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iKe>pund for Farr Collin,. Office
October 23, 2009
John W. Suthers, Esq.
State of Colorado Attorney General
1525 Sherman Street, 7th floor
Denver, CO 80203
Bruce Barker, Esq.
Weld County Attorney
Post Office Box 758
Greeley, CO 80632
Dwight D. Jones
Colorado Department of Education
Office of the Commissioner
201 East Colfax Avenue, Room 500
Denver, CO 80203
Colorado School District Self Insurance
Pool
Monica Herrera
6857 South Spruce Street
Centennial, CO 80112
Darryl Farrington, Esq.
Semple, Miller, Mooney & Farrington
1120 Lincoln Street, Suite 1308
Denver, CO 80203
Michael \\Chalunlnca'
Susie Townsend, Superintendent
Weld County School District RE -3J
99 West Broadway Street
Keenesburg, CO 80643
John Cooke
Weld County Sheriff
1950 0 Street
Greeley, CO 80631
Weld County Board of Commissioners
Bill Garcia
Sean Conway
David Long
Barbara Kirkmeyer
Douglas Rademacher
915 Tenth Street
Greeley CO 80632
Sgt. Dave Mathis, Manager
Weld County Regional Communications
Center
2875 W 10th St
Greeley, CO 80631
RE: Personal injury claim on behalf of David Chacon who was injured on May
4, 2009 on WCR 45, Weld County, Colorado.
NOTIFICATION OF CLAIM
PURSUANT TO COLORADO REVISED STATUTE $24-10-109
�C 1/nu/ul/rf dN5
— 6a-09
4828 S. College Avenue
Fort Collins, Colorado 80525
Phone: 970-377-3800 a.
Co • PE, c&Cozi c-)
CI>hccnne, AXvonting "flit
70-275-I 't7(- Phnnc: 307-O1-2280
2009-2903
www.metierlaw.cum
www.strengthwhenyouneedit.com
To Whom It May Concern:
IDENTITY OF CLAIMANTS:
Claimant:
Mr. David Chacon
Mrs. Bernadette Chacon
2213 68th Avenue
Greeley, CO 80634
CLAIMANT'S ATTORNEYS:
Claimant's Attorneys:
T. Thomas Metier, Esq.
Patrick J. DiBenedetto, Esq.
Metier Law Firm, LLC
4828 South College Avenue
Fort Collins, Colorado 80525
(970) 377-3800
FACTUAL BASIS OF CLAIM:
This case arises out of a motor vehicle collision involving our client, David Chacon, and
a dead horse which occurred on May 4, 2009. The 1200 pound horse was owned by Tina Holzer,
and was allowed to escape from its enclosure. The horse was then hit, killed and left lying in the
middle of WCR 45 in the dark by Keenesburg School District employee bus driver, Robert
Tegtman. At the time of hitting the horse, Mr. Tegtman was driving a Keenesburg School
District school bus northbound on WCR 45 in the scope and course of his employment. Mr.
Tegtman failed to stop after hitting the horse, failed to report the incident to law enforcement,
and failed to warn other drivers of the hazard created by the dead horse left lying in the road.
The horse was struck in the northbound lane, and came to rest in the southbound lane, taking up
the entire southbound lane of traffic. The Weld County Regional Communications Center (911
dispatch call center) received two telephone reports from passengers on the bus driven by Mr.
Tegtman that Mr. Tegtman was leaving the scene, and wrongfully failed to instruct Mr. Tegtman
to stay at the scene, or return to the scene, and warn approaching traffic of the danger created by
Mr. Tegtman.
David Chacon, age 40, was driving his vehicle southbound on Weld County Road 45.
Mr. Chacon collided with the dead horse, causing his vehicle to run off the road, and caused
spinal cord compromise and other injuries. Despite wearing his seat -belt, Mr. Chacon was
ejected from his car and sustained life -threatening injuries. The Weld County Sheriff responded
to the scene of the crash. See, State of Colorado Traffic Accident Report, attached hereto as
Exhibit 1. Mr. Chacon is now quadriplegic and permanently disabled. Mr. Chacon is married to
Bernadette Chacon and was married to her on the date of the crash.
2
NATURE AND EXTENT OF INJURIES AND DAMAGE:
The full nature and extent of injuries and damages suffered by David Chacon may not be
fully known at this time, but such injuries and damages include, but are not limited to, the
following:
1. Quadriplegia
2. Wage loss (past & future)
3. Impaired Earning Capacity
4. Medical expenses (past & future)
5. Pain
6. Suffering
7. Inconvenience
8. Emotional Distress
9. Loss of Enjoyment of Life
10. Property Damage
11. Loss of Consortium
MONETARY DAMAGES CLAIMED:
Claimants claim damages in excess of $45,000,000.00.
METIER LAW FIRM,
T. Thomas Metier, Atty. Reg. #11381
Patrick J. DiBenedetto, Atty. Reg. #35161
4828 South College Avenue
Fort Collins, CO 80525
(970) 377-3800
Fax (970) 225-1476
Attorneys' for Claimants
3
CERTIFICATE OF MAILING
I, the undersigned, do hereby certify that the foregoing NOTICE pursuant to Colorado
Revised Statutes § 24-10-109 was duly served by sending a true and correct copy of the same in the
United States Mail, Registered, return receipt requested, pursuant to United Postal Service
procedures on this ,9,3 day of October, 2009 addressed to:
John W. Suthers, Esq.
State of Colorado Attorney General
1525 Sherman Street, 7th floor
Denver, CO 80203
Bruce Barker, Esq.
Weld County Attorney
Post Office Box 758
Greeley, CO 80632
Dwight D. Jones
Colorado Department of Education
Office of the Commissioner
201 East Colfax Avenue, Room 500
Denver, CO 80203
Colorado School District Self Insurance
Pool
Monica Herrera
6857 South Spruce Street
Centennial, CO 80112
Darryl Farrington, Esq.
Semple, Miller, Mooney & Farrington
1120 Lincoln Street, Suite 1308
Denver, CO 80203
Susie Townsend, Superintendent
Weld County School District RE -3J
99 West Broadway Street
Keenesburg, CO 80643
John Cooke
Weld County Sheriff
1950 O Street
Greeley, CO 80631
Weld County Board of Commissioners
915 Tenth Street
Greeley CO 80632
Manager
Weld County Regional Communications
Center
2875 W 10th St
Greeley, CO 80631
For Metier Law Firm, LLC
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Agency
iM VEHICLE eI IS A SCHOOL BUS, AND WAS TRAVELING NORTH ON WELD COUNTY ROAD 43. THE DRIVER STATED HE WAS TRAVELING
. APPROXIMATELY 55 MPH HE NOTICED A LARGE OBJECT IN THE ROAD AND SLAMMED ON IBS BB• THE BUS STRUCK THE OBJECT
WHICH WAS IDENTIFIED BY THE DRIVER AS A HORSE THE IMPACT CAUSED THE FRONT DRIVERS SIDE WINDOW TO SHATTER PIECES
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INJURIES TO THE OCCUPANTS OF THE BUS. A PASSENGER IN THE BUS CALLED 911 TO REPORT THE CRASH THE BUS CONTINUED TO
- -. THE WELD CENTRAL SCHOOL LOCATED AT WELD COUNTY ROAD 39 AND HIGHWAY 52. THERE WAS NO MR BAG DEPLOYMENT.
