FLORIDA HIGHWAY PATROL MEDIA RELEASE TALLAHASSEE REGIONAL COMMUNICATIONS CENTER

12/17/11
DATE

12:09
TIME

AM PM

OLD LLOYD ROAD

LOCATION OF INCIDENT ALCOHOL RELATED? Yes

JEFFERSON
COUNTY No Yes Yes Pend No No

VEHICLE # DRIVER: INJURIES: PASSENGER: INJURIES:

2004
YEAR

JAGU
MAKE NAME

SEDAN
MODEL

$ 42
AGE FATAL

9000
DAMAGE

SEATBELT / HELMET IN USE?

RELATIVE NOTIFIED?

ANTHONY FITZGERALD MACK

NONE MINOR SERIOUS CRITICAL

MONTICELLO, FL
CITY / STATE OF RESIDENCE HOSPITAL

NAME NONE MINOR SERIOUS CRITICAL

AGE FATAL HOSPITAL

CITY / STATE OF RESIDENCE

SEATBELT / HELMET IN USE?

RELATIVE NOTIFIED? Yes Yes Yes

Yes Yes No

No No Pend

ALCOHOL RELATED? VEHICLE # DRIVER: INJURIES: PASSENGER: INJURIES: NONE MINOR NONE MINOR

YEAR

MAKE

MODEL

$
AGE

DAMAGE

SEATBELT / HELMET IN USE?

No No

RELATIVE NOTIFIED?

NAME SERIOUS CRITICAL

CITY / STATE OF RESIDENCE HOSPITAL

FATAL

NAME SERIOUS CRITICAL

AGE FATAL HOSPITAL

CITY / STATE OF RESIDENCE

SEATBELT / HELMET IN USE?

RELATIVE NOTIFIED?

Yes Yes

No No

PEDESTRIAN: INJURIES: HOSPITAL NONE MINOR

NAME SERIOUS CRITICAL

AGE FATAL

CITY / STATE OF RESIDENCE ALCOHOL RELATED? RELATIVE NOTIFIED? Yes Yes No No Pend

PENDING

CHARGES: NARRATIVE:

VEHICLE-1 WAS TRAVELING SOUTH ON OLD LLOYD ROAD. DRIVER-1 DROVE VEHICLE-1 ACROSS A DOUBLE YELLOW LINE. DRIVER-1 OVER STEERED VEHICLE-1 LOSING CONTROL. VEHICLE-1 COLLIED WITH A MAILBOX AND A TREE. VEHICLE-1 OVERTURNED AND CAME TO FINAL REST ON IT'S ROOF. DRIVER-1 WAS EJECTED AND TRANSPORTED TO T.M.H. FHP WAS ASSISTED BY JEFFERSON COUNTY SHERIFFS OFFICE AND JEFFERSON FIRE RESCUE.

TPR. M.V. FILLYAW

CRASH INVESTIGATOR

Send completed Press Release to: TallPR@fhp.hsmv.state.fl.us

HOMICIDE INVESTIGATOR

SGT. B. MARTINEZ
REVIEWED BY

FHPH11OFF036341
CASE NUMBER

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AM

PAGE 1 OF 1 PAGES ESCAMBIA

FLORIDA HIGHWAY PATROL MEDIA RELEASE TALLAHASSEE REGIONAL COMMUNICATIONS CENTER

DATE TIME PM LOCATION OF INCIDENT ALCOHOL RELATED VEHICLE # DRIVER: INJURIES: PASSENGER: INJURIES: NONE MINOR NONE MINOR Yes Yes Yes COUNTY No Pend No No

YEAR

MAKE

MODEL

$
AGE

DAMAGE

SEATBELT / HELMET IN USE?

RELATIVE NOTIFIED

NAME SERIOUS CRITICAL

CITY / STATE OF RESIDENCE HOSPITAL

FATAL

NAME SERIOUS CRITICAL

AGE FATAL HOSPITAL

CITY / STATE OF RESIDENCE

SEATBELT / HELMET IN USE?

RELATIVE NOTIFIED? Yes Yes Yes

Yes Yes No

No No Pend

ALCOHOL RELATED VEHICLE # DRIVER: INJURIES: PASSENGER: INJURIES: NONE MINOR NONE MINOR

YEAR

MAKE

MODEL

$
AGE

DAMAGE

SEATBELT / HELMET IN USE?

No No

RELATIVE NOTIFIED

NAME SERIOUS CRITICAL

CITY / STATE OF RESIDENCE HOSPITAL

FATAL

NAME SERIOUS CRITICAL

AGE FATAL HOSPITAL

CITY / STATE OF RESIDENCE

SEATBELT / HELMET IN USE?

RELATIVE NOTIFIED? Yes Yes Yes

Yes Yes No

No No Pend

ALCOHOL RELATED VEHICLE # DRIVER: INJURIES: PASSENGER: INJURIES: NONE MINOR NONE MINOR

YEAR

MAKE

MODEL

$
AGE

DAMAGE

SEATBELT / HELMET IN USE?

