Laserfiche WebLink
DATE OF COLLISION (MO. DAY YEAR) <br />07/31/2018 <br />TIME(2400) <br />1328 <br />NCIC 0 <br />9265 <br />OFFICER I.D. <br />018767 <br />NUMBER <br />9265-2018-02430 <br />WITNESS <br />ONLY <br />PASSENGER <br />ONLY <br />AGE SEX EXTENT OF INJURY( X ONE) INJURED WAS ('X' ONE) PARTY <br />NUMBER <br />SEAT <br />POS. <br />AIR <br />BAG <br />SAFETY <br />EQUIP. <br />EJECTED <br />FATAL <br />INJURY <br />SUSPECTED SERIOUS <br />INJURY <br />SUSPECTED MINOR <br />INJURY <br />POSSIBLE <br />INJURY DRIVER PASS. FED. BICYCLIST OTHER <br /># 65 M X X I I M G 0 <br />NAME / D.O.B. I ADDRESS <br />SIDNEY LEE LINDSEY (10/10/1952) 616 PLACER AVE MAN'FECA CA 95336 <br />TELEPHONE <br />(209)401-8596 <br />(INJURED ONLY) TRANSPORTED BY: <br />REFUSED <br />EMS RUN NUMBER TAKEN <br />REFUSED <br />TO: <br />DESCRIBE INJURIES: CUT TO TOP OF HEAD <br />VICTIM OF VIOLENT CRIME NOTIFIED <br /># 59 M X X 2 1 P G 0 <br />NAME! D.O.B. (ADDRESS <br />RAMIRO RUBIO FLORES (07/17/1959) 412 C ST WATERFORD CA 95386 <br />TELEPHONE <br />UNKNOWN <br />(INJURED ONLY) TRANSPORTED BY: <br />AMR <br />EMS RUN NUMBER <br />287125 <br />TAKEN <br />SAN <br />TO: <br />JOAQUIN GENERAL HOSPITAL <br />DESCRIBE INJURIES: CUTS TO LEVI' ARM <br />VICTIM OF VIOLENT CRIME NOTIFIED <br /># <br />NAME! D.O.B. (ADDRESS TELEPHONE <br />(INJURED ONLY) TRANSPORTED BY: EMS RUN NUMBER TAKEN TO: <br />DESCRIBE INJURIES: <br />VICTIM OF VIOLENT CRIME NOTIFIED <br /># <br />NAME I D.O.B. / ADDRESS TELEPHONE <br />(INJURED ONLY) TRANSPORTED BY: EMS RUN NUMBER TAKEN TO: <br />DESCRIBE INJURIES: <br />VICTIM OF VIOLENT CRIME NOTIFIED <br /># I <br />I I <br /> LIILILI <br />NAME! D.O.B. (ADDRESS TELEPHONE <br />(INJURED ONLY) TRANSPORTED BY: EMS RUN NUMBER TAKEN TO: <br />DESCRIBE INJURIES: <br />LI VICTIM OF VIOLENT CRIME NOTIFIED <br /># <br />NAME / D.O.B. (ADDRESS TELEPHONE <br />(INJURED ONLY) TRANSPORTED BY: EMS RUN NUMBER TAKEN TO: <br />DESCRIBE INJURIES: <br />VICTIM OF VIOLENT CRIME NOTIFIED <br />PREPARER'S NAME <br />ZACIIA RI' ,I VOSII <br />I.D. NUMBER <br />018767 <br />MO. DAY YEAR <br />07/31/2018 <br />REVIEWER'S NAME <br />J. '1'. JORDAN 015408 <br />MO. DAY YEAR <br />08/13/2018 <br />AN INTERNATIONALLY ACCREDITED AUtNt, <br />STATE OF CALIFORNIA <br />DEPARTMENT OF CALIFORNIA HIGHWAY PATROL <br />INJURED / WITNESSES / PASSENGERS** PAGE 3 003