The MV4017 form serves as a critical document within various legal and municipal proceedings, encapsulating essential information regarding civil citations, particularly those related to traffic and municipal ordinance violations. For individuals such as Jeff A. Okafo, as detailed in the provided excerpts, this form outlines several key pieces of data, including the citation number, appearance requirements, estimated penalties, and pertinent personal information like address and date of birth. It also specifies the nature of the offense—ranging from hit and run incidents to operating a vehicle after revocation and vending equipment violations—alongside detailed incident data such as time, location, and the involved officer’s observations and actions. This form not only acts as a notification to the defendant, requiring their appearance in court, but also as an official record tying the alleged violation to specific statutes and ordinances, thereby setting the stage for legal proceedings. Furthermore, the follow-up actions, such as attempts to serve citations and subsequent citations for related offenses, highlight the form's role in not only documenting an instance but in ongoing enforcement efforts.
| Question | Answer |
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| Form Name | Mv4017 Form |
| Form Length | 15 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 3 min 45 sec |
| Other names | DOLSEN, WASHINGTON, U-Haul, 1993 |
You Are Notified to Appear |
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Form No. and Version CTL |
CITATION NO. |
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08:30 AM |
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MV4017 |
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N168141 - |
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Appearance Required: |
NO |
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Estimated Points |
DEPOSiT |
Cash - Card |
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MADISON CITY MUNICIPAL COURT |
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$364.50 |
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210 MARTIN LUTHER KING JR BLVD RM 203 |
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Court Use |
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MADISON, |
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53703 |
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Defendant(Last Name. First. Middie). Street Address. P.O. Box, City. State. Zip |
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10/8/1976 |
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OKAFO JEFF A |
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910 MAGNOLIA LANE 3 |
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MADISON, |
WI |
53713 |
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280 |
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Driver License/Identification Card Number |
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License Class |
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02104217636807 |
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WI |
2010 |
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License Plate Number |
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2010 |
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DRIVER |
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Vehicle Identification Number |
US DOT No. |
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Hazmat No. |
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IGCEC14Z4PEI06654 |
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1993 |
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Plaintiff |
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Ordinance Violated |
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Adopting State Statute |
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CITY OF MADISON |
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346.67 (1) (a) |
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Violation Description |
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BAC |
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Agency Space |
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HIT AND RUN |
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Actual Speed Legal |
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WEDNESDAY |
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County |
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DANE - 13 |
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MADISON - 73, |
CITY |
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ON Hwy No. and/or Street Name |
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Estimate Distance |
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W WASHINGTON AVE |
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From/AT Hwy No. and/or Street Name |
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GPS Coordinates |
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Minor Passenger |
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UlIAUL |
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Officer Name |
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Zone: RR |
Utmty |
w School - |
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Accident Severity |
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PO CHANDA DOLSEN |
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PROP DAMAGE |
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Officer ID |
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Date Citation Served, |
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3896 |
MADISON POLICE DEPARTMENT |
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IN PERSON |
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Lanes |
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Road Condition |
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POLICE RECORD |
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UNKNOWN |
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CLEAR |
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PLEASE REFER TO CASE
T331 9/2001 WDOT
s345.11 Wis. Stats
WISCONSIN UNIFORM CITATION
YQU Are Notified to Appear |
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Form No, and Version CTL |
CITATION NO. |
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08:30 AM |
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MV4017 |
0901 |
N168142 - |
2 |
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Appearance Required: |
YES |
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Estimated Points |
DEPOSIT |
Cash - Card |
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MADISON CITY MUNICIPAL COURT |
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$264.50 |
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210 MARTIN LUTHER KING JR BLVD RM 203 |
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Court Use |
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MADISON, |
WI |
53703 |
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Defendant<Last Name, First, Middie), Street Address, P,O, Box, City, State, Zip |
Birth Date |
Sex |
Race |
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10/8/1976 |
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OKAFO JEFF A |
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910 MAGNOLIA LANE 3 |
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HT |
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Hair |
Eyes |
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MADISON, |
WI |
53713 |
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600 |
280 |
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BLK |
BRO |
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Driver License/Identification Card Number |
State |
Exp, Yr. |
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License Class |
License Endorsements |
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02104217636807 |
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WI |
2010 |
