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Fatal Crash Report

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Crash #2004380077 Crash #2004380077
Fatalities 1
State NORTH DAKOTA
County WALSH
City
Date Oct. 26, 2004
Time 3:56 p.m.
Location(48.5286389, -97.6447306) - Fatality Map - Google Maps
Street Name 1 COUNTY ROAD 9
Street Name 2 COUNTY ROAD 12
WeatherClear
Number of Vehicles 0
Number of Vehicles in Transport 2
Number of Parked Vehicles 0
Number of Persons in Motor Vehicles 2
Number of Persons in Motor Vehicles in Transport 0
Number of Persons in Parked Vehicles 2
Number of Nonmotorists 0
Route Signing County
Rural / Urban Rural
Functional System Local
Road Owner Unknown
National Highway System Not in the National Highway System
Special Jurisdiction No Special Jurisdiction (Includes National Forests Since 2008)
Milepoint 0
First Harmful Event Motor Vehicle In-Transport
Manner of Collision Angle
At Intersection No
Relation to Junction Intersection
Type of Intersection Not Reported
Relation to Road On Roadway
Work Zone None
Light Condition Daylight
Atmospheric Condition Clear
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 16
EMS Notified Minute 0
EMS Arrived Hour 16
EMS Arrived Minute 19
Arrived At Hospital Hour 16
Arrived at Hospital Minute 58
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 46 year(s) old
SexMale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeverityFatal Injury (K)
Seating PositionFront Seat, Left Side (Driver's Side)
Restraint System UseNone Used/Not Applicable
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Deployed
EjectionTotally Ejected
Ejection PathThrough Side Window
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementYes (Alcohol Involved)
Alcohol Test GivenNot Reported
Alcohol Test TypeBlood Test
Alcohol Test Result0.23
Police Reported Drug InvolvementYes (Drugs Involved)
Drug TestedNot Reported
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteDied at Scene
Month of DeathOctober
Day of Death26
Year of Death2004
Hour of Death15
Minute of Death59
Lag Hours0
Lag Minutes3
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkUnknown
HispanicNon-Hispanic
Race White
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Person #1 in Vehicle #2 Person #1 in Vehicle #2
Age 32 year(s) old
SexFemale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeveritySuspected Serious Injury (A)
Seating PositionFront Seat, Left Side (Driver's Side)
Restraint System UseNone Used/Not Applicable
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedDeployed - Front
EjectionPartially Ejected
Ejection PathThrough Side Window
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenNot Reported
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedNot Reported
Transported To Medical Facility ByTransported Unknown Source
Died En RouteNot Applicable
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNot Aplicable
HispanicNot a Fatality (Not Applicable)
Race Not a Fatality (Not Applicable)
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Moving Vehicles

Vehicle #1 Vehicle #1
Fatalities 1
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Ford
Body Type Light Pickup
NCSA Model 471
Registration State North Dakota
Registered Vehicle Owner Driver (in This Crash) Not Registered Owner (Other Private Owner)
VIN 1FTCR10T8JUB
Model Year 1988
VPIC Make ID None
VPIC Model ID None
VPIC Body Class Unknown
Body Class Unknown
Lower Weight Rating Not Reported
Upper Weight Rating Not Reported
Vehicle Trailing No Trailers
Jackknife Not an Articulated Vehicle
Motor Carrier ID 0.0
Vehicle Configuration Not Applicable
Cargo Body Type Not Applicable
Bus Use Not a Bus
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Speed Limit 55
Travel Speed Unknown
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location Unknown
Initial Contact Point 1 O'Clock
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Motor Vehicle In-Transport
Fire Occurence True
Driver Drinking Drinking
Driver Present Driver Present
Drivers License State Florida
Driver Zip Code 32210
Non CDL License Type Not Licensed
Non CDL License Status Not Licensed
CDL License Status No Commercial Driver's License (CDL)
CDL Endorsements No Endorsements Required for This Vehicle
