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I - <br /> THE FOLLOVIAPa INFORMATION IS REQUIRED FOR ALL ACCIDENTS <br /> INDICATE BY DIAGRAM WHAT HAPPENED I Agefty Cu.No. <br /> CFS24.4355 <br /> 01 aver.bp 4regnearring <br /> '19•16-666 666.61/4"6666r166**104''''AIMBIEN3MM 6 66**" 'MI6 0 0 <br /> -res Car kke carets ITT* no <br /> • *411**•HSH- e**I•m&aw- <br /> 3* . <br /> • <br /> " <br /> Mir • I <br /> 1 <br /> - - <br /> Or <br /> ,,- <br /> „ <br /> r <br /> .s tt ® > ,i3 c., ,1 sweet - • <br /> , . <br /> DESCRIPMON WAGES:ENT SPEEDOS OFFICEIt'S INVESTEATION <br /> - • Itt WAS WESTBOUND Ott HIGHWAY 30 PATROLLING FOR THE HALL COINITY SHERIFFS OFFICE JUST WEST OF SCHAUPSVILLE ROAD <br /> • 1., 12 Petanta WAS ersto4D VEHICLE*"AND TRAVELING WIESTITOUNDINt IIIGHINAT 30 VEHICLE 4t OBSERVED A TRAFFIC <br /> P iin ttIT IRS BRAVES AND PULLED ONTO THE AESTI3MARD SHOULDER VEHICLES"-MACE A U-TURN FROM THESHOULDER TO GO EAST <br /> A TRAFFIC VIOLATOR VEHICLE-al ADVISED SAW VEHICLE BEHINIIHIPA■tTESTMOED Pie imp-ENOUGHROOM TO CONDUCT U-IURIII <br /> r.. CLE WAS LIKELY WITNESS*2 VEIRCIES2 oases:Iwo THE BRAKES OF VEHICLE**,SAW IT PULL OIRTO SHOULDER AND TtENMAKEAM <br /> intmeovcra U-TURN. VEHICLE SI ADVISED.THAT Hat WAS RARELY ABLE TO HETIMIERAKES(*SLOW°DAMS PRIOR TO STRIKING VEMCLE W. <br /> : '0- //2 ADVISED HE tWI SEE/4 FOLLOWING VEHICLE al SIN=ALLA AND WAS nrceviatme arnioa3wasX6541 wmpes*I Aeons) <br /> HAT SHEARS E.ASITIOLIND WTI/A CAR IN FROM'Of HER AVG)A CAR WRACK OF HER TRAVELING 60 MPH.THE THIRD VEHICLE{SPEEDING) <br /> L'"HER AND THE VEHICLE IN FRONT OF <br /> • OWNER*MME Awnless Mutt Ailmali Ceuelrep <br /> , <br /> ii <br /> • °ELECT OPSAAGED OTHER NAME ADDRESS PHONE Anhox Coe of Damage <br /> 0' <br /> NAME <br /> ADDRESS <br /> RHONE <br /> * • ADDISON L OESTOSETRi AVE,HARTHETOR NE <br /> (402)840-010 <br /> •.......... <br /> --_- <br /> , TOME <br /> ADDRESS <br /> PHONE <br /> .... <br /> * • •-' CHRMAITS TEMPE AVE,GRPED ISLAND,NE Siat02 <br /> (306)366-6316 <br /> veneu*mann' pour OF INIPACTAND AREAS OEPTOTEO RESTRAINT irle "Dm. 1., we;.T---- <br /> BEFORECOLLISION MOST DAMAGED AREA Vele*t Vehicle 1 00Evemes I • 2 • <br /> i ROADOR (EatetimanberS kr tech veNde) MIIIIIIIIIIIIIIMIIM ••111111.1 AUCOPIOL Diver Red** <br /> N S E E e rName <br /> TESTING 10%1 NCR 2 tract <br /> anon /PAWS VEISCLE 1 VENOCLES yr-1 Y Fr va <br /> 1411111111., notaters) POWITOF PONT OF!NI MSS.a II 111111111 MIME Ella MIMI rEsreo Ng lipr N <br /> S4Ph.CT 0 g IMPACT <br /> 0(P. 2 0,01,42 so) 2 Lap andebreirlsreel rued <br /> a'Twnhig la al HOST 50ephyeS-belheterleht SSOckeler OS Tat eleci MAC LEwl <br /> Brill' AREA itt2N s mar AppOtatlee 41*****ly Hal <br /> sassia**Het*••••I OLCOHOIJ 4 -.....i <br /> 11104:teataler Mt ant DROSS 1 <br /> seekers <br /> 7 DOT opcomethabee tee. SUSPECTED <br /> *aye ahead „Nem 02 03_,St a tv**41:71 <br /> co Usavice DEI rep NW <br /> ttablItt boa <br /> a RIVOI111114.0 telltlimin <br /> t ttedem atohal mortgage <br /> •..thavim sin to Pasta 10 us***** al Vehicle 2 Von**2 saiteeckel <br /> • "am"or II Tote feesces4 <br /> samilim 111111111111111111111111111 zra *mu Inagrectad <br /> 3 Tea etecceopeged <br /> owes ie eye. 12°fr. OS 07 OS <br /> 4 Ter-alcohe end dew <br /> i Penile <br /> .1111111 111.111111111 <br /> _ <br /> u Other <br /> =mescal <br /> 131Jahsee 1 <br /> S Unkewas <br /> — ses... ilia <br /> IMP' VERMUSCONT <br /> Meteenighe 47r, <br /> 016 <br /> itt 41 Pia.P TREOP E <br /> 'Moil? <br />