MISSOURI uNIFORM CRASH REPORT PAGE I OF 5

iWa(-blE 'Et)Ql:EReEC-INOI-'E

z A,e, ci NA N of CST S NEOSHO BD

€ ht 45 WROAD ALIGNMENT

% Straight 0 Curve[] Llnknowi (Explain)

ROAD PROFILE

[] Lsvel 0 Downhill [] Dip

% uphill [] Hillcrest 0 Unknown (Biplain)

€ Yes N No

2 - LOC:ATION

TRAFFICWAY ROADALIGNMENT

One-Way MI Two-Way, Not Divided [1 Two-Way, Dvidetl Unprotected Median 0 0ther @ Straight 00 Two-Way; Not Divided, Continuous Centet Tum Lane [1 Two-Way, DvidetI Positive Median Bame+ 0 unknown [] Llnknowi (Expli

fl 4-waylntersection 0 Y-Intersection [] 5-way/Moie [] unknown(Explain) % Dry IJ Snow [] Slush [1 StT-Intetsection 0 Roundabout [] Other (Explain) [] Wet 0 Ice / Ftost [1 Mud / Dirt [] Mo

ROADSuRFACE WEATHERCONDITION

0 Concrete [] Brick [] Diri/Sand 0 Cobblestone % Clear 0 Rain [] Sleet/HailAsphalt [] Gravel [] Multi-Suface 0 Unknown (Explain) [] Cloudy 0 Snow [1 Fieezing (T emp)

Daylight € Dark-Lighted a Dark-Unlighted a Dark-Unknown Lighting a Othet (Explain) a unknown (Explain)

None

LIST OWNER'S NAME & ADDRESS, DESCRIPTION OF PROPERTY, AND DAMAGE [] MODOT [] County [] Municipality

Slush [1 Standing Water 0 Sand / Gtavel 0 Unknown (Explain)Mud / Dirt [] Moving Water [] Other (Explain)

NA

Fog / Mist 0 0ther (Explain)SevereCrosswind [] Llnknown(Explain)

4-WITNESS % None IdentiTied [] Additional Witnesses In Narrative

NAME ADDRESS (Street, City, State, Zip) PHONE NUMBER

5 - PEDESTRIAN MI NA [] Law Enforcement Officer [] Other Emeigency Services Personnel

NO NAME (Last, Fiist, Ml) & ADDRESS (Street, Ciky, State, Zip)

€ MoDOT Worker [] Othet Trafficway Workei € Othet Pedesttian

PHONE NuMBER

INJ TRANS- SAFEIY LOCATION

PORT DEV'CEs 0 0n Roadway

. I -=-=-OTHER ACTIONS @ NA / None0 Getting On / Off Vehicle0 Standing/Lying/Sitting InTtafficway0 Pushing / Working On Vehicle0 Behind / In Front of Parked I Stopped Veh

[)ATE OF BIRTH SEX STRLICK BY VEH #[] In Driveway Access

[] Off Roadway

00n Median/Crossing Island

0 Unknown

0 Working In Trafficway0 Playing In Ttafficway0 Walmng / Running In Tiaffiy[] Wlth Traffic [] Against Traffic

[] unknown[] Other (Explain)

SCHOOL INFO. W NA[] Going To / Ftom School

0 Getting On / Off School Bus[] Both Of The Above

[] Unknown (Explain)

CROSSING ROAD W NAg Wdh Signal g Not At Crosswalk

[1 Against Signal 0 In Maiked Crosswalk[] No Signal 0 In Unmarked CTOSSW Ik

PROBABLE CONTRI BuTING Cl RCIJMST ANCES

0 FailedToYield [] Alcohol 0)isttacted / Inattentive [] Drugs

€ None DISTRACTED I INATTENTIVE CODE(S) @ NA ALCOHOL usb

Vision Obstructed (Explain) [] Othet (Explain) 0 Yes a No 0 Un kno,Physi>l Impairment (Explain) [] Unknown (Explain)

DISTRIBUTION COPY-AGENCYFILE: ORIGINAL-MISSOURISTATEHIGHWAYPATROL-TRAFFICRECORDSDIVISION-PO.BOX568-JEFFERSONCITY,MO65102 SHP-2Q 01/12

REPORT # 0918-236 PAGE 2 0F 5

S. Neosho Blvd.

Business 49

INDICATE ROAD NAMES

I

Lusk Dr.

