Florida Highway Patrol

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Florida Highway Patrol

FLORIDA HIGHWAY PATROL MEDIA RELEASE TROOP – L

01/19/15 9:35 AM CR 510 and Michael Creek Circle Indian River DATE TIME PM LOCATION OF INCIDENT COUNTY

ALCOHOL RELATED? Yes No X VEHICLE # 1 2011 Honda CRV $ 1800.00 SEATBELT IN USE? Yes No YEAR MAKE MODEL DAMAGE RELATIVE NOTIFIED? Yes No DRIVER: Martha Clapp Moore 65 Vero Beach, FL NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL N/A HOSPITAL PASSENGER: N/A NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HELMET: DR. PASS. N/A HOSPITAL RELATIVE NOTIFIED? Yes No

ALCOHOL RELATED? Yes No Pend VEHICLE # 2 2007 Honda VTX 1800C $ 2700.00 SEATBELT IN USE? Yes No YEAR MAKE MODEL DAMAGE RELATIVE NOTIFIED? Yes X No DRIVER: Eric Jason Mullen 41 Palm Bay, FL NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL X FATAL Holmes Medical Center HOSPITAL PASSENGER: Bryce Aerick Mullen 13 Palm Bay, FL NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL Arnold Palmer SEATBELT IN USE? Yes No HELMET: DR. PASS. N/A HOSPITAL RELATIVE NOTIFIED? Yes X No

PEDESTRIAN: NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL ALCOHOL RELATED? Yes No Pend RELATIVE NOTIFIED? Yes No HOSPITAL

CHARGES: Pending

NARRATIVE: V-1 was southbound on Michael Creek Circle, stopped for a stop sign. V-2 was westbound on County Road 510. The driver of V-2 was not wearing a helmet; however the passenger was wearing a helmet. Due to traffic in the right westbound turn lane of County Road 510 to Michael Creek Circle, the driver of V-1 was unable to see V-2 approaching. V-1 proceeded to make a left turn onto County Road 510 to proceed eastbound, directly into the path of V-2. V-2 struck the left side of V-1 with its front. The occupants were air lifted to the above listed hospitals. The cause of the crash remains under investigation.

Trooper Oneyear Corporal White CRASH INVESTIGATOR HOMICIDE INVESTIGATOR Sergeant Mark Wysocky N/A REVIEWED BY CASE NUMBER

PAGE 1 OF 1 PAGES AM REV 3/06 FLORIDA HIGHWAY PATROL MEDIA RELEASE TROOP – L

DATE TIME PM LOCATION OF INCIDENT COUNTY

ALCOHOL RELATED Yes No Pend VEHICLE # $ SEATBELT IN USE? Yes No YEAR MAKE MODEL DAMAGE RELATIVE NOTIFIED Yes No DRIVER: NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL HOSPITAL PASSENGER: NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HELMET: DR. PASS. N/A HOSPITAL RELATIVE NOTIFIED? Yes No

ALCOHOL RELATED Yes No Pend VEHICLE # $ SEATBELT IN USE? Yes No YEAR MAKE MODEL DAMAGE RELATIVE NOTIFIED Yes No DRIVER: NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL HOSPITAL PASSENGER: NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HELMET: DR. PASS. N/A HOSPITAL RELATIVE NOTIFIED? Yes No

ALCOHOL RELATED Yes No Pend VEHICLE # $ SEATBELT IN USE? Yes No YEAR MAKE MODEL DAMAGE RELATIVE NOTIFIED Yes No DRIVER: NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL HOSPITAL PASSENGER: NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HELMET: DR. PASS. N/A HOSPITAL RELATIVE NOTIFIED? Yes No

ALCOHOL RELATED Yes No Pend VEHICLE # $ SEATBELT IN USE? Yes No YEAR MAKE MODEL DAMAGE RELATIVE NOTIFIED Yes No DRIVER: NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL HOSPITAL PASSENGER: NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HELMET: DR. PASS. N/A HOSPITAL RELATIVE NOTIFIED? Yes No

CRASH INVESTIGATOR HOMICIDE INVESTIGATOR

REVIEWED BY CASE NUMBER

PAGE OF PAGES ADDITIONAL PASSENGER SECTION VEH# PASS#

REV 3/06 FLORIDA HIGHWAY PATROL MEDIA RELEASE TROOP – L

NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No

VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No

VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No

VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No

VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No

VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No

VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No

VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No

VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No

VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No

VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No

VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No

PAGE OF PAGES

REV 3/06

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