FLORIDA HIGHWAY PATROL

MEDIA RELEASE
TALLAHASSEE REGIONAL COMMUNICATIONS CENTER

9/15/2010 07:18 AM US 98 / WEST OF LAKE MORALITY ROAD FRANKLIN

DATE TIME PM LOCATION OF INCIDENT COUNTY

ALCOHOL RELATED? Yes No Pend

VEHICLE # 01 2007 TOYT TUNDRA $ 8000 SEATBELT / HELMET IN USE? Yes No
YEAR MAKE MODEL DAMAGE RELATIVE NOTIFIED? Yes No
DRIVER: MILTON F. MERCER 71 OMEGA, GA
NAME AGE CITY / STATE OF RESIDENCE
INJURIES: NONE MINOR SERIOUS CRITICAL FATAL TALLAHASSEE MEMORIAL
HOSPITAL
PASSENGER: N/A N/A N/A
NAME AGE CITY / STATE OF RESIDENCE
INJURIES: NONE MINOR SERIOUS CRITICAL FATAL N/A SEATBELT / HELMET IN USE? Yes No
HOSPITAL RELATIVE NOTIFIED? Yes No

ALCOHOL RELATED? Yes No Pend

VEHICLE # 02 1992 MAZDA PK $ 6000 SEATBELT / HELMET IN USE? Yes No
YEAR MAKE MODEL DAMAGE RELATIVE NOTIFIED? Yes No
DRIVER: WILLARD T. CHISHOLM 80 CARRABELLE, FL
NAME AGE CITY / STATE OF RESIDENCE
INJURIES: NONE MINOR SERIOUS CRITICAL FATAL N/A
HOSPITAL
PASSENGER: N/A N/A N/A
NAME AGE CITY / STATE OF RESIDENCE
INJURIES: NONE MINOR SERIOUS CRITICAL FATAL N/A SEATBELT / HELMET IN USE? Yes No
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:
Vehicle 1 (V1) was traveling west in the westbound lane of US-98 (State Road 30). Vehicle 2 (V2) was
heading east in the eastbound lane of US 98 (State Road 30). For unknown reason V1 entered the
eastbound lanes where the front of V1 struck the front of V2. V1 came to final rest facing west in the
westbound lane and V2 came to final rest west in the eastbound lane. The Carrabelle Police Department,
Franklin County Sheriff’s Department, Weems EMS, Carrabelle Fire Department and Lanark Fire
Department assisted on scene.

D2, Willard T. Chisholm of Carrabelle, FL, D.O.B. 02/09/1930 was pronounced deceased at the scene of
the crash.

Tpr. Scotty A. Lolley Send completed Press Release to: Cpl. Donnie Pitts
CRASH INVESTIGATOR HOMICIDE INVESTIGATOR
Sergeant Aaron Stephens TallPR@fhp.hsmv.state.fl.us FHPH10OFF021366
REVIEWED BY CASE NUMBER

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 FLORIDA HIGHWAY PATROL
MEDIA RELEASE
TALLAHASSEE REGIONAL COMMUNICATIONS CENTER

AM FRANKILIN
DATE TIME PM LOCATION OF INCIDENT COUNTY

ALCOHOL RELATED Yes No Pend

VEHICLE # $ SEATBELT / HELMET 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 / HELMET IN USE? Yes No
HOSPITAL RELATIVE NOTIFIED? Yes No

ALCOHOL RELATED Yes No Pend

VEHICLE # $ SEATBELT / HELMET 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 / HELMET IN USE? Yes No
HOSPITAL RELATIVE NOTIFIED? Yes No

ALCOHOL RELATED Yes No Pend

VEHICLE # $ SEATBELT / HELMET 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 / HELMET IN USE? Yes No
HOSPITAL RELATIVE NOTIFIED? Yes No

ALCOHOL RELATED Yes No Pend

VEHICLE # $ SEATBELT / HELMET 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 / HELMET IN USE? Yes No
HOSPITAL RELATIVE NOTIFIED? Yes No

Send completed Press Release to:

CRASH INVESTIGATOR HOMICIDE INVESTIGATOR

TallPR@fhp.hsmv.state.fl.us
REVIEWED BY CASE NUMBER

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 FLORIDA HIGHWAY PATROL
MEDIA RELEASE
TALLAHASSEE REGIONAL COMMUNICATIONS CENTER

ADDITIONAL PASSENGER SECTION

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

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

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

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

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

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

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

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

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

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

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

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

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