DIAGRAM NOT TO SCALE

V1 N E U V2 N E(SW U V3 N E S W U V4 N E S W u \/5 N E S W u V6 N E S W ugW

R!PORT W u!$1 84;$6 PA(iE 3 0F 5

7-DRIVERS, VEHICLES, OWNERS, &OCCUPANTS

ElNC): PHONE NUMBER

W4ffWalaQ9W1TDRIVER LICENSE / ID NuMBER ST ATE

T981448709 I MO

LIC % Valid [1 Expked'ATUs 0 SusplRev/Denied [0 DisqualCDL

[1 NA [1 Canceled I Okh Invalid [1 Llnknown

Llc V ()niivii+nr (.lass F n Piirmi+ h !!.Ui .j y4[1WmAju I,JA.'PE 'a'0 CDl_:;s; '-- '0 W'g:ily"' a!5J!"

€ NA [] Interm/Grad 0 Unlicensed'!f'Jnk.

0 Unknown (Explain)

'5i

12-1 8-1947

SEX

M

SEATLOC

FL

INJ

4

TRANS-PORT

1

EJEC-TION

I

m WW VISION q yI Obstructed [1 Ttees I Brush [] Sign [1 Moving Veh J"J_ Othet (Exolain)aA €

01

a

05

ia)d oBsTRuCTEo '0 nds-hreld--- -O Building € H:llcrest € StoppedV'-h [] unknown[] NA z LoadonVeh 0 Embankment [] ParkedVeh [I Glare (Explain)

i-__ EF?mR! i'l@::i4'W5+';T fmQ6 iI!!Ti'ffi Wj PHONE NO (Optiona0(800) 333-2860 -

POLICYNUMBER [] NA

24A27384C9?E! 8

@5

gLa5j91_F3M;PAC'-'

-Hl!:i- Ei&*A'e(JmF-im 'OMlj§9pQ5@(@4J9 % sAD pxoryerquvsep ([ SAD

YEAR

1956

MAKE

NASHMO[)EL

METROPOLCOLOR

BLK iVEH TYPE

I

TOT AL NO OF OCC

1

e= " -'- ' ffi7;'1 YEARW2 , 1, 6 2 2 , . , .

iiil.i i Ii I

=tJa'(':mg60t!iiRaE ffJ__)l&lAMAaF.

€ YesENo ""-o'a

'@__ ff_oqr48)iXt'WlffffiVf'O (i""'qmdm"'74a#at'g4-

piQ5 i =m r )"G)""4"'j"a'5'j"""';"':""';""""""';8"2'9nd7rcatriageZ! - Cargo/ - 19 - ndshield 23 - unknown

15'-.a'-'l_a ,-,,,,,, 24-,,h,,,€ NA

1(D,l i( € ) 1-21 i-1 I 10 i 9 - ' - ' ""' " "' ""'-" "

5*-=z= -ha i)l I'nlll)lnlllllllm'ti'ljSnPlhlffl_VnhNd ahi+ib>-I-leiiid-.llw(j

?::EA:'E',:W,,,,,8 :=::':==:;.':=o:: O ::"-a ; EE:E;,,::,pH,,yM,,h B_:=:_:=-==L::==_::_=='=:_:===.:(P,,kFF,IE,'5=!:7,,,0SpottUtilityVehk.le 0SchoolBus 02wh 00therVshidJCode)____av(DeohespnuoL:nagpxplnyo:ohITriuu%k!';!a__ctots!J pau,vTruckTraciois,on,iorHazMat0 Limousine (7-8 W/[)tiveQ [] Inteiciiy [l 3 Wh € Cargo Van

