPUC .IIi4ME OF 061EG 5 ^,•-'rA1NO}?1{r,NEHSnAME{ LOCA1 prJ O.C EC $RUCIt E$T. DAAlllt ?PDOADWAV FEET ? ? ? qD EDGE S'-Gr-- dmn-EHS PME LAST FIRST Q ' MIDDLE T p ,? Vr D - OVERS NAME LAST FIRST AID DE I.. BrCTLLISI CH PLDESINIAN C.-)L] RREEt ADM[5S. R SINEEI ADDRESS R CITY /? - S?IAPI/E? 2 COUD ?PHONE NO E CITV STATE ZIP LODE PHONE NO. N DR VER- LIGE/ ?j N+ENO?/ ?l/ ST l/E7 .B.(F/.y? ORS OF 0/,L1RTH N DRIVERS LICENSE NO. SIAIE SE% DATE OF DIHIH 1 O. V/S[%.C.. J AL V L? ?Y . Y IB L D/ I l? ( O• MO. DAV YR UgrvEP$OCCU ilpN FIP E. PONE 110, Z pgrvERS ODLUi•ATION FNIA NAME JNL No 1t 1i SL ?? S/T7.?/ - ?( G?Z7 "..</i/ Y].?J HA,. CODES JI CIUAUS..f i1 SEAT RELT EJECTION_ CODES ICI CL455- - I%I SEAT BELT_-__, 151 EJECTION ATU ES 4? - Aru I E$ V oMSCT c Far.- ?-: a1=el Toll'" /•IG/{,_^ FROM°scE.ERV 10 YEN. YEM MA, I E{ EVJ OOELI^,NT-NOVA) Si YLE 12 DR {pNV.I VEH YEAR MAKErppOECIIEV.I. MOOELIDART"NOVAI STYLE Ia DR CONVI V -'77 ' r/3T (ZSL r Jj /flJ V E . EH f LTC. PLATE O.? IyStAYE TRACER PLATE NO. $iA)E E VEH COLOR LTC. PLATE NO STATE TRAILER PLATE 10. STATE C VEHICLE IGENt LR;ATIO NUMBER ODOMETER C VLNICLE IDENIIFIGAiION NUMBER ODOMETER E ?2?(Q i6//q?f2 y >g,s?? L REGI$TEREO. 6-?R-LAST -•,,. FIq$T MIDDLE REGISiENED OWNER-LAST FIRST MIDDLE O' O. PODNESS Gi INE O'H- 1 z ----, E A:U ACp"'$a0 ECD OR PGE i? - --- L+E A:O ?DD.._:SOF I.,,uRAN'CE CO. ON 4GENl '----- 1 { /? NA 11'.l C7' CHARDS Cil i O 7076 'i TE O CML T C ;GE CItAt OrIN-- i..r,c,? L 1 10r r. SF NAME, ADDRESS S INJURIES OF PERSONS INVOLVED CODES .._O '. Mf .. AGE Gi4N$ "' ?P ri,l ? rAECT ;?L?r . i N r p J F$ T i :flp CA. ?_ _ _ ME ) it F,v1 s -Hy 10 1. }F1 f7 ?rl T Do rs. C g _{ 1 T ?1lTT ? ' --- ------ --- Y if 4 ( r[ :5..ea [Al r..a i ss.. - ... __ L1 I [ D 1 Lne IoN-" _ ry { ?:, r C J - 1 I L 4 fD I NO LJFCIJO 1 - } y O I '•L Gri i f a 1Dr r Icnp f 1111 l.. Y. D i .I",51 , I .l '..l?? F L. ,... . 1 I. I r r . Iv I D 1 :1 u'r. O IN IiEC1ED G l A I? a..[N11-HURC rJEw[D gE:,td['ISi?! '.& ., _.a ..f.:.. i VEHICLE DAMAGE ,CIRCLE THENUMBEROFEACHDAMAGEDAREA. 1. INEpCH50 ll JAI INSTRUCTIONS: A ] SHADE AHE OF 5EVEREST IMPACT. ] -A. ARHOW151 TO SHOA PR NCIPAL OIF ECTION OF FORCE. DAMAGED VEHICLE NO.I WSE T»s-11 iaA Saf 1--D"'GE TO T»p EEH. MOTDHC LES, ETC. DAMAGED VEHICLE NO Y_ CILI:n 1> D.. ruin O.. ft s iir G[ VE»IClF rvO.] ^ 0 SEVERITY Di DAMAGE'. VE«iCEE NO.I CH M V D 1. ] ? ? A-1 MADE: IOi«ER V[ E IA E ] n E? DIy 0i»f»M V.DpMAGF 0•w BL«,G DwvnGE EFFF++????{{ T D GE . . 1 GDp G O O GE . ? 0 nAG F-CT GAMf O F 0 k5 C rr MAGE o ' ES . GE O O 5Y . i0n'fD BV s s y rD To DRAW ARflOW SH01lING DIAGRAM OF COLLISION NORTH IN CIRCLE a I.:cu on a _:.-- __... I _. _•-. _?.__'_ ti_..., ,- .. ._ ,.. .,nwr«o DESCRIPTION OF Irvo uiEP.»+i o5A _v».PPE c me pNDwFi iHf cAps». DaluDE VFORLmi axxm ax mpcRA f.G. DRIVER «EDfsiR AN CEOS»xG Cafo»,euxsiRUn DV Off HEPAIA waR«fic.l .5 urn ?cFD Vfs anlTV COLLISION . , i Lacs lw?? s; cx 't i.c?is oi: Et ?rF .1.•E+'. rr lot- Y" r rr? j? I IIIY M3?IMM.? '. r I .,I _ .. rr -inn P• r..-.. w. f A Iw l" 77- 1T5- AM % - .... _. I . ?µ f A IF C 1 COUNTY CITY, TOWN o, MILES N f CITY, TOWN ADM CLS PREFI% IKU,E 0x 61aEL, coot GEC .? lrt?D^'? -. ..?U•L na. x •• /? S W OF f >t '- A\ I A, ? Z Q TIO - N GIVE NAM.tE OF STREET, ROAD OR HIGFH,WAY INTERSECTING WITH: STREET OR ROAD PREFIX ED MILE GT NON INTERSECTION-LOCATION COLLISIO 11 II I tt RAMP DIAGRAM DATA BETWEEN V STREETAND J'LC \t ' :Elk L-411 STREET -5 1 0 1, E? S j1,?L q--A ST INI-E l"'O SIa lolx,Itri7AT 1NOx1A. tn. xR10aE. N / /•V /? ? AT , 0 C1 ` - NON %-RD [x FEICCEnOa s,aE[i px xo•[wR a[ CxOSS IT 111111 1 y ?? 1 as[OUOx,J` ??(-`?4--L?` E O F `/,1 6 INTER ? INTE CLS. '7 O e° ISI 10 DS Ve ?r, ?ol 1x lwnxll To A ' SPEC OD USE 0[ V[nKtF6® 0vl ?xw ?xl „KM r[o[slx lx coU,s,oH au7 •' . .. OBJECT STRUCK .. In1uE OF 00[ICT sia00N OWNER OF OBJECTS NAME AND ADDRESS IN OCA_ I? , WAY TIO OIJ TO a[P1 a owEeT M FEET 5 W Ep0[ S E DRIVER UST NAME FIRST NAME MIDDLE C'PS DRIVERS LAST NA E FIflST ME MIDDLE E / C Y w[aE Colt Slox oA [ STREET ADDRESS ROUT N0. AND BO% NO. 0 a E A 0 GS ROUTE NO. AND BOX NO. Q1OL 3 ' c?_ ` L v ,-\c U.C. A SEP,AATE S F -5. CI STATE IIP CODE U43 CTQ. , • DRIVERSOCCUPAION IFo R 'EL Itt STATE LP CODE o w ? ?/ I?j DRIVERS ./OCCUPATION j414-.t-1 A?A I STATE SfX DATE OF BIRTH AGE DRIVERS LICENSE NUMBER'. r? -c? -c [sz31 "' 26 DRIVERS LICENSE NUMBER E DATE O: B RTN AOE O r b Coot VI"ICLIY? AKE (CHEV: DOD GE) MODEL (NOVAA-DART) -B`ODY YLEIi ORJ VEHICLE Y .MAKE (CHEV: DODGE)MODEL (NOVADAR BODY STYLE Q DR.) P T LATE NO. STATE TRAILER PIATE NO., STATE IC NSE LATE NO. STATE.. TRAIL E IDENTIFICATION NO. RINGS MODELS & NEWER) ODOMETER(MILEAGE) VEHICC LL V NICLE IDENTIFICATION NO. MODELS 6 GD OMMUERIMILEAGE) , A- V MI P GIST ED OWNER UST•FIRSTMIDOLE NAME)DRIVERS LICENSE NO. flEGISTEREO OWNER (UST,FIflSTMI DLE NAME) OWNERS ADDRESS (STREET TY A" STATE) DAT OF BIRTH OWNERS ADDRESS (STREET, CITY AND STAT 4, k ti PARTS OF VEHICLE DAMA D VoTn[aua viHSCL[ ARTS OF VEHICLE DAMAGED To -.TEO 1. cosy' LIABILITY INSURANCE INFORMATION-VEHICLE NO. T• COVERAGE IN E?ECCT IFORlTHIS ACCIDENT ON YOUR CAR YES ? NO NAME AND ADDRESS OF LIABILITY INSURANCE POLICY HOLDER NAME OF IABILItt INSURANCE CAMPANY x.M[ / q "I IS' u,r l,A,E P ? y C?-%raNI LLM URA C 1 i,??2 'li.•c - l' f -_ Eli 2N « LA, 4,j JL 6 T NAME AND ADDRESS F LIABILITY INSURAN AGENT cltr srME [IA LIABILITY POLICY NUMBER NAME E 2ND INJURY: -. _.. •.., ,:-., TOTAL NAME INJURED ABE ADDRESS SEX ADDRESS SEX E •xo "' LIyys? ?7 - M .n N• [ TR u •• • E ETAIT[S OF N RF ? DRIVER IN VEX CLE ?P SSENGER u KILLED MARK FI a ONE THAT APPL °,N)up N,nls•i[ Is v R IM rvORI„0 [ IES ra m STATUS OF, URE OR vER IN VEHICLE .PASSENGER ILLED MARK FIRST 11S A ILx0 a [I ONE THAT APPLIES off OTA0Ux0 PO5 LL x NI s j' ?PFDESLPIAN NO 0[ 1 7 I OPE D[StP AN OE? FC OTHE R S'lR11EIN 1:1 FJ? B? 7 ?D1 NF.R IVIIII EIN ? 5? a s? SHOW NORTH BY ARROW IN CIRCLE DESCRIBE BELOW WHAT HAPPENED: (REFER TO VEHICLES OY NUMBER WDI-10"`H?.DI .Dni. OA O ?o?_/+tn V?AP[ llla S O •1 L*' Llj' ..oW I s i`L-L7'-'?"}!•LL_9- s=??.`.ur`ts-- LISION 70 of uxu vlx?EU E O „,0.E I....... w.! INVCBTIOAIED BY V HICLES POSITIONS BEFORE C L II . xOn[ wL[ c.?l ».Tp v[„KL[ Or4 M! ? VEHICLE E W ON STREET OR HIGHWAY NAME OR NO NO 1?N $ 1 [!rs [y? YElLr P [s D D ?1JJ Ol NO Walm PA? ? 01 L F <? M? ? LN7a ? ? ? ?- o-HIN F'OIKf ?pMIOx _/1 _- roTNLm .tea„•! NO ?LIST? ? 171 M _0 NIF „(DUIbAN 0000111 ALONG -a0fi5INp FROM DIRECTION TO DIRECTION PEDESTRIAN WAS USING S,Df W.L. ! J WALKWAY S„OULDER 1? OTHER ROADSUNFACE WEATHER LIGHT CONDITIONS TRAFFIC CONTROL Kxt,, 0x0 TYPE Of ROAD •l• DRIVERVEHICLE ACTIONS K.. ACAR I... "" .Cr l c. 0" V 1 l MfI ! K-1 Ox) OA M x0 ) pRl x0 ) 1 xGl w x0 , x0 i 1 A A, 1 DAYLIGHT ? 1 ? SIGNALS ? 1 ? ONE WAY 1 DOING .1.1.1-IT AHEAD GAY i ? ? DAWN ? N t RAINING 7 ! ? I ? STOP SIGN TWO WAY OVERTAKING AND PASSING IJ N WET 1 REVERSIBLE 1 ? DUSK ? ? S SNOWINB YIELD SIGN ! ? ni1 ? ! E] MAKING RIGHT TURN SME E3 S ? SNOW 1 ? f06 1 ? 1IIGNIS ON LT ? 1 ? FLASHING RED ? 1 ? ANGE ? 1 ? MAKING LEFT TURN ILODPRIAMR ? 1 ? ICE ! ? OINCN S ? IIAIRi6 O(i i ! FLASHING AMOEA L ALLEY TURN GP(GF1T ? ? ? i?s -9 Y I S 0 d1of NOIGHi5 S RR SIGNAL o L ? S OWING PEASOII FOR N01 EEUNG OANG[R 7 ? THEAY ? ) ? Of /ICLfL'f LADMAII UhES 7 ? STOPPED FOR TRAFFIC DlM:UKID WS?OV MSI R•CIgxS I,CI _ I IONAL STOPPEDAT ---`--'------- ? L . OTHER, SPICIFY ? 1 SSEPARAIFO ? L El OR IUP SIGN y ( 7 1J OIVIDfO o L ? STOPPEDINPOAOWAY /I'ry'?? I ? [ T p[J 1 QIi1PgL IG ! 1,010 ? 10 ? I AIIIC LANE "1 - _" ___ ? _ _ E) STAR71NOfROM YV11Nf E5 NAME •/OD/RE/}? GE%L ('T It PA " D POSITION ./ 1111 11 in AIDC, nNL(RING I T T 7 J 1 t. 0M Ci%v ° ?I G CO V NL [Ily i0 1lN Y / STATE ,,? yMll[S ,?{,, CIW i0YlN yy ^^ j tc?iC1 '7`. ? Cl J.1/ICT? ? _? F ? f sINLL fA_AGC' L/???{ L,GL v w iinsccT oN s,r4x t r. Pw u ,[. [u lrr uxmc[ x.n nr IR E (w f?) [r L ?J1/1 ?,V !(? `?// erx[x u[xrlr.rxc [.xux,xx - . ER ICI / %?,??,IC'H_I /L/ LL LLII V/ v __ f Gt VEHICLE NO. I VAY CART C?F J VEHICLE NO ] IOIIIFR CAA) i . DV[xy s R .w[ s, NAkr[ ino[[ Ixlt ,[ uxly L s, x,w[ x x,wr w °o[[ Ilwll•[ sr NUMBER + O IVEI S A .. CITY -. SIAIE OF DRIVERS ADUNE55, CITY STATE VElIIGIEi V IVE'? pR? IyEg51 CFNSE N+ uS° NVOIVEO ' DRIVER S OCCUPATION DRIVERS lIC[N SE NO STATE l l' C/zf?i5????' E r r. 1? A V fi IICCNSC AGE UAi1 OF BIRI SE%, w [ °u DPIYLRS IICk NSE AGE DAIS OF BIRIII .EK ....... 0TNr _? _ ?? QO [R v trl [ •x Dlnn ............. i r[?. ?O ? 