Crash Information

L O C A T I O N	Date of Accident 2/13/2011	Time of Accident 10:59 PM	County Fayette - 33	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011011516
	Literal Description 150 / SOUTH OF 210TH ST				Legal Intervention? No	Private Property? No
					X-Coordinate: 596754.1
					Y-Coordinate 4754206.

U N I T 1	Driver's Name - Last SCHULMEISTER			First BENJAMIN			Middle LAYNE		Suffix
	City FAYETTE			State IA - Iowa, US				Zip 52142
	Driver's Age 19					Citation Charge Code 1		Citation Charge 1
	Gender Male	State IA - Iowa, US	Class C - Non-commercial vehicle or commercial Veh w/26000 GVWR or less & either 16 Pass Design or Hazmat	Endorsements None	Restrictions B - Cor Lenses	Citation Charge Code 2		Citation Charge 2
	Alcohol Test Given? 1 - None			Drug Test Given? 1 - None		Citation Charge Code 3		Citation Charge 3
						Citation Charge Code 4		Citation Charge 4
	Seating Position 01 - Front: Left Side / Motorcycle Driver	Injury Status 5 - Uninjured	Occupant Protection 2 - Shoulder and lap belt used		Airbag Deployment 6 - Not applicable	Airbag Switch Status 3 - No ON/OFF switch present		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to:					Transported by:
	Insurance Co. Name
	Year 1994		Make		Model ALT		Style 4D		Approximate Cost to Repair or Replace 2000
	Initial Travel Direction 1 - North	Vehicle Action 01 - Movement essentially straight	Speed Limit 55	Point of Initial Impact 01 - Front	Most Damaged Area 01 - Front	Extent of Damage 2 - Minor damage	Underride/Override 1 - None
	Total Occupants 1	Traffic Controls 01 - No controls present	Vehicle Config. 01 - Passenger car	Cargo Body Type 01 - Not applicable	Vehicle Defect 01 - None	Driver Condition 1 - Apparently normal	Vision Obscured 01 - Not obscured	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 05 - Animal or object in roadway	Second Event 25 - Animal	Third Event	Fourth Event	Most Harmful Event (by vehicle) 25 - Animal
	Emergency Vehicle Type 1 - Not applicable					Emergency Status 3 - Not Applicable
	Carrier Name			City		State			Zip
	Number of Axles			Gross Vehicle Weight Rating		Placard #			Hazardous Materials Released?

P R O P E R T Y D A M A G E	If Property other than vehicles damaged explain	Object Damaged GREAT PYRENESE - DOG		Estimate of Damage 500
	Owner's Name - Last OBRIEN	First WAYNE	Middle WILLIAM	Suffix
	Owner Company Name
	City WEST UNION	State IA - Iowa, US		Zip

ACCIDENT ENVIRONMENT		ROADWAY CHARACTERISTICS Major Contributing Circumstances:	WORKZONE RELATED?	SEQUENCE OF EVENTS
Location of First Harmful Event 1 - On Roadway	Weather Conditions (up to two) 01 - Clear	Environment 1 - None apparent	Location	First Harmful Event of Crash (use codes 11-42 only) 25 - Animal
Manner of Crash/Collision 1 - Non-collision	Weather Conditions (up to two) 01 - Clear	Roadway 01 - None apparent	Type
Light Conditions 5 - Dark, roadway not lighted	Surface Conditions 1	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

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NARRATIVE

UNIT ONE WAS TRAVELING NORTH ON HIGHWAY 150 WHEN IT COLLIDED WITH A DOG.

Officer TRIMBLE	Badge No. 312	Time Officer Notified of Accident 22:59	Time Officer Arrived At Scene 23:05
Name of Agency P10	Date of Report 2/13/2011	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 10 Office
15239 35th St
Oelwein,IA 50662-9446
Phone: (319) 283-5521
Fax: (319) 283-2046