[] Limousine (9-15 W/DiiveQ 0 Ttansit / Commuter [1 4 Wh [] Pickup CI Un,tT"k T'ado' w'h No u" I a eq"susal\hoanlO,or000 Ibs€ Molor"ed Bicyde 0 Chartet / Tout [1 5 Wh / More [] Okhet Heavy Truck a 'uck'ador W"h o"a[] Pedalcyde -, [] Other [] Unknown 0 unknown (Explain) a T"ok T'ado' w"h T' U"' I € lo'Oo' - 26'Ooo 'b"€ TruckTractorWhThreeUnits a Greatetthan26,000lbs

0 To / Ftom School l [i unknownEMERGENCYVEHICLEINVOLVEMENT K NA0 Police 0 Ambulance [] A Emergency Vehicle on Emetgency Run0 Fire [] Othei (Must check "A" / "B") % [] B Stationary With Emergency Equip Adivated

mieismiuassxtetaeemizreas:iE5aa '

7C. VEHICLE ACTION I SEQuENCE OF EVENTS CODES 0 Additional Codes Listed in Nanative (See Codes in Section 8) ALCOHOL USE

[]Yes 0 Unk% NO 0 NA

;j3EG)tJ_EN_G=E!'-e} n llnknnwn Io_%rTh'i-';"'_ ==+_ #1:$o#ffig8A- @'Nl'i-aaTa-i-'--i ---

3aRQNWlaThgRMa%.n80!51M(;t"M 0 None

[] Vehide Defects (Explain) 0 Vision Obstuied [] Failed To Dim Headlights [] ImproperTowing / Pushing [] Objed/Obstiuction in Roadway

[] Speed - Exceeded Limit 0 Driver Fatigue / Asleep 0 Failed To use Lights [] Impropsly Stopped On Roadway [] Distracted / Inattenlive (Designate Type)[] TooFastForCondikions 0 ImproperSignal fl FollowlngTooClose [] lmproperLaneusage/Change [] unknowi(Explam)[] Violation Signal / Sign [] Improper Backing [] Wrong Side (Not Passing) [1 0verconected [1 0thet (Explain)Ll r-auea Io yieio LI Improper ium IJ Wrong Side (One-Way) 14 Improper Ridmg I Clinging To Veh Extenor[] Alcohol [] Impropet Passing [1 Physi>l Impaiiment (Explain) [1 Failed To Sscure Load / Impiopsi Loading[] Dtugs 0 Improperly Parked [] Impropet Start Fiom Paik [1 Animal(s) In Roadway

DISTRACTED / INATTENTIVE CODE(S) % NA(See Codes in Section 8)

l(gg@Bzm3B

[] Yes R No [] Unknown_

Wxkeis P+esent

[J Yes E No [] Unknown

W!Fffl5h?)TJifT5'a'- [] None € Uiiknowii 4_ Mm*4'taJammiD)k!m*i6Ni'FIG7-rl39olt'l'-G-

0 Yes (Explain) % No€ Unknown 0 NA

OCCuPANTS - NAME (Last, First, Ml)7F. --

ADDRE8S (Street, Cfy, State, Zip)

DATE OF BIRTH SEX SEATLOC

INJ TRANS-PORT

EJEC-TION

AIRBAG

SAFETYDEVICES

PHONE NUMBER

7G- COMMERCIAL MOTOR VEHICLE K NA l Requited on vehicle iT 'Yes" was answered $O queshons m parts 1 and 2 in CMV involvement ciiteria and vehicle meets one of the thiee critetia in park 2MOTOR CARRIER IDENTIFICATION (Leasee, etc.) - NAME & ADDRESS (Steet, C§, State, Zip) € SAO PHONE NUMBER € SAO

COMMERCIAL I 0 Interstate Cattier [] Not In Commerce - Government Vehicle 0 Not In Commerce - Other VehicleNON-COMMERCIAL [] Intrastate Cattiei 0 Not In Commerce - Rental Vehicle

MC I MX / ICC NO USDOT NO.