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PAGE I OF 2 PAGES
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PAGE 2 Of 2 PAGES
r +Casa # IOOR Cam . —. Pcsidenl Date Agency
WC09-2175-2 t WEED COUNTY SHERIFF
_ .-i Describe Amide
IAA I THE PURPOSE OF THIS SUPPLEMENT IS TO INCLUDE THE PASSENGERS OP THE SCHOOL BUS, VEHICLE al. NN
Corner Name
�--- j Address
Cartier Name
00
I - • I�
j Address
H
L
US DOT 0 ICC
Gamer Identification
US DOT ❑ CC O
Cartier Idenlfialion #
Stale DOT O
State DOT
•n
O
MM
MM
OR 2+47192101/06)
c0.ORAaO DEPARTMENT OF REVENUE
09 • a/ 7S -
STATE OF COLORADO TRAFFIC ACCIDENT REPORT
® AMENDEDISUPPL. O UNDE�R7 51,000 ❑ COUNTER REPORT ❑ PRIVATE PROPERTY PAGE 1 OF 2 PAGES
I❑ INTERSTATE HWY _ r ORCod.- ------ K
COOT Cott FELINE pOR Code
-� CSTATEHWY MILEPOINT InQIAIIOIIVIllhIIIIIIMhI L .
clrY sncNTYRD ❑ ❑ ❑ .❑ ❑
MM. TO STATE OF COLORADO
MOTOR VEHICLE
TRAFFIC RECORDS
DENVER,CO 50261-0016
1
wC09-2175 -a
Dye alb:Went Oty
5/5,2009 HUDSON
Time (21 It.) w, a amf 'eie0er Name
14BB. FLOT
County carat
WELD COUNTY
SHERIFF Wald 3
WCTU
.IKne)01ed Numbs Imam] Canal Rea Some. rote _ miss 1621 poet NO SE ED w❑ OF:
D 1• CR 45 ❑ AL CR 10
title 0Feperr
05/052039 Lagtude Longiarde ,
A ctyCam *marinated TotalVehidcsDistdd Nlsnbn PBMIc Property/ PhducTaken Reltrued Crossing Cant Zane H)ghwaY BM9• •
-'t ACF-A0t ® 6cene$ 02 W3 F_mpllrymre❑ 1Pi___.- . Reaad�]_, _ arltlwO-.Inllachg❑ Related I M;
-- 1,ratAo' et 0WA. OPsaee °BM'aW OPWeladu,nW..VtNW D'tnGvJed'Jona or cU,dd ❑vs. OPaMd aeigdt OPsnawolbmVddde DttArCa..d VA MI
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Sp,NAddams Primal Peane !sesel Adamess Naar.' Hyena
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Elva Lamm Number COL Saba Set DDB Older Hansa Nubr COL SIAM Sex DOB
._--.1 Primary Wanton Imitanyfybtan
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make CS. CIffim Numbe Carman Cam Waken Coda
Year Mae. Modal Bay Ta 'Yea
• _., Leave Pala Rumba SSA r Caurdry
-.1Valid. Mtlnaobrl Mamba
VeNda Omer Um Nair O San Pfd MI
Mc,® ❑Same Cad Stem. DP
Towed Ow aDainage ❑By.
Tr:
FL-
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Oeam Number Coronae Code
Marta WWI Body Type
Leanne Plate Number SAW a CaJlay Caen
I�Voade MatIcadon Nunae
Warts. One, Mel Name 0Seme Fell MI
:Atlas OSame
'limed Due a Damage OBE
1- Slight I -
-T. 2• Moderate ii
Undercarriage Undercarriage 3- Sam '
Trager %/INN _
R
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I 1
Undercarriage _Underramage
___ .. _,i_..___-__. .... _._—..... .._..____.. .. .1. .. ._ _.
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PaBryNmlbm Pa4cy Number
..._._._—._.__
Oam_ee Damaged PmeP. VA Metre FM ae Atless
osno Damaged Pnp. Lantana Rem MI Ad4ex
POS. REST ENDO. SAFETY ' AIR BAG 6 CT SUSPECTEDINJ. AGE SFT NAME IAODRE5G _
EWIP. Afar— to G 5EV.
r",-, 01 10 AI .IA OO T A 00 DO 18 M SCHLENDER CH ISTDPH 100 N CEDAR
01 10 A : A .00 • A 00. .00 .18 F SCHWEITZ R REBECCA 2955 CR59
-71
01 10 Al
AI pi: 00IA.°0_
01 1D .AI 1 A 00 I A 00
01 10 A i I A. 00 I A 00
. 1 I
Ail By....
Stem VP.
L
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2- Moderate
3- Severe
Eaa. Dale ! al
R
CAT Same DP
CBy SIAM 2IP
IGENESB CO 5084.3 —h—
i
1
KF_ENESB CO 805-0-"-1
00 17 F SHAFFER AMBER 5202 CR 59 KEENESB CO 80613
00.16 M_ ,S_LOPN ZACHARY 24 ASH ST HUDSON CO 80642
CO 17 M SPALDING DEREK 420 ZANTE WAY LOCHBUI CO 60647
00 . 16 M SPALDING DEAN 4202ANTE WAY LOCHBUI CO 80a07
I.D.N OSZEZ.
e O l • d I %yc PAGE 2 Of? PAGES -1
• ;cab • IDORCODE Acddent Dale Apenry
KR;
WCpgZiTS -3 . 15151009 WELD COUNTY SHERIFF
' DesaiheAcddenl pr
I THE PURPOSE OF THIS SUPPLEMENT IS TO INCLUDE THE PASSENGERS FROM THE SCHOOL BUS, VEHICLE ft.
U
JJ
c I
KK
IOC
U.
U.
' YN
Carder Name
c Address
Cartier Name
G I2
j Address
.f
US DOT O ICC D State DOT ❑
Carrier Ideralficalien ti
US DOT ❑ ICC O Stele DOT O
Crier Identification 0
lel
ter
WELD COUNTY SHERIFF'S OFFICE
WITNESS STATEMENT
WCOS•,17S
CASE REPORT#: Lt/CO / 'DV?