1 cY ! QRLC ULAR ' A ... YEAR MAKE ryP6 SED ) i N, TRUCK, BUS, ETC_ . ,YEAR IAAKE ;, IYPf SEDAN.iRUCk, BUS, ETC. VEIIICLC•IJ x„?f-?f,f,.11 i r VEIIICLE: 19 VI:-CL .. YEAR .. SIAIE., LICENSE E N Ul U1 i YEAR SPATE •.ENSE -NUMBER C VL-CL LICE- A- PLArE J t?3r?z[QC/ O ry i < SC 79 REGISTERED OYI?y'? ::. ..DATE OF BIRTH • REGISTER p OWNER ., ppTE Of Olflfll [>,six w[ x•w[ DLL r ii R r 1?f, N•wf - JCL L1L? /'?'J1 ww[DD Ixlil%[ OlINFR ADDRE SC, hC V S ' D ... , IH, A E...., DRIVER S LICENSE ND.,; OWNERS ADDRESS STATE I DRIVERS UCENS[ NO.., ., . ,.TARTS OF VEHICLE DAMAGED ..n IMn COST TO O -PARTS Of VEIIICLE DAMAGED COST TOED E IT E ... OAAIAGE To PROPERTY OTHER THAN VEHICLESCOS O OWNER OF PROPERTY DAMAGED (OTHER MAN VEHICLE) ,/j?jy .s OW .q's NAME OWNER'S DD E . .:laI. INIUNY. ..:.'.' _._.. [;: . ,, 1% ......'.: 'AGE 2M INJURY, IUSE SEPARATE REPORT.FOR ADDITIONAL. INJURIES).: ... , AGE. NAME nave- -iOTAI NnME ATIGRESS SE% INJURED 4, ADDRESS EK. AND A r OF ILS- ? ? _ -.N of FS 00 r- FY • © I xlu x crOx) p © I w[ STATUS OF INJURED :tLO MARX FIRST ONE A . TN T APPLIES -STATUS OF INIUREO . .. ? MARtK FIRST ONE 1HAI APPLIES ?_] Ix • KILLED P4 . Pf' r ,°. x Q F Ld x °,.aV, - -OW"NORTH OrRNOW M ° \ \ qn xD I DESCRIBE BELOW ,,WHAT HAPPENED jREFER TO VEHICLES BY NUMBERS r _ _ I •. 2 N / •IC• T "...LIGHT CONUIDNS .. WEATHER •:.-, RPE.OF ROAD DESIGN ..,KIND OF IOCAUIY.,;, , :.•-.:.-:-.?.WAS,THIS ACCIDENT INVESTIGATED BY A_POLICF OFFICER2.:. DAYLIGIII?xv ?. CLEA ft fr. xx ONEWAY°.r a ..arc _ ., x.r.,. r ' I •••• r~ ST PATROL ATE CITY POLICE SHERIFF OTHER O O POLICE INNVESTIGATION DAWN DUSK RAINING TWO WAY "I'"""ar ow[s " „':--WHAT pgIVERS WERE DOING AT.TIME OF ACCIDENT .' , ? . r.. ....: [ TOR VC O I I YOU 1 N S E W S 1DA(RKNI 5 SNOWING xwf I IL4 ' FOG tF 'I U•xur ,[• 1 ol.v[turv rrrf . TREET On IG WA Dn I. NO I WAS CA OLO =RJ v ?I • ° D , . x ? - 't. I..i ', O? ._... ......... ON STREEtaT .d/. . HIGHWAY`/ n?,[y',t.. ON N S E W R TgA{fIC CO'" NROI,. IIOAD EIIA RACISR NUMRLR,. r I ANlS :. ROAD SUR ACL ' [R, NO, P? OF s Or °?r°. °xr _ _ tiNM c??Tar?o?D a c« WAS I. WAS I CAAD- .......... -- . ON ...................... ...... '. , D RIV L R NO. 1 15 YOU. ICH[CK lu COIVMN FOR YOURSEt fI • F-j ar a _ I Cunvl: T° nIGNr • a LT W /?[ L ? ? E - ? ? .??'t•F?-E ? DRIVER DRIVER DRIVLR "JI Rt p] L E•??:J • 0 i'i Ar.u CuIIVC s0 [[fT fDT a BNOIYY LEVCL _ ICY . .1 R] OI M] OING GTRAIG NT K G "U" R'? DHEAD ?B?TURN ?O ?GTAIITINO?N 1?s TGRAFFIC IL f?la L J flVl•NS AHI fO ?D UOWNIN 10 iHfp ?O I D O I ON GRADE F?, , _ . r S T I N ]LJ r[ -1- mprH ?I?s?o I -DN 11 PARKED ? O mo) _ 141L CREST WHAT PEDESTRIAN WAS DOING -1 l4 uRN'i. L-1 D 1' a°1icras?1]?BACKING UP AT INTERSECTION ... NOI Af INTERSECTION ,.. .:, • _ f T A WAR 1 l 1Ir ? 0,111i 111"11T NAM! IN GIrWAV NU MULIN I WITH SIGNAL f ?CO G FR RCIIIND E? WALKING IN ROADWAY ? XTfI V CI-I' IAGANST TRArI ICI I? AGAI BTA O S B ' ALONG,,,,,,, •• • l Ix4 ...,......_ of D elafr [Nr f xr[x. •vx I Ix r. [D•xrx fell [4•n I x, wlfrfl Ir sr I DI R N ING N T SIGNAL ri n a Ion IT WOOKING I « xrrx. w•[xr II?A11UHING UH WUNKING NO SIGNAL 1?iiiiiti uvfi r. c A '? -• I. IN IN II A v I n [lyfNN IN N DIAGONALLY W _ __ t?J _. ... _..._......._ .....,,.r ,.:.•«v.... °:.rv.,, ,.,•,•n".rar,. ntrrv,ra°, rr«. a t 4 f'N fl q 1 R ? ? 1f' ' T ?? ? ". P ? M' 4^i?eiin>; /^? cy1r /' M?? }? T 1' r e. - .yam ? y'lf',2tDi5 f',_,..6S919Y.aa ? '- ?J, A 1, , M 1 1 Y PAGE t ? OF ' UNIFORM POLICE TRAFFIC COLLISION REPORT POUCE COMPU Ni NUMGEq ,? -+ D DATE OF OLLI610N ? f M G? YR. ZIULS O WEDA IINF 5 a SAT DAY OF COLLISION T SUN I MGY IU TIME D tI0UR1 J COUMY NO. CITY Np ,.' FHWA RD AN f . , - '.4 I i :_ COUNTY L' .. ?/'-?TN .SO /.r /!J ?STATE ROUTE ®COUNTY pOAp ?CITY STREET ? OTHER (SPECIFY)) O CD AOM PREFI%' ROUTE Ofl STREET CODE •7 CNON l .. [C???}}.. I F 1 L N S E W L.}IN CITY Ofl TOWN l/,.?E?'1 /1 MILER ? ? ? ? N PflEFI% EO G? MILEPOST T C,. }n i OF _ Y -A AM SNO.OFSiHEET OR HIGHWAY ::. ?IJ / ??_ INTERSECTING WIT f U. ., .. ® Q 'Z i ,;? Y. led . H: 6TREET OA ROAD U. DfA`ARAM DATA, - y - NON WTE ACCIDENT ? TEN pH M ERSECl TOR ROAp O S N• BETWEEN - .__ 6TREE T ANO REE1 0U•TANCE ANp O(HECTgNF ML EAGE CODE IH CLS R flEF. E EICE CRp qp .. D ? ROM REFERENCE OR Cfl 5igEET O 55 ?MILE6 N E W UMNNGt" 6PE L vD:HO .. t NA }' ? ?FEEi ? ? ? OF?JYI//'? , h '. ! I COLLISION INVOLVED; L.NyEHICEE-VEHCLE .. ?VEH CLEBICYCLE ?OTHEFIWRTEI -' ?VEHICLE-OWECT.' ?VEHICLE RR TRUN To% C? ® ?`HITS RUN ?STO E 6EVEHITY 1 .?NOXILLED - ' , r Y 1 ?_ IH ES '? VEHICLE-PEDESTRIAN ?NON COLLISION L N VEHICLE -O INJURED „ ?NAZAROOUSMATEiEAI V'63Hq -I -. [NPROPEflTYDAMAGEONLY OBJECT6TRUCKINAMEOF ODIECI STRUCK ANp OWNEli6 NAMEl ? ,. LOCATION OF OBJECT 6iflUCK E61,DAMAGE -„ 6 E DRIVERS NAME lA6T ?POADWAV FEET ? ? I ? -' „ _-' •MIDDLE ?_ T OR VEgS NAME-LASt. HOST MIDpLE,nF.BICYCO,p p PEDESTRIAN' CHECK) .. n 4 6TREET AGD ES : "R // D G/id E? • .. ._ .:..:• - ... .. v • DfS 0 3 I - _.._ PD e ?? s R rnr '' STATE PHONE 110. E R I " r : c-,. ;_ . ,:.. _... 6TATE._ ., " P CODE -J-'; "hi CODE-'- _ ' PHONE NO, b i? 9837 ?l?-S'3b'7? N ' D VEILS IX:ENSE ' c NO -' U//r•Ng8 /!?! 9PS1%J . . STA E SE% PATE OF BIRTH., .. N A .0. DRIVERS LICENSE NO.._:_: ., •, STA E... .6EX.:, PATE OF DmiN. /- Mp PAY Vfl. - ' DflNER.q OCCUPATION FIRM NAME; :. PHON[NO.1 .5/ DRWERS OCCUPAi ON FIRM NAME , _yF: v 6 CDDES 131 LUU_ / TAI SEAT BELT-]-- 151 EJECTION ' I i1 W F _., a ^ dr L/E cS 3 J, ODES > ;' CLAUSRS Y- AI 6EAT GELT151 EJECTION wA.uT - F I E5 p JUg,- NINAT '' _ ? 1. M,LENEDY: Tp VEH. YEAq. MAKE IMDGE CHEV.1 ,, MODEL OART.NOVAI ST-WpR:CONVJ to ?/ =ord i Dn T E ? REEMOVED M SCENE BY- ' O TO V F EM YEAR MAKEIGOIXfE-CHEV.i. MODELIOAflT VM. STYE 7? card ?: / 6 A ? VEN C .. TIC. PLATE NO. -. STA TRAILER PLATE ST E H : E.Pr",td /G75/o 6r?n o ? VEH.COLOR.. - l1F FIATE NO.... STAT :.. TRNLEfl PLATE NO ?TE O ' l „ ` . C VEN LE IDEHNFICATKIN NUMDER...._ ODOMETER C VEHICLE IDENTIFICATION NUMDEfl l ? j ` rg REGISTERED OWNEfl -LA6T FU OOOMETEfl . . ] J• . LSi MIDDLE N REGATERED OWNER-LAST 0. ? ' ' ..... .. _... 2 A...ESS OF OWNER. u.•n.':4 ? /)!-.::':.GCS BS Fd ° ? ?Q /l ? II e NAMEANDADDRESS OF INSURANCE LO.ORAGENi : j. o i . A U / " .., Ale NAME ANOADDRESSOF INSURANCECO.ORAGENT ~ ` ' cHAn ...,::._ , - : CITATION NO dPM S o/+Y ?n rJnSPA! • ' . . . ENFORCEMENT GAT N OJ?F ? ACTKIN _.. - d /UA'Pr /O n /`JO`+ r . d 'r . NAME, ADDRESS & INJURIES OF PERSONS INVOLVED` I ;. c oD[s } s k? ,?. ' `. NAME • I/,? TJ- ^EX AGE STATU.. Nv[n +; r vu RF EJECT, / 1 5' L ?•??pNgp¢, skT . , , rJRIiM C ADpRESS: O/ /D !F , 67 U NAtuRE OF 17- `S I n P 1 , 1 . _ T ADOR[AS: DFpOM S 1lllllb E. i ` SCFNF n W NAY[. TO I ADDRESS " A U N I N A hZ M"6vcDEN E ACFNE nr TO S NAME E AOMESS WX Do S' -RIES ALC fflY TO 111 SIAIU6 I)ISEAI POMIK]N I N C t'ASS[NOER I mJU YCU55 ' IAI6[Al p[Ll ISIEJECIKXI ;P(U[AIn4N 0 NCYC I I.NO mJURY ZDEAD AT SCENE SDISARLmOINJUPY ANO I. NOTIN91AllC0 ' I.NOTEJECTED U6i D aUINER E _a Z TOIHER POSIIKXI 1 3DFAD OIIAFFU 1 N NSAmINO ICVIDENTIINJURY SNOTMUSE 3USED 1 TOTALLVEJECTED E aYA'w 6 a 3 I?EI Af`0091Ai1pITU [HYOC A G[DINI+OSPIIAL ). POSINDLE INJURY UNKNOVn! ' 3P'ARTI-V EJECTED UNKNOW? F I 1 GEAT OELT FAILURE !I EJECTED - ? rT"; ILL, E f y I VLr11VIVJ; DAMAGED VEHICLE NO 1 lu . sE THIS sracF FOR SKETCHrvc uAMacF TO A-, r IS. Wa Um " P I ,un II II r I). 0.rr Wrn 3EVERITYOF DAMAGE: VEHICLENO.I SE-1-OFOAMAGE: (OTHER VErxCLEI S- 1 ? T E FR Y OF DAMAGE. VEHICLE NO.] OISABLINGDAMAGE r??-q( >?FUNCTIONAL DAMAGE ALJ NO pAMAGFOAMAGE ???? ABLINCTI DAMAGE ]DDT .V.OAMAGI 1y-?I rSRLINGDADAMAMGE.E ;?HTNFP M.V.D,MAGE DA uxCDNAL DAMAGE A ? NO MACE. > FJ FUN ONAL AG ODAMAGE TOWEDBV Jn??A°O'??? EST. DAMAGE T EST.OAMaGE TO 3 G4 TOWED BY J' Nd ??e ESi.AAMAGE 3 TO Sya°.= DIAGRAM OFCOLLISION I..?DRAW ARROW SHOWING rE.TVn " ?;? N TH IN CIRCLE I I ' r I _ ? _ I , r . ,s, E I? ..? ; i n1 r r 1 I xDU SrPx.°N -' ! T ? ; I i 1 •?'' ? %• I.i? ! r- ,._. o __ I I _ - 1 I_ I -Y F e ?'nl I T'. DESCRIPTION OF IINDICATEW HAPPENEDBEPORE RrNE CRASH, INCwDE INFORUanoN n.TCNDIAG?AM.E.G.DR?VEH COLLISION U Y. FD..EDV Srbnlr, PEDESTRIAN CLOTemG-O.F,CONSTRUti Ox OR REPAIR WORK, ETC1 yFhic% ! r-6r/,?S 1l_osh on' • s.P A, J y. 'rK? d -/-----inTO d F ?`r d /o ?. lin9 _S?°e r iiJ fron r orb _T??' id?n . . P? ?'A? S? u - -- dP ?o ? ?% ? Ks _Y f! .vim J lrJ_?a_.ivFA+s dlso - _,S POSITION BEFOR COLLISION HEADD POST I. E A F L v C LE O I N - . , N STRE T OR N &IWAY ME OR NO. O E EH INCREASING N IN O IDECRE G r LEGALLY s. NE OCCU D L J O d r / Pd o F J a . / S P ° NO YES .0 > - !?? w1 ? G ? 