No No

RELATIVE NOTIFIED

NAME SERIOUS CRITICAL

CITY / STATE OF RESIDENCE HOSPITAL

FATAL

NAME SERIOUS CRITICAL

AGE FATAL HOSPITAL

CITY / STATE OF RESIDENCE

SEATBELT / HELMET IN USE?

RELATIVE NOTIFIED? Yes Yes Yes

Yes Yes No

No No Pend

ALCOHOL RELATED VEHICLE # DRIVER: INJURIES: PASSENGER: INJURIES: NONE MINOR NONE MINOR

YEAR

MAKE

MODEL

$
AGE

DAMAGE

SEATBELT / HELMET IN USE?

No No

RELATIVE NOTIFIED

NAME SERIOUS CRITICAL

CITY / STATE OF RESIDENCE HOSPITAL

FATAL

NAME SERIOUS CRITICAL

AGE FATAL HOSPITAL

CITY / STATE OF RESIDENCE

SEATBELT / HELMET IN USE?

RELATIVE NOTIFIED?

Yes Yes

No No

CRASH INVESTIGATOR

Send completed Press Release to: TallPR@fhp.hsmv.state.fl.us

HOMICIDE INVESTIGATOR

REVIEWED BY

CASE NUMBER

PAGE OF PAGES

ADDITIONAL PASSENGER SECTION

REV 2/08

FLORIDA HIGHWAY PATROL MEDIA RELEASE TALLAHASSEE REGIONAL COMMUNICATIONS CENTER

VEH#

PASS# NONE PASS# NONE PASS# NONE PASS# NONE PASS# NONE PASS# NONE PASS# NONE PASS# NONE PASS# NONE PASS# NONE PASS# NONE PASS# NONE

MINOR SERIOUS

NAME CRITICAL FATAL

AGE HOSPITAL

CITY / STATE OF RESIDENCE

SEATBELT / HELMET IN USE?

INJURIES: VEH#

RELATIVE NOTIFIED?

Yes Yes

No No

MINOR SERIOUS

NAME CRITICAL FATAL

AGE HOSPITAL

CITY / STATE OF RESIDENCE

SEATBELT / HELMET IN USE?

INJURIES: VEH#

RELATIVE NOTIFIED?

Yes Yes

No No

MINOR SERIOUS

NAME CRITICAL FATAL

AGE HOSPITAL

CITY / STATE OF RESIDENCE

SEATBELT / HELMET IN USE?

INJURIES: VEH#

RELATIVE NOTIFIED?

Yes Yes

No No

MINOR SERIOUS

NAME CRITICAL FATAL

AGE HOSPITAL

CITY / STATE OF RESIDENCE

SEATBELT / HELMET IN USE?

INJURIES: VEH#

RELATIVE NOTIFIED?

Yes Yes

No No

MINOR SERIOUS

NAME CRITICAL FATAL

AGE HOSPITAL

CITY / STATE OF RESIDENCE

SEATBELT / HELMET IN USE?

INJURIES: VEH#

RELATIVE NOTIFIED?

Yes Yes

No No

MINOR SERIOUS

NAME CRITICAL FATAL

AGE HOSPITAL

CITY / STATE OF RESIDENCE

SEATBELT / HELMET IN USE?

INJURIES: VEH#

RELATIVE NOTIFIED?

Yes Yes

No No

MINOR SERIOUS

NAME CRITICAL FATAL

AGE HOSPITAL

CITY / STATE OF RESIDENCE

SEATBELT / HELMET IN USE?

INJURIES: VEH#

RELATIVE NOTIFIED?

Yes Yes

No No

MINOR SERIOUS

NAME CRITICAL FATAL

AGE HOSPITAL

CITY / STATE OF RESIDENCE

SEATBELT / HELMET IN USE?

INJURIES: VEH#

RELATIVE NOTIFIED?

Yes Yes

No No

MINOR SERIOUS

NAME CRITICAL FATAL

AGE HOSPITAL

CITY / STATE OF RESIDENCE

SEATBELT / HELMET IN USE?

INJURIES: VEH#

RELATIVE NOTIFIED?

Yes Yes

No No

MINOR SERIOUS

NAME CRITICAL FATAL

AGE HOSPITAL

CITY / STATE OF RESIDENCE

SEATBELT / HELMET IN USE?

INJURIES: VEH#

RELATIVE NOTIFIED?

Yes Yes

No No

MINOR SERIOUS

NAME CRITICAL FATAL

AGE HOSPITAL

CITY / STATE OF RESIDENCE

SEATBELT / HELMET IN USE?

INJURIES: VEH#

RELATIVE NOTIFIED?

Yes Yes

No No

MINOR SERIOUS

NAME CRITICAL FATAL

AGE HOSPITAL

CITY / STATE OF RESIDENCE

SEATBELT / HELMET IN USE?

INJURIES:

RELATIVE NOTIFIED?

Yes Yes

No No

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