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Driver's Name - Last MCFALL |
First ROBERT |
Middle CALVIN |
Suffix III |
City MONTEZUMA |
State IA - Iowa, US |
Zip 501711039 |
Driver's Age 25 |
Citation Charge Code 1 321.20B-B |
Citation Charge 1 VIOLATION - FINANCIAL LIABILITY - ACCIDENT |
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
None |
Citation Charge Code 2 321.218 |
Citation Charge 2 DRIVING WHILE LICENSE DENIED,SUSP,CANCELLED OR REVOKED |
Alcohol Test Given? 1 - None |
Drug Test Given? 1 - None |
Citation Charge Code 3 321.277 |
Citation Charge 3 RECKLESS DRIVING |
Citation Charge Code 4
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Citation Charge 4
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Seating Position 01 - Front: Left Side / Motorcycle Driver |
Injury Status 5 - Uninjured |
Occupant Protection 2 - Shoulder and lap belt used |
Airbag Deployment 1 - Deployed front of person |
Airbag Switch Status 3 - No ON/OFF switch present |
Ejection 1 - Not ejected |
Ejection Path
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Trapped 1 - Not trapped |
Transported to: GRINNELL HOSPITAL |
Transported by: DEPUTY VANDERLEEST #79-8 |
Insurance Co. Name
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Year 1994 |
Make Chevrolet - CHEV |
Model CRS |
Style 4D |
Approximate Cost to Repair or Replace 3000 |
Initial Travel Direction 1 - North |
Vehicle Action 88 - Other (explain in narrative) |
Speed Limit 55 |
Point of Initial Impact 02 - Right Front |
Most Damaged Area 01 - Front |
Extent of Damage 5 - Severe, vehicle totaled |
Underride/Override 1 - None |
Total Occupants 01 |
Traffic Controls 01 - No controls present |
Vehicle Config. 01 - Passenger car |
Cargo Body Type 01 - Not applicable |
Vehicle Defect 99 - Unknown |
Driver Condition 3 - Emotional (e.g., depressed, angry, disturbed) |
Vision Obscured 01 - Not obscured |
Contributing Circumstances, Driver (up to 2)
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| SEQUENCE OF EVENTS |
First Event 13 - Other non-collision |
Second Event 01 - Ran off road, right |
Third Event
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Fourth Event 38 - Poles (utility, light, etc.) |
Most Harmful Event (by vehicle) 13 - Other non-collision |
Emergency Vehicle Type 1 - Not applicable |
Emergency Status 3 - Not Applicable |
Carrier Name
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City
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State
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Zip
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Number of Axles
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Gross Vehicle Weight Rating
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Placard #
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Hazardous Materials Released?
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