1? f ` W E L O CF N ^P " D53 G_ " 1 WA, AY'I I?HDM AI MAR SE gLK3 MRK D IE C ST WA 3 G I 1 LOER JCRO$ w K .. J G SwA _ R A SURFACE :. WEATHER CONTflIBUTING CI FICYCLE10LITE LJO 'C. N.1 RCUMSTAF CES .-- rvf LE x3 E ONE - ICnfCK ONE( '. ICxfCK ONF OR rA0RE1 "? NO., n «KON " P ER DNIVEH DRIVER 1 w r . EN -.2 G .. .. ???pV r ^? T AIEAD DRY :l OV[P - I-, U C O ITI OWING AEG DwARN D< T _ •h'4_ ,- c rs l_ja? -TAKING •.. L ? =_SIGVSL? ._ . ? . . AND >r wEi NG RS,xa ITI ]EPAIL?- .? 2rl?PUGS E.C. OF ?BI ONER CENTFP F PPARENTLY ^]N i _ I J ^ R _ A O RN 71; ITX? fG ( I `_SNOW ] m SNOWING 1?-YEFP4,.1 STATE. PARKING - JI M K NG w 4 n I 40S T9N V IFE rFpG r7 (-.I E%CFEDING HEAS. IMPROPER IP RINORN t 1 ?: SgFLSPEEEE F ? I3:. TVI ELT VE F-P -1 -- uRN _???- I ) 3 I n NOT GRANT RRY L Orf G O ER fs•?Cif YI. THENICiFYI _IFLF __- r18? SOWING b t I - L E_ ' I f 1 is . t SNGR' G L pLTOP IFYS 0 VIO EC I ?1)? ID FOR IGNT COND ?i TN F ITIONS flIFRE..FCLE C1- 1 OF ?T 11. NDE oROAD VEHICLE CON DITI CN_ .. f SOBRIETY 0?_ F A SIGNAL ICH[CK ONE( > RIM 1 - ON STOP .. VEHICLE E IC E< ONE) SIGN OR STOP r o SIGNALS ON[WAY RAOtCDI _ x0.> J ,P ? -?' no ow v X TWOw C ; DA r rTV AR INGI ]!'?- TNAPF G_ E E U : _ ] ?'fl .-AT "T rlI'D L IS ._ -..I> I !'1 OI IMPAREO r i l Y IK[DOSRi TON i[-- ' L ^ _?- _ ? I ? .1 pU F LL-ALE LAf SHrNG Kl; INTERCHANGE I pFFFCTIVL xBO SOBRIE TY I Ij ?I M :.-0 _._. ' 1_. R CN( LIGIITS_.., I .TINY _-.-_ __ gaFltl lE STPfI - •J- - C _-_ I FLASIRNf. S ?. L. LG TSON I L.._ . AMBER ALLFV 1 I TrR[S WONN NADNOT NI f_-,ISL J CKING AIL(. [' o fLT le n - 'I ,wD N . w, _[Fr r NE oE? ITS CHEM. TEST 1-i .tc T3 ofi _ _ $ lcxA4.. -.. IS DARK-; O Sl [ 'LIGHTS FP ISPECIi YI f FG [ N B 111 GIVEN DIVIDED I NOOEfELTS i[ST H[FUSFp ? ' ]' x uxPrvlO[p ??? II IS?EERY( N, TEST RESULTS 2 GAIrNG OFFr<EN SN,M[A x,x[ G x0 W/L •?$ v 4 C LICE r ATCHEO vf0 INAFP1cfLUw // (? n H t TF?P ' ` J v/ p ;^? PDLr[O3 ARV ?- „ ? [p CE IMIfOEp •. O X AD., IN [fl ,TIN0 prlI [N' NAMISP, III DISTRI ? Q NRS o Ix AGE HOV UNIT UII INSi A AT APPIIOV(D bY_, MIN. OFi. E OF.-TH DAIF 1. IN EACH BOX, CIRCLE 'HE NUMOER Of EACH DAMAGED ARE- E%PMPLO, 6D . • N„? t 1" EACH REA OF SEE I -El ]. DRAW ARHOWISI TO SHOW PRINCIPAL DIRECTION OF FORC' TD TNq LENS,MOSOxcvctks. ETOI DAMAGED VEHICLE NO. T _ I 1{ t Y. LOCAL LAW ENFORCEMENT AGENCY'S COPV?TIIII'LICATE CDPV: INVESTIGATOR'S COPY r k I J" I P is X - x?r Jx 8 STATE OF WASHINGTON ! F t' No O PARE ??1 POUCE CO PLAWINUMtlE q , SSS/// UNIFORM POLICE TRAFFIC COLLISION REPORT l •.'?y OATZ qME NO CITY D; F A ? "I I TOES ] WED A Hlll 5 FHI 5 5AI IU5?1 p) O fwµ (f F E! ?-a? RURAL j-1- STATE ROUTE ?Y'IA ICOONTY ROAD ?CITYSTREET O P EF%LITORSTREETCODE ?OTHERISPECIFYI .. y •. P 0 -Y-T.- CO MILEPOST - , L N S E W IN I U t KIN UI C.. MILES ? ? ? .`I?CJ ,?_.___..____. LL .O• r ' .V ,?ggpA,,. _ I A. ._ N S to 9iREETOHHgHWAY _ I IERSECRND ITH:STREETORROADIL, RAMP DIAGRAM DATA -7 ut T ON u- Izs D . ? I - '? ' ° NONWTENSEC -E? ?+ ? C ACCIDENT INTER % flD NTEgSECTINO TR E p HOAD T ON flE ' • CL5 R ' r .: N ??, ouk y? rsra2w :L EoA s w 014 (A a4e-. BETWEEN ._.__._.,. -...__ _._.. ... ST EET AND ._.. .. _._ _ THEFT MILEAGE CODE . E ENC OS ST F p ROAD ?EJOR -Pf"l t? r? 4• ! pSTANCEAN001HECTIONFPOM REfERENCEOR CROSS T E W flE 5 M LIS IN I ?? I IuA aW? f1 ISFECIALCODIHOUSE ' - O FEET OF IjJI '._ ..; 1 1 ` ?+ .'¢ $}' •VEHICLE VEHICLEBCYCLE ?OTHERIWHITEI ?HIT&.UN BEVERItY C04USION INVOLVED: ?VEHICLE ? :i V y?A NO 1ILLID TOTAL NO ? VEHICLE-OBJECT VEHK;LE,RRTRAIN ?STOLEN VEHICLE ENO IWUREO w 7 OFYEHCLE ? S ?VEHCLE-PEDESTRIAN NONCOLLISION ?HAZARDOUS MATERIAL ? PROPERTY DAMAGE ONLY "r - ' E OBIECT SigUCKI AMEOFOBIECTSTRUCKAND OWNERS NAMEI .. •.: ,? ,. LOCATION OF OBJECT STRNCK E S; ?,? - EST p ?20ADWAY FEET ? ? ? ? RD EDGE ] :.. ... CRIVEq Gem _ ??5?_•, ?L ? ,.:...MIDDLE- p-' DRNERS NAME-LAST FIpSTMIDpLE RF, SICYCUSf Op PEpESIWANC ELKIC}`:.'v . ^Ln'? ? "' D: . R: 53.•.......... T.T-a;L- n ' SiFEET.ADDRE • ' ' x -R .. : STREET. ADDRESS .Y:.::.._,. .... ..«.: . "L..- :..^.....";Ti.,........_..r..:' k x. St v ?/?D?t ?? poB?31 : v , E ZIPpCOODDE—..: PHONE W. RE __FHOHEw e?lj 71 ' .. ND• ORNEAS uC NO......: ...:? STATE.. .SEX GATE OFpBLIRM N.-. DRNERS UCENSE HO .. .. .. :...... STATE SEX- DATE OF BIRTH J O::_ MO. DAY YR A I ?' 44 V 1 Oflrv NO?CO/UP/ATgN:.. FWM NAIFM?`E'.:. -D /? .._ ._f.1./n .:..PHONE NO. 'rt, MuVuis CUPAI .a.: fHM NAME .. A . ® •• -•mu.c c. r;,A.:s:.x:.: 1 -I ? _ L I J +? WUI A ? ? N T? F? - U AJ LC = CODES >1,3, "R SEATBE T _ I I EJECTION. CODES > IIIIHIURY -I - CLASS- jRI SEAT BELT__ I51 EJECTION __, _ E F WJU S ' WUL" Le. S IJS I NJURES L / nI? -VED POM F EBY' -- TO .YSGU J.[ Vf(97 . MA%Q(pODGEtNEV.I+ MODELIDMTNOVN ::, STYL'?t :CONVI _1' ijF Q S 1•N?Y .11:; RPOM SCENERY: ?IAr I TO TEN. YEAR-. MAKEIDODGE .1.". MOpELI0MT1QVA1.-:. SMEIZOR,CCHVJ.- uSl. 1 E "` VEK ?. PUTE AO .. STATE iRNLEfl PUTE NO. STATE c rut ' Avp . H ? VEN.GOLOR..:.:._ UG NO STATE, TRAMERPLATENO.. STATE_... !- . I ' •,, L V ff IflCAT NUM - - DEfl :, METER ... ' (. ":; VEHICLE WEII/IFICA NUMBER ONE ER E, L h ?S 300084 2&S 1$ E,.. T N'- REGIST DOWNER- T v..?..n-Fl T..:;-v ..,.. .... MIDDLE. . N ?. P EGLRTEREO - -:: •., ..:....... FYIST.. .._.....n...:w:.? AVOW I -.? ?. f .O' 1\D?VIE O- {I ? WERE .. .. .. .i:. ;. : A DDRESS OWNER...:.:..,.. :...: •.::. ,. '1...:..._ .+..?w..xe: 1 ' NAMEANDADORESS f E AGENT _ .... ,,, :;, RAMS AODHESSOFWSURMICECO GRACE NT IN??I\1 r I V CREW-, .. ,.. ..... ........ GTAtN)N NO. _ 1 u..e.._. ?.. .....,?.u,... 1 IV •r- "„ ..... ENFOHOENENT Va I ' I T ? { I \ ACTION A 4r, t , V V ? ,? L. ]' ,t 1 1 NAME, 'ADDRESS & INJURIES OF PERSONS INVOLVED ?,. popes 7. ]' ] " SE%AOE STAtUS T FJECT& C NAMES $? . ` JL I Z I ' ' ? SE-V.EDFPOM -1 R TO w ., • I { ' A.. NAME' N 1 TT . T ADDRESS- I _ - I I O ROM P W 11 TO l11 IES SCENE A A ' W NAME' _ Fh'! t II. T ADONE55' l.' t ?. 7 >-t I 7 N I NAFUREOF M VE R '- s SCEHF nY O 1 ! ?•, t $ NAMF 1 L S' A DRR[SS ff E [S I'ul'Ii' OF D FROM .-W, SL[HF nv. TO MI I ( j ! 11 SI AI US tM E Ill S[AL PoYNgN IJI CU55 YUUNr A19[A/tlELT ISI EJECTION . { y { 1 F± I LA `/ O O D SSTNGEN DpYCl15T 5 O DO NrtR LIST [ & I E Z T.OTHfRnOYfION I8U5 MOTORCYCL E DEADAN SCENE E DE DA ] MAD ON MR NAL 6.V{IURY IJO D .0HG101 DE9ADUN0 I 1[ND[NTIINJURY I [.NO INStALLCD 7. NOT IN USE ]USFD I.NOTEJEOTEp t TOTALLY EJECTED 3 EJ[CTEp L E T N 1 I 5 •' ... _ . ,1 y.- I e E l LMMiS] .. I E 7 E POSTION VHKNOVM 4 BE [BED W HOSRTAL 1. PpSSIOLl WJURY AUHNNOVrtI S. SEAT UELTFMLUf1E - AUNKHOWNIF EJECTED I . 6P'aa N `y} yryYI??yppA 1MGU;''? , . ?fi?.?i.Vdl yiN'fl3l:lYr?h' I J ?.? f tt t l ii 7? 1 4 ` }? I y 1 I }jI ? r K I y y ?•II[•r <. 1ry?.I, ICY ;? ?` I V .rq `y?'?`. ?,'?Jl , 1?i?-'T'T ,err .a?i•?,'•?T t :Ip?w" `t'.f?M, ."„>?,,?@nq'"-^TJ"I'"""•^T»-W 'ir-I ..'A1 } I ?1 br l ? I L a, r_ _ I t. [' )1 III'x ?? ?. e i I I . 1 r % ?? 1 s N i? 7 _BEMEEPA S • 1. IN EACH CI E E VEHICLE A AGE SEVEREST NUMtlER OF EACH DAMAGED AREA t. SHADE SHADE AREA REq OF SEE SEVEREST IM PACT.- I Lk ' ?j?- tni ' "T M } 'I • INSTRUCTIONS 3. DHAWARROW(SITOSHOWPRI NCU'AL DIRECTION OF FORCE. _ O/ I • 1° DAPAAGEDVEHICLE N t O. 1 -IT.M.AGEFON SKk1CHINC DAMAGE TaTRAILERS. MOTORCYCLES. ETC.) DAMA GED VEHICLE N0 I 2 t. NwN ,.'/.. §43 P"9N . r F .R T 1 P S? 5. Hwl .unl f ? x 11 I..Y.? +E. t M I Ia I i 1• I - I.w } 1`' - . IT..a«I.,. SLVERITVOFDAMAGE; VEHICLE NO.1 I PSABLING DAMAGE ] CI OTN ENMV.-AGE ]? FUNCTIONALOAMAGE No UAMAOE SEVERI"OFDAMAGE IOTHfR VENICLEI I O FOISAILI11 DAMAGE 3 ? OTHER MV. DAMAGE ? FUNCTIONAL DAMAGE ? AMAGE p a«IV.11 SEVENITY OF DAMAGE. VEHICLE I ? DIEABL FUNCTIONAL IN4DAMAG E 3 ? OTN R V DAMAGE ? DAMAGE xOOAMAO! f A TOWED BY 4/,4e1'l[I?G ESi.DAMAGE . E.Si.OAMAGE iOWEDBY ESF A.A.E TOWED BY TU A), e1r tf 3 1 ?tJ TO i0 S DIAGRAM OF COLLISION DRAWARROW N SHOWING I 1 1- r N RT CIRCLE r- AR[Ai.11C r t '?--• f -- i -' I I ? ? ? I IiT I y t? i l " r l ?? ft if f t L r ,z-. 1 ?- 1> •I 11- -+ `pr"^,. T _ r -DESCRIPTION OF ' IINOICATEWNAT PROBABLY HAPPENED IIEFORE. DURING AND AFTER THE CRASH, INCLUDE INFORMATION NOT ON DIAGRAM. L DRIVE qq DISABILITY HEOUCED V OTHI IT N C G CO O K T \ - SI I C COLLISION rds . Y, PEDESTRIA L N L R. ONSTHUCTON OR REPAIR WOR , E T I B L G1 .. L LL_kAa: T-c-Lz 14 .-"?.. POSITIO E HEADED 0 N BEFORE COLLISION M E PoST DIR INCPEASNC DECREASING :; .?:-. .: •. O STREET OR HIGHWAY NAME OA40. - 1 D. of LAxks IN ONE DIRECTION SPE raNeD E0 4 VEHICLE AEG LLY ARKEO IA D llE WAS ' OCW ..ED ' 1 I L ) O YES NO ?L4L?1 rL:J L_LJ r " T- I PEG. ?1 C, I : J ON SSING_-__._ i « rvrv FROM 3 to Tal . A ONG_ _. ` ?? ? CnO55w?LK5 AW L 6[ BICICLEROUTE a L PEDIBICYCL Si WAS USING SIDEWALK tnWALKWAY 3ISHOULDEH•r I OT ?I?Aa53 n HER s.ROAD SURFACE:. ILNkCK ONfI r...