DEPUTY:
Flot wS93
DEFENDANT: 4C A Y 1 .1 77 -ma Y% DATE OF INCIDENT: .S'y 07T
LOCATION: ItbowT IY/L iv4se,trh e rea if
o�
"I make the following statement of my own free will with no force or threats used against me and no promise made or implied to
induce me to make this statement"
Name: WOy-T Tey7i7)2It
Home Address:
Business Name:
.99 . Mc.), 79
,3O,A tS Gr�rs9,
Home Phone: 3o3-/fr_ 99'79 -Business Phone:Inn-79.x— 44fl T
City Ke 9. e3 &r ' State: Ce Zip code: RD 69,7
Business Address: 19/9 ratty 79 City: Kee>res6 tt rg State: CO Zip code; 806fC3
1,0014. 7- ?;14,4-- Pni /.a.Ia5 rya we / pip %v,0171 r91i al CA_ '9
W%IPto ahen e ca to acrs5c Yhto redd TT to.'aS 74r€ h r+tralnr
/d,dh sir-rn.t77 // /raga tJ?fllh a Few Feet" Fro.., dye
feorSp• Zwact Dnve/a hider S $.1; Per 60,t-✓i
The LP7-- FronT wineISArtWdd tt-41 .SAoTnod j Ccan ApyrArrPer
40 he H7 fit and Mirrors wand Araofre re,srnlee
ri Tc�icl7' rS/ e)P hec # e ,gP S/!trlenlaaSdr1..ifTS and
avtrd cA. i P rne. rtir o -t rr.t1 kit.?B yC,
(U; /Ay d:a xi; tie ti V.w. tf.F cc. -<k t«,r �l z
a Tp h Cie c p fir The
(:57-4 �Th>o Ti, r aWOOtt.-lI h�Ut-her r, a.6//' ST
Print Name: Signature:
Date: Time:
Witness: Witness: _
OpsON
1JCo9*ar7.3
POLICE DEPARTMENT
701 VCR 17, L ochI n ; CO B0603 Chief of Police
Phone (303) 659-1395 Par (303) 655-1755. '' Gardner Mendenhall
VOLIMARY STATEMENT
Caro Number: t' -.a 9r
Dale: So
Your Namo!JQ,R\e\\L. Mc1r(ykik
Address:
ad-13 I v.)C Q \ p'1 r�
City: "X4-�SO slate: tip Cade: OVLIL�-�J
telephoneNumber(s): / a - ry 0 - 93t4-,)/
Data of Birth: _
If Under IS years old, Parent or Legal Guardian: '
Describe the incident and give as many details as possilde.For example: Where did it happen? Who else
was there? Be as detailed and complete ns possible.
\� \
'Mu)]�ov Glenn fW\A `� v+2-rt ri.si1v;n Sn'.- - kfl..a�
HO
Avarv-w,�c tat n.nr,• ,., `I AO -to 1a) r\ -1
•T IOCvi� C1S1 IC;CCL.. T C4CA ` 'Tn St oic
(r.,n. ores 'WooIVS ,S 1Orrkar
iN Yr`' . 4. -Co r\L2iu ck COm\\ khrl`` e\ 5 asj -o� r� 1-ant-
K:�� F.e Wc)'ctr t Liar' mi1c r sS�
non U S�Q�� k&°� l �� car, %wig 1rc tip 1 [� C .
0(.4-.'R.A \ccs\n\S F\ 'rcS J\4.a { y k{ �S err ��, PPe� �`
I have.read each Tinge of Ihls ;minatory statement consisting of page(s), each page whleb
hears my stgnatitre,and corrections, If any, bear my telltale; and I certify flint the facts and
statements herein are tote mad correct In the hest army Imawledge, I further acknowledge that these
statements are made on my awn free will, and I have not been forced, threatened, -coerced, or made
any promises or la complete This farm.
Signature: uj/.( Bale: 5 / -1 / 0 9 Time: ��T e a-
•
Cont...
c1c.prx\,t.n a ?�, Q&t(4
"(10,t).?c
S (ict\c, �l S
a ≥&$ 1-Ne • WAS
'Ow
Casa Number:
ti c
i� o l� to ;r'..S
\t, bI� Yr s \niS
; 40. l -1 t.ra w; Ve
h,S \ Q Ikt C
Cv 's
CON icr et
otcc rfrict c
(nib /4•9/N) 17/.r -F 3tV/TSr'
/9q3 ' 0
VxrJ +/rIV( )3f[aPUa`)c1-7SF
t have read each page of this voluntary statement conslethq of : page{s), each page which
Iwars my signallre, and mrrec(Ions, If Roy, bur my blunts, and I certify that the facts nad
. daternents hereto are true and eorrael to the best or my lmmvled'go. I further nclmawledge that titre
statements are made ten any own !red will, and I hove sot been fereeil; treateiied, coerced, er made
any promises or to comprete this form
Signature:
Dula
WCo9. p'fl
OCHBUIE
POLICE DEPARTMENT
....
E
703 WCR 37, Inchbuie, CO 00603 Chief of Police
Phone (303) 659.1395 Pax: (303) 655-1755. Gardner Mendenhall
VOLUNTARY STATEMENT
Number: 'Are 4/1 -5 —
Dale: 09
Your Hanle: LaLtf I�LY1i.5
Address: 1"l S ) raj+L' c 5+,
City: 4004 Stale;S 2 Tip Coda: ROir
telephone Number(s): 730 `3 2O" 3
Dale of Did
v
If Under le years old, Parent or Legal Guardian: •
Describe the incident and give es many details as possilc, For trample: Where did it happen? Whtrelse
was there'? Ile as d//elaile""d and complete as passible. //�
fl �if )ir;C/cif _mote.(/ 17 and x vote- 0/1 rth,- k/a
� -Fr,' �_el5 ♦louse. �,,+ `L v�sv�;� %A44 pn yay5hnn
rle A1ir/in9 wr ,r te t{b&p • Fo �. Zen ai4
� h tri r nfr?ar 1aune Hie/ Jwa5 a ofd
hor5ti, ielykat S Gin WW1. Arid j./A ei" s/Ac
Sa ai LI S ^7iD ✓n r)4 5 w/C/✓C,il +oo ''t7L ( st/-
%IG+'1 Jai eve-hri- km, h
I hare reed each page of lhla voluntary statement condsling of page(s), each page which
bars my signature, and corrections, ft' any, bear my Initials; and I certify that the frets and
statements herein are true and carnet to the best of my knowledge. I further acknowledge that these
statements are made on my own free will, and I have net been forced, threatened, coerced, or made
any premises or to templet' title form.
Signntnre:
• Pale: EA 9" Time: )2;33
Cont...
