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Nato of NokssI s <br /> TraCS 3389 Invest!•ator's Motor Vehicle Accident Re••rt Oleo 1 a 6 <br /> TOM "-"No./Dada AYNK.yGwXo XI &RLYY/ INVESTIGAT]ONDMOEAT _ L <br /> vaMUes'f 0F324.4355 Yes ( Io © .sca:.'i Yes 0NO 0. 1 <br /> PATE OF MM/00/YYYV <br /> S M 7 W TH- F S pnAeM'7frae) STATEUSE�Y <br /> ACp QENT 09/07/2018 ❑ ❑ ❑ ❑ ❑ ❑ T OF ACCIDENT 15:00 ,4 <br /> w as <br /> _9 <br /> PLACE 09/07129.18 <br /> HALL POLICE ROMEO 95:1x' <br /> ACCIDENT <br /> CITY -. PRIVATE PROPERTY? Yes 0 No O <br /> ia RDADONYRDCM sSREET/ <br /> ADCIorwrODWRRLW NOWAY NO HIGHWAY 30 IONE-WAY SREET/ Yes 0 NO ® , •. <br /> . T <br /> 11111 ONITANCE FROM FEET a• MILEPOST GXNVNO ! <br /> MUPOST m ■ -M53471 <br /> 311 <br /> ' •AF INTERSECTION S•NOT AT MI#WECIION <br /> 1 �I °�� '�"-' � i� �yi R r <br /> U LF LrJ <br /> SCHAUPSYILLE RD <br /> d _ aril)a 8 cttY MC/DRIVER <br /> [�RTC-�q R2 RS Ri S � l-,JL,...i � EatieEie � .. <br /> z TOW C00E4 LJ coots <br /> VEHICLE WE 1 <br /> DRNBt <br /> I LIC@f8E H13T9M4M4 STATE <br /> NE <br /> SEX ,. - <br /> • SLAKE W (907)521.60fl <br /> CNQW AODRT$S,DTP,STATE,m I DATE OF 103/31!1993 v+n <br /> 1021 S EUGENE ST,GRAND ISLAND,NE 68801 STN I 18 <br /> DINER PI!ONti ha-N9. <br /> HALT_COUNTY SHERIFF (3081385 5200 <br /> 14 22 <br /> D OSIER AOOREOS.CITY.STATE,DP 'CITATION fp'ES 'CITATION HD. <br /> 2 111 PUBLIC SAFETY DR,GRAND ISLAND,NE 68801 •PeNaao ®xo Vtn <br /> UCENSE <br /> aPLATE Oc •. 40453 YEAR 2018 a NE 18 <br /> MEAN : . .MAKE YeMQE MODEL SCOT STATE ESTIMATED DAMAGE iiii <br /> 1e FORD TAURUS INT DOOR SEDANr BLACK ®TOTALED $13,000.00 <br /> Ma NO..C 1FAHP2MK8GG119363 INURMA <br /> la <br /> 4 TOV.E0 TO �roWEa ST ADICY No. AI <br /> GRAND ISLAND UWTO ASSIST IN-1918-8 65 <br /> VEHICLE NO. 2 <br /> i DRIVER <br /> Tem <br /> 1 LICENSE . G08043822 I(0fSuoe <br /> ATE ) NE SEX O <br /> aDRIVER PHOPIE --- Na <br /> PEARSON,JASON J {308)380-9863 <br /> WNW ADDRESS,CRY.STATE.ZIP DATE or <br /> a211 W WIN ST WOOD RIVER,NE 688 83 BIRTH 8/1111973 TS <br /> oWaEa <br /> •EARSON,JASON J (308)380-98w �� No <br /> 01 1 ONNER ADDRESS,CRY,STATE ZIP CITATION GI YES . MICH NO. <br /> 211.MIN ST,WOOD RIVER,NE 68883 _.. - ..^...l..•PENaNG ONO van <br /> In KATE L E Mc 5-1360 YEAR <br /> w••d 2019 rc p_ NE 18• <br /> III <br /> Riail. <br /> VEH EMOOEl ... STYLE COLOR EST,MATEDDAANGE <br /> W � .FLTRUSECVO ,• ORCYCLE _ QR '( j ®TOTALED $15,000.00 <br /> MA j° 1HU1TAN93GI3988182 ARE!BUREAU PROP 3 C/F,S. <br /> •TOMEDTO �...._ P <br /> POLICY NO <br /> 09 GRAND' �AN13 -- QA8S18T .�_ ___. 1T6R8268 Injured persona <br /> _ tCD tets HAW N ae time i itatt Ned! „ ,�"+rnT""' ^i,�[.":�t � <br /> VIERS °" - e1.ANEW1en ItaleInn.atIkie.faktt_ . _ �a� <br /> T xt MFUrJi'RUZfrv'N•wFiFi'�"."—�_.,.....� :: ,a, <br /> , ,(;�.._. :c*n�IT"_. RIVERAISCUeM! <br /> versa -'Irs_" .... <br /> yypDp9! <br /> ti 1 r 2 <br /> a M <br /> a ��� t. SRt7fE[n+•it- __j�.. ._ "' Nw'TiNvmAa` -_iss <br /> -" LY--fLJST 'fH j .._ <br /> Vialb A -'- <br /> _ y A�aP -° <br /> ._ _ ... -_ ______ 1.„___ _, _`______...-. <br />