-,WEATHER..:... ICHECKONEI '-....I.,;:.-w.,.?. CONTRIBU IC - TING CIRCUMSTANCES ? NECKONEORMOREI ,.? _ •- ,.o?IVERrvt LE AC Dn3 O.] tN f IfiwpF?K+ ?I'3 ORNlR 1 NO. E CLOUDY CLEAR D 1 NO i '- :UNDER ftUENCE OF I ORI ER 0.3 ?-1 FOLLOWING OR ER 1 NO a SHE O ? ? ? G OED L.: WARN t ?' O G G - p ONT AHEAD T IN6 1 aRY_ . 1LaYERCASL I LGUtlDL U-_ 0_CLOFESr - G _ ,. _ !+( 2-_.__ ANO PASSING WET' }?RMNINO- DRUGS„ l ENCE OF { aEfl CENTER s1A L I 7 4l LEAPPARENTLY -CDt0 HONT NRN. ? l l SNOW t 1 ]l ?? 4NpvINO 4NIG=STA=ED VEEO I L]A O O ION L I I ?f'? OPE KING I f LOCATIDN k MAKING ?n ?' ' y •.• „ y CE Ell FOG ! L - . yI FNCEEOING nEAS. 3AfESPEE? r"1 P M O E 1 IID TU - _ - _ I 3"i O EH IJIEFF E GEO P.. LEFT TURN MAKING .L?SL?I TURN ! Y I 3 f . ? ,__ DDNOT 411AHT- 21H S4 _ r ? D 4061 L r_f _--- + - f.-{? I SLOWING _ i j _ j ' GTNLn IYECII VI ?- OTNFR IYECIfYI . P' tr ) RpPfR L I I I IAIING _ . r GIS EG R051 f L ?ITL? S GSIGNAL I?s l-- Dr IEnI CC FYI I 1 I NO V O T O 1 it I S O P1D FOn ? LJ TRA f.C zf + G NDI I S ICHtCK ONII R FFICCONTRO I•I NO.t VEHICLE . V 1 5 G L4 ?? -- E Ce, TYPE DF ROAD INO2 ILMECKOMt ONMONEI ?? '^1 ONE WAV J?LJ?1?_-_-?_ .VEHICLE CONDITION.: VEHICLE 1k1C ?[D?,QF,?14?1 O a II'??I'^118"TEOI : SOBRIETY E ICLE ICI [CK ONFI? NO' ] _ Ii{U J STOPPIDATSICNAL _ OR STOFSIUN p _I STOPPED IN C? C-+ ROADWAY F •, } i r ! MMM""'Y" 1 1 , lyX DAYLIGHT t L ST ? L I ] l TWO WAY l RAKES Ve ?11 If 1 ' / 1? ? IMPAIHEl T I10? TRAllICLANI ? 1 ,? y. ` -- t?LO WM - ( -1 1 Ia?GN _ _ ( ?? l 53Ll : L C1 10 _ _ _ ?) I . : a l ._- 7 il i DI -I? ?r IIIC] P?RK I DIOS i 1. 1 f .- - H[D HIND --.-- _ J AD ''.? P ? _I 1-?_.LDOI.RANPOE - NERD LIGIIIS_- 10'L?1-nLARUGHTI- _N . IMPAIRELL__.-_- jJINK.BRIETV -- I ON [ UIS`j TRAPFNC IINTERINO 1. q, ... J...I..IIGMTE On FRNa 1 C..IS. L.. ALL[Yy _. .?t?,. GHe5M007N____ 11.1 .I B [NNpRINKINO 1f? BACKINO {? 1 ognK-SIPEET 1:ylcNis orh ' 1'1{I...'-' RR' t ?ICNAt LJ ?s"_.I TURILANL[rr i r3 1 77 n.1i.v.KluMU unrvfn CHEM. TEST ( 7 171 •,, _ _.,?.. {S f p R O t. MEET LIGHTS ... . . ?_ , ._ f IP O fCE I _L.r GMAN . 1, 6E A A11. 1 - -... _. ' I ...J _. ( I I TFSTG k ? ?_...__ -.,.... .. ... _. U fNl [C I 1 -IN /, `1` t l1 T O Ipl6 -- NLI NO DEFECTS i TESTIIEFUS[a I ' OfNIR 13PeCI 1 : 'I4i K 1M \ ] UnOWIUtp ""'Uf IHiIP•EC FVI It TEST RESULTS 2 A 1NOA/IM30 C! 'S NAMEEH IxVk /t . 1 ?i' K xAIX:C NO FUIICt 1111AICNII IIVLU AM 1 wNCC FIC FLOW I MI I Vf0 M-13 -1 n.i 19 I IRS ?IInS'-?-MIN. v1311OATIA'00FFIC[NTNAMEt NAnK xADtik NO. NCY r HOO UI UIT. UAI?C7Oj1 rIXN AP ROV)DAY DAI[ ? .......... ......, Y ,..L........,,LAW ,... PY .. -TII.r. P,..... m.,.,.....,, SI,,.,., ,, s'c D UfLICATECOP ?OCAI ENfOAGE M FN T AGENCY'SC O IL ICATE COPY INVE7IGATO RIS COPY - t 1 ? T 57 F 4G t & TS:.. I TATS OF ?? ?_?NC70R VEHICLE COLLISION REPORT ` NO. DATEOFCOLUSION M OA ?[ SIN up« Y OF COL LISION TIME OF COLLISION G, " U,ES AM DOL1NT 1111,% CITY NO. . ( / I • GI I 1. CC- CITY,TOWH a<w,"%lP TEFFEIeSCd J t<' ? ?x MILES © CITY. TOWN 110 IN OF ADAGES PREFI%' OASTREFT LOOf z,e SECT ON AOM GI GVE NAMEOFSTREET.ROMORHIGHWAY ' WIERSFCTWG WITH: STREET OR ROM E PREFI%.- EO MILEPOST. xwr P Chan^LS -r As'- L P l[ ?.e oRwE ION INTERSECTION LOCATION OF LQJ LI N BETWEEN STREET AND STREET RNAP -, DAGRMIMTA r r.[S[ NuutlEn FNO1 D '/ iNOAEDC POS-i•'iC6pM ?EVOSiOPCroEAi Erw° ? -E )??E1o © Irla'-l ? A ? Ip,./`- /A rFFI NO IN0 T N l(.RO CLS IOM 0 Oq1 S ®OR FEFI 'f't' MR,xM,D B YE n.[«KIE •K . a°, t T L ?° a D SPEC Q OF ?E a? o E or E E OF OBIEC, S,AVCAI , OWNER OF OBJECTS NAME AND ADDRESS LOCAT OBJECTSTRUCK INAME ' - INflOA • .. ION Q © OF DWAY FEET [ocME , '-, • • DRIVERSLISTNAME FIRST.-E. .... .. MIDDLE. ScHAD`c HAZEL 15L41AA IF MORE ,«AN TWO LA"S G LDIDBG . i1ii-4tiiii :ia DRVERSLASTNAME FIRST NAME MIDDLE. 14TH WA2il PRlLg/J6 ?. STREET ADDRESS ROUTENO. WxNO. j?O, P3o ! IADRE THAV TWD PE SON P SxEPE NAmFOD1A STREETADDRESS ROUTENO.AND BOX NO. $nX 3S GTY ,; :,.STATE .-,...:?; pCDDE -- dDVERSOCCUPATON.-.. EEPMAE <oCE15KN CRY. .. '. STATE, ,, .' ZIP CODE DRIVERS OCCUPATON.. Q ll?t-GE1.IG WA. x376 BUSDR) Vrp [FORT NP«M t;-'IiLLI L[..ENc', WASH. 9837E /Yc UF7 DRIYERSLICENSENUMMIl Se i? D%1 F?l?c STATE. SE%. ttiJQ " ' DATE OF.RTN a i% Y Rj AGE 30 -YERSLICENSENUMBER ?E-A Ul-A P- C s1CSIV STATE VA SEX - MTEOF BIRTH AGE VEHICLE YR. MANEIO,EV,oD,p7EI. LI M MODELINOVABARTI BOGY STYLE 1-1 VEHICLE YR MANEICHEV.-OODGEI MO MLINOVA-DART(. OODY STYLE 1208.1 LG S 1979 FOR 2x^F3 CAT a.- 0E-,C .-Arlc.dtcsGU. /%76 DAF75uN y-OCI r, ?. LICENSEPLATENO. STATE iflALER PLATE NO. STATE YAM 65/5 w/Asr1. LICENSEPLATENO. STATE TRALERVLATENO.. STATE No 9/8 WA, VEHX;LEIDENTIFICATIONNO. -, 'II BEB MODELS E NEWER( OOOM[TEfl (MILEAGE( VEHICLE IDENTIFICATION NO. I196B MODELS& NEWER) DOMETER IMILEAGEI DRIVERSUCENEENO. l,MODLENALI F REGSTEREDOWNER (LAS REGISTEREOOWNER IIAST-FIRST MIDDLE NAME) DRIVERS UCENSE NO. , e ; ScµADZ.MILH' _Z_A OYMERSADDRE5S ISTREET,CITYANOSTATEI DATE OF BIRTH 0 NERSADDRESS (STREET, CITY AND STATEI MTEOFBIRTH . hC . $.+?c 'la/.GcL[I?cEn1E w .J. E-6 f ? i y AO PAISISOFVEHICLEDAMAOED EsnuAILOLOS* ?iSSr'-ABC EL' SIDE OccG AND eEAR 7N(J E L 5 P;T/1O1VEHICU: DAMMED '..... - .. .,.,:. ,.... .io «LD•STLTE', r/?bY RcNT N DC EZ S" WAS THERE AUTOMOBILE LIABILITY INSURANCE LIABILITY INSURANCE INFORMATION-VEHICLE NO. 1- COVEIAGE W EFFECT FOR THIS ACCIDENT ON YOUR CAR DR YES ?NO NAMEEMO ADCAESSOFLIA&UTYWSURALCEPOLOYHOLVEA .. . NAME OF LIABILITY INSURANCE COMPANY,: K 2--L S--qo* 7?'L07yLl/ GuILCEn/c lt'AStI. l&Slb?GlcJ4rJC-c.7-/?SLJ.c/3AJLE /LSD.{/,.. NAME AVDADORESSOFUMUTTYW5URA,CEAGENT '. _.: ..- .. G,r S,A,C EP UABWTVPOLJCYNUMBEK •... AN 1? - 2 ? '! SL//73 uCr7 - z-?sc/D W . 6S / WlNF E R Ruc%i- -d. 'x .7. ISTWJLNY • .. .. NAME ME 10- ]NDINIURY: IUSESEP.w"T -tfOAAD T-INJWUESI NAME ME ADDRESS SEX M pp DD E55 .. _ _ .?-- SE% M p U OOL,Om ® ,"E I BE xEll 1 ^" ,• STATUS OF -E. Q duveA IVEMICLE Q PASS(M,(" OLLED OcMARA FIRST w ww SINK[ l , ME THAI APPLIE •b•••q?OiO N•,OR I S °?•AWE COU IIO E ?? STATUS OFINJURED QO°rv[R w VEHICLE QvASMNOER NILLFD MARX FIRS DSAPLxO ISLKPFI T ONE THAT APPLIE MpSAh Iulr=- S POSaN[ 11 1P C1 OnW- Or.,.,-n WWTE. n? D sp Bp 1 7O I O C3 1RMN QDnIrI: WI:nr.?,, ? ? s 60 . , p YIO NORTH OV ARROW CIRCLE ? I DESCRBEDELOW WHAT HAPPENED: (REFER TO VEHICLES BY NUMBER) - "°` "" ., ... O •\ ! a "t ns I u w °„ «,? K ...• a, rl ? .Z.(uR5 fxctrn? a:T c? ?L?.P?c!Cy GCr? //,? - - 4.6_e.t? Ca ?_ iur? ed c•f?• cF Ncr/LC?y Ln/ 7???Ttve,- m ? i101[ialAHrNAdEhOw. G L.. ' P"U, ?s,P[E, OR I.c.,w. t 2 •E--• ? ? . ._ cl,us / CLF _C.s1Y ?... __. J°rE nr?. /n Ci?{r C?j_t tics . -1 f Gr _ ? a/?tl_E-/ry.oo7`_ 5're /»e_ cint.L_.,rn?sfri?('inf EIVED C f ? Aly. car. %: utas unb /z/F fr_mc_?_fc? /i REC . +lil' s? ---L.;; u--C n y----- __.J??"-at ny tAS.-/ t ?GRr. J) Foos yra ?r PR -2 1979 ----'- A -- %? t um. OF LICENSING --- ___-_-----_---- - F ..... -- - '--- - , IG L DLR.UM,rmb VEHICLES POSITIONS BEFO V[HIpE M S C W RE COLLISION ON Si RC[T pll•ONWAY NAME OR NO `A"O "" , KL `.'Arn,o L[B[••6t IO MDULrvAA+m Its Yi••10.i0T N• Ml.TT.ATm.v Di?[ ,? . ? O ? ?ZK, ?z ? ? R ? 6Hak L& -,7-,e Ee-r nl s-, n• ' ? ? ? ? -C"B e•oIR.A ,. rttou DIRECTION.:: TD.. DIRECTION PE(I[BIRiAH WUULNO 1oBa.A1 10 WAL%WAV ]? &OLADC- Ap cnniw4A S?CM•?Awtu• B?OTH[A FIDAO SOIL/M! KMO•lv,M WLAIMR. _ LIGIRCC DnONB tRAFICCOMROL 9-wl NMYF IYPE LN ROAD _ D N«GI K«IC?MI RMRrVEHICLE ACtIOW -., vIK11 ALA MIIw AAT,ILI ,G..-'E • ,'.. •. ,a11 IUV1 M) ? ? ( 0 I "Ir , ? pAYICW, b [ p 1 p LIANAS Aq) Onvmtl ?I 1 ? ME WAV 1 ?1 1 ? OGIq BT I.wT MEAD 0 1 ? Dr1Y. T? nAN•q E D m- p 1 o STOP'-M 0 20 TWO WAY ? E D OV[RTAAINO AND PASSING ? 1 ? W" ] 0SHOWNO ] ? WS% p t p W[l0.1Gx ? ] ? ROAD NIK[ p ] (:j MA-0 R10HT TURN ? ] ?S"OW • DFGE A ? t'r t9 M, EI ? A ? fLAL,"O A[0 ? A p M1CRCPANGI ,R MP) 1OO p A D MANWO L[FT TURN ? A ? e ? OHI,m B D OY . -l t ? 1 ? FLA, « AMD" p / p ALEY ? / ? MA%WO U TURN OtMI1 ? S ? 11ldY I 1 ? s„rii°nlrte ? 1 ? E•1 TAONAL YM WAY, ? / ? EE " '"M ? A ? .OWING IVAEQN 1011AgT S[[•G 0AH018 pAMAt,KM (,C A•P HEB K•M 1 OIMR ? M•IG1Y p 1 0-tA-rIAM/AH . L EB AN ? 1 ? 51MMD MIT TRAFFIC .\ . I T r?lrl !A 11 Lt, tPI VyF ? 1 pOHHR fI•IGFV p 1 pF[PARAIEp p / ?ON st-vON ma ;ne [ Es rlrl?,nrl io ;Y S? ;K r me ( ? 7 p 0 OCO 3 • ? VOWED W nOADWAY ?/ C L?x%. - IT MI '.Xi. afE h:.,:.r: ,t,. r, 1° ter, .. ? ?w_.? 1i "r ?"•?+.:??'.. ?n ?,Lr?,•',?;"?",F`.r t? « I f. ti 1 , r '?A`ttY ' , I F J 7 ' TE OF WASHINGTON PA. E _ OF N YOLOICE COMPUIN(NUMSEII _ UNIFORM POLICE TRAFFIC COLLISION REPORT DAfE L'F COWSION y? _ DAY CF COLLSON TIME ?