FLORIDA HIGHWAY PATROL

MEDIA RELEASE

TROOP – F

11/05/13 / 345 / AM / US-27 AND LAKE JOSEPHINE DRIVE / BROWARDCHARLOTTECOLLIERDESOTOGLADESHARDEEHENDRYHIGHLANDSLEEMANATEESARASOTA
DATE / TIME / PM / LOCATION OF INCIDENT / COUNTY
ALCOHOL RELATED? / Yes No Pend
VEHICLE # / 1 / 2003 / CHEVROLET / AVALANCHE / $ / 3000 / SEATBELT IN USE? / Yes No
YEAR / MAKE / MODEL / DAMAGE / RELATIVE NOTIFIED? / Yes No
DRIVER: / JOSE VALDOVINOS / 48 / LAKE PLACID, FLORIDA
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / N/A
HOSPITAL
PASSENGER: / GABRIELA VALDOVINOS / 18 / LAKE PLACID, FLORIDA
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / SEATBELT IN USE? / Yes No
HELMET: / DR. / PASS. / N/A / HOSPITAL / RELATIVE NOTIFIED? / Yes No
ALCOHOL RELATED? / Yes No Pend
VEHICLE # / 2 / UK / SUZUKI / GSXR / $ / 6000 / SEATBELT IN USE? / Yes No
YEAR / MAKE / MODEL / DAMAGE / RELATIVE NOTIFIED? / Yes No
DRIVER: / ANDY VEGA / 24 / SEBRING, FLORIDA
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / HIGHLANDS REGIONAL MEDICAL CENTER
HOSPITAL
PASSENGER:
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / SEATBELT IN USE? / Yes No
HELMET: / DR. / PASS. / N/A / HOSPITAL / RELATIVE NOTIFIED? / Yes No
PEDESTRIAN:
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / ALCOHOL RELATED? / Yes No Pend
RELATIVE NOTIFIED? / Yes No
HOSPITAL
CHARGES: / .pending
NARRATIVE:
On the above date and time, Vehicle 1, A white 2003 Chevrolet Avalanche was eastbound on Lake Josephine Drive. Vehicle 2 with an unknown year Suzuki GSXR was southbound in the southbound inside lane of US-27. Vehicle 1 stopped at the stop sign on Lake Josephine Drive at US-27 and then entered the interesection. As Vehicle 1's front entered the median, Vehicle 2 struck the left rear of Vehicle 1. Vehicle 1 rotated counter clockwise and came to rest in the median facing north. Vehicle 2 came to rest in the southbound inside lane of US-27 facing south. The drive of Vehcile 2 was transported to Highlands Regional Medical Center where he expired from his injuries and was pronounced deceased.
TPR Jay Spencer / Send completed Press Release to:

Or fax to:
239-938-1863 / CPL Louis Smith
CRASH INVESTIGATOR / HOMICIDE INVESTIGATOR
FHPF13OFF060262
REVIEWED BY / CASE NUMBER

PAGE 1 OF 1 PAGES

AM / BROWARDCHARLOTTECOLLIERDESOTOGLADESHARDEEHENDRYHIGHLANDSLEEMANATEESARASOTA
DATE / TIME / PM / LOCATION OF INCIDENT / COUNTY
ALCOHOL RELATED / Yes No Pend
VEHICLE # / $ / SEATBELT IN USE? / Yes No
YEAR / MAKE / MODEL / DAMAGE / RELATIVE NOTIFIED / Yes No
DRIVER:
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL
HOSPITAL
PASSENGER:
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / SEATBELT IN USE? / Yes No
HELMET: / DR. / PASS. / N/A / HOSPITAL / RELATIVE NOTIFIED? / Yes No
ALCOHOL RELATED / Yes No Pend
VEHICLE # / $ / SEATBELT IN USE? / Yes No
YEAR / MAKE / MODEL / DAMAGE / RELATIVE NOTIFIED / Yes No
DRIVER:
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL
HOSPITAL
PASSENGER:
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / SEATBELT IN USE? / Yes No
HELMET: / DR. / PASS. / N/A / HOSPITAL / RELATIVE NOTIFIED? / Yes No
ALCOHOL RELATED / Yes No Pend
VEHICLE # / $ / SEATBELT IN USE? / Yes No
YEAR / MAKE / MODEL / DAMAGE / RELATIVE NOTIFIED / Yes No
DRIVER:
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL
HOSPITAL
PASSENGER:
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / SEATBELT IN USE? / Yes No
HELMET: / DR. / PASS. / N/A / HOSPITAL / RELATIVE NOTIFIED? / Yes No
ALCOHOL RELATED / Yes No Pend
VEHICLE # / $ / SEATBELT IN USE? / Yes No
YEAR / MAKE / MODEL / DAMAGE / RELATIVE NOTIFIED / Yes No
DRIVER:
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL
HOSPITAL
PASSENGER:
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / SEATBELT IN USE? / Yes No
HELMET: / DR. / PASS. / N/A / HOSPITAL / RELATIVE NOTIFIED? / Yes No
Send completed Press Release to:

Or fax to:
239-938-1863
CRASH INVESTIGATOR / HOMICIDE INVESTIGATOR
REVIEWED BY / CASE NUMBER

PAGE OF PAGES

ADDITIONAL PASSENGER SECTION

VEH# / PASS#
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / SEATBELT IN USE? / Yes No
HOSPITAL / RELATIVE NOTIFIED? / Yes No
VEH# / PASS#
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / SEATBELT IN USE? / Yes No
HOSPITAL / RELATIVE NOTIFIED? / Yes No
VEH# / PASS#
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / SEATBELT IN USE? / Yes No
HOSPITAL / RELATIVE NOTIFIED? / Yes No
VEH# / PASS#
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / SEATBELT IN USE? / Yes No
HOSPITAL / RELATIVE NOTIFIED? / Yes No
VEH# / PASS#
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / SEATBELT IN USE? / Yes No
HOSPITAL / RELATIVE NOTIFIED? / Yes No
VEH# / PASS#
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / SEATBELT IN USE? / Yes No
HOSPITAL / RELATIVE NOTIFIED? / Yes No
VEH# / PASS#
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / SEATBELT IN USE? / Yes No
HOSPITAL / RELATIVE NOTIFIED? / Yes No
VEH# / PASS#
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / SEATBELT IN USE? / Yes No
HOSPITAL / RELATIVE NOTIFIED? / Yes No
VEH# / PASS#
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / SEATBELT IN USE? / Yes No
HOSPITAL / RELATIVE NOTIFIED? / Yes No
VEH# / PASS#
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / SEATBELT IN USE? / Yes No
HOSPITAL / RELATIVE NOTIFIED? / Yes No
VEH# / PASS#
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / SEATBELT IN USE? / Yes No
HOSPITAL / RELATIVE NOTIFIED? / Yes No
VEH# / PASS#
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / SEATBELT IN USE? / Yes No
HOSPITAL / RELATIVE NOTIFIED? / Yes No

PAGE OF PAGES

REV 3/06