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D |
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License. Plate Number |
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Exp. Yr. |
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OPERATiNG AS: |
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FJ8471 |
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LTK |
WI |
2010 |
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DRIVER |
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Vehicle Identification Number |
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US DOT No. |
Hazmat No. |
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Vehicle Class |
Vehicle Endorsements |
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lGCEC14Z4PE106654 |
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Vehicle Year |
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Color |
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CMV |
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COL Waiver |
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1993 |
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CHEV |
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PK |
SIL |
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Plaintiff |
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Ordinance Violated |
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Adopting State Statute |
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CITY OF MADISON |
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343.44(1) (b) |
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Violation Description |
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BAC |
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OveIWeight |
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Agency Space |
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OPERATING AFTER REVOCATION |
(2ND) |
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Week Day |
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Actual Speed Legal |
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Over |
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WEDNESDAY |
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03:04 AM |
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County |
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CityNiliagerrown |
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DANE - 13 |
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MADISON |
- 73, |
CITY |
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ON Hwy No. and/or Street Name |
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Estimate Distance |
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W WASHINGTON AVE |
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From/AT Hwy No. and/or Street Name |
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GPS Coordinates |
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Minor Passenger |
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UHAUL |
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Officer Name |
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Zone: RR Utility |
MSchool - Canst |
Accident Severity |
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PO CHANDA DOLSEN |
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PROP DAMAGE |
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Officer 10 |
Department |
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Date Citation Served, |
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Method |
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3896 |
MADISON POLICE DEPARTMENT |
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IN PERSON |
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Lanes |
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Road Condition |
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POLICE RECORD |
Traffic |
Light Condition |
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UNKNOWN |
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Highway |
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Weather Condition |
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CLEAR |
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PLEASE REFER TO CASE
T331 9/2001 WDOT
s345.11 Wis. Stats
WISCONSIN UNIFORM CITATION
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MADISON POLICE DEPARTMENT |
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Date of Report: |
3/8/2010 |
Case No: |
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Ref. No: |
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Occurred Incident: |
52 - Accident - Hit & Run |
Sec/Area: |
404 CENTRAL |
Dispatched as: |
52 - Accident - Hit & Run |
Grid: |
CAPITOL |
Case Offense: |
ARRESTED PERSONIHIT AND RUN |
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Addr of Occurrence: |
602 W Washington Av |
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Call DatelTime: |
01/28/201010:36 |
From DatelTime: |
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Dispatch DatelTime: |
01/28/2010 10:50 |
Thru DatelTime: |
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Reporting Officer: |
PO CHANDA M DOLSEN 3896 |
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Special Routing: |
PO CHANEY, POTREVARTHEN, LT MCCAW, VENDING (CITY CLERK) |
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SUSPECT |
JEFF A. OKAFO |
'ARRESTED |
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MIS DOB: 10108/76 (33 yrs) Height: 6.00 Weight: 280 |
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HairColor: BLK EyeColor: BRO |
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910 MAGNOLIA LA 3 MADISON WI |
H: |
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DRV L1C: |
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OFFENSE #1: HIT AND RUN: PDO (PR, S 346.67(1)
OFFENSE #2: OPERATING AFTER REVOCATION, S 343.44
OFFENSE #3: VENDING RESTRICTION, C 9.13(4)
VICTIM |
JOHN P. HANDLEY |
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MIW DOB: 08/12/55 (54 yrs) Height: 5.10 Weight: 200 |
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HairColor: BRO |
EyeColor: BRO |
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4705 GRANDVIEW CT MCFARLAND WI H: |
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CONTACT |
JAMES DAVIS |
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MIB DOB: 09/28/68 (41 yrs) Height: 5.08 Weight: 230 |
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HairColor: BLK |
EyeColor: BRO |
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8646 GREENWAY BL 202 MIDDLETON WI H: |
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1590 |
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DRV L1C: |
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PROPERTY INFO: |
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Code |
Description |
Value |
ACCIDENT UNK YR CHEV TRK GRY |
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CHEV CHEVROLET |
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SIN: UNK |
License |
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Owner: JEFF A. OKAFO (SUSPECT) |
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DAMAGED |
FOOD CART |
$200.00 |
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Owner: JOHN P. HANDLEY (VICTIM) |
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SUSP VEH: 1993 CHEVROLET ChevyTruck (TRUK 1993) Lie Num:
NARRATIVE:
On
Case # |
Page 2 of4 |
The footage was taped on
The driver pulled forward several times, finally parking the JD's cart next to the FIBS cart. He unhooked the cart and exited the parking lot. He did not leave a note or make any attempt to contact the staff at
I observed damage on the front corner of the FIBS cart. Handley told me he called the owner of the JD food cart, James Davis. Handley said Davis was not the driver of the silver pickup, it was his "employee". Davis told Handley he would talk to his employee and get back with him. Davis never called Handley back. This is when Handley contacted the police to file a report.
