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				| Case Number: | 2022009188 | Type: | Personal Injury | County: | 49 |  | 
	
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				| Crash Date: | 04102022 | Time: | 1602 |  | 
	
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				| Location: | 6102 33RD AVE BALDWIN |  | 
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				| Vehicle 1 Year: | 1994 | Make: | GMC | Type: | SUBURBAN |  | 
	
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				| Towed By: | CLASENS AUTO SERVICE |  | 
	
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				| Driver Name: | NAME NOT BEING RELEASED | Age: |  |  | 
	
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				| Vehicle 2 Year: |  | Make: |  | Type: |  |  | 
	
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				| Vehicle 3 Year: |  | Make: |  | Type: |  |  | 
	
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				| Name: | NAME NOT BEING RELEASED | Age: |  |  | 
	
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				| City & State of Residence: |  |  | 
	
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				| Seatbelt Use: | No | Life saved by Seatbelt: |  |  | 
	
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				| Transported To: | JACKSON CO HOSP | Transported By: | EMS |  | 
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				| Name: | NAME NOT BEING RELEASED | Age: |  |  | 
	
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				| Seatbelt Use: | No | Life saved by Seatbelt: |  |  | 
	
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				| Transported To: | JACKSON CO HOSP | Transported By: | EMS |  | 
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				| Name: | NAME NOT BEING RELEASED | Age: |  |  | 
	
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				| Seatbelt Use: | No | Life saved by Seatbelt: |  |  | 
	
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				| Transported To: | JACKSON CO HOSP | Transported By: | PRIVATE VEHICLE |  | 
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	|  Motor Carrier Info (IF Large truck is involved) | 
	
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				| City & State of Carrier: |  | Hazmat Involved?: |  |  | 
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				|  | VEHICLE 1 WAS TRAVELING EB ON 33RD AVE WHEN THE VEHICLE LEFT THE ROADWAY ROLLED AND STRUCK AN ELECTRICAL POLE THIS ACCIDENT REMAINS UNDER
 INVESTIGATION WITH THE IOWA STATE PATROL ASSISTED BY: ISP 271, 349,
 JACKSON COUNTY SO, MAQUOKETA EMS, BALDWIN FIRE/EMS
 OFFICER NAME: ISP 057- TAYLOR                                   . POST: 12
 
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				| Officer Name: | ISP 057- TAYLOR | Post: | 12 |  | 
	
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				| Assisted By: | ISP, JACKSON CO SO, |  |