2 0 1 3 0 2 0 5 0 7 2 - e-gov link...1 2 1 0 1 9 7 1 41 m 1 1 0 0 0 0 2 0 5 1 9 8 6 27 f...

Unit #2 was stopped in traffic northbound on Kings Island

Drive south of the south entrance. Unit #1 was travelling

northbound on Kings Island Drive approaching unit #2, failed

to assure a clear distance ahead, and struck unit #2 in the

rear.

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0 1 Nunez, Ruben,

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American Family 00946107305

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2634 Putters Lane, Indianapolis IN, 46222

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Chevrolet Trailblazer

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First Acceptance CPIN000000392

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3961 Hoosier Woods Court, Anderson IN, 46013

765-623-2403 (H)

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3961 Hoosier Woods Court, Anderson, IN, 46013

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Sigler, Amber, Renee

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2728 Embassy Row, Indianapolis, IN, 46224


Valdez, Claudia,

Alvarado, Mayra,

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Alvarado, Ricardo,

Alvarado, Estefany,

Valdez, Christopher,

Duran, Enrique,





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Sigler, Ashtin, Wayne

3961 Hoosier Woods Court, Indianapolis, IN, 46013

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LOCAL

REPORT

NUMBER

IN COUNTY OF

OHIO TRAFFIC ACCIDENT - DIAGRAM/NARRATIVE CONTINUATION OH - 2

REPORTING

AGENCY

ACCIDENT

LOCATION

DATE OF ACCIDENT

M |D |Y2013020507

6500 Kings Island Drive Mason OH 45040

City of Mason Police Department 07 20 2013

Warren

HSY 7002 1/82

BADGE NUMBEROFFICER'S SIGNATURE

X


OHIO TRAFFIC ACCIDENT - DIAGRAM/NARRATIVE CONTINUATION OH - 2

LOCAL

REPORT

NUMBER

IN COUNTY OF

REPORTING

AGENCY

DATE OF ACCIDENT

M |D |Y

ACCIDENT

LOCATION 6500 Kings Island Drive Mason OH 45040

City of Mason Police Department 07 20 20132013020507

Warren

Narrative by: Police Officer Eric Fitzgerald

Date & Time 7/24/2013 12:56:00PM

Unit #2 was stopped in traffic northbound on Kings Island Drive south of the south entrance . Unit #1 was travelling northbound

on Kings Island Drive approaching unit #2, failed to assure a clear distance ahead, and struck unit #2 in the rear.

HSY 7002 1/82 TAFormSingle_v2 06/05/13

OFFICER'S SIGNATURE

X

BADGE NUMBER

OHIO TRAFFIC ACCIDENT - STATEMENT CONTINUATION

REPORTING

AGENCY Mason Police Department

LOCAL

REPORT

NUMBER

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