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- @ 10/112016 OBIE Page 14 STATE OF MICHIGAN PROS. ORDER NO. 16-39027 THE DISTRICT COURTIUDICLDSTRICTNO. 54 County of ORKLANO COMPLAINTIGENERAL 00 INFORMATION [b £H00Fy THE REOPLE OF THE STATE OF MICHIGAN Date of Offense: OCTOBER 8, 2018 S. Location: TWP OF WATERFORD BIST/AN WATSON 163-16-039027-01 Complainant: CTS.15 Howel, MI 46843 crs 28} crs. 37] crs. 49} Complaining witness SGT. KAZVAK Defendant(s) WITNESSES SGT. KAZYAK, clo WATERFORD TWP. POLICE DEPT. OFC. FRITZ ‘OFC. MATHEWSON OFC. MoQUIN OFC: HAEFNER OFC! CLEMONS OFC. FORTON SGT. BARTLE PHILLIP HAYES. SHARI ANTHONY FIREFIGHTER J. HELGEMO FIREFIGHTER A. REIGLE PARAMEDIC T. WEAVER PARAMEDIC J. SUYDAM PARAMEDIC B, WHERRY PARAMEDIC J. LITTLE PARAMEDIC D. DEFORE CAROL WYATT, RIN NATHAN LEE LORD = ANY AND ALL MEDICAL PERSONNEL FROM MCLAREN HOSPITAL FOR THE TREATMENT OFF IMEEEEIEIION OF ABOUT 10/9/16 TO PRESENT REP. MCLAREN OAKLAND HOSPITAL (OT) RE. CERT, COPY OF ANY AND ALL MEDICAL RECORDS FOR THE TREATMENT OF JON OR ABOUT 10/9/16 TO PRESENT ANY AND ALL MEDICAL PERSONNEL FROM ST. JOSEPH'S MERCY HOSPITAL FOR THE TREATMENT _ RRR 0% A000 ta9r16 To PRESENT JOSEPH'S MERCY HOSPITAL. RDS FORTHE TREATMENT ao ON OR (D1) RE. CERT. COPY OF ANY AND ALL MEDICAL RECO BOUT 10/8/18 TO PRESENT FrEDICAL PERSONNEL FROM MCLAREN OAKLAND HOSPITAL FOR THE TREATMENT OF iS « 40/11/2016 DBICE Page 2 0f4 7 ‘STATE OF MICHIGAN PROS. ORDER NO. 16-39027 THE DISTRICT COURTUOICIL OISTRICTNO. 64 ena COMPLAINT/GENERAL INFORMATION (L3 400 fy ‘ REP. OF MCLAREN OAKLAND HOSPITAL ToT) RE: CeRT. COPY OF ANY AND ALL MEDICAL RECORDS OR THE TREATMENT OF SEEEIIIIION OF . ABOUT 10/9/16 TO PRESENT ANY AND ALL MEDICAL PERSONNEL FROM WILLIAM BEAUMONT HOSPITAL FOR THE TREATMENT OF Si IRIN Of ABOUT 10/9/16 TO PRESENT REP. OF WILLIAM BEAUMONT HOSPITAL (OURS. CERT. COPY OF any ‘AND ALL MEDICAL RECOROS OF SEI ON OR ABOUT 10/9/16 TO N ‘ANY AND ALL MEDICAL PERSONNEL FROM ST. JOSEPH'S MERCY HOSPITAL FOR THE TREATMENT OF J MARTIN ON OR ABOUT 10/9/16 TO PRESENT REP. OF ST. JOSEPH'S MERCY HOSPITAL (OT) RE. CERT. COPY OF ANY AND ALL MEDICAL RECORDSFOR THE TREATMENT CF OR ‘ABOUT 10/9/16 TO PRESENT MEDICAL PERSONNEL FROM WILLIAM BEAUMONT HOSPITAL FOR THE TREATMENT CF i liedllidihk soccr toate ro pxesenr REP OF WILLIS BEAUMONT HOSPITAL Foon yey AN ALL MEDICAL RECORDSFOR THE TREATMENT CF ED 8 ABOUT 10/9/16 TO PRESENT. ‘STATE OF MICHIGAN, COUNTY OF OAKLAND ‘The COMPLAINING WITNESS says that on the date and tthe location describe, the defendant, contrary to law, COUNT 1 did operate a vehicle upon a highway, Edgefield, while under the infuence of alcoholic liquor andlor having an alcohol content of 10.08 grams or more per 100 milters of blood, and by the operation ofthat vehicle caused a serious impairment of a body function Cf contrary to MCL 257.625(5). (267.6255-A] FELONY: 5 Years andlor $1,000.00-$5,000.00; renabiltative program(s) (see MCL 287 6250(6)); costs of prosecution; response and expenses for prosecuting defendant (see MCL 769.1); reimburse government for emergency ifnot forfeited, vehicle immobilization mandatory (see MCL 267.9040) Vehicle forfeiture (seeMCL 257.625n);, OPERATING WHILE INTOXICATED CAUSING SERIOUS INJURY COUNT 2 did operate a vehicle upon a highway, Edgefils, while under te influence of alcoholic iquor andor having an alcohol content of 0.08 grams, 100 mliliters of blood, and by the operation of that vehicle caused a serious impairment of a body function of trary to MCL 257.625(6). [257 6255-8] FELONY. 