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

 Case Number:  2021010553  Type:  Personal Injury  County:  95
 Crash Date:  20210505  Time:  1228
 Location:  HWY 69 SOUTH OF A44
 
 Vehicle 1 Year:  2020  Make:  FORD  Type:  VAN
 Towed By:  DAVE'S 66
 Driver Name:     Age:   
 City & State of Residence:   
 
 Vehicle 2 Year:  2014  Make:  CHEV  Type:  EQN
 Towed By:  NORTH CENTRAL TOWING
 Driver Name:     Age:   
 City & State of Residence:   
 
 Vehicle 3 Year:     Make:     Type:   
 Towed By:   
 Driver Name:     Age:   
 City & State of Residence:   
 
 Injury 1 Type:  Injured
 Name:  NELSON,SONDRA LOUISE  Age:  76
 City & State of Residence:  LAKE MILLS IOWA
 Seatbelt Use:  Yes  Life saved by Seatbelt:   
 Transported To:  MERCY ONE MASON CITY  Transported By:  FOREST CITY AMBULANC
 
 Injury 2 Type:  Injured
 Name:  SCHREINER,PAULA MARY  Age:  80
 City & State of Residence:  LAKE MILLS IOWA
 Seatbelt Use:  Yes  Life saved by Seatbelt:   
 Transported To:  MERCY ONE MASON CITY  Transported By:  FOREST CITY AMBULANC
 
 Injury 3 Type:  Injured
 Name:  CAVETT,CHERYL GAIL  Age:  77
 City & State of Residence:  LAKE MILLS
 Seatbelt Use:  Yes  Life saved by Seatbelt:   
 Transported To:  MERCY ONE MASON CITY  Transported By:  FOREST CITY AMBULANC
 
 Injury 4 Type:  Injured
 Name:  BERGO,JANET LEDENE  Age:  78
 City & State of Residence:  LAKE MILLS
 Seatbelt Use:  Yes  Life saved by Seatbelt:   
 Transported To:  MERCY ONE MASON CITY  Transported By:  MERCY AIR ONE
 
 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:  
    VEHICLE 1 WAS NORTHBOUND ON US 69 AND PULLED INTO A RESIDENTAL DRIVE,
VEHICLE 1 THEN ATTEMPTED TO MAKE A U-TURN AND TURNED DIRECTLY INTO THE
PATH OF NORTHBOUND VEHICLE 2; THE ACCIDENT REMAINS UNDER INVESTIGATION;
ASSISTED BY FOREST CITY POLICE, FIRE AND AMBULANCE SERVICES,
WINNEBAGO SHERIFF'S OFFICE, MERCY AIRMED
 
 Officer Name:  IOWA STATE PATROL TROOPER JOSEPH SCOTT 371  Post:  08
 Assisted By:  SEE SUMMARY


Any questions about this report may be directed to the following address:
Iowa State Patrol District 08 Office
4425 Washington Avenue
Mason City,IA 50401-7002
Phone: (641) 424-3625
Fax: (641) 423-8381