Cate Nnmhcr:
.ic
90 1/P I n 4-F-' IV r � ,
J
s gelyesa)) ki/
h' A -/I, 1,tin
cans
e1S
I have rend each page of this voluntary Eta lament consisting of page(s), each page which
beam my alguntitre, and corrections, If oily, bear my Inttlals, and I certify that the facts and
statements hereto are true and correct to the best of my knowledge. I further ecknmvledgo Met there
statements are made on my own ti -ca will, and I have not peen forced; threatened, coerced, or made
any premises or to complete this form.
Signature: �� Dal c: 03-103- i
Time:
Paa,�33
WC 09-.2i7tic'
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UNIFORM SUMMONS S COMPLAINT OP PENALTY ASSESSMENT *Mt.
me ✓WI'Lt UY Ilk It• I a Vrww new r lIssN C POSE "Fr- Av '41
/Co' -w /'S
Delman. (LAM puma) I J A(n thrill /(y/� .) , / o.u�l evx Me. am V. ��N/�e/'y
- /A <Y /ea'eeiil- E�[d/l! II /
�nrc1 7Pm<I
Date Lie/. bay n
oro
on .�<a;.pa GM Sias Zip Cat
Kee e- ,7 to 5
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3031�1P7.7T'1
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art waved
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YoQbDt-615
Sum
ea
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A., writ q≤- We S"'✓GR /o
Velic Colo Ilm'apaorl
SUN (jdd y /] o
/endi(cf44Cfo p 16 I
FROM
f IN ownsar W,lk
YVU ARE SUOMOI:EDPNDORDERED
10 ANSWER CHARGES AS STATED BELOW IN-
( l Sun ea ebemor I/_ _-� %f .'3,7 SL�/ J,s i-
F G��I
I
�
*Ade/e COLORADO Lx 7
WELD COUNTY COURT AT: Q/S /� sr IN:R�
20°7AT/, M I
J)
N
O CRS424-23lT (21 Coda
ID CRS 42b1101C I( 1Cade
OC 42+1409(1) Coda Owmr rape lamed *let
Re PSa oD�boa
Vela
Drove AeEkN when ardayban nM Nun
I 10iw< ( ) Fina Seal PW llrpa
S1$ Fit. 42 SUTCNaopa 0 Points
Swims_ b, amt
S Flee S_ inheres
L.
DOES 424 -Id (2) Code P56 Paean Ol»npd Unnamed Mate
OCRS 4244409 p) Cads PST Fated to Patel Evidence of Instance
Check only one EPA- aB w SUMMONS am
wan
a POINTS
_Point.
`, SECTION �/ /� �/ y.-
CRS 7? -y -m 04 Lett Saone wi//1Bi€/ /lfld1nff ke I
CtO)e°E
/.a3
PST, �ei(SSrINIMAR6E
$ ii"^I/Y�
v/p�{�JP
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�N ODUE
1
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1
SWDNAROE
POINTS '
NAND
( )
CUSTODIAL
ARREST ( )
FINGEP
PRINTED I I
CUL
I I
CIACL VCH RED
COL SNOWED ( 1
CMV USIOtI
PLACARDED
WAZMAT I I
SURCHG/�.
TOTALP
Y0,41 Y01 eEP L
e//t.TFAG/�l� R CEI
SUMMONS TRAFFINFRACTION Ft.�pi OFFENSEI 1
PE NA TY ASSESSMENT TRAFFIC INFRACTION I I OFFENSE( ) NAILED I
WRnouiaamilarq punt I pomise to appeal al lee
and plan .Mated ISIS
Nl Slwaome H a pro Moat tits b pen,nisei m WIuyl. win pay,M,.tacEnseap <a <Mew Yee somas,somas,mee
unnxrbnd see lnmaemlM alaft be aunaad no Aid ikle. amanitas pears beats le MOW In =IA
a
DEFENDANT
DEFENDANT,e`
NOTICE. SEE TR N V 5
NOTICE] SEE RUCTIONS ON REVERSE SI E
THE UNDERSIGNED HAS PROBABLE CAUSE O BE tIEVE THAT THE DEFENDANT COMMITTED THE OFFFNSE(SI AGAINST THE PEACE AND VIM TV OF THE PEOPLE OF THE STATE
µAT ACOPY F SUMMONS OR PENALTY ASSESSMENT was WJff.
OFCOLORADOMO0.55 UPON TRIO pEEAlN
�1
T
PATROL
PATE
ISSUED O [/
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1N
-OEFICER NC
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CSP 41 REV 5-011
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Incident Report
WELD COUNTY SHERIFF'S OFFICE
UFiEELE'IWELD CRIMINAL1950
JUS LICE RECORDS
C r Y RE y��LL/kS:
TO: ,/((,
DATE O - '7 ) 1
BY:
0 ST
GREELEY,
COLORADO
(97 ) 356-4000
(970)
I Agency
-WELD COUNTY SHERIFF'S OFFICE
09-2175
Repaned Dale
05/04/2009
Nature of Call
TAI
Qmcer
FLOT,BRENT ELLIS
Repel No Suppl.nseml o I Repo Reported Time
09-2175 ORIG 05/04/2009 21:49
CAC Call No Slates NIU,a MCAT
090110230 REPORT TO FOLLOW 'TRAFFIC ACCIDENT INJURY
city ReP Ulst Area
HUDSON IH02Q 0300/HODS/ 3
Supplement No
ORIG
Location
CR 45/CR 10
Beal I Irem Date - From lime to Cale , To Time - IOMcer
W3i05/04/2009 L21:49 05/04/2009 122:03 ;WC0593/FLOT,BRENT ELLIS
Assignment L nterec by I Asagnment I WS Transfer
SHERIFF'S OFFICE TRAFFIC UNIT GP8017 RECORDS SECTION ,Successful
Approving Officer
GP8017
CASE SfAT US
OPEN
MISCELLANEOUS DOCUMENTS
X
TOW CONTEST FORM/NOTICE TO
X
Approval Date APpmval lane
05/11/2009 11:33:09
MISC DOCUMENT CESCRIPIION
WELD CENTRAL HIGH SCHOOL PASSENGER MANIFEST
SUMMONS - COUNTY TRAFFIC ACCIDENT FORM ' TRAFFIC ACCIDENT SUPPLEMENT
IX X X --_-
DRIVER- .TOW SITE z WRIU EN STATEMENT
Person;Sumrnary
Invl Miii No Type Mane
CDR 1 I TEGTMAN,ROBERT D
it bM No Type
DRV 2 I
mvl NN No Type
OWN 1 G
Invl NM No This
OWN 2 I
I Intl esvl No Type
PAS 1 I
IX X
Sea
Name
CHACON,DAVID
Name
WELD COUNTY SCHOOL
Nome
ENCINIAS, JOSE
Name
BADDING, TRAVIS
Mime
