cantelmi incident report redacted
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J COMMONWEALTH OF PENNSYLVANIAPOLICE CRASH REPORTING FORMCase Closed Reportable Crash
AA500 1 mY-s (g>Jo Ye s OMO Crash Number1P0817660PcA
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Badge Number Approval Date - M ' . l - D D - V Y Y ' i iAT- TJtM^s Px&,& - 2 - f
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County Name / Municipality Municipality Name Day o_f WeeiHce--nVV\?Tt; 3 o i C . , > Y cP -&m-\ uehe \Crash Date (MM-DD-vm, Crash Time ^/' No of Units People Injured Killed* 'If > CO 2- 0 H - 2. 0 "l o ici02. j j j.
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J COMMONWEALTH OFPENNSYLVANIAPOLICE CRASH REPORTING FORMA A 500 2 Page:
Crash Number
Qoo&oft P0817660
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JCOMMONWEALTH OF PENNSYLVANIA Crash Number ~iA A 500 3
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Moto r c y c l e PassengerO S - S e c o n d Row - Middle Poli t icrer 06=Sccond Row - Right SideR rtFemale 07=Th,ic 1 Ro w Cr Grwter -M=Male Left SldoU -Unknown 08=Thi rd Row Or Greater -Middle Posit ion09 = Third Row Cr Gre.i ter -Right S deInjury Severity: 10=$leeper Section of TrucU.ibf~ 0=Not Injured I l=ln Other Enc losed*- =Ki led Passenger Cr Cargo Area2 = M d j o r Injury 12=ln O p e n A re a3 = M o d e r a t e 'Back Of Pickup, Etc /Injury 13=Tr,nling Unit4=Minor Injury 14a=Riding On Vehicle Exterior8=lnjury, Un k 15=Bus PassengerSever i t y 98=0ther9 = U n k n o w n if 99=Unknown
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iti-tv Fqui/xnent O n e :t OU=None Used / Not ApplicableOt=Shoulder Bel t Uwd02=Lap Belt UsedOj=Lap And Shou'der Belt UsediM=Child S a f e ty Seat Ud05=Motorcyc !e Helmet Usedn 06=Bicvc ie Heliret Uied!0=S,ifety Bel ! Uied Improperlyi UChi d S r t T c t y Seat Used linpropei v12=He!met Used Improperly90=Rc-stramt Used, Type Unh'.ovnJ9=Unknc ' .vn
F (K=nor,e Used / Not AppI c.tbleO I = F ron t ArB og Deployed (For This iO ide Ai r B , - . i ] Deployed 'For This S P03=0th?r Type A r 8.;r) Cep. 'oyedC4^Mijlt pie A ir S jqs D ep l o yed05=Motorcyc!e Ev e Protection06=Bicyclist Wearng Elbow/Knee/Pads1 0=Air B a g Mo t Dep loyed, Sw i t c h Cn1 1=Aif B ag ,"Jot D e o i oy e d , S'.vi tc ' i Oi1 2=A . ' Biig Not D ep l o yed .Un k Swi tch S et t ing13=Air Ba g Removed (Prior To Crash)19 =U nk r ov v n I f Air B ag Dep loyed99=Ur.knovvn
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FORM A A - 5 0 0 (12/02) PENNDOT COPY
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J COMMONWEALTH OF PENNSYLVANIAAA 500 4
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1 1=No AdverseCond i t i ons2=Rain
C 0=Dp/1=Wet
c* 5 D 08176602=Head On3=Rear to Rea(Backing)
4=Angle 6-Sideswipe 8=Hit Pedestrian5= Sideswipe (Opposite Direction)(Same Direction) 7=Hit Fixed Object 9-Other/Unknown3=Median 5-Outside Traffiavay 7=Gcre (Ramp In tersec t ion)4=Roadside G=ln Parking Lane 9=Unknown3=Dark - Street 5 - -Dawn 8'OlherL9nts 6--Dark Unknown4-Dusk Roadway L ight ing3=Sleet (Hail)4 = S now
5=Fog 7- Sleet & Fog S^Unknown6=Rain & Fog 8=Other
2-Sand. Mud. D rt, a-stirch 6=lce Patches s-DihorOil3=Snow C ov e rH a r m E v e n t L/R M o s t ? Utility Pole Number
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J COMMONWEALTH OF PENNSYLVANIAPOLICE CRASH REPORTING FORMA A 5 0 0 5 P a g e
Crash Number 1P0817660
Witness Name Address P h o n e
Narrative andadditional witnesses: /SdT ^idftcident Investigation Notification Issued? CD Property Damage CDyz^~7Q THAT i( 0 A
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J COMMONWEALTH OF .'ENNSYLVAAJIAPOLICE CRASH REPORTING FORMAA500N Page
f lewChange/Continuation
Crash Number 1P l o ' B U l 7 l 6 | g o iNarrative and additional wi t ne sse s :
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fOIIM AA- 5 0 0 N (12/02) ."ENNDOT C OP Y
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Auxiliary Witness and Narrative
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i COMMONWEALTH OFPENNSYLVANIAPOLICE CRASH REPORTING FORM
AA500N 0700(.-7 07Page N ew Crash Number 1
.ontinuationNarrative an d additional w i tnesses : AJ
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SUPPLEMENTAL REPORT- OFFENSE Page 1 of 1Classification Control #
Code 57 07006707Offense LocationHellertown Rd @ Sfaimersville Rd
Date09 Feb 07 OfficerlatarolaO f f e n s e Date:04 Feb 07
Badge #321
Processing LocationSame Processing Date:SameDate Assigned: Investigator: A rrest #:
This Investigator was contacted at h o m e and requested to respond to a scene of acollision which involved tw o vehicles one of which was a Police Cruiser. This Investigatorresponded from ho m e and reported direct ly to BPD Headquarters to retrieve the necessarycamera equipment. Upon arriving at the scene this Investigator took digital images of thecollision scene.Upon returning to BPD Headquarters the digital camera card was down loaded into th eserver and a p rop er ty sheet was completed for the digital camera card.
C C: File
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