CARGO [] EnclosedBox [] Flatbed [] ConcieteMixer [] Garbage/ReTuse 0 PoleTrailet [] VehicleTovnng [] Intetmodal [] NA(NO 0 0thei

,PEBooY [] CargoTank [] Dump [] AutoT+ansporte+ [] Giain/Chip/Gravel [] LOg AnotherVeh. chasslsBody)co"a"a'ca'go 0 UnknownPLACARD DISPLAYED

HAZARDOUS z Yes z NO

MATERIALS a unknoWn

4-DIGIT NO. CLASS HM CARGO PRESENT

[]Yes € NO

[] Unknown

HM CARGO RELEASED

€ Yes € N0

0 Unknown

HAZ ARDOUS M ATERIAL N AME

REPORT # 091 B-236 PAGE 4 0F 5

7-DRIVERS, VEHICLES, OWNERS, aoccuporirs 4% @, eTiiiiiiiiW& ti:WiaM amigim

')- -'TD 10 0 C%/"-/'VKITIJ I-A-A klk I L_ r "I "I l- I a LJ IS LI I l_ I nkl 0 rl r_ la"ll'l rl 11 A A kl A A rS QA 0 A Q I :Mr;q MA Ma+ t I'% J L) L) Q ! il-il J N I n I /"i /"i I N I N Q t J i-)l-i rl /'l r l- W J (-' I N J'% l-" l-) (-' (-' u I V I/'t t N i I V I '-J '-l W 0 W a " "74 q N %i WAWmjEff &IW

DRIVER LICENSE / 10 NUMBER ST ATE

RO78301005 I MO

LIC XI Valid 0 ExpkedfflATUs 0 Susp / Rev I Denied [1 Disqual CDL€ NA [] Canceled / 0th Invalid 0 unknown

L'c % Operator Class _j_ [] Permit [] Unknown"TYPE [] CDLClass __ [3 MCOnly (Explain)

[1 NA [] Inte+m I Giad [] unlicensed

'P'p"!fae&&€ Yes [1 NC) [X[ NA[1 unknown (Explain)

fl_

01-31-1968

SEX

F

SEATLOC

FL

INJ

4

TRANS-PORT

1

EJEC-TION

2

i m W;f VISION B NOI Obrtructed [] Trees / Brush [1 Sign [] Moving Veh 0 0ther (Explain)OBSTRUCTED € Windshield a Building 0 Hillcrest [1 StoppedVeh [] Unknown

[] NA @ LoadonVeh [] Embankment 0 ParkedVeh 0 Glare (EXPlain)

$

03

%

05

l[

ITh 4=ggr4;ayp4aqq5

-STATEFARMPHONE NO. (Optional)

(417) 624-8443 -POLICYNUMBER [1 NA1130639D1725D

iNm

W

mBffi

i#li#A_lA

G'Z@me)Y5 € ('WNERuNWME,:aietij_WF.,ii%_ t!M_li8YA[aDR?-fT4'ii % SAD pxoxbrvuxseti (81 SADl " " " """"" " ' """""""" ' "" "' " "" "" " aaaaaaaaa' ""iiiiiiiiiiiiiiiiiiii iiiiii:iii'iiii.'iiiiiii:iii.iiiii:.iiiiii:ii..i:liiiiiii.' ::.;:a..iillll'.ll.a..::

YEAR

2012

MAKE

Honda

MODEL

PILOT

COLOR

0th i

VEH. TYPE

1TOT AL NO. OF OCC.

3'.'ei_Waa. YEAR

WF N Y F 4 H 9 9 C B 0 5 1 3 . 2 2illillililil,lil

i'a) €::$Qe7::$::$ &FfflE["ME4a'm__Ca€ Yes (X No € Yes K No

C

a!*ll..