BOWEN, JUSTIN
MNI
MM
MNI
mil MN No Typo
PAS 2 I
Invl MN No
PAS 3
col MN No
PAS 4
Inv! NN No Type
PAS 5 I
Invl MN No Type
PAS 6 I
Inv: MN No Type
PAS 7 I
Invl MN No Type
PAS 8 I
lv4 MN No Type
PAS 9 I
InN No Type
PAS 10 I
Type Nerve
I BRATRSOVSKY, SALLY
Type Nerve
I BRYANT,CODY
Name
BUZZARD, KAYLA
Name
CHEADLE, SERINA
Name
COX, RESA
Nan,
DAKOTA,DAVID
Neme
FRIES,TIFFANY
Marne
GALLEGOS, SARA
Name
GUZMAN,JODY
Name
HERREPA,MARGARET
MNI
ace
S
M
'rope rein
,None
Dale of emh
12/17/1931
Dale of Rulh
'Rom I Sex -4 Dale of Beth
I
j Race Li Sex I Dale at BIM
i
Race I Sex Dole d _ Birth
1 M I
r Race I Sex Dale of Bkm
M
Race I ex SI Dale d BM
IF
Race Sex I Dated IrN
Race Sex Dale of Sloth
F
Race Sex
IF
Dale d BiM
Del. d BIM
MNI Race Sex
MNI
MNI
InN MN No
PAS 11
rev Int No
I PAS 12
InN InN No
PAS 13
net anal No
PAS 14
Type
I
Type
I
Type Name
I HOERNER,AURIEL
Type Name
Z JAKEL,JOEL
MM
MNI
MNI
Mill
Report Officer Rented At
IWC0593/FLOT,BRENT ELLIS 1105/27/2009 09:25
Date of Birth
Race I Sex — Data d BIM
IF
Race Sex Dale d BIM
Recce i Sex Danforth
oM
Race Sex i Dale of Binh
F
Race
$ex
Race Sex
M
Dale of BIM
H
Dale of Ben
Page 1 of B
Incident Report
WELD COUNTY SHERIFF'S OFFICE
Person Summary
I InN
'PAS
Irm
PAS
Invl
PAS
I -
PAS
rnv
PAS
Ina No
15
Ina No
16
Ina No
17 I
Ina No Type Name
18 I MINES,KYLE
Ina No Type None
19 I M0ORE,STEPHANIE
Type
I
Type
I
T
Name
LASH, BRANDON
Name
MACHUCA, ESTEVEN
Name
MCIRVIN, GWENDOLY
M
09-2175
MNI
Invi Ina No Type Nome
PAS 20 I RABENBERG, JERICA
Inyl Intl No Type
PAS 21 I
Ina Ina No Type
PAS 22 I
Invl Ina No - l Type
PAS 23 I
Invl Ina No Type
PAS 24 I
Invl
PAS
Invl
PAS
my
PAS
Name
SANCHEZ, KEVIN
Name
SCHLENDER, CHRISTOPHER
Name
SCHWEITZER,REBECCA
Name
SHAFFER, AMBER
MN No Type Nance
25 I SLOAN, ZACHARY
Ina No Type Name
26 I SPALDING,DEREE
Ina No Type Name
27 I SPALDING,DEVIN
Invi Type i Licence No
ACC 5 1909DDL
'nail Type
TOW 1
Llcerna No
211RPG
State
CO
State
!CO
tic Year
2009
lie Year
2009
ear I Malta
1994 iBLUB
Yluet [moo
Moors
2005 ICHEV ICAV
MM
MNI
I MNI
MN1
MM
MNI
MNI
MNI
MNI
Supplement No
ORIG
Dabaf BWt
Race
Race
Race
Race
Race
• MNI
MMNl
Race
Date of Beth
M
Sex Date of BIM
F
Sex Date of BIM
M
Sex
F
Sex
F
Sex
M
Sex
M
Sex
F
Rem Sex Date of Binh
Race Sex Dale or Shut
M
Race Sex Dale of Birth
M
Race Sex Dale of EMU
M
Race
Rem
Date al BNh
Dale of Birth
Dale of BiM
Styli COW
BU [TEL
Style C olor
CP J YEL
Date of BIM
Data of BIM
Repo n Olfcer ,panterl Al
IWC0593/FLOT,ERENT ELLIS 105/27/2009 09:25 Page 2 of 8
Incident Report
WELD COUNTY SHERIFF'S OFFICE
09-2175
Supplement No
ORIG
(CITED TAHR
DRIVER 1: TEGTMAN,ROBERTD
Imolveaten Intl No Type 1 Name MMI
CITED TAHR DRIVER 1
Individual '. TEGTMAN,ROBERT D J
_
Transfer
Sex
MALE
Date of ninth Age Ethnicity p5uveoile, • Res Sink's RMS
12/17/1931 177 NOT OF HISPANIC ORIGIN 11 No ',RESIDENT
Type
HOME
Address
4935 HY 79
City
KEENESBURG
Slate
COLORADO
LP Code
80643
Type I in No
OPERATOR LICENSE
0LS
Phone Type I Phone No
HOME i (303)732-4398
Em teyadSehoel I puelhmp/Grade
WELD COUNTY SCHOOL DISTRICT BUS DRIVER _ ..
Leman _ C e ( State I ZIP Code
95 WEST BROADWAY IKEENESBURG ,COLORADO ',80643
i
Phan Type
BUSINESS
[DRIVER2:
Phone No
(303)732-4552
CHACON,DAVID
:Y
Invdluemeal I In vt No i Type Ne at
MaT.F
DRIVER !2 Individual CHACON,DAVID I•
Date rNaeN , Age Ethnicity
I40 HISPANIC ORIGIN
Juveolel , Res Status ' RMS Transfer
No iRESIDENT
Type I Address I Cry State
HOME 1509 56TH AV !GREELEY COLORADO
ZIP Cade
80634
Type I IDNer IOIS
OPERATOR LICENSE
Plone Type I Phone No
HOME ',(970)356-5186
(OWNER 9; WELD000NTY.SCHOOL
Slaws
Involve enI
OWNER
Inyl No
1
Type Name Rea
Government WELD COUNTY SCHOOL RESIDENT
RMS Tnnaler
Type Atddret 'City
WORK/BUSINESS I95 WEST BROADWAY KEENESBURG
1
Slate
COLORADO
:OWNER L24
ZIP Code
80643
DENCINIAI_S,J_OSE
Inealyeolenl I eMNe
OWNER 'Individual
Type I Name I
'ENCINIAS,JOSE
MM'
12
unmet
HISPANIC ORIGIN
Res Stake RMS Transfer
RESIDENT I
Type
HOME
Adkus
1703 34TH AV
Cie
GREELEY
Sialc
COLORADO
%rea le
80634
,P,_Q�SSENGER 1: BADDING,TRAVIS
Ape
Inmlhmaet
PASSENGER
Inv. No
1
Type Name I MNI I Sex
Individual IBADDING,TRAVIS I}A1LE
15
_---
middy
NOT OF HISPANIC ORIGIN
.luvende? I Rep statue RMS Transfer
Yes 'RESIDENT
Type Address
HOME 24938 CR 18
Cny
KEENESBURG
IStme
IFOLORADO
LP Code
80643
Report Dfacer
'WC0593/FLOT,BRENT ELLIS
Pdnred A;
05/27/2009 09:25 Page 3 of 8
Incident Report
WELD COUNTY SHERIFF'S OFFICE
09-2175
Supplement No
ORIG
[PASSENGER 2: BOWEN,JUSTIN
Invtiv.awa
PASSENGER
mvl No i
2
Type Mama
Individual LSOWEN, JUSTIN
II
I
8sa
MALE
Age
17 J
Ethnicity
NOT OF HISPANIC ORIGIN
Juvenile',
Yes
Res States . RMS rar.sler
RESIDENT I
Type .
