FLORIDA HIGHWAY PATROL

MEDIA RELEASE

TROOP – L

09/27/2014 / 9:07 / AM / N/B SR-5 SOUTH OF ST LUCIE BLVD / ST LUCIE
DATE / TIME / PM / LOCATION OF INCIDENT / COUNTY
ALCOHOL RELATED? / Yes No Pend
VEHICLE # / 01 / 2009 / Yamaha / MC / $ / 4000.00 / SEATBELT IN USE? / Yes No
YEAR / MAKE / MODEL / DAMAGE / RELATIVE NOTIFIED? / Yes X No
DRIVER: / Thomas Edward Maynard / 61 / Ft. Pierce, FL
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / LAWNWOOD
HOSPITAL
PASSENGER: / Lisa Jean Maynard / 55 / Ft. Pierce, FL
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / N/A / SEATBELT IN USE? / Yes No
HELMET: / DR. / PASS. / N/A / HOSPITAL / RELATIVE NOTIFIED? / Yes No
ALCOHOL RELATED? / Yes No Pend
VEHICLE # / 02 / 2003 / GMC / Van / $ / 5000.00 / SEATBELT IN USE? / Yes No
YEAR / MAKE / MODEL / DAMAGE / RELATIVE NOTIFIED? / Yes No
DRIVER: / Eric Vieira / 29 / Ft. Pierce, FL
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL
HOSPITAL
PASSENGER: / Christina Garofola / 25 / Ft. Pierce, FL
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: / N/A
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / ALCOHOL RELATED? / Yes No Pend
RELATIVE NOTIFIED? / Yes No
HOSPITAL
CHARGES: / Under Investigation
NARRATIVE:
V-1 was traveling north on SR-5 in the inside lane. V-2 was traveling north on SR-5 in the inside lane ahead of Vehicle#1. V-1 struck the rear of V-2 with the front of V-1. After impact with V-2 both the driver and passenger of V-1were ejected off the motorcycle. V-1 then started sliding on its right side and came to rest on the outside shoulder of SR-5.The driver of V-1 also came to rest on the outside shoulder. The passenger of V-1 came to rest in the inside lane of SR-5. Investigators believe the passenger may have been struck by an unknown vehicle that continued northbound on SR-5. The passenger of V-1 was pronounced deceased on the scene and the driver of V-1 was transported to Lawnwood where he was pronounced deceased.The cause of the crash remains under investigation. If anyone has information about or witnessed this crash they are urged to contact the Florida Highway Patrol at 954-837-4012.
Trooper R. Ramos / CorporalG. Shuman
CRASH INVESTIGATOR / HOMICIDE INVESTIGATOR
Sergeant Mark Wysocky / N/A
REVIEWED BY / CASE NUMBER

PAGE 1 OF 3 PAGES

9/27/2014 / 9:07 / AM / SR 5 SOUTH OF ST LUCIE BLVD / ST LUCIE
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
Trooper R. Ramos / CorporalG. Shuman
CRASH INVESTIGATOR / HOMICIDE INVESTIGATOR
Sergeant Mark Wysocky
REVIEWED BY / CASE NUMBER

PAGE 2 OF 3 PAGES

ADDITIONAL PASSENGER SECTION

VEH# / 2 / PASS# / 2 / David Peterson / 58 / Ft. Pierce, FL
NAME / AGE / CITY / STATE OF RESIDENCE
INJURIES: / NONE / MINOR / SERIOUS / CRITICAL / FATAL / Lawnwood / 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 3 OF 3 PAGES

REV 3/06