9ii7qEIXI

tlpiji

q15!4@J§

n

i7'Ef)'g:jb'i440.eiji)M', 2 1 3 1 a 1 s_1 e (

m7,

%........E'm-) 18 - undercariiage 22 - Cargo

$Vlt5p4M45aaQ

€ NA

8

-L_/- '%lt r i s S 7. 7 0 =-;:,":"" ff-:'::'-

- @j _Trwarl llni+ rl-nnlainl

14 113 I i;i1 11 I to 1 (-g {kj

- , I # 1111 # % # I I I g l l-% Hiaa" 'l

aaa"--

IQm!Un!ffiEll%Jal(MIW!? i!_%pil6P&' imh%!________')hCla'llW

::E=,a;i'::=.,.,,.QB r=::==(:;::=S:=;) O ::'€ : E',E,:,pH,,yM,,h E_:=:_:=-==_::==_=:=:_=='=:_:===u(P,,S,;E#5:_:,.,

:il(=li$f'=-==- ::=t::=:=4=-[El::J,tHJIJ:::"= :Wi"i'fflW:'i:Tt=J:=i=:fit=l:ii'0To/FromSchool i0unknown

EMERGENCYVEHICLEINVOLVEMENT % NA[] Police [] Ambulance [] A Emergency Vehicle on Emergency Run

[] Fire [l Othei (Must check "A" / "B') -) [] B. Stationaiy th Emergency Equip Activated

;asitaieeir:inagiextaeiveemaigssiEiq

7C. VEHICLE ACTION I SEQuENCE OF EVENTS CODES 0 Additional Codes Listed in Nanative (See Codes in Section 8) ALCOHOL USE

€ Yes € unk

% No 0 NAji):""""""'::::M

i i i Ig;{XgOMti:lteW

l::

a?QkFAQ!3ABuE;Q.5!l.TBIB'.lJIl(!IQ1QO35.!lMe.TmNf2ETh % None

[] Vehide Ddects (Explain) [] Vision Obstructed [] Failed To Dim Headlights 0 Impropei Towing / Pushing [] OJed / Obstruction In Roadway[] Speed - Exceeded Limit 0 Driver Fatigue / Asleep [1 Failed To Use Lights [] Impropetly Stopped On Roadway [1 Distracted / Inattentive (Designate Type)0 TooFastForConditions [] ImproperSignal 0 FollowlngTooClose [3 lmptopetLaneusage/Change 0 Llnknown(Explain)[1 Violation Signal/Sign [] Improper Backing 0 Wrong Side (Not Passing) 0 0verconected [] Other (Explain)[] Failed To Yield IJ- Improper Turn 0 Wrong Side (One-Way) 0 Imptoper Riding I Clinging To Veh. Exterior0 Alcohol [] Improper Passing 0 Physical Impaiiment (Explain) [] Failed To Secure Load / Improper Loading0 Dtugs 0 Impioperly Parked 0 Improper Stark From Park [] Animal(s) In Roadway

DISTRACTED / INATTENTIVE CODE(S) E NA

(See Codes in Section 8)

l"

h___eVf__________6Yktzo_F%rA

__[]__Yes__Q_No 0unknow4Woikers Present

0 Yes E No 0 Unknown

idji € None € unknown 0,00iR(ffllAE5k)Ial%fSIa-a-Rggl(u

€ Yes (Explain) E No€ Unknown 0 NA

OCCuPANTS - NAME (Last, First, Ml)7F.