- COUY YT, CIfY hO. hMWA PUNAL IU /( AJ l_ UN M1: r ILES ED IHUA IH ! (USE ZAOU HCUNI ' /1 ouRSAN S 7' I NI C 31Y J 5 d 'A L/f.? ?? / t G JN1Y 1? ACM CLJ. HHEFI% POUTEOHSTREET CODEG1IGN ?STATE ROUTE LICOUNTY POAD ?CITY STPEET c W 2 9 U ?? ? OTHER SPECIFY) y L r N S ?EE1I W I?I-"IN CITY OH TOWN W PIIEFI% 'c0. WLEPUBTl, C .I,LEE ? L11 ? Uy.OF ) /, 4° ?G. U / •Q -___r0 P N Ed O.OF STREETOR HIGMY/AY INfERREC(ING WITH: SIREETOHHOAD ILLI, flAMP DIAGRAM DAfA 4. o T:'. ? u t P -?- I NONViIEWEC ACCIDENT IiEH OK %H" INTERSEC 1111 STREET OF ROAD CR REP. .. O n _ ? ! f.RLCAGE 1 41 CtS. EAENCE CRCSSSTREETORROAD ?1- N FETWEEN l'G I STREETANO STREET OISTANCEaNp DWCCTOVr'AOM AEFERENCEORCROS'S STREET 'S E n ? CODE S luncneln PECI.>r OvJGUSE •? ? ? a f?M?ILES / / / QFEET () OFIf/+!/ V ?VEHICLE-VEHICLE ?VEHICLE-BICYCLE SOIHERIWPTEI ?IIITBRUN COLLISION INVOLVED' 61. Ml IO. . ED ?„TOLEN VEHICLE E] VEHIM-AR ? fOTALNO. H IN O B N O OFVEHICLES L? VE ICLEAEOFSTRWI HAZARDOUS MAERIAL NON COLLISION I ICPENTYDAMAOF.ONLY y OBIECTSTRUCKINAMEOFOWECTSTRUCKANDO'WNERSNAME) LOCATIONOFOWET--B EST. UPM,\UE 1, F ?n OATTWAY FEET ? ? ? El FID. ECCE 5 _ RPJEHSNAMELAST FIRST MIDDLE DRIVER 5 NAME -T hIHbT!AIOfIL'c IMF I:OVCL16t O11 PF.DESIR1:N CnEGN1 ... R .Jra sa.? yce R SfHEET AGGRESS . STREET ACDNE. E 3Jsg rrir,? y/?? .? V . R CITY STATE ZIP CODE PHONE NO, E R CITY STATE ZIP CODE - PHONE NO. N - DfW ERS UCE.YSE NO. STATE SE% OAIE OF SIHTM N DRIVERS LICENSE NO. STALE 5E% DATE OF DIHTN . O: MO DAY YR. 0. MO. DAY 10. I y.. IVERS OCCUPATION. FINN NAME PHONE NO. 'j DRIVERS OCCUPATION FIRM NAME PIIUNE NO. CODES > 0) C1g55 ?. NI SEAT BELT .,,A 151 EJECTION - CODES >j1]) SF.At DELT 151 EJECTION NATUPEOF INJURIES NATURE F INJURIES N_1pf t'F MWENF .- TO FFQ-NEBY? TO P P VEH.YEAH MAKEIDODGECHEV.I MOOELIDARTNOVAI STY LE 12 D-0-1 VEH. YEAR MANE IDSO ECHEV.1 MOOELIOART-NOVA) STYLE12 O0..CUNV.j I v E VEH. COLOR, UC. VATE W. STATE RAILER PLATE NO. STATE E VEH. COLOR UC. PATE NO. STATE TPMER PATE NO. SLATE H l ? S z: ' C VE OLE - ""A N NUMBER , .. , ODOMETER C VEHICLE IDENTIFICATION NUMBER ' L ' i L E S l- E fEGJ6TEflED OWNER-IAST. .:.. FIRST MIDDLE REOISTERED OWNER LAST FAST "DOLE.. O, - ADOH 3.4 OF OYINER ADDRESS OF OWWE - 1 2 - NAMEANOAOORESSOFINSURANCECO.ORAGEW NAME AND ADDRESS OF INSURANCE CO. OR AGENT CHA"OE C ITApONNO. ENFORCEMENT CHARGE CITATI NN . J.W"`L',•k ?/)/?i ACTION i ' &991 NAME, ADDRESS & INJURIES OF PERSONS INVOLVED CDOES 2 - 3 5 = 1 sex ncE sraros H AA EJECT. NAMF.:_?IAiIE 1 3 C ADDRESS ?? 3 l 3 U P HAILI.EOF IILLU `/FD FROM IN1uH4s Sr." 0 TO A NAMe N T ADDNES4' L S -1 IWUPfcy. ^CF hE IIDF OM TO .J RAW r?F V AD?R X !? N "Ea MaIIOflTFI INIIIP ES'. RGEI:E FY. TO ? 1 S NAME' 1 h ??,4 MIRE ES 1 ?, Y LI E 5 I C iCT{'GF-'---' SFtsiH YAI kL NO MIST IU' 121 SEAT Ih2SITIFYI I JFY CIA" A SLA`- ISI E}ICEN1N ? PAS ENCEA I1OINJU 05 TIIN%41UnY TIIL,O OTEp:CTED DA( f t . i ti j yI? {I Y ?L1 . ) 1 WW,, O. [2 11 . 2D F BIOND.ILY.1:G IU F 2tUTALI.YiJFCTFp JIC C 4f T G"in PG TION 3fE DO` NP AL ICVLt T11 YlUlIY IIJ',FU AIIIALLY fJFCtfG I 4' ,} Y21 k D . -C' NO ? AtDHI.1hIhTAI [INJUTIY 11111011. U.11101NIF ! IDU'MOIU CI EI U T. POSSINL A ??? ' X4 t? ?? pIA E _ /// a Po.l w'1 ul:vuD;m SIA HELL f s All Ufi[ C CCTCO __ r W'T S!' (nL J :YRE•{, J Mti E ICLE DAMAGE RUCTIONS: xSHADE AREA OF CWCC HENU BEq OF EACHUAMAtlEDANEA. INST yEVEHESi:. PACi ., OOPAW AHROWI3I IO SNOW PgWcVZoRECIION OF FOR CE ?•• I ° - DAMAGED"EHICLENO.1 fuse THO3iACEFOP SxETCNIN6 DAMAGE TO iPA1LEP4. MOi0PCYCLc3 ETCr ©/ 11 ° DAMAGEDVEHICL'e Y ,a l T II u.laao L4 G IS M = „ kf ss . T- unaacwr,aR° - ?= E. Is.r CVtRItt OFDAMAGE. VEHICLEW.i ' r -"?o' x "Un,acurny° iQpSAgUNO DAMAGE SEVERItt OFOAM C[IOINER VEHICIEI SLVEP iY OF pAMgGE VEHICLE NO.Y?pr? QjT• 2[ FUNCRONALDAMAOE G[{OMER M.V.DgMAGE 1 [i OISASLf.G DAMAGE DQOTNERM V.DAMAGE - - 41 NODAMgGE 2 FUNCTIONAL DAMAGE ,? DISPBUNG DAMAGE tO D?OTHER M.V. DAMAGE f{yal IOWdYSCJlJ j rlJ EST.OgMADE NOUAMAGE FUIrCTIONALOAMAGE 4 NOOPMAGE' TOWEOBY A ESi.OAMAGE .. ro ?77.y JJBd?d Pi a 1 s To Tow&oaY EST. DAMAGE u „ DIAGRAM, OFCOLLISION TO a I J. I I I I 1 1 1 1 11 I t I :DRAW ARROW SHOWING A r-ECT Ro,ow -..{._.?_, T, r'l- NORTH IN CIRCLE I ,r I I I lt-.41Sr°u z ? f - 1 -i As ETC} -__-1- I ?? G ?'` I I `?l% /?4'Ulsaal?Er? -- ZZ x OC, EHgaMyE K / I I L f -`r t _. I( I _ `. a: o Ee ?..w r f EPDq E MIERBFAORE __.. ANDAF,ENLDM,wD« I r i _ r_ _--?-f I - I ?- ?? ? I r I ?-;--I- i-T-f TI-t-? DESCRIPTION OF I IT I i I I I! i I i . ?, y 1 COLLISION; IINOICATE WNgE0AT00EDVIPROBABLY HAPPENE09EFOflE,DURING ANp gFTEqTHE CRASH,tNCLUDEINFNORMATION HOT ON DIAGPAM, E.G. DRIVE DSABUTY,SIgI Y, pEDE3TgIANCLOTNIN000LOR,CONSTRUCRONOflPEPAIP'ORNETC.) R iBY9 6?i? G ?l e dsT oii ??e pGi r9F/o? 3N?d 4? /orJr r?i? ?_ai ?rf/ ., :..>a? T1 P r-?4 ?_sir>?1-.Ti_dc o? r1e _£o?dr.?y S/ ?i.?±_oA i/C J1 v_/o?'°?r//eY- __ r _PO R70))71 BE O EC LSO ( VE No. IL HEADED REASIMILE NO POSTD R. -' UECREASINO ONSTAEEI'Ofl NgHWAY1NgME OR NO.`"' IN ONEODIE CTION PEE0.4 VEHICLE IF ARx 7 WC s,FTt LEGALLY W SVEH '" N G E V, 'EC FAgKED OCCUPIED ?- 2 adz YES NO YES NO U??? n n FED. r J n 1-._1 ?,Vaa -- - II FPO -?. PEO/DICYCUST WAS USWD n o[w (.,) I- lypV?Ep Ac--EwAUt ar, I?p,?.c?gC r O ,`'AOAD SUAFACE;L; r:.:. WEATHER ii _M CONTRIBUTING CIRCUMSTANCES H.P I_. CAE, I,H,Cx CRO (CHECK Or.EOF MnREI 'e:1 OWVEpNE«F,E ACTpNa _ 'Kfl4J ('?C/wvtR y C/E??w??p1? (?W,NEq ?'''1 {S^ _ C/V'?' DPI r'7 AG9ETICAST 1 I j: RIHRIIE«CEOV pin I„! ?i M ,HEb O .A + ?l _ - - L +? PAN rl a wNND O=C? DR aENE E7p-l ? a r? Ew a aNaw,? n - - _ 030 E, J..I 1 L __ Ir la FF'?-? NPV 4 i I ?. ] A L.1_.-_- -? P00 riV r? OR' RFAa (? OI MPr1o o- J ([ I LOC TWV °w0 I-? Lr.'-? IEFTT.. L? U U.TUPN (u mNiriixPECrv1 m I ceii en ,o _ 'WT ?'IJ ? ro Pp<e 1: ?a? siowwo n M°POaFR _ .fiCC.Y, C. LIGHT CONORIONS iRAFAC COOL ve TYPEOF ROAD VEHICLE CONDITION 1 J IFn ?'!J. nun F°^V f ,.ti Ic«ECx DYM No((??, 61- a Icq?E xc«E OP UOr,EI '" ' .SOBRIETY LJ ro°anN°N1N4 r fir,. NO I u - L L CWr "M OI I (CHECK O Y2 MIMI," -WAI ?.. l II tY RVE f? L?.., U _ L J E. Y ---'_ LJ'sL.?? -TRAERO LA«E L Q.r? M ° a _,a ---- ul ?EOP? bN C CERIC-F J. nACRNo 'r?-..? ou wo L r JT+oN,L I. J°1._-.! Tu'WO.N'iiea' ??°rJ oRa-iowH ruNEO wxai CHEM. TEST (u-,,I ?I ,. • L b ET A1NTa ?_ ITI M u I-7 § D M x.Yd.?/ M S C1 -CKE o HEPI xuvn < o„P N: r 1 (i L=. °?° _ .... ....... SQ• I Dow a D X ia( uwswEO 9onin snece '?y,`` ?,{/ry?+naanunax,uEAP.,?.-?-! -?;L? nx 7 % Ye TEST RESULTS 2 - .k 0.? «'?.Rn 3Q j i i, /1?'/77U1?'?i// ?? PoucEA«wrio row M "'""`D_ 2 ,A„IWnD.E><E x..n ur Eronr C; w i !+'rPOwnar « w,e ww I DISimRRON OPgWALCOPY:BENOTOW.ASHINOtONS OLYMPIA,WASHIRQIONORAGA TATEPATROL- -??•-{ ?? I_ I, F 1 COPY, LOCAL WENCppCEMFNi AGENCY 9 COPY- r t WPMLATF. U OPY.INYESIIOATOR BCOPY iRIPNCAtL C / ,.1. / U1y l T ?YI 7thrh , t J 'M1 ` ? r ? ' rT.i ? 4 tt I y,l t I, 1 ,u) s?I , A +1G?R ( ? a T ? ?r 1 ? ? t F . ?, y r F A ? ( I ?? ,Ry F ?f I e ? I Y Y ? + ? ? ? t t f i ?a E ? I ?! i, ? h t• r r ;,; , ?, , t ?, , r _. i?=? ??`*'1?7.GP?5?'rY?`?f7""? hiRG°° ',Pf#R'+?'R??- ?S "m+t"+' di - .il. ?! : ? .. ??a - .. ?.. ???Sfk?i7 !:? ,? i? i+? ?? _?v ;moo c v =<mo p? M 0 ?i i _ ? ? ? ?"? . ...? ?.., ... 4.a.t ., ... ., ..., .. ... .. .? ..,.? .. __.?., L.Ls_... ...... ?i.. h.... i....a.._.... ... 71 Y 9k . Mss i Ir .. ,.. ... >ASa 1 / I POLICE TRAFFIC CO SION REPORT QXTRAFFICWAY , I T MINI NUM&P PRIVATE WAY AIS Qr I C O PE 1 ! ,IX IX COUNrv// /D ^/ J??/pJ V I/ ' I`?_ ' .r fU f._S?OOURI 7"c O NwA °U p ? C Oe IOwN NG;92 w1po 7L ANlfs ON ? °oi ?r IT F`s % gourf oR f s{ r M ON CLING ? O f Vn .? Srgf{l09 %.O NON NIERSECnON ?`?` ti ppfR % f MqF IOSf ?'y lIWfEN ..p SrR(ft6 / 5TR(ET 0,5rANC[aO?etMafs Rf Sq! fCR055 sr9ffl Oe NFA9lsr='ilE gCCIDENf rl r- w Oi MILEAGE ItFT CODE R AM . CIXDSKRE INVIXV[O 5{v[e lv: Mrra» lOTa NO NO %ll[D??NO NIURFO ?YRIAGF ?Nn6gUN wnpRRrn ? ?pROngTY D•MAGf ONIr ?Rf5[UlrFO ?VFdflf OeKfr51R« •MEOi OD1ICISIq ""C'S R.WDON'NF95 [ IN ZING SrR IOR90AOpE WfRNfE MFO Cl5 CR05551RFtl09 qAD 3 8'a Rl _ 3 ^, r ESf D.MAGf G - ??cb.1 Gov ?T s -a CODING LLSf , . s DRrvles f: UNHN UNIiN0.2 fiR51 RIVFRSNAMf D ? VEHICLE ? PEDESTRIAN ? PEDALCYCLIST sr ..L Of.S?? Od?21 ? ?s . U i.9 2 Sletn•ODRE55 ??? TRfI •DDR55 sl.? zircon No YilO Imo., __? D v srAl{ /I DRNfgs nN R Ip ?. u No. e N «curATloN pAN•n.(apiwnt NO wNr I E l {N ro. c .•ncN 1 C m mm R IGIEI iaKwlT 0 CHECK(,) :N uARV rf of AiM or ? CHECK( ') i »[ ` CODES ] ? * CIA "„ 5 r rwn a °o' 'c`am , s w?.eN.c' CODES t ] n. '',,°Qyy 0 (?jM? ?I? r<»rfAV %e lDOOCe.cNtv.r ?6 Z) MI. 0 =Z! Mooes lDAel NOVA srvl[EZ °oN ??vi1A3/ tt7 E 0-1 "" m I NSl pIA SrAr( R l9 RArf rq. iAIE ?