Iowa State Patrol: Department of Public Safety
Minimal Crash Report:

 Case Number:  2010049473  Type:  Personal Injury  County:  12
 Crash Date:  08222010  Time:  0526
 Location:  HWY 3 W OF SHELLROCK
 
 Vehicle 1 Year:  2003  Make:  PONTIAC  Type:  GRAND PRIX
 Towed By:  MARKS AUTO WAVERLY
 Driver Name:  TRAVIS BOUSKA  Age:  26
 City & State of Residence:  CLARKSVILLE,IA
 
 Vehicle 2 Year:  2002  Make:  VOLK  Type:  BEETLE
 Towed By:  MARKS AUTO WAVERLY
 Driver Name:  ANTHONY GONZALEZ  Age:  59
 City & State of Residence:  DUMONT,IA
 
 Vehicle 3 Year:     Make:     Type:   
 Towed By:   
 Driver Name:     Age:   
 City & State of Residence:   
 
 Injury 1 Type:  Injured
 Name:  TRAVIS BOUSKA  Age:  26
 City & State of Residence:  CLARKSVILLE,IA
 Seatbelt Use:  Yes  Life saved by Seatbelt:  Yes
 Transported To:  WAVERLY HOSPITAL  Transported By:  CLARKSVILLE AMBULANC
 
 Injury 2 Type:  Injured
 Name:  ANTHONY GONZALEZ  Age:  59
 City & State of Residence:  DUMONT,IA
 Seatbelt Use:  Yes  Life saved by Seatbelt:  Yes
 Transported To:  WAVERLY HOSPITAL  Transported By:  WAVERLY AMBULANCE
 
 Injury 3 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 Injury 4 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 Injury 5 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 Injury 6 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 Motor Carrier Info (IF Large truck is involved)
 Name of Carrier:   
 DOT or MCC #:   
 City & State of Carrier:     Hazmat Involved?:   
 
 Summary:  
    VEH 1 WAS WB ON HWY 3, VEH 2 WAS EB ON HWY 3, AS THEY MET THEY
COLLIDED NEARLY HEAD ON IN THE HEAVY FOG, CHARGES PENDING
ACCIDENT STILL UNDER INVESTIGATION, ASSISTED BY WAVERLY AMB,
CLARKSVILLE AMB, BUTLER COUNTY SHERIFF DEPT, CLARKSVILLE FIRE,
SHELLROCK FIRE, WAVERLY POLICE DEPT, ISP457
 
 Officer Name:  J DICKINSON  Post:  09
 Assisted By:  SEE SUMMARY


Any questions about this report may be directed to the following address:
Iowa State Patrol District 09 Office
1510 W 1st St
Cedar Falls,IA 50613-1799
Phone: (319) 266-2677
Fax: (319) 266-2228