ADDRESS (Street, City, State, Zip)

DATE OF BIRTH SEX SEATLOC

INJ TRANS-PORT

EJEC-TION

AIRBAG

SAFETYDEVICES

PHONE NUMBER

TRIBBEY, JONATHAN EVERETT06-30-2006 M SL 4 1 2 03 05 (417) 850-8117

115 CHARLETON RD - GOODMAN, MO 64843

TRIBBEY, JOSHUA NATHANIEL04-26-2001 M SR 5 I 2 03 04 (417) 850-8117

115 CHARLETON RD - GOODMAN, MO 64843

;ta. COMMERCIAL MOTOR VEHICLE H NA I Required On vehicle :f 'a'res" was answered to questions in patts 1 and 2 in CMV involvement criteria and vehicle meets One oT the tmee criteria in park 2!.MOTOR CARRIER IDENTIFICATION (Leasee, etc.) - NAME & ADDRESS (Steet, City, State, Zip) € SAO PHONENUMBER 0 SAO

COMMERCIAL I 0 Interstate Canier 0 Not In Commerce - Goveinment Vehicle [] Not In Commetce - Other VehicleNON-COMMERCIAL 0 Intrastate Canier [1 Noi In Commerce - Rental Vehicle

MC / MX / ICC NO. USDOT NO

CARGO [] Enclosed Box [] Flatbed [] Concrete Mixer 0 Garbage i Refuse [] Pole Trailer 0 Vehicle Towing @ Intermodal a NA (No [] Other

,p5ooy € CargoTank @ Dump € AutoTransporkei O Grain/Chip/Gravel a Log AnotherVeh. ChassisBody)co"a"'a'ca'go z UnknownPLACARD D18PLAYED

HAZARDOuS @ Yes [] NO

MATERIALS a Unknown

4-DIGIT NO. CLASS HM CARGO PRESENT

€ Yes € No

[] Unknoiivn

HM CARGO RELEASED

€ Yes [1 No

[1 unknowi

REPORT # 0918-236 PAGE 5 0F 5

8-CODES

SEAT LOCATION

B - Pedalcycle S 2M - Mototcycls FL SL TL 3CP - Commercial PassengerOE - Occupant - Enclosed Load Area

OU - Occupant - Unenclosed Load A+eaRC - Rail Ciew

SV - Othei (Explain in Narrative)

NA - Not Applimble

INJuRY

FatalDisablingEvident -

Not Disab4. Probable

Not Appai5 None App

u. unknowiN. NA

TRANSPORTED EIECTION(FOT MediolTreatment)

NotDisabling ' No4. Probable - 2 EMs

Not Appaient 3 oTha'5 None Apparent u unknOWTTu. unknowi N NAN. NA

VEHICLE ACTION/SEQuENCE OF EVENTS (ltems vxth double-asterisk ["] require additional coding)

4. Going Straight 10. Skark From Parked 19 Airbome 28 Separation Of units

2. Overtamng 11. Backing 20 Ran OfT Roadway - Right 29 Retumed To Roadway3 Making Right Tum 12. Stopped In Traffic 21 Ran Off Rodway - Left 30. Collision Inv Pedestnan4 RightTum on Red 13 Parksd Z! Owrkum / Rollovei 31 Collision Inv. BicyclelPedalcycle

5 Making Left Tum 14 Changing Lane 23 Fire / Explosion 32 Collision Inv. Railwiy Veh6 Making U-Tum 15. Avoiding 24. Immetsion 33 Collision Inv Aiiimal (')7 Skidding / Sliding 16 Cioss Median 25. Jackknife 34 Collision Inv MV in Tiansport8 Slowng / Stopping 17 Cioss Center OT Road 28. Cargo Loss / Shffl 35. Collision Inv. Patked MV