/ /n/? `? VIHK1lI IE A C EIpE NO. H I L - n \ 11 f,\y\\I \ v{NK _ A 6 ? ? ` V If DFNr EI I y RusngmoMmq wt usr Dae pNOin NO ADDRSSp OWNIe //?? ° W D ro: J`/9?fGt N ( DI N.wreEAODRES SaI vANCl co aAGENr R / - D.MAII '? c»A.u'? z i c gAMAGfowlu 5 1st lowww f OCR t. ? ;w^!N ? RIMU»[D rowto S cIIA. ? A.Al rovno Aw•r ?ilnwNlD _ rurN ?' {s DAAS•ce eror rdiono"rAs er: .J r er: f a DIAGRAM OF COLl 1510N Ut a ssMR7 s aROw" DESCRIPTION,OF COLLISION Ildf SlrnE.wNlu slefTls NtaswrE _ - J j- ?c.J6c?G y A `.. } { .4 Low- c?Ai7?G / o ? je T I _ _v _ . x - NAME, ADDRESS & INJURIES OF PERSONS I NVOLVED E CODES 1 2 9 5 6 N OCCUPANTS/ WITNESSES •w , -Era . - I.. ew ucT 'e>m .I • » CJ- o%y.J ' ravt5s CcrgG14 ,> •w _ o , n7 . R a .ac'.C- 6 v e. •M e ? a21"r ? w„ . 0-".4 ? la l _, . » DD.r55 w1 - y . M.O nGM ?.M. ? per °,.t?I. ? o a 7 -_.__._._ .... ...... ....... _ No .. .. wls _._. uAnjeip____.______ EM e. ?• s ?::K'°?f:R. wJ °: ..rf>r +.caE . » tl sN•MIa.RI.. aawl or AuNCY cNID '?'?q1 D Dan ?r •...ovEDer wn X -1 R.p» f R.DD INS ? y (/ a% r F - T ',M1 wF 1. I I rs ^I ?tl 1 f? rT f 1 14 ! ?' i r• C W ???yyGVvps ?. EY Gp - f I 1 {r h5f ?` ? I qu, ^fi "A: 1 1 ?1.. i h J 1 1 1 1 t l 1 1 ? ? M 1 7 l ?4 ?dk PRIVATE WAY DAIIO[DMII N w COUNIv ?p I._ rwf r. 'Yr IUS[)mNCUpI CWNIY NO OIYrq IAVA 1 ?• 1 ?? ?ue.AN ?t ? C 0910wN eHONWAl iCIC`5 UPu pOUIi Cw SIR[ s ?(?? / w+1[5 ?5 p l - ON . ( ? 8Vr- iNr[ey CLING VArn e '3y23o. SrPIII Oe PoAU NON NrlvN IIOV (r1 !O rA vv . F ' . ?? R Rr31 Dnrwrvcf abet !p+ .[lwtlN _ i ?? 1 P r[ [N f CvOSSSIV(FI W .- POSr ACCIDENT P DuDRAAS wrA f[[l W Or ?Q OF MCODE E CIXI ;ONINVIXVFD vlvllY ' OrwI NO O•lllD?NO INNp[O? ?YIIAD, ?nlraeuN "r'sN IN K.p Y[ Y I Rfl pOADORRNCF Cr Vtn C1(5 ® ? OnerYDA«AGEON{r ?as ?sf°?I[-~ IMFR Cl3 CROSS SR[[iOP p,p ulr ?l OBnCr SrRK[lrvAMtp OBltCr}l K[µpOWN[P' Nµ,[1 3 ?/ 1"' tSi pA«AO[ SRCUCOWNG USt s.-?- ' s_ DFF-S N-1 UNIT NO. 1 UNI TN0.2 U VEHICLE C) PEDESTRIAN ? PEDALCYCLIST [1 =V ' Iv r - _ ?' F DR_.SNNAa I [IIADDe(ss bAJNEIF NVA-il1 .11 ) L. 121 _ 3v7 S" L ° m7YEO/LJ 2D. z I Y Y R! ADDRss '1 s90 las Cte ZP. Rp ?g' 5dz Art [ncoa Prrpr.e ND D ) Y Q6U - - d VA X 1 e 1 an Z • 765-3 376 z DeN(R'slICINYN Slwrt { % Tit S?O39OLTLI ?T.ClJO, 1 ? KlNSt.q Qi 6A)A.' 711 ? n , l? p ° 3 IX ?? rA"?n???3 [ S Gnl HI/GHI E OCCUV UON NIS PWN =Np. !v!5 t/iGnl HK:n ?? ? 6 R / I I ` v HECK (.? w ?/` L. LID S-/ I OF C vlNltll wSAN ANO r ?CHECK (.? I A' / rC4 w5A„IASnry hlp ANOrHO ?' 7 c . ° s[ e,"'O, CODES ? * 7 wt CODESw1 Z vRS 1iR '" <lo. I:N pirt" ' s 1. rp,N a s°. •cI, Nn ?r r s NM Ike ?Awu, Cn{vlK rro? "prx:or.aV ?AV.eu.NCl ?v,4' ?'l?rin. ?v?iwiri 1 S De <WVl n V r AwlIID t vAl I u E ?/? [Q? ?? 1 6 n ,ova ? 66 tlrc?X 7a.?i? 1 tN s1,1 Nupn,n r.D. sr H ptnc oR 117-t17L p - f TA?tJ L ` a1o 1 ?. v{nKpl MN11rICA1gN Np. L Vt NI 1.1 N IN A N iil ? l 3 F!? 1 1es5 b?6wi619 ?.LIX?ANO ?? RO?SrIPID wMR IIp31 I I ICIi z? i 3izio, ; ; S o ? ? I (R ?s7'Ta7o N, wN c?'w_..w?lnr Aj, Ip ADDel33p D,NrFR ? A'[ 5o L _c. ??vvlS ?n/G?tES N p A«IaApwlssp lNwp.NCl cD nADtM E I1rL' R AIJUE wAACID 'A 111. ^ I , CNA.. cnA.p gAM,G[ MG 151 IAwA °ln ..35 _ . DI DPIN N rd)or:o: = ? n«yNee owtD POD s AZT ?.1-N. -TV- 11 IOW1D S MA t ' onO? i ? .?C.J][VJ DIAGRAM Of CO11151 N' (.pN AWAY BY. anlr uSfNq 1 iii DISC RIFT ION OF COLLISION IUS(sVn(WMNSHHn MUSSMr) 4. 4 q j-] i 1 ---- - --- -- ¢L?+k ' - ! .UG?iY,EsttND._IO.eDS.Lr?gp,Qo_ I _ I ?/ { p??? sYlo6oe?v0 4 ?DSG?Caae I '1±?? ? ?_.}. -? ` t... ? ?/vn7u? UE??81?5 C s ? Y'i _ - . .? _ Id.N-CrJ..? SI.?...? { ?....? (1ff9 ?y j ; 2?7-(. ,,_ Sruc?/C/r'?y?.ts/.uro. riXA>Q? .6[NS ?•+ 7 I ? ! ,a ___ _. _ . NAME ADDRESS 81NJURIES OF PERSONS 1 Qyyp? a CODES I - OCCUPANTS/WITNESSES 6 _ N«R - _._ -- rv.«l . H• AGI IAi w wl_ Mfl. IACI Prcr' u rr •p0.1„ N,1 _-_..--- I. I .n -- - . IDN' NCT < X +I ;,,NYO DNCI. pN,«{l.,N. s,Df w wGI NC. NAr.rts ?».;.Y l,rJ OKl wsr•cH0 rUK?.?.?HO o?,«• p` ? tDS• ": ww pn D w Lam' 7!/ ?3 ???.? ?[G/r(P. ( r s , 3 .. r r. a? e 9 ? ?n ?'Cd9? g"r`SA - .r Y4'& 9 "Z L)cCIJ ANTS/WITNESS IES OF PIERS NS INVOLVED CODES tlM q ; ye rr W? "S ? r l ?`• ? } ? A l tl r 0 M. n _ 1 ? ? y N 5.a \ 'w??' .4 „ ? b SC .. } VZ 1 ? ? ? I ? Kr? 1 } ? 1 .f 1 1 7. t ? VGM 1 M , Alr. - kr 4 v @,R : ?.1 q b d 1 tl + I( r 'NA"'t_ven. 7J POLICE TRAFFIC COI VON REPORT LO rOIK RvnwNwuR Z PRIVATE WAY . DAItO Cq N C [[.IRwOOwDUV, . If ,rlD. / ( O COVN,r pL/?'`1 -'l I /V 'OIM,Y N/CI/ G,Y NO. / ?J piMV• RIHAI 1 5 [ r CI1.OR 10wN U 0? 00 po ? ' I RW,t 3 3 23a l ON Mi115 ice / a a INnexcDNC en,n s1s1-[n oR AD ?FNRUC??t? s[R[n a??. ST 2."I? /sieln ?r?a a IARIrw, ? / l? Oi5 ANCl aD?vl M1 IIpRARfr[v E. CRD55 sIREf t s nt5 5 F ?t,.. d IH, w DI I a'l ( 3 ACCIDENT MILEAGE CODE RAMV pAIA - COl1?5roN VlD tR,r. VN NO INIVRtD? ?YRIAGF ?NNIR ND aIIED w'tii0i Nm „ N RD IN1[ Cl5 C n ROAp rlnl.a PCb55MlTOR ]] ? 1bAl NO bV[nKl(5 LLJ ?ePDgR,VDAMAGf DNIY ?q,WllD ?V(a<If +-? _ OBIICts,RUCa INUnfwD.l(C1 s,eVC4 ANDOwNIe SlwMrl( m I 'T/LE'c-5 Sli s - ts1 DMAAG -c-COMNG IAE UNIT NO. I UNIT NO.2 ? VEHICLE p PEDESTRIAN 0 PEDALCVCLIST 5 Dervl R's N,wl a???_??v/?!?•"'"iL. S OvIHR5NM4. 1A5, ? ? -- q S1elEI ADOn55 ,/ /?Q!/? 2J?Y? - S ?l?? nfi ADDn55 ,, L IRCO vnor+e NO iAn cm D r I•te r A) 9 -3 'S UC O . A n I ? l (16(IeO. p.i n _ SQ,?{,q e ?L 3//02 tt/? Zz G v .D Z ac IoN m.• N e a r,lONl .a ? e s eN1 ,R,DN, C?zc?s & ? 'A? 160 E ewA1roN M N,,An a nroNE to ens K:M 1eKNrt , ae. ?vveev? r r ? 0CHECK(l Nw •5iN ANON[e ?CHECK(,I vNKI[ASA R CODES ?' 7 S 1 a w CODES 111, ] c, 0 Sw ?f Z nv o, p .R .K1 6° 0m 0 0 ?A n u" W6. 0w 0~.1. 1 ?N Nw n to MAal l CNty 1 IDARI 1 5 ,U 12DR ONV 1 O LE I Z r E n 1 1 NODtI ID AI I N t u NO l? y. f ,/ sul? n.nten•n H vln . . C VINKII ICtM IKwIroN ND 3 13. I $I 5.518 7 I I L n IN I I _ nGl1n•IDDW,AV .,[ASI rwY M,DDI[ hqM ND O 1131 Hv51 i N Z •DDnuwovMR E ° E u•t w[ .-K, oR •cIN1 L? _ g•"ucl?wnAR o.9216M[• o-...ow`N,N cnA.u C.M. D~•D ?•i; MUMD ?Aw?wir ?°rMUmo is (Ei n"S:i s 'S I ' ?nt =11 4 S llcJ A.A-r Y f 0=111 D1IA-_GJR?MpOxP1CKOLL?1.10'11 [ ruusN I eYA' N DESCRIPTION OF COLLISION IDStSwnlAV ux.tin rSaSLUrI . .YEl>rlLILE+!E( RdR[dlNGROpKI.UrF,?3D,E? ? {_ , ?i'07L37'?'- ? ? f ? ?{ .. QD T ?? ? 1 . -- E ,CLelY/.?/G ouex. K.77J_ .- r} 1lo Role ovB?ovm..rD . , ? ? ? I. - 1- 1 .. , , _----- NAME, ADDRE5581NJURIES OF ER uS INVOLVED 'CODES 1 - 2 J 5 6 OCCUPANTS/ WITNESSES ,n s.Dwa?Ilrow..:i NAAU a RZ I Z- ,??' wwN 'vn- -ul- nsn uC[ N.w ` .DD.[„ O ,pf7 ?T/?• Z ESQ •. s. •w . pit' pw pR u D d/cA. 1-2 ? c ru 1oI. r 0AM. 0" ,. 0 M 0 N HO X +,.•,Nr....+c G WiIGm2V[T • .DCLL" .c.l..c. / o5i I 1'h;»3Sc"D i ,cl ... HO D .I, 7n:?1 ,r.r?./ D•(/ O `F eN S'Hr w h?t9 `?I a t ? Ar IC?R - + 1 7 1 h I ? L , a 'u Garr, x? ?? ? a ? rd 4:. '?, rom+.''eTA R1?56.7».'W jraTFr iNgvT'f ?r .? ?' +??r rrk r olI tr 4? ?? ., r ? t ? 1 y y y ?? ? ? ? rr p A _ i a M ' "1 ?'Nt I'?N? ??u?+? F?l' y ? a ? i? ? ?? ? S ze ? i ? yT ? _ C _- ? -? n ?N C , _ ??p ? ? ????}y b PRIVATE WAY DArt d IXli ? Dicer al lV N C COUNiv ; IUS[]Ay NOUaI y°Z ; W N I z 3,6 S ?fE/11'o? i JA. [IIY °M.A pus.N ,uµ / ?N ?L "F CIV OV TOWN NAME INO 1Sra([t ov-IWAV O us ?s ?WY?Dr Qu,/LeF•[/F_ ON o1D Siv?E/?uJ' 3 aWr Oq D QeGN ? f r -111 a G 0 Q 6 rSAN to OFNRN C I. ti.l[5 5 t W CCIDENT RAM DAIA R SU rlEt d X!/iQ MILEAGE c.. CO,N ,o,Al,:Jdv[O NO NO-LD 0 NO INJURlO? ?Srft.w 0-- wv W 10t• VIA IMfa x Cl3 ca?5'eD . rl w ROADOP REI 31a[[1Oa RD•D d V COS UJ 111-1-A-11 ? WSUn.. ? IIII E K oaxCISIR-IN-1Or-C111RDCx ANDOWNFV•SN•Mtl {Sr DAV E v EFFjLSc1 J C v : SwCW CODING .1 UNIT NO. i UNIT IN 2 ? VEHICLE ? PEDESTRIAN ? PEDALCYCLIST DarvERSNwt usI rlesl Ju Fes NAMI -T f+/A9woL ,6 .S Z sewn ADDR(s1 s • i P? /30 6 l V D rwu , :I COa !cJ/9 ?rB367 vrloNt NO 71s-38 R r A1E , E DRrvte'3 UClN5l NO $IArf /a.1.1oG s-s?zv? aL uJ/? /y! %v i' sg ( V I l lNSt NO AU DAR RR, . CU rloN NAM(avNONE NO Fns GNI ,.mN1 E oc<uPADON w[a vnoNe NO relGNr - Z ;, obGfE' ?FGF?r Lc AE,? 6,? = R [ns Ie,n ' ` ? CHECK(4 "=,-C, • ?r EA AvlIl A{ A n' ? ? CHECK(,,) vF"n w vion(aAN eA' • a .a .ny? .?"'I S Nrtl:a. CODES P. D ?? :i• ?9 A . OrNE " " rR.<I CODES ? ` s a 5 !x G 7n J9.¢1v?o.?3 .?Jn1o dJd[<. s.ES i;o ro. sA D 3 ? .N..N r ro, 13 E.1:„• ? ?. a ? D I ro, DN ? w ? ? xm ? ? ti w[U ` v VIN VI•R AN•t IDODGICNtvl Ill NDVAI slrlt l]DR vl A, 1 Nvl DFIID .I I ,' N sure alto nArt NO salt H RN ? vE"nl IdNlnrc•tld[vJO /v (r P A I 9 3 // Z L N rI A I N vtNa ID wdlxbDOWN(R W1 oast MiDDLL rNOM NO Srppl /?5 DiZ/vE./L -- O W I wnla. U61 rlwl I - lR ADLRF? 