HOME
Address
504 ZANTE WY
I Slate
City --._ ---
LOCHBUIE COLORADO
ZIP Code
80603
PASSENGER
3:
BFtATRSOVSKY,SALLY
Ape
Involvement
PASSENGER
nat No
L3.
Type Nome MNI Sex
Individual 1 BRATRSOVSKY,SALLY -FEMALE
,17 II
-balmily
NOT OF
Juvenle7' Res Status
HISPANIC ORIGIN Yes 1 RESIDENT
I RMS Transfer
Type
HOME
Address City
9428 CR 49 HUDSON
Start
COLORADO
DP Code
80642
III SSENGER
4: BRYANT,CODY
,
Sex MP
YlVplvenlxsrl
PASSENGER
Invt Ne
;4
type 'Name I MNI
Individual 1BRYANT,CODY
MALE
17 I
EllrrinrN
NOT OF
I Juvenile? Res Status RMS Handler
HISPANIC ORIGIN I Yes (RESIDENT
Type
HOME
Admess ,u4 I Stale
847 5TH AV !HUDSON COLORADO
ZIP Code
80642
PASSENGER 5: BUZZARD,KAYLA
Sex
Involvement l Inv, No Type I Name MN !Am
PASSENGER I5 Individual ;BUZZARD,RAYLA IEEMALE 17
-Transfer -
Ethnicity Juveriile"Rea Staus I HMS
NOT OF HISPANIC ORIGIN Yes !,RESIDENT I
Type
HOME
Address I Uty I State
1231 BAILEY DR BRIGHTON '',COLORADO
ZIPCade
80603
[PASSENGER 6:CHEADLE,SERINA
Sex i Age
IovoIveneal i Inv! No Type Name MNI
PASSENGER .6 Individual CHEADLE,SERINA I FEMALE !18
_ ... I___
- -
suus
Emmy _--- - — --r Juvennei Rekas SleWs EiM5 fransle
NOT OF HISPANIC ORIGIN No -RESIDENT I''�•'
Type I Address
HOME .531 HORSESHOE PL
City ! Slate
BRIGHTON '!COLORADO
aP Catle
80601
PASSENGER 7: COX,RESA' `
Sex
•e
Involvement 1IS Na
PASSENGER 17
Type Name
Individual !COR,RESA
on
FEMALE
16
Ewi :1y
NOT OF HISPANIC ORIGIN
Juvenile'(( Rem Statue I RMS transfer
Yes RESIDENT
Type I Admens City
HOME 1411 ZANTE WY ILOCHBUIE
Stele
COLORADO
J._ _..
ZIP Code
80603
[PASSENGER 8: DAKOTA,DAVID
Sex Ape
I1 eII nl
PASSENGER
lnvl No :Type Name I MNl
8 Individual:DAROTA,DAVID 1 ,MALE [18
--- ""--
EYnidN Juvenile' Rae Slates I RMS iransler
NOT OF HISPANIC ORIGIN No ',RESIDENT I
Type I Address
HOME 1305 S TRADER ST
TIP Code
80643
KEENESBURG
!COLORADO
Neport Opvx
WC0593/FLOT,BRENT ELLIS
Printed A:
,05/27/2009 09:25 'Page 4 of 8
Incident Report
WELD COUNTY SHERIFF'S OFFICE
PASSENGER 9: FRIES,TIFFANY
Involvement Inv! No Type Name
:'PASSENGER 9 Individual IFRIES,TIFFANY
a mdity Juten o' - Res Status RMS T ranifer
NOT OF HISPANIC ORIGIN Yes RESIDENT
Type Address
'HOME 217 VERSAILLES ST
ZIP Code --
80503
PASSENGER 10: GALLEGOS,SARA
Invovemenl Ion No Type i Name
PASSENGER [�10 Individual T. GALPGOS, SARA
:Ethnicity I Juvenile? Res Status RMS Transfer
.HISPANIC ORIGIN I Yes RESIDENT
r Type Address
HOME 4984 CR 61
ZIP Code
80643
09-2175
Supplement No
ORIG
MNI I Sec 'Age
FEMALE 115
City
LOCHBUIE
Slate
COLORADO
I Ape
FEMALE !17
PASSENGER 11: GUZMAN,JODY+
Involvement Intl No Type Name
PASSENGER 11 Individual GUZMAN,JODY
Elhnloty Juvende9 Rea Status I P Transfer
HISPANIC ORIGIN I Yes iRESIDENT
type I Address
HOME !195 S DICKSON ST
ZIP Code
80643
PASSENGER 12: HERRERAMARGARET
Involvement Intl No {Type I Name
PASSENGER 12 !Individual ;HERRERA,MARGARET
Ethnicity Juvendeo Res Smlue I RMS Transfer
HISPANIC ORIGIN Yes ,RESIDENT
Type .Address
!HOME 2929 MATTHEWS
ZIP Code
180621
PASSENGER 13: HOERNERAURIEL
Involvement I Inv! No Type Name
�N
KEENESBURG
NO
I Slate
!COLORADO
I Age
FEMALE '15
City State
logy
COLORADO
Sex Ape
;FEMALE 1 15
!PASSENGER 113 !Individual )HOERNER,AURIEL
EthniGly Juvenile'+ i Ree Status 11 RMS Transfer
!NOT OF HISPANIC ORIGIN , Yes !,RESIDENT
• Type I Address
!HOME 115700 PENRITH RD
itP coda - -
80643
City Slate
lI FORT LUPTON COLORADO
MNI
Sex
FEMALE
Age
15
PASSENGER -14: JAKEL,JOEL
Involvement Inv! No Type Name
PASSENGER 114 !Individual JAEEL,JOEL
[VlnipN __ venle7 ef RgtbWe
[NOT OF HISPANIC ORIGIN !. Yes RESIDENT
Typo Adduces
HOME '119 STOREY ST
ZIP Codo
80652
PASSENGER 15: LASH,BRANDON
Involvement ! Intl No I Type
[PASSENGER [15 jIndividual
--_ -.. I.uvenl e?
