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

 Case Number:  2022019210  Type:  Fatality  County:  29
 Crash Date:  08062022  Time:  1347
 Location:  4200 BLOCK SULLIVAN SLOUGH RD
 
 Vehicle 1 Year:  2007  Make:  CHEV  Type:  TRAILBLZR
 Towed By:  BECKMAN TOWING
 Driver Name:  MALE JUVENILE  Age:  16
 City & State of Residence:   
 
 Vehicle 2 Year:     Make:     Type:   
 Towed By:   
 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:  ANDERSON,CARSON BENNET  Age:  16
 City & State of Residence:  BURLINGTON,IA
 Seatbelt Use:  Yes  Life saved by Seatbelt:  Yes
 Transported To:  SE MED CNTR W BRLGTN  Transported By:  BURLINGTON FIRE
 
 Injury 2 Type:  Fatality
 Name:  BURROUGHS,JACK THOMAS  Age:  14
 City & State of Residence:  BURLINGTON,IA
 Seatbelt Use:  Yes  Life saved by Seatbelt:  No
 Transported To:  IA MED EXAM OFFICE  Transported By:  LUNNINGS FUNERAL SVC
 
 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 WAS TRAVELING SB ON SULLIVAN SLOUGH RD WHEN VEH LEFT THE RDWAY FOR
UNKNOWN REASON STRIKING A TREE AND COMING TO REST PSSNGER WAS PRONOUNCED
DECEASED AT THE SCENE DRVR WAS TRANSPORTED TO HOSPITAL BY AMBULANCE
ACCIDENT REMAINS UNDER INVESTIGATION
OFFICER NAME: ISP330 D FOLEY . POST: 13
 
 Officer Name:  ISP330 D FOLEY  Post:  13
 Assisted By:  ISP BURLINGTON FIRE


Any questions about this report may be directed to the following address:
Iowa State Patrol District 13 Office
1300 S Grand Ave
Mt Pleasant,IA 52641-1862
Phone: (319) 385-8715
Fax: (319) 385-2743