01 xe N E Nwla.Dwul o INSURANCE. ao-T u • R _ ISw•GI 4lA ,.N rG ? I on gAA•G(3 u° ?..c oN.? cNAxd /U],.DE aAacl . ? a" oAA. 3 n ee Dw?r atM•INeD iwii ?RUwN'D ? w.D°p loi'orib7 3 ?i oiSirB+ t]wlD I-D f'/;0? •r lr ? •w•r w. f DIAGRAM OF COLLISION- sNNit?u w?ttliAril rf? °rN DESCRIPTION OF COLLISION: IIAE SIMI[JAtmuS"nx NC[SYVrI Q t.t./LC,FhL? EI ETN2 !/E//-W G 1p.-, ? ['Y) Clout G GSn6 CI,TFilA,l? . - <- oQ [y_ 1 ?90. A_-WAVJ /JJyfE "r LEfr TuifiJ - ' 0-7 0 0-0 { STATE /fGur, ?"a-',Q ? - - - -p w8 - :5,-47,6,,7 77/4e,6 ?E was .a ,u/e.E 11 - /i //i3 eN E OF T?/lufL /Wv/J an/r.s,v w6iCdFj/ To /l/i55 rE?F Si ;2.K VG - E /A T,?'EE O SJ oj/zAe Siv6 aF /2GVyo. ? , ? p? AW/ e 'l LE<r 13 F e 1 ? , r e/ Si..o • /zp IJ11'et s -ti , A'rT p /,v /''iZ r l T , , I /p o N :_ NAME, ADDRESS 8 INJURIES Of PERSONS I NVOLVED COD S 1 - p 6 6 4 N- 1 OCCUPANTS / WITNESSES rvsf .-M= Al NII NAAV" p .-M=Al SLi I ^ f/x a M Ixc ,•rcr . "E DI ) /YO4lrEQ ND ?wE 1 .Dons -' 6 R or •A. a fi A •DIVtn wl N•iW d AvNID rIOV ?•V° ?r" I O,. • ? N ?- o NO D • rr+11s 9°S'1s°' tai. O?ua ?u"??_ 1.11 ?: D•n X "'v}%1`w o?ii-'1N.R1 a..N. to qv wl,c. o,LS X335"D oZ33ZDD ??a wro.l ..v.D.toa. ?`?,?A n We :r A'? '? 11,Ff uw+ 'fit. Sa m #'r . w?tr ; k r y,R. • w.! rf.l,?. r?7. ?rv'3 V ITT Y ?R ql r . ?? L 1 ?h1 >L 1 1, f rs r I., r I I r ? T, . ? + L r 4s I; ry J I 1 4 3 ,,,4o l !. L ( d 3 V f -1 T ? } I?y ( r ?v i 'I q{ 4ll 1 p t,?,J uL 1 ( f? F1 r I r 115 1 __ r 41 ` STATE OF W HINGTON TRAFFICVIAV 4 4 0 4 5 9 POUCETRAFFICCOLLISIONREPORT ® ¢eeoMAAwrNUMaf .. wx. m„ C , ; Lo?r. 7i n"I STATE OF WAUANGTON 1K ` °' +u i j I ?J YIr?/Ld? 25- 4'A/_Ic IK I2?§f. !I argirgis a«ns N # max r+ O ?S gh } >% ve TIN y?? 5 ? ' 1 pj y ` F y r ? 1 {1 1 Y 1 !rl ? f, ri t- 1, ?y, 41- j STATE OF WASHINGTON -? PAGE 1 DF ? ? 7 n 5 7 0 Q Ter xvm, . n a11s PRIVATE WAY ?'°? IQ^'J L II(V/ // Y I , (USF) IMf OUR s?r? I ?v COUNTY ` COUNTY SA , CITY NO. . MSVA ?1MBA N UN QF ON C OR TOWN W N NAMFSNO Or S,RE11O RMC»WAY rCT CIS ROUTE QA i pN Aults OW OF ONi_ 30330 INr[g5lCr NO YAI SiR[11 v AD NON N,ERUCTION {I f MREPOSf ? ?A -'F / DISTANCE RMI{ 9tfERFNCf <ROSSSiRtft OR Nt4vf5 ilE ; e ITS N S E W r ACCIDENT RAMV D: RAM DwrA ?P "EAGE {tfr DE 7p?$ COIION ODE NVOIV[D xvtet - M . Y. IOIMNO NO RII[D?? NO.NIURf? ?Sn IIAGF ?»I,ER N 1. CROSSSTRtFTO4fOApgs?DfYt e{f NCf N wNWIOI„ CR V[N CI[5 ) PROPEVir DAMACIONIY NSUIIED oV. [ 9 CB1tCt5, RINAMEOr OBI C I STRU C. AND OWNERSNN FI f5, 0AMAC[ SPCW CODING RE • UC _ \ S -?? s DgWIR.y usr UNIT NO. I f Rsl mID UNITNO.2 ? VEHICLE ? PEDESTRIAN C) PEDALCYCLIST 21 RWEF NAMT: Lti6&T J 3 LJEa,J I StgFFr wDORt53 - C 1 /?. SrArf TIPCOIX 'NONE NO D I? -H DqN[ sucTNx NO/` R 2 AAA 0 T » V V L/ T fir/ s 0. r. I v v lIC[N NO. All OA I R NO OAr Ri rR 2 ION FIRMNuntL E o 5 C», p?G»i VG S JV r,_?. cCl` ..E>, R E DEC.-- FIR. NO . rfs we eNr r[IC"r ? CHECK (r7 E As:N uAP'IV Ta ANOI»TC f v!» n ? CHECK(,,) '?' ' ^' CODES ? 3 » Nu. c,w n„ s I R -oma.c,l?, is ° w»nE ASAN IMTOrETaw v IDx.cu CODES ?' D n:u . i inMw p _ ^t TR mll 1 ° M. r ~ ' N 6 l I Vf °•v Ye °;DODGI.CMEr. ° a AR M, pAgrJgVA) y»rlF l)DR.Cp.V.l p ?v °,w. 10MCI [Slit. ?vi ? i'v0i,vfr 'I 1- 70DGG v / ? 1 -, --- Y I) V.l °O'r ^? I N. s An lR EER nArt ND. surE H w» e«oq V[»ICIE IIXNIINCAr10N NO C L v!»ICLTIIXNtI1 A I 01 !? Lis DI I?' 11G15R01DOwN1R IASt n4yi I I I 1 PrgNf Ep O E ISeq[DOWNtR: LAS FIRST MIDIX[ S wDDRl SS OF OAN[R W A R A9 _ N -Min AUDW3SOf INSUVANCl CO OR AGENT E R N DA SyEMK,ID M!A .Vr t N • R f IsAMwG[ MG 10 A C»ARGe ?. <»A ,. i°OuG? Ce o N N y + 5 131, w f •lOP ? 1St 1o W/w.V ?RIMNNlD ADR.N IO:Oii:? R[MNNID ;/J romp To o ' Iu:or:oV 3 ~ f er d G DIAGRAM OF COLLISION 1 1 Nw BY: • D-9 srWt i3AR 1 "D 'agor TIONOFCOLL15ION IusrswnlAN lu s»Enn N[cESURr1 -7 1 -1 ? I U,y J J 6Lwa? .S'i.Z7? wyy3?Z?su.J ?E /? `.Da .. ._ ?, ? I 1 I Cam'>B.sE.°IG,? .??-. fpa.? __T f?v.? ._._ ® i'? i/-xsi.?? I NAME, ADDRESS &I JURIES OF PERSONS INVOLVED CODES I - 3 4 N A OCCUPANTS 1 WI NESSES FOR °, w"!oMtl.:i i?:.ve AMT.v/G ?../T. 4r / iYl tss lii io 7 / r Q Amara - slr Act tAlus ',,,, ,",^' n» S - - -- mslR tncr 6 M n + 5 / $ K.J? ''tR5'? DDAl53 ' No " G98 / - i R "r AMn °L2tK'?"' .?? .8'v ?? r,IC Si u a ^-J?.+.TC M MowowoM °N^A'? n . ?.e+ °yF nr n,r E . 0 DORIS C ? = ? No l °r . . / •, .. PF1-N.«laur,r e o. MlN . i:°?s OiJGr l.ner ?AMe ° ro, Y+1^.i: P - ?yat6l ^ f t r,? -LqI 541E y ? l I ? ) .; 7 1 I 11..t? . Ir F t E?t ? "E { - { I ` 1 t r ' r n v ?,F :fi T 1 y s ? I ? "I 'f: y I Flo TRAfFICWAV -? - - J'? POLICE TRAFFIC L ION REPORT [a nN 1 uM Ue PRIVATE WAY DA t Ica ^j i _ u __ .?'FT Eu .mHOUaI counrr rr/M. nrcM. I.A .' I ? . 'wnl. I ? l0 ueeAN nrcdlowN uau ?N ? ? N /? ' . 1 •M a51v(frOe WGHwAY Cl5 vOOiFd 1 ?S ?W OI ?Q O O C ? If3 ON IN pSfcrlNG WIIN Srvft104 WAD rv IN t9 3FC?ONt pfll t % n?] Mllf WSt etnn[rv 1`p (QS 319[[i 6 St4t[T / D wNtf Dv! 9t 19 CY O5331effr NFAeF31 MIlF ACCIDENT a DIAGRAM DAT Run V A 'E['S N 5 f OI MILEAGE ' ODE B Cgll'pNlrvw%vLD of Pllr ?$%IIIAGE ?Hl4- IN OIM NO NO [RIED M. INN41D wHDnorw IMEg CES c.-$IR[[10990Ap Wed Wf? ?1] avenrcus ?rWx rDAMAG[a+lr ?-1 - ?ll-N 0110 OBl[CI SI4UC[INAMF Or OBIfCl SI9uCS AND OWNF9'S NAMIi [ST DAMAGE S[FCIAI CODIM IIi! . $ cb/ UNI7 NO. I UN NO. Z ? VEHICLE El PEDESTRIAN ? DEDALCYCLIS7 9 .SNAMt m, I I 1 . " p 21 Vf4 5NAMf. usl EI CIA'rK ? A SreFFr AD 19ft1 ADO9t53 CITY SIAM 111c.. -I- D Ir WAIT u r qg 3?? 7G. -3a R ? wne9sl fNSf NO Surf " I I l eNStM All A k1A F r. 5 D.. v A ael n MD I DAr r. OCCO.AiIOn NAMEa FM. fns iGHI HIGHI E CU.AIIOrv MNAMFahION[M Ln5 IGHI IEIGMI c?ly Ql? v? ( R ? CHECK (.I vsH¢i[A :N air 1A Anollrty? • ? CHECK (.? vfNln[ASAN rMnorFF AMrN[u l n:n . °.in 5 ul<ry. p'"DI•c?;, O CODES ? ] .is . 5 u Hw 6 y ?n rcu ] p2 IN wrts w DrM.T;.wM I ? IM" ? M6. ? =1 e ? yDr nH rug MA[e lDOOOe.a[v.I nIDAeI.MVAI s.l RD4 coNV w.?yor ? AM I ? u ? DM t. ? " ? ".°i.sr KII . l PJ Se E v.I 11oA9I. rAI I .I ,W„ A S tN f ".11 NO SIAIF 19N1f. MIf M A f H wN a N lA) O ? __ ? I vFHICI[IDtM4ICAIpN M. C vfwCIF-TI I A I N I$ I I I I I I I L I I? I I I I I I 91GISR V100 v 1 N93r MIppI MVOVAM O W fO f9: l 1 11451 I f l OG ADD91ssao.Me14 Si AS ?IUCp 6 N E to 31 AMISADD4fssalNSU 1CO dAGl 1 DAMAGED MIA .A«wG I R « Nw,", gAMr?Fpuu •rD ""..:°„w' aA% U cH M ? ? If DAAUGI ? •rD..- ? rGioTlOii ? ? i •fMMMD ?AW?Y ?v[AUINip f3p° wiI"V ? DeY. lovrtD er. S InioriD. Aw r • DIAGRAM OF COIIISION: «: Iv in DESCRIPTION OF COLLISION: 1.13F 1-TAISHIIIIN(CE- 1 ?`'uir rNi]icf3wrl .- e 1f -- ae ?Y , ?.? ROris-W_-N(Gohnk..._R LeF --- CDaNna Iao Tw lp _ OF il)( veM?[G _ TNc N I (. C1bsxS . _ - . _ • .:/? ? ? Iw '.?° S 'LAG. L,.-,4 -- T1k N, Opky RolloD r, _ - _ _ - CIS- ED sr o e Y5 WINS n _ I ___, ___ E NAME, ADDRESS & INJURIES F PERSONS INVOLVED 'CODES 1 - 2 3 5 6 OCCUPANTS/ WITNESSES 'uuslrAlwNrMSH Id ADprgrvM NAM . U' 111 _ - -- ---- .rvw«u.r -. --'- - .- - u. AG1 TAI ,r :I M5I• I11C1 i:Cr. N . A w 1 ?1 ro•n] `a AM. EJ ? NAIL. a --. - M ???-•//EI I ?• . AMr-E3{il?+-?I. ? .a: ? ' r A DMI,3 p IDVI (v •MOVIDI ?AM• 711 ?r«i°i O M A I m.I SA X w771O" MA?ra ! r ?AMe ? ?Hr ?io:n. ? ^r:: ? :D. ?f YF8 fi ?I ?l \ a XT' S POLICE TRAFFIC COLLISION REPORT L6TRAFFI-Y ••- NUM6 l roUCF COMRA NI PRIVATE WAY .. .Pl ?J I rF Oi<IXIIf N IVgqf?rlamooF OURI Nu v 3 ?7 /7[B SC Refs ON CWN Y CIIY NO. A ?u eAH auus ?" ?F [lvpq lOwN AAEf enOOSrotfr09 NipNWAV o Tu ' ggClS RWIE Oa 51 F KNlES ? 5 ?w r (o ,. oN O S InIE45ECNN0 SMIN: SrRtFT09.pA0 NDNlNIf95IClION ' Ca 3O / I U //7 Q LB BfM'E!N Sr9FFr t SrRfEr PRtr X MIIEPoSr f0. O E O g p ! DIS ANC OvE Ei 9En C?055514FFI 4rvEA9F5rM if POS M ltS 5 f ACCIDENT a.MP OAp9AM pAlA // rffr OF ?YL / CG // T? MCODEE RLT COlUTOAL I,KT ED. NO ;lKLLF O ?NO. SPIIAOF ? NIVRfO- ? C F Nf «p1N e w" " N qp 195E 1 r4[F10940ADORnrT-E MFR Cl3 CROSS SIREETORapAD ?f ' C.VFIi Rpn9rY S DAM•G[ONIV ? pjw[IED ? UTTACTSIR[KK I—OF-ECT STRUCK .NDOwNER'5-1 v[M ?? C?[ 151 D O 0 / . AMAGE SPtCMI COOING l4E / f UNIT NO. I DR VEV'S NAMf. -1 N 4s1 -.1 UNIT NO., 041vER3NAMF. ? VEHICLE ? PEDESTRIAN ? PEDALCYCLIST U51 I 9 ? ? Aw 19-1 Uv T ? f SCD17 x eZ srvetr•DDR[u IY O rf 9'r :loco D . s1etH ADOnss /' If ?yE US C>? G • 10/O 6-7 1A AIt / P?? ?? qP G ?S 3f27 D9N[RslcENSF o All K e IN R "pCGCE W- f g Eeso 41,4 94672 9?S•zn T U6 Bm033sis tv?9 /n «D ,?} X67 F X DA DEN 3z CAl z Pe ? q Z OCCUPAr pI t1h/gNF NO. FvfS GHr HIGnT ?' G'r snsTlar? ?G ,. ?(j E R OC<UVAIIpN f l PnWf rap FYTS GNI HIONr Lt?lL ilr r M?OfJY7 Gv?Jr1v ?!/ /?A S / ?CHECK (e) vENKIE AS.?EMNVV ANOrNFVA' ?CMECK (?) vtNtt A O O V R CODES 10- ^ l < 5 r bn / 6's° E S ANEMN YFE FArwrNE CODES ? 