9 Stark In Traffic 18 Cross Road 27 Equipment Failuie 36 COIIISI011 Inv Fnisd Ob%d (")

ANIMAL CODES FOR VEHICLE ACTION / SEQuENCE OF EVENTS

60 Deer 61. FarmAnimal 62. Dog 63 0therAnimal

37. Collision Inv. Othei Objea (Explain)38 0iher Non-collision39 Collision Inv Bicycle/Pedalcycle

In Bicycle Lane

40 . Collision Inv. Arumal Dtawn Vehicle /Animal Ridden For Transportation

41 Collision Inv Working MV42 . Downhill Runaway43 FeluJumped Fiom MV

U Unknown

FIXED OBJECT CODES FOR VEHICLE ACTION / SEQuENCE OF EVENTS

20 Ttee/Stump(Slandiiig) 26. Culveit 32 Building2'l Embankment/Dtiveway/Ground/RockBluff 27. HighwayTtafficSignPost/Suppork 33 TrafficSignalSuppod22 GuardrailFace 28 BndgePier/Abuiment/Support 34. lmpactAttenuator/CiashCushion23 UtilikyPole 29 Cuib 35. FiieHydrant24 Fence 30 MailBox 36 0thei(Explain)25 Street Light Suppori 31 Concrete Traffic Bamei 37 Bridge Paiapet End

Btidge RailGuardiail EndOther Tiaffic BanierOverhead Sign SupportDitchOthet Post / Pole / Suppork

44 Wall

45 Cable Banier46 . Bndge Ovethead Structure

47 . Overhead Lme / CableU Unknown

DISTRACTED IINATTENTIVE CODES

1 Exteinal Distraction2 Passengers

3 Stereo/Audio/VideoEquipment4 . Navigation Device

VEHICLE TYPE CODES

1 Motor Vehicle In Transport2 . Parked Motor Vehicle

OTHER VEHICLE CODES

4 Riding Mower/Gatden Tractoi2. Golf Caf

5 Communiztion Device - Hand-held6 Communication Device - Haiids Free7 Communi>tion Dsvice - Texting / E-mailing8 Communimtion Device - Web Btowsing

9 Eating / Dtinking10 . Reading14 Tobacco Use12 Grooming

13 ComputerEquipment/EleckronicGames/etc14 Adjusting Vehicle Controls15 0thet (Explam)

3 Wo+king Motor Vehicle4. Pedalcycle

5 Animal Dtawn Vehicle / Animal Ridden For Transpork PutposesLl. Unknown

3. Snowrnobile4. Forkliff

5. Animal Drawn Vehicle / Animal Ridden For Ttansportation 6. Low Speed Vehicle7. Other (Explain)

'iiWRA'lt*'i&W'afWf(Ifadditional room is necessary, useSection 11 -Narrative/Statements Continuation)

On 09-24-20al8 0fficers were dispatched to the intersection of Business 49 and South Neosho Boulevard for a report of a traffic crash.

Upon my arrival, I made contact with Alvin Grube, who was identified by his Missouri Driver's license. Mr. Grube stated he was

travelling south on Business 49 in a Nash Metroplolitan, hereaffer refered to as vehicle 1 or VL Mr. Grube said he was attempting to

brake for traffic. He told me his foot slipped off the brake and hit the gas before his left foot was placed on the clutch, causing him tolurch forward into a Honda Pilot in front of him.

I made contact with the driver of the Honda Pilot, identified by her Missouri Driver's License as Cynthia Tribbey. Ms. Tribbey said she

was travelling south in the Honda SUV, hereafter referred to as Vehicle 2 or V2. She told me she stopped to wait on the light to changeand was struck by Vl Ms. Tribbey said her sons, Joshua and Jonathan were in the vehicle at the time of the crash as well.

Mr. Grube stated he was not injured. He said he hit his elbow on something but it was fine. Ms. Tribbey stated her and Jonathan had

headaches but said that her husband was a physician and that they would keep an eye on it. No one was transported and all partiesrefused medical treatment on scene.

Both vehicles leff under their own power. V1 had heavy front end damage but was still driveable.

At the conclusion of my investigation, after reviewing all evidence available at the scene, I determined the driver of Vl provided theprobable contributing circumstance of following too closely, resulting in a crash.

I have riothing further to add at this time.

10. REPORTING AND REVIEN'ialNG

fa'l

Pll JOSHUA HOUGHTON 123REVIEWING OFFICER 2 NAME

NSWDSN / BADGE NO