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harlon-carter — Part 01
Page 12
12 / 23
TRAFFIC ACCIDENT REPORT
335 570.71
Interview. And investigation
aAccibent number.
Give description of accident scene, factuat data,statements, and officers opinions, conclusions, and recommendations below:
FAcrs: reccsnro er?e dr Areewx Oooe Nds. LocrmeN AT Tne
9FP;2tx. 00/2 Naes.
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M2s AAeix.jz wioe. wiTt Aeprox.A 9 'mproveD sHivunee
Uie ON /sioe Oe t) s/s inre Te) AppRox. AI2'ekeAnte?
7AF1 aOr7eot5 - N0Ns
ZOnD COuDToNs NoNe
FXskI c3JzeTs NyouED - Nove
Wkrnhre aowOnrwy sw Oey, coou, eieJe, ntrI.
Vemeens-yeH/ woves Peror Fo Aeewne oeQt?
LocAno) - DRIU #I FOuNo Ar THe sceoe, omIuey.
Uettl Eoow0 Lymt oN HsrSek Iu Tt!e WsHourOa:R cr
tHe /B RT 51 lW$s, wrrH HeD epcNG EA5TANO F=srFAcis
PHysicAe couoron- Oeru. d) Anperlica Moe+tit, Vher: t! yNxwwis.
P55wci2s -koNnDw.e14AN, A4o1 HnzeB2k lous Bency, 52 Ys
Photos by chp
.5-
(ADDRE
Otified of accident---Date
.TIME.
NVESTIGATION TIME
TOTAL TIME
REPORTS AT STATION
TOTAL TIME
YWHOM
ROM.
REPORT
APPROVED
TYPED
..b7C
(DATE)
INITIALE)
u V U
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