5 Years andlor $1,000.00-$5,000.00; rehabilitative program(s) (see MCL 257.625b(6)); costs of prosecution; reimburse government for emergency response and expenses for prosecuting defendant (see MCL 769.1f) Vehicle forfeiture (seeMCL 257.625n); if not forfeited, vehicle immobilization mandatory (see MCL 257.9044) OPERATING WHILE INTOXICATED CAUSING SERIOUS INJURY Ce ~ : 40/11/2016 DB/CE ~ Page 30f 4 pe eae PROS. ORDER NO. 16-39027 THe DSTOCTCOURT-NOCALOISTRCTHO Bt cumsronnwe COMPLAINT/GENERAL : INFORMATION [lg $4004 . counts , andlor having an alcohol content of dd operate a vehicle upon a highway, Edgefield, while under the inuence of alcohol liquor 100 milters of blood, and by the operation of thal vehicle caused a serous impairment of a body 008 grams comore foncton otf contcary to MCL 257 625(5). [257 6255-5) Hee ae 1 000 005,000 00 tehabitatve program(s) (see MCL 257 6250\5)) costs of prosecution (erpwosecuong defendant (ee MCL 769.10. : reimburse goverment for emergency response and expenses. Vehicle forteture (seeMCL 257 625n), ¥ not forfeted, vehicle mmobslzation mandatory (see MCL 287.9044) OPERATING WHILE INTOXICATED CAUSING SERIOUS INJURY ‘COUNT 4 «did operate a vehicle upon a highway, Edgefield, while under the influence of alcoholic iquor andlor having an alcohol content of 10:08 grams or more per 100 miter of blood, and by the operation ofthat vehicle caused a serious impairment of a body - function of EINE contrary to MCL 257.629(6). [257 6255:8) FELONY. 5 Years andlor $1,000 00-$5,000 00; rehabiltatve programs) (see MCL 287.6250(5)), costs of prosecution; _ Feimburse government for emergency response and expenses for prosecuting defendant (see MCL 769.10}, Vehicle forfeture (seeMCL 257 625n); not forfeited, vehicle immobilization mandatory (see MCL 2579044) OPERATING WHILE INTOXICATED CAUSING SERIOUS INJURY counTs id operate a motor vehicle upon Edgefield, while his operators license was suspended or revoked, and by the operation ofthat Vehicle did cause the serious impairment of a body functon to rary tothe statute in such case made and provided and against the peace and dignity of the People ofthe State of Michigan. MCL. 257.904(5): MSA 9.26046), [257 £048} FELONY. "5 Years andlor 51 ,000.00-$5,000 00; vehicle forfeiture (see MCL 257.626n and .904(6); not foreited, vehicle immobilization (see MCL 257.904(6) and .904d). OPERATING - LICENSE SUSPENDED, REVOKED, DENIED - CAUSING SERIOUS INJURY coUNTs wuspended or revoked, and by the operation ofthat {di operate @ motor vehicle upon Edgefield, while his operator's license was st Vehicle did cause the senous impairment of a body function to ‘Contrary tothe statute in such case made and provded and against the peace and dignity of the People ofthe Siate of Michigan. MCL 257.904(6); MSA 9.2604(6). (257.9045) FELONY. 5 Years andior $1,000.00-S5,000.00; vehicle forfeiture (see MCL 257 625n and .904(6))f not forfeited, vehicle immobilization (see MCL 257.904(6) and 9044), OPERATING - LICENSE SUSPENDED, REVOKED, DENIED - CAUSING SERIOUS INJURY a cr 107112016 OBE Page ot STATE OF MICHIGAN PROS. ORDERNO., __16-39027 THE DISTRICT COURTWOICAL OISTRICTNO. 54 eae! COMPLAINT/GENERAL « Jle BYOOFy INFORMATION count? the operation ofthat ‘de operate a motor vehicle upon Edgefel made and ‘Yehicle dd cause the serious impairment of a body functor Wiged nd againet the peace and dignity ofthe Peopie of the State of Micigan, MCL. 267,004(6), MSA 9 2604(6) [287 2045) PELONY. 995 Years andlor $1 000.00-$6,000.00: vehicte forfeiture (see MCL 257 626n and .904(6); I not forteited, vehicle immobilzation (see MCL 257.904(6) and 9040) OPERATING - LICENSE SUSPENDED, REVOKED, DENIED - CAUSING SERIOUS INJURY COUNT 8 «id operate a motor vehicle upon Edgefield, while his operator's icense was suspended or revoked, and by the operation of nat ceo aid cause the serious impairment of a body function to KEENE Conivary to the statute in such case made and soced and against te peace end aignty ofthe People ofthe State of Michigan. MCL 257 904(6), MSA 9.2608(5), [287 2045) PRLONY. “95 years andlor $1,000 00-$5,000.00; vehicle forfeiture (see MCL 257 625n and .904(6)); if not forteted, vehicle immobilization (see MCL. 257.904(6) and 904d OPERATING - LICENSE SUSPENDED, REVOKED, DENIED - CAUSING SERIOUS INJURY WARRAMT AUTHORIZED B) PROSECUTING ATTORNEY nn nya tan arene’ an ewan ia ‘and Sworn ton this day by No:

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