Crash Information

L O C A T I O N	Date of Accident 4/21/2011	Time of Accident 07:50 PM	County Winneshiek - 96	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011023957
	Literal Description Iowa 0009 / IOWA 9 measuring 710 Feet Northwest from Iowa 0009 / IOWA 9 and ALLAN DR				Legal Intervention? No	Private Property? No
					X-Coordinate: 602194.1
					Y-Coordinate 4792568.

U N I T 1	Driver's Name - Last GOLTZ			First ASHLEY			Middle RAE		