EmmGN
NOT OF HISPANIC ORIGIN I Yes
Type I Address
[HOME 1730 CANYON LN
ZIP Cooe
80603
[Report Olflcer
WC0593/FLOT,BRENT ELLIS
Name
LASH,BRANDON
RMSIanter
MNI
Rea Status I RMS Transfer
RESIDENT '
City 'Siam
KEENESBURG 'COLORADO
CIty
!ROGGEN
.MALE
Stale
COLORADO
Sec ,Age
MALE !17
I City i Slate
'1LOCHBUIE [COLORADO
Printed At
05/27/2009 09:25 !Page 5 of 8
Incident Report
WELD COUNTY SHERIFF'S OFFICE
09-2175
Supplement No
ORIG
PASSENGER 16: MACHUCA,ESTEVEN
Name
WC
Sax Ape
InyOlvemenl kw! No Type
PASSENGER 16 ,Individual
MACHUCA,ESTEVEN
I
I
MALE 18
ElMeay . Juvenile" Res Status I RMS Transfer
UNKNOWN `• No RESIDENT
Type
HOME
Address
190 FIRESTONE CI
Res
RESIDENT
' ,CO
ILOCHBUIE
Mle
State
COLORADO
ZIPCWe
80603
'PASSENGER
1nyoNemenl
PASSENGER
17: MCIRVIN,GWENDOLY
I Name
I MCIRVIN,GWENDOLY
Jwenllc'+ f
i No
Sex Ape
1FEMALE 18
Invi No Type
117 Individual
HISPANIC ORIGIN
Ethnicity
NOT OF
Stilus RMS Transfer
Type , Address
HOME 16509 CR 51
Crty
REENESBURG
Slats
COLORADO.
ZIP Code
80643
PASSENGER 18: MINES,KYLE
Involvement list No : Type
PASSENGER 118 'Individual IMINES,KYLE
Name
, Ras
'RESIDENT
MNt Sex Ape
;MALE 116 .
Ethnicity • Juven.Iev
NOT OF HISPANIC ORIGIN l Yes
Status RMS Transfer
Type I Address - City
HOME 124453 CR 4 HUDSON
I MNI
I slate
ICOLORADO
see Age
SATE 15
ZIP Code
80642
PASSENGER 19:MOORE;STEPHANIE
NuoNement 'nvl Na Type
PASSENGER 119 Individual IMOORE,STEPHANIE
Name
4es
I RESIDENT
Etlalxdly i Jwenllex
NOT OF HISPANIC ORIGIN I Yes
Slalus I RMS T,anew
I
Type
HOME
Address
661 PRAIRIE AV
_ i
Cry
LOCHBUIE
Slate
COLORADO _.
MRCS's
80603
SSENGE20: RABENBERG,JERICA
[PASSENGER
--.4.,;..,
UNI
8eY I Ape
FEMALE 014
in,, i Inv, No Type , Name
PASSENGER i20 Individual ' RAEENBERG,JERICA
Elheay I Juvenile'+
NOT OF HISPANIC ORIGIN Yes
Res Status I RMS traveler
RESIDENT
Type I Aadress
HOME ,5023 CR 67
City
KEENESBURG
Slate
COLORADO
ZIP Cade
80643
PASSENGER 21: SANCHEZ,KEVIN
InvSeement , net No I Type
PASSENGER 21 Individual
' Name
iSANCHEZ,KEVIN
Res Statue
RESIDENT
I Sex : Age
MALE ;17
smeary Juvenlie,
HISPANIC ORIGIN Yes
RM5 Transfer —='
'
Type I Address
HOME IS05 CR 47
-V,CIN
"'HUDSON
Stale
COLORADO
21P Cade
80642
[PASSENGER 22: SCHLENDER,CHRISTOPHER
"— -- ----
MN I ' Sex I Age
MALE 116
_—- _"--
kevol'e meat ; Iasi No Type , Name
PASSENGER 22 'Individual ;SCHLENDER,CHRISTOPHER
Ethnic*Jwenlle'+ I RWS Transfer
NOT Rae Status
OF HISPANIC ORIGIN Yes '..RESIDENT ,
Type I Address
HOME 1100 NORTH CEDAR
_.KEENESBURG
City
State
COLORADO
ZIP Code
80643
rReoon OSme
WC0593/FLOT,ERENT ELLIS
Printed At
05/27/2009 09:25 _[Page 6 of 8 _
Incident Report
WELD COUNTY SHERIFF'S OFFICE
IPA'SSENGER 23: SCHWEITZER,REBECCA
Iowakro en' awl No Type Name
PASSENGER 23 'Individual SCHWEITZER,REBECCA
ENnoty
NOT OF
Type tAdWess
HOME i2958 CR 59
ZIP Code
80643
PASSENGER 24: SHAFFER,AMBER
',Wakeman' t trial No Type I Name
PASSENGER 124 Individual 'SHAFFER,AMBER
ElMdtlty
NOT OF HISPANIC ORIGIN
Type Address
HOME 5202 CR 59
ZIP Code
80643
LPA_SSENGER25: SLOAN,ZACHARY
Ievohernenl Inv' No 1 ype Namo
PASSENGER 125 Individual SLOAN,ZACHARY
Elhmoi
NOT
Type Address
HOME 24 ASH ST
ZIP Code -- --..