License Compliance With Class of Vehicle Not Licensed
Compliance with LIcense Restrictions No Restrictions or Not Applicable
Driver Height 74
Driver Weight 999
Previous Recorded Crashes 0
Previous BAC Suspensions (Underage) None
Previous BAC Suspensions None
Previous Other Suspensions None
Previous DWI 0
Previous Speeding Convictions 0
Previous Other Moving Violations 0
Month of Oldest Violation No Record
Year of Oldest Violation 0
Month of Newest Violation No Record
Year of Newest Violation 0
Speeding Related No
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Two Lanes
Roadway Alignment Straight
Roadway Grade Level
Roadway Surface Type Blacktop, Bituminous, or Asphalt
Roadway Surface Condition Dry
Traffic Control Device Stop Sign
Traffic Control Device Functioning Device Functioning Properly
Pre Event Movement Unknown
Critical Precrash Event OTHER Unknown
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Precrash Stability Unknown
Pre-impact Location Unknown
Crash Type CATEGORY VI: MISCELLANEOUS - Other Crash Type
Driver Related Factor Under the Influence of Alcohol, Drugs, or Medication (2003-2009)
Driver Related Factor Failure to Obey Actual Traffic Signs, Traffic Control Devices or Traffic Officers, Failure to Observe Safety Zone Traffic Laws
Damaged Areas 1 O'Clock
Driver Impaired Under the Influence of Alcohol, Drugs, or
Vehicle Event 1 Motor Vehicle In-Transport
Vehicle Event 2 Cross Median
Vehicle Event 3 Ran off Road - Left
Vehicle Event 4 Fire/Explosion
Vehicle Event 5 Unknown/Reported as Unknown (Since 2018)
Vehicle Event 6 Unknown/Reported as Unknown (Since 2018)
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Vehicle #2 Vehicle #2
Fatalities 0
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Buick/Opel
Body Type 4-Door Sedan/Hardtop
NCSA Model 3
Registration State North Dakota
Registered Vehicle Owner Driver (in This Crash) Not Registered Owner (Other Private Owner)
VIN 1G4CW53L6M17
Model Year 1991
VPIC Make ID None
VPIC Model ID None
VPIC Body Class Unknown
Body Class Unknown
Lower Weight Rating Not Reported
Upper Weight Rating Not Reported
Vehicle Trailing No Trailers
Jackknife Not an Articulated Vehicle
Motor Carrier ID 0.0
Vehicle Configuration Not Applicable
Cargo Body Type Not Applicable
Bus Use Not a Bus
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Speed Limit 55
Travel Speed Unknown
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location Unknown
Initial Contact Point 12 O'Clock
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Motor Vehicle In-Transport
Fire Occurence False
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State North Dakota
Driver Zip Code 58243
Non CDL License Type Full Driver License
Non CDL License Status Valid
CDL License Status No Commercial Driver's License (CDL)
CDL Endorsements No Endorsements Required for This Vehicle
License Compliance With Class of Vehicle Valid License for This Class Vehicle
Compliance with LIcense Restrictions Restrictions, Compliance Unknown
Driver Height 66
Driver Weight 140
Previous Recorded Crashes 0
Previous BAC Suspensions (Underage) None
Previous BAC Suspensions None
Previous Other Suspensions None
Previous DWI 0
Previous Speeding Convictions 0
Previous Other Moving Violations 0
Month of Oldest Violation No Record
Year of Oldest Violation 0
Month of Newest Violation No Record
Year of Newest Violation 0
Speeding Related No
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Two Lanes
Roadway Alignment Straight
Roadway Grade Level
Roadway Surface Type Blacktop, Bituminous, or Asphalt
Roadway Surface Condition Dry
Traffic Control Device Stop Sign
Traffic Control Device Functioning Device Functioning Properly
Pre Event Movement Unknown
Critical Precrash Event OTHER Unknown
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Precrash Stability Unknown
Pre-impact Location Unknown
Crash Type CATEGORY VI: MISCELLANEOUS - Other Crash Type
Damaged Areas 12 O'Clock
Vehicle Event 1 Motor Vehicle In-Transport
Vehicle Event 2 Ran off Road - Right
Vehicle Event 3 Unknown/Reported as Unknown (Since 2018)
Vehicle Event 4 Unknown/Reported as Unknown (Since 2018)
Vehicle Event 5 Unknown/Reported as Unknown (Since 2018)
Vehicle Event 6 Unknown/Reported as Unknown (Since 2018)
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