7 u --- 5 ea IroN / e ',"O n Z ""UR"S F M7. ro ? .«dAAN:E ? ? pS«I. ? Z.K": PTO N VEw Vt 4 « IDODGFCNFV I [lIDA91 NOVA) SrtIF t Da C v : ' ° «« . [ ? <SM. ? ? E ? ' Y7 v.. '. / ? ? . .. .l I /7/Y - K'O°tIIDAq -VAl j5TYUk(2T>Q CRGR IATI n H Y E0 Aiv9 74 z!317V19 1 I I 915 $ I / Jly? zslO l! fi nelsrt4moW+.eq. WI N a IDaE rrIONf NO S??iE O W ea: lASr FIRST S9uas? /? checleB.v N N ADpnSS Or ONMf• u1 E /3ox 307 Ell, N.MrfA usalNSUp.NCe cp pRAOFNr • grey `11. ' R Rwrr .raTmr E2 p-?lir .1I 70r -l-p-, r DAMAOI MfA o y n0"" CNA4Gf CNA•Gf ? N NN['rroH6NAI g•MAGtO MfA f ? N ?4!M"NlD ts 1Or an ,°f °v.. = An..c • ' s n0? f - °w?v" OR—" Y 5 1 co . 0 ID S rDwspen. Sd'Q Idiorio ? . DIAGRAM OF COlLIS10N SN(lt fcfswry a+A? '" DESCRIP110N OF COLLISION: lose slxntMinrAl Lxern WCessARrl fQTeu?"r VENKCE / ?ii9C/N6 i! to Turn. C A 21 O M"? yel 10Y,fee ,,76 ,Qa year A10 / 6 9 , uu, . ?/: I- Vehlc/e de-- raAA.f/ly..4 lEf7 Yar'v "ooy . .. Rodgc' Cnyer /u?err boRn?/ I ehEr?s a/ r AZ ?1eT !t fli. [e?is Lf?ge? L ', .. ! Ueh,c% e / .c ns_.,.%Sre R,6 ~ze <w_ Pa y Coyper. ... ..t ao-j-} I } - n w,?he rE _ s.T6p? 'O- . 9f _ siyn_•- ._ - NAME, ADDRESS 8 INJURIES OF PERSONS I NVOLVED CODES 1 4 9 1 5 6 OCCUPANTS / WITNESSES la S.OP"1-'-S'I i _ _ Ace w nsn exer . N •«! WIT " 1 N.ruala µ n Nv RR A N .. _... _. .. ._-...._ D' lff I f NO NArNId _.-__ .?ID I.OM ?.Me ?n•sl ?wni ? ? nr p . , NO Dp•1 ?_. . .. yAtiYfla Q•«e ?oKI?ro':n.0?- O '.',,. . I vnro .c?rnnN.«F••..,. e.DUO•rwNC+ ?NO d iWi q_?? c.xc f??YavEO wrl ornro.I ur . D rt ti I R r ! silo STATE OF WAS NGTON DF DT / ?r N w5. SvIRFV.I.lD) ' 4 . ( POLICE TRAFFIC COLLI REPORTTltarFlCWAY O i 9 3 7y I Lj PRIVATE WAY m oM.,NfN F rc us n W, I r IU NOU41 , ` ' of •• LOUNI Cl tp r or . / " iJ ( ?w ? Dc,Dwn - - ?2So A?J unfano asr9ee eN w : ' tNWA +' ?UU9LL ,y,U? v YRt ? /` ' C - i fLf Mltl ?S Of eef +? / IN,tvSlCr nG r.eu I 7fr Z Wtrn. Sr t109 AD NONINTFRSfC10N I .;J?2 90 - " ? N / J??y / ? / ?,r e[tWt[N(?O.`?YG-? L??9[fr 0 00 99UUt MIIF ROSI " "? i YD' -? n' { . I SANCf DRt 0-` 5f9FEt rh ,-I / Ml[5 N CROSISivft FSIMIF ACCIDENT n w s f My 3 00? ttLL 111 tet Or ( I M E 9AM ATA l,y . I,(q. , f3J .,?" CO11 51 CODE NVOIVfO FvtRl,r: G1 ,11 AI NCIFSO NO K lllD??NO. In1UplD ?yp fiAOf ?nl{9UN FN ?? OV ? ? vpOH91Y DAMMit ONIY StIX _ ?? 9[itRfNCE ] IM[9 C 3 CpO55Siv[ .,' _ ` [ ? pfSUt?fO ? ?? OB1tCI5r9uN INAA1f Or 0el[Ct 51pUCS NJ00WNtp'SNM1f1 CC ??? ? ' ? a W "a S I V E •.? MAn DDDee"eNty? s,'rte ltoa.'.••,I ti? r A _. 61 l? le-1 5 < Nu to su E u NA le9nere NO vAe H vtN.e a ? ?? NCII IXnr NC/AJI ON rrD 3 3 ? ?,2 G 3 --- ? ? vN lt, n ` ? ? ? -- DRrtplDOwNt9 p rlpli 1[>OlF vnO Nt ND , R D wnl9: ' ADORtss a ormlR W t x T cS?n'JL N NAMta ADDnssa wsuRANCe eo aAClnr E OOOOO 00 ?n ?? 0 0 00 0O 0000 I NAME, ADDRESS 81NJUR11 OF PER; {""r OCCUPANTS/WITNESSES !!!Y['Sfµ Uy I IX 11 en S DESCRIPTION OF CQlE1510N: Itnt Stnnlru tµ 3M[IIf NFC[SSARrI 7 mo i? 7b TffE ?CiG S??Syd vG/>/ T/ ?CGi7 Z?ow??gif D . c5a(G° ??r? ors . _Tfo JVOLVED ' CODES 1 - 2 3 4 S 6 St. AGE Gros vim' •. 4qr D I?O?? 1 nsn ?+FCr , 41 5 ' Lra? ?? o; 1 sl ail p;'M 'tA p T? ?1, 1 ? l ( ,E ? ?Y_ fbtl( ? -f`A}, A atrZ [hi}LI .rv. 4{T ,p ?„ yWia ": r?l '. SIX, ?'?! F i ijgF`f• Tr f -.. I yq?? 7 } r 11 v! ? ?. Y II ?', ?? 1 I I '? t 1G' F :: tial I a r a, ! is ! 4 - c tit{. , I I POLICE TRAFFIC COLLISION REPORT DJC TRAFFICWAr ,Dl acoMn.HHt NUMeEa PRIVATE WAY OAf F _ IMf 3 8/ >us.:. S yr. IVS[i rIOV91 I? I R .'N. I 3d COVNIY /f? ? .TEF F c• COUNtY / j"? CrvNp {NWA QUxILIN U+AL O ?1 0 c oR rowN oo srR[lroRncnwwr MILES Ow ofC/.. 7/jCLJ.o?! ON {a cys. ?i _Klg .1 INIF95FCEINO MYIn: Sr9f[r 09 ROAD NONrNEFRtEC1gN PRe{I% mIIF PDSr '?? e[rwnN - 72=.2 r! v.Y e55 l?i eer Dr f , M .C90535rvFfr 9NFARES mII ACCIDENT . 3Q DIA RAM- T , p rants H e F MILEAGE J Fen N O CODE COLUSION fOrwlINVOLV[D fRlrv: // ? NO NO SItLFD?NO rN1Vi[D?E? ?SPILUDL nrr69UN r, A D'?.R [fr 9ROA009 REiRM.! O 90 J CvO355i9Eff ?? 9 lil O{YtNICI[S aJ CP-.1DAMAGtONIY ?YESUIrED Ovf?itlf ? {{ ]] C. •,1 0 9 OelFCiS UC%INAMF Of Oe.tCt SrRUCSN DOYNt9'SNANff ?F?(S?yp EsEpAMAO[ SvECMI CODING Ef UNIT NO. I UNIT NO.2 ? VEHICLE ? PEDESTRIAN ? PEDALCYCLIST -?1 3 N[v' 1: Wr r r MIDDLE D9IVE9'S NAME: It I - AU am SERf[t ADDRt o?/L s T [r wDpP 5 ! IIV 1 ENO t/ L - t /A fs37? 765338° D R SA1 zIp ,.? ...- sueeN N N V SG DG surz 4J MD D..' I "r. I V I LIC(NU W. A eI n Mp' OC<UPArrOH mHAMEa PnONe N/OJ S rOnr IO11 Sc1? R Co, STiiG%/o. J U E R UPA— M-. PNONf NO. ens IONr IRgnt (] CHECK (?) v[Nrtt A ANf rt wworN o ? (.1) 11 V(wel[AS AN tMrioreta. yd CODES ?' 7 ?,wu s N e t",°rin'c'c`L - :in rite .11 CODES * 7 n u s [%croN a s.N1Ory 'c f?snw 5 - T+ IN lNIES 9 ? .MA . K[ FA9 AMSI r o egl. ? ?:Ka o ?4; DARI E wwrn;, OM ? M,m.Nn o ?,ll ? zsm. ? w T, ? N My _ I nt .I B <? I NOVSIYI -R- rv.l L Al I S-/O tJ. E Y 1 n V. Ito 1 VA) I 1 x Jr n. a En .J g sw umw awre NC sw r1 - Al H I C v TE Illy A - VlnKlt lDtNtllrGiKN NO. ?c6s/I?IE 81 o Gs v L l r N r I Is vtorsrtREDOwNU. IASI nnr Mloal ?C Aop % rl,oNe NO W I wY+e: rusr mI - nuar asrfe / ? S G oLl ?? S/c N E , NU CO o+ E? S `'? R u NAMtswz;9725 /O n DAMADt NIA ' en.+De eHA+ EjAMAGe ARrA S , I ? r • RID. DAM 4 Iet D N.1 AAWAY" ? t9rI?N 1 o RIMUNIO ?A Y ?vW.uHtO 10 aOrtOr rornulr / S roMto S AWAY Aw r er: DIAGRAM Of COLLISION: OESCRIPTIO OF COLLISION: rvuslsrum usv TIFFAastwvrl u ' L 'T? 6 Co T? G TT L [ _ . er r_ . _ i . / o.S ./ 1 1 -r r •- t rt - - - -- I ? :- NAME, ADDRESS 8 INJURIES OF PERSONS I NVOLVED 'CODES 1 - Z J S 6 OCCUP TS /WITNESSES 14 a°r MI' ll sa AOI iAI U u.r- '" G. ' R1tt IACi , NAmI _ C:i?rGty / J -- . .. ._ .. w s339Y AD01144 ? r ?+ y M e ? ?Kf ? "':. ? n w irg N? N Aral Axnu NAru?+ a . MavlD r. ?AMa O,T." Clw, { ? w ? r:° 1 -.__.-- .._ Nti+11 " ? ! Q' ?LI ?L"a,r ?m wvl4 wIM?WEKIl SNwmlI IANS PA W + ?I.K. p{I 1 o r Ky,? SrwrCMO ? ,?D Dwrl? 1 I FOvIDe OAtI yf? ... eEA+ r, 1 n ?. L: 5 W f.vo° , 'm I 4 0 y« d ,, q r f i .ppLpp" T 4 e ?y TRAFrI[vvnr POLICE TRAFFIC COLT:`?fe ON REPORT pIXlce NrNUMxR. n PRIVATE WAY ' R_?r9!i91u _ ^ I N "?FF N_. - Rr Tr._I,vli ,p wrf 1. !+I v ??y 1 t IYY-/ OUR1 + couNl ??/?y..? ? muNrr NO. an w. EEwA ?UReAN I D 4? l -+a+•' _ E ? 'e PAL ?. N ?f 1 518 ?' CIrOR TOWN M1tf5 ?3 ?W f,F QIJLION fa 5 , 19 ROIJi[OR 1 ?;: 1 NIERSEC11NG -N : 5TREE1 OR ROAD NON INIEVka,ON r, ev 'A BtM'f[IVJ I O I SI , V SIVFEI pRC F M4E P031 6 DI?AN { ROMR[fRN(,CROSSSIRtfI,[,+• SIMIEFp l? MtE3 S ` S"1 A ?. 5 tat / N W OI ACCIDENT CODE` RAMP RAMDAIA U510N INVOIV[0 vER Ir. HIa RUN IOrM NO NO. FRIED??NO, INJUR[D_ ?t F ?SrIXFN av[H CtFS pppRRIV OAMAG[ONIY ? ? VE C« M a 1 p Ir RRII R ''1HR .C15 W J I IRa RfHRfNJa OSSSIR[FTOR ROID/O/?, y 001lCi SraUCa INAM[OF OBIEIIIIIII ANDOWNER3 11 ERE DMAAG( S 5HO 09DINGSRC ? UNITNO. I UNITNO. Y ? VEHICLE ? PEDESTRIAN ? PEDALCYCLIST ! URNtv'S NAMf: WI F1v51 MI E DRj!g fl - [.11~ -.1 JJ v (?J?,•J3r . " - / ? 51eEtr ADDRESS 1?x 4z.G p Rt55 51Rf C1.lD a8 3sr 1.?? V1 were cnr siA,t ?9a PHONE EJR R t 51 / ? ???Q 37 v `? ? ?- ? J ? C? '? Wl, VI 0 0 DRIVIR'SU-NkN 2c.36??? sr nl e M e1RI. I A: 170 I V INk+IO a952G6y f c. fa M wlfa RlalH "° I .nZ w a:C pA S/`?'RIONF NO. ?? 5 IGXII[IGHI (CP_IlQ? LC (ZV .17w? E R C NRMN 'PHONE NO. ;79z r ? CHECK (1) 1 vtHlc :N [MVivlr ANOrHtw. L •5 C) CHECK (' "1"A N orfE ANOIHEO t ' y 5 "I"ON D ;e ?" 3 n CODES fnr a nM 4 CODES n • N a a s• v N NN n 2 s n 11 ;kT.ro .DM ? AN+ .H ! ? 9 E [3 F8- .+.,' L a D D,.a R.+ ? AN-NO ? i"° ? MR. ? U VtH rfwe FIDODOE?cH[VI - wWDfIIDA -Al E If?'A, HEV.I MODtt1DM1.NOVAI r E 1 'V 6 C 7 1 1 ? l e.'\ E ///) ((Q1/71/0 1 aB ,'??. H w ua? , ? lA, A tR HAn NO s,Art H vtH. ao - t ???? vEHKLf ttMI1 CA1RNNp. i7 Z !i2 L C Df N111A Fi3 s 6 IG6rtREDOWNER: 1161 FIRSr IppR qor PHONE NO. W D WN : 1A51 f1a5, f eDh PA- !I !L ADDRf35a CWN? ?J? CEO Jt+.C? d Z e 1 b6 /-P, NAMt aAmeESSaINwuNCE CO oe wee N, 1Jo i c R IN, N" r'h /ns aKce, ip i aw ,VIA - V v NE , CHARD , (:HARD[ O OLIF, OinMDe AGE, M[A e10. erop ! far DAAIADA fWIVIN IO ?OTlG? C] AWAY rD sift ' MNMU s DOIVEN ?RDMAMfp 151 rOwrD WAY ,E?? en SJl.fe ? er. ' WA DIAGRAM OF COLLISION: Iu N e?viraoovIH Aw•Y RIPTION OF COLLISION: IU5f$WFURENIN k4[r IF ma-RYI -JIF 40 I I n q NAME, ADDRESS 8 INJURIES OF PERSONS I NVOLVED ' CODES I - Z 3 4 5 6 6 OCCUPANTS / WI TNESSES E114a,', ;, p^„I ?? Hµ? y _ -SO _AGI IAIUS i4Ne vs1_ -MI` H- Inci R NAMI r AER»r3s Nr+er AM e ?F`LI" ?"' . ?N h.N s _. •olwEx u.vwa +MOeD1aoM? ? ? ? ? AMe a NA MI fa H rMVil3 ? r ?NxNtl3 I I+I( S?Ii,I Dr ? H ?[ + ?AUD ?[ +r ?[[?M1+? N. ?rr+Nfr D•II X v++l 1AAr+,O y,fly {+Ar,r • 01 0: •GIN(r w??r+ p4 UKI [?S J, • v?vRD D•11a.rra Mr ID Dr