I gathered Handley's personal information and cart information for my report. Handley advised he had received a verbal estimate of $200.00 to repair the damage. Handley told me he never gave anyone permission/consent to damage his property and Handley is willing to pursue a criminal complaint. I provided him with my business card including the case number and my contact information.
I contacted James Davis via telephone. Davis told me he was not the one that had returned his cart to the
move."
Okafo then became very irritated with me asking him questions. He asked me why Handley didn't call him. Okafo said he doesn't feel it was his responsibility to report the hit and run, and thought Handley should have contacted Okafo. I asked Okafo to provide me with his vehicle information. He told me he was at work and he didn't have it accessible. Okafo said he would get the vehicle information and call me back.
I spoke with Okafo two more times. after that initial conversation requesting he provide me with his vehicle information. He never returned my call or prOVided his vehicle information. Further investigation showed Okafo's driver's license is revoked. I completed two tracs citations. The first citation #N
On
Case # |
Page 3 of 4 |
Per City of Madison Ordinance 9.13 there is No Storage of Vending Equipment without a Vendor Present. I completed a Municipal Citation #A0317793 and requested a case number be drawn to document the violation
On
At approximately 11 :00 AM this morning PO R. Hennessey and I went to 910 Magnolia #3 to serve Okafo the four citations. After several minutes of knocking Okafo came to the door. I introduced myself verbally and explained to him why I was there. I presented him with the four citations; Hit & Run, OAR, and No Storage of Vending Equipment without Vendor Present X2. I pointed out the court date, time and the location on all the citations. Okafo didn't have much to say and asked no questions. Okafo did mumble something under his breath about him getting citations for leaving his cart abandoned. He then shut his door. NFA/jrl
Supervisory Officer: |
1.0.: |
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RepOl'!irg .officer: " |
1.0.: 3896 |
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PO CHANDA M DOLSEN |
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Accideftt Report MV4000e 01/2005
050206
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DOT Document Number |
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ｾ Reportable Accident |
o On Emergency o Amended 9BSLK45 |
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Agency Accident Numbe'r |
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Police Number |
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CENTRAL |
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2010·25036 |
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4 • Accident Date |
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01/1312010 |
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ZPARKING·LOT.OR·PRIVATE·PROPERTY
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Operating Commercial Motor Vehicle |
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C
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126 - PO Box |
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5134 CURRY COURT 3 |
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27· City |
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127 ｾ State 127 |
128. Telephone Number |
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FITCHBURG |
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WI |
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53713 |
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39 ｾ Seat Position |
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/40. Safety Equipment |
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RESTRAINT·USE·UNKNOWN |
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141 - Airbag |
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142 "Ejected |
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192. PedeSlrlan Action |
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IｾＲ ｾ No. of Citations Issued |
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119 • Itvtlat Driver Was Doing |
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1120 |
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I64· 4th Statute No, |
I64 - 5th Statute No. |
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64 ｾ 1st Statute No. |
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346.67(1)(A) |
341.03(1) |
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122 - Driver Factors |
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88· Driver or Pedestrian Factors 189 |
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NOT OBSERVED |
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UNKNOWN |
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90 ｾ Alcohol Test |
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190 |
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91 ｾ Drug Test |
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TEST NOT GIVEN |
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Accident Report MV4000e 0112005 |
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91 ｾ Drugs Reported |
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124· Highway Factors |
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Vehicle
21 " Unit Type |
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1 22 • Total occupants |
TRUCK |
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95 • Extent Of Damage |
96 |
197 .Vehicle Removed By |
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NONE |
1 o Vehicle Towed Oue To Damage |
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OPERATOR |