80642
`PA(SSENGER 26: SPALDING,DEREK
1 Ina No type Name
PASSENGER 26 J Individual ISPALDING,DEREE
Dewy Juvenile' Ree Statue RMS 1raesler
NOT OF HISPANIC ORIGIN 'Yes RESIDENT I
Type
HOME
ZIP Cede
80603
IPA'SSENGER 27: SPALDING,DEVIN
InwNpneen Intl No Type Name
PASSENGER 27 'Individual SPALDING,DEVIN
EMI* Juvenile? I Rile Status NMS I ransler
NOT OF HISPANIC ORIGIN j Yes 'RESIDENT
Type Address
HOME 1420 ZANTE WY
ZIP Code
80603
�Uehicle: 909DDL
Involvement Type License o
VEHICLE INVOLVED IN AN ACCIDENT BUS 909DDL
Meets - Style Color VIM
BLUE BIRD BODY CO BUS ,YELLOW I IBAARCSAORF058961
Idea InvoIvemen' 'nvl No Name
OWN I OWN 1 WELD COUNTY SCHOOL
HISPANIC
ORIGIN
Juvenile' I Rea Slain PBS Transfer
I No RESIDENT
09-2175
wit
Suppleient No
ORIG
Sex ;Age
1C FM LE ! 18
Juvenile' Rea Status I RMS Transfer
Yes !RESIDENT
City
I KEENESBURG
' Stale
COLORADO
8ek Age
flZ I.F .17
OF HISPANIC ORIGIN
i Jovend e' I Res Smtua RMS Transfer
I Yes !RESIDENT I
Slate
EEENESBURG j COLORADO
Sea Age
MALE I16
city
HUDSON
Stale
COLORADO
Sex Age
MALE 17
Address
420 ZANTE WY
I City
iLOCHBUIE
Nl
Stale
'COLORADO
Bea 'Pee
;MALE 16
' State
]LOCHBUIE COLORADO
Involvement I Type License NC 'State I W
TOWED "AUTO/SW 211RPG COLORADO 2009
Style 1 Color l VIN I Storage
COUPE YELLOW ' 1G13C12F057154962 T 6 R TOWING
Tow By kith Sy
T AND R TOWING IFLOT,BRENT ELLIS
Tow Rem
CR 45/CR 10
Tow To
710 7TH AV
Report OtMer
WC0593/FLOT, BRENT ELLIS
!COLORADO
Race
an
RMS Tans
• yw
PASSENGER CAR
lk Year LicType Year
2009 BUS 1994
el
Year Make I klpdtl
2005 !CHEVROLET CAV
pMS Tlarister
Printed AI
05/27/2009 09:25
Page 7 of 8
Incident Report 09-2175
WELD COUNTY SHERIFF'S OFFICE
Link ' Involvement Ind No
OWN i OWN 2
Name
ENCINIAS,JOSE
R. Sex
Da. c4 SkD'
Supplement No
ORIG
THIS REPORT WAS GENERATED BY RECORDS AS A PAPER REPORT ONLY. PLEASE REFER TO THE
REPORT SUPPLEMENT TAB FORA LIST OF THE MISCELLANEOUS DOCUMENTS THAT WERE
PROCESSED AS PART OF THIS REPORT.
Report Office,
WC0593/FLOT,BRENT ELLIS
Pnnlod At
05/27/2009 09:25
Page 8 of 8
Incident Report
WELD COUNTY SHERIFF'S OFFICE
1950 0 ST
GREELEY, COLORADO
(970) 356-4000
(970)
Administrative Information
Agency
WELD COUNTY SHERIFF'S OFFICE
CAD Can No
090110230 (REPORT TO FOLLOW
Report No
09-2175
Woomera
0001
09-2175
Supplement No
0001
Reported Dale
05/04/2009
NeWm d Call
TAI
OlTear
ARMSTRONG, DOMONIQUE ED
Reapled Dale I Repotted
05/04/2009 01:15
i Slam
Nelson d Call
*TRAFFIC ACCIDENT INJURY
Location
3389 CR 45
From Date From Tone To Date
05/04/2009 121:30 05/04/2009
Assignment
SHERIFF'S OFFICE BLUE SQUAD LATE
Assignment
SHERIFF'S OFFICE TRAFFIC UNIT
Assignment
SHERIFF'S OFFICE BLUE SQUAD LATE
Approval Date I Approval Time
.05/16/200901:53:16
CASE STATUS — --- _. DRUDDo
CLOSED NO
DNA EVIDENCES _..... _. _._ . .........
'NO
EVIDENCE SHEET
IX
city Repast Ana Seel
WELD COUNTY 1B02Q 0312/ 3 W3
To Time Officer
21:50 WC0480/ARMSTRONG,DOMONIQUE EDWARD
-- — l2ndorenar _.---------- --- - ---
SHIFT 'FLOT,BRENT ELLIS
Enlaced by
WC0480
SHIFT
ALCOHOL?
iNO
�RMS Transfer ------- Proper ANn00Mcer
Successful None IppmGP8036
EVIDENCES
3215166
BACKUP OFFICER ON SCENE
WC0636, WC0593
Summary Narrative
SUPPLEMENTAL REPORT
I
Item ' I • yealad 1n Caaledc' Tap No
1 1EVIDENCE Yes 5215166
Description
13 cd rams of photos
Article a Pieces I RMS Transfer
CDROMS 3
Vlt'dus Operandi
Physical Evidence
PHOTOS
Narrative
ON 050509 AT APPROXIMATELY 2140 HOURS, I WAS DISPATCHED TO THE AREA OF WELD COUNTY
ROAD 45 AND WELD COUNTY ROAD 8 TO ASSIST WITH A TRAFFIC ACCIDENT INVOLVING A HORSE, A
SCHOOL BUS AND A CAR.
Typ Cat
A ',Evidence tapes
I WAS ADVISED THAT THE SCHOOL BUS WAS AT WELD CENTRAL HIGH SCHOOL AND THAT DEPUTY
HAFFNER WAS ON SCENE TO CHECK ON INJURIES.
WHEN I ARRIVED ON SCENE, DEPUTY FLOT ASKED ME TO TAKE DIGITAL PICTURES OF THE SCENE.
I TOOK DIGITAL PICTURES OF THE SCENE TO INCLUDE THE HORSE, SEVERAL AREAS OF BLOOD, CAR
PARTS AND A YELLOW CAR THAT WAS RESTING ON IT'S ROOF, IN A YARD. I ALSO TOOK PICTURES OF
A BROKEN FENCE.
ONCE I FINISHED TAKING PHOTOGRAPHS, I RESPONDED TO WELD CENTRAL HIGH SCHOOL.
ONCE ON SCENE, I TOOK DIGITAL PICTURES OF THE SCHOOL BUS AND ITS DAMAGE,
I TOOK DIGITAL PICTURES OF THE DRIVERS SIDE WINDOW, WHICH WAS SHATTERED AND CONCAVED
Repod Omrar Panted Al
'WC0480/ARMSTRONG,DOMONIQUE EDWARD 05/27/2009 09:25 Page 1 of 2
Incident Report
WELD COUNTY SHERIFF'S OFFICE
Narrative
INTO THE DRIVERS SIDE PORTION OF THE CAB. THE WINDOW WAS ALMOST TOUCHING THE
STEERING WHEEL. THERE WAS SOME HAIR IN THE WINDOW.
THERE WAS A REFLECTOR ON AN ACCESS PANEL UNDER THE DRIVERS SIDE WINDOW. THE
REFLECTOR WAS BROKEN AND THE ACCESS PANEL WAS DENTED INWARD.
THERE WAS DAMAGE TO BOTH WHEEL WELLS ON THE DRIVERS SIDE.
AFTER I FINISHED TAKING THE PHOTOGRAPHS, I UPLOADED THEM TO CD-ROMS AND ENTERED THE
CD-ROMS INTO EVIDENCE.
CASE CLOSED.
09-2175
Suppkm.nl No
0001
Report OOMxr
WC0480/ARMSTRONG, DOMONIQUE EDWARD
1O1572m
/2AI
07/2009 09:25 Page 2 of 2
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