U
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I
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1
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Driver's Name - Last EICHERS |
First PENNY |
Middle SUE |
Suffix
|
City SUK RAPIDS |
State MN - Minnesota, US |
Zip 56379 |
Driver's Age 21 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Female |
State MN - Minnesota, US |
Class D - Chauffeur |
Endorsements None |
Restrictions
None |
Citation Charge Code 2
|
Citation Charge 2
|
Alcohol Test Given? 1 - None |
Drug Test Given? 1 - None |
Citation Charge Code 3
|
Citation Charge 3
|
Citation Charge Code 4
|
Citation Charge 4
|
Seating Position 01 - Front: Left Side / Motorcycle Driver |
Injury Status 4 - Possible |
Occupant Protection 2 - Shoulder and lap belt used |
Airbag Deployment 5 - Not deployed |
Airbag Switch Status 9 - Unknown |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to: LEON HOSPITAL |
Transported by: DECATUR RESCUE |
Insurance Co. Name
|
Year 1999 |
Make Mitsubishi - MITS |
Model ECLIPSE |
Style 2H |
Approximate Cost to Repair or Replace 6500 |
Initial Travel Direction 1 - North |
Vehicle Action 05 - Overtaking/passing |
Speed Limit 70 |
Point of Initial Impact 03 - Right Side |
Most Damaged Area 09 - Top |
Extent of Damage 5 - Severe, vehicle totaled |
Underride/Override 4 - Underride, compartment intrusion unknown |
Total Occupants 01 |
Traffic Controls 01 - No controls present |
Vehicle Config. 01 - Passenger car |
Cargo Body Type 01 - Not applicable |
Vehicle Defect 99 - Unknown |
Driver Condition 1 - Apparently normal |
Vision Obscured 01 - Not obscured |
Contributing Circumstances, Driver (up to 2)
|
| SEQUENCE OF EVENTS |
First Event 06 - Evasive action (swerve, panic braking, etc.) |
Second Event 03 - Ran off road, left |
Third Event
|
Fourth Event 11 - Overturn/rollover |
Most Harmful Event (by vehicle) 11 - Overturn/rollover |
Emergency Vehicle Type 1 - Not applicable |
Emergency Status 3 - Not Applicable |
Carrier Name
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City
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State
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Zip
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Number of Axles
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Gross Vehicle Weight Rating
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Placard #
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Hazardous Materials Released?
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