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123· Vehicle Factors |
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Vehicle Owner |
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45 |
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1ZI ｖ･ｨｩ｣ｬｾ Owner Same As Operator |
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IｾＶＧ Middle Initial I46· Suffix |
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46 • Vehicle Owner Last Name |
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OKAFO |
JEFF |
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W46 • Company Name
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147. POBox |
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47'- Address Street & Number |
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5134 CURRY COU RT 3 |
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FITCHBURG |
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ｲｾｉｓｴ｡ｴ･ I 53713 |
(608) |
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48· City |
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48 - lip Code |
149. Telephone f'!umber |
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Insurance |
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63 ｾ liabllity Insurance Company |
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NO INSURANCE |
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61 • Policy Holder last Name |
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I61.' Policy Holder First 'Name |
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(/) |
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ｾ61 - Policy Holder Company
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ISchool Name |
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Property |
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Organization Type - |
I 84· Properly Owner Last Name |
I84 - First Name |
1 ｾ - Middle Initial I 84 - Suffix |
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INDIVIDUAL |
HANDLEY |
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JOHN |
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V,)iisco!,!sin Motor Vehicle |
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Acciilerft Report MV4000e 01/2005 |
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IGovernment Property TYPE |
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85" Address Street & Number |
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85· PO Box |
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4705 GRANDVIEW COURT |
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I87· Telephone Number |
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86 - City |
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MCFARLAND |
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53558 |
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83 • Government Damage Tag Number |
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>ｾ- Fixed Objects Struck |
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w |
82 - Striking Unit |
82" Object Struck |
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82 - Striking Unit |
82 • Object StruCk |
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82 - Striking Unlt |
82 • Object Struck |
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82 - Striking Unit |
82· Object Struck |
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82 - Striking Unit |
82 - Object Struck |
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82 - Striking Unit |
82 • Object Struck |
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Diagram and Narrative
105 • PHOTOS BY
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Pafking lol of
Private Parking lol
PO eM. Dob.en
Diagram Not To Scale
THE EQUIPMENT IS A FOOD CART THAT WAS LEGAllY PARKED, THE EQUIPMENT IS HOMEMADE WITH NO VIN NUMBER OR REGISTRATION PLATE REQUIRED.
UNIT 1 VEHiCLE INFORMATION IS NOT COMPLETE. DRIVER 1 REFUSED TO PROVIDE THIS INFORMATION TO ME. UNIT 1 DRIVER WAS BACKING IN THE PRIVATE LOT OF 602 VVEST WASHINGTON AVE WHEN HE BACKED INTO THE EQUIPMENT (THE HOMEMADE FOOD CART OWNED BY HANDLEY) CAUSING DAMAGE. NFA
Witness
ｾ |
107· Witness las! Name |
1107 ｾ First Name |
1'07 |
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1'09 - |
(J) |
108 |
108 - PO Box |
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Date of Birth |
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Stale 1'10. Zip Code |
1111 .Telephone Number |
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WI |
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Officer Information
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Accident Report MV4000e 01/2005 |
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1125. First Name |
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Middle loilial |
f31 • Officer ID |
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ｾＲＵﾷ Officer Last ｎ｡ｭｾ |
ｾＵＧ |
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DOlSEN |
CHANDA |
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3896 |
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Z 129· Law Enforcement Agency No. 1130. law Enforcement Agency Name |
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314 |
MADISON POLICE DEPARTMENT |
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126 • law Enforcement Agency fl.ddress Street & Number |
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ｾＮ |
211 S CARROll ST |
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127· City |
j127 ".State |
[127. lip Code |
1128 |
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U. |
MADISON |
WI |
53703 |
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(608) |
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a:: |
132 • Date Notified |
]133 - Time Notified (Military Time) |
134 • Time Arrived (Military Time} |
1135 |
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01/28/2010 |
1040 |
1050 |
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01/28/2010 |
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0 |
Ag'ency Accident Number |
IPolice Number |
19 • Special Study |
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CENTRAL |
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U. |
2010·25036 |
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018 • Agency Space
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Truck and Bus
'36 |
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'36 |
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o A truck with at least two axles and six tires |
o A truck with a hazardous materials placard |
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'36 |
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LJ A bus designed to carry 16 or more persons. including the driver |
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136 |
1136 . |
136 |
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1 o Towed |
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o Fatallnjury |
0 |
Medical Transport |
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Unit Number |
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137 • Hazardous Materials Class Numbers |
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137 - Hazardous Materials "UN" N0S'l' |
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Hazardous Material Placard Displayed o IHazardous Cargo Was Released 0 |
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137 - Name Of Hazardous Materials in this Load |
1137 - Name Of Hazardous Materials Released |
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138 |
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0\ |
1140 .ICC MC No. |
1 LC No. |
IIC No. |
1141 - ｓｯｵｲ｣ｾ |
Interstate Carrier |
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139· Carrier Name |
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142 - Carrier Address |
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I' City |
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I Slate 1 Zip Code |
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143 - GVWR (Lbs) |
1144. Total No. of Axles |
1145 - Vehicle Configuration |
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1147 - Cargo Body Type |
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146" First Event |
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146 - Second Event |
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146 - Third Event |
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146 - Fourth Event |
- |
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Printed by: Josh Marefke |
Wednesday, January 20,2010 2:19:32 PM |
Title: Bitmap1.bmp : uhaul |
Page 1 of 1 |
We,dnesclay, January 20,
Madison ｾＬＱＡＮｯｬｩ｣･ |
Department |
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IF10l0Sl |
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Message Display |
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2/lff/10 |
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Cf'hS"ML- |
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F3=Exit |
F7==Previous F8=l'lext |
:F21==1>rint |
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Unit: |
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/01736004 |
8260111 |
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WI013 0lC4 |
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DOT |
301790 |
12 |
02/18/10 |
15:46 |
01 OF 01 |
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INP |
ｉｮｰｾｴ |
Request: |
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INPl |
Plate: FJ8471 |
Type: TRK |
02/18/2010 03.46 |
PM CT |
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INP2 |
Response |
1 of |
1 |
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PLT Plate Information:
PLT1 NBR: FJ8471 / Type: LTK ｾＮ LIGHT TRUCK
REG Registration Information:
REGI Type: LIGHT TRUCK / Last Updated: 01/22/2010 at 08:54 AM
REG3 Period: ANNUAL / Expires: 03/31/2010
REG4 Carrier: none / VEH GRS WT: 6000LB
OWN Owner Detail:
OWNI 1st: OKAFO JEFF A
OWN2 DOB: 10/08/1976 / DID: 02104217636807
OWN3a 910 MAGNOLIA LN #3
MadiSOJ;l.Rolice Department |
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2/1S'/10 |
Message Display |
F3=Exit ｆＷｾｐｲ･ｶｩｯｵｳ FS=Next F21=Print
OWN3d MADISON WI 53713
VEH Vehicle Information:
VEH2 IGCEC14Z4PEI06654 / TRUCK
VEH3 Year: 1993 / Make: CHEVROLET
VEH4 Model: CI500 / Style: PICKUP
VEH5 Color: SILVER/ALUMINUM / SILVER/ALUMINUM
TTL Title Information:
TTL1 Title Number: l0022A50026
IF10l0Sl
Unit:
026/0 -
Cf i\.ll (2.fj L
I
FiNE iTALIAN BEEF 8: SAUSAGE
"VA 'REAL VEAL"
HIT & RUN NOTES:
1.) On the morninll of WednescJay, January 13th I arrived at
b.) Front corner was crocked. c.) Front window was cracked.
d.) Inside stereo was knocked off shelf.
e.) Knifes, spoons & forks were knocked all over the Aoor. F.) Cort Was bushed bock at least 5 feet.
I looked for a note on my cart to see if the party who hit me left <10 eXplanation. No note.
2.) JO's cart was parked next to mine so I looked at their bockbumper and notiCed my carts paint Was on the rear left corner of their cart.
3.) I wasn't 100% sure what happened so since
4.).1 !Jot verbal $200 estimates to Ax the cart and get A neW stereo. I called the number on the side of the JO cart and talklild to the owner (444.1590) I asked him Why no one wrote a note? He said he knew nothing of the incident and would ask. his employee who owned the
5.) Last night January, 27th I attended a food cQrt meeting at City Hall ra., by the Street Vending Coordinator, Warren Hansen and a dozen members of the board ( 261.91711)1 told them what happened. They told me to call the Police
Thcmks
John Handley 334.1361
4705 Grandview Ct. McFarland, WI 608.334.1361 • www.iloveflbs.com