<p> FLORIDA HIGHWAY PATROL MEDIA RELEASE TROOP – L</p><p>01/19/15 9:35 AM CR 510 and Michael Creek Circle Indian River DATE TIME PM LOCATION OF INCIDENT COUNTY</p><p>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 </p><p>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 </p><p>PEDESTRIAN: NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL ALCOHOL RELATED? Yes No Pend RELATIVE NOTIFIED? Yes No HOSPITAL </p><p>CHARGES: Pending</p><p>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.</p><p>Trooper Oneyear Corporal White CRASH INVESTIGATOR HOMICIDE INVESTIGATOR Sergeant Mark Wysocky N/A REVIEWED BY CASE NUMBER</p><p>PAGE 1 OF 1 PAGES AM REV 3/06 FLORIDA HIGHWAY PATROL MEDIA RELEASE TROOP – L</p><p>DATE TIME PM LOCATION OF INCIDENT COUNTY</p><p>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 </p><p>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 </p><p>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 </p><p>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 </p><p>CRASH INVESTIGATOR HOMICIDE INVESTIGATOR</p><p>REVIEWED BY CASE NUMBER</p><p>PAGE OF PAGES ADDITIONAL PASSENGER SECTION VEH# PASS# </p><p>REV 3/06 FLORIDA HIGHWAY PATROL MEDIA RELEASE TROOP – L</p><p>NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No </p><p>VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No </p><p>VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No </p><p>VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No </p><p>VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No </p><p>VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No </p><p>VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No </p><p>VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No </p><p>VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No </p><p>VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No </p><p>VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No </p><p>VEH# PASS# NAME AGE CITY / STATE OF RESIDENCE INJURIES: NONE MINOR SERIOUS CRITICAL FATAL SEATBELT IN USE? Yes No HOSPITAL RELATIVE NOTIFIED? Yes No </p><p>PAGE OF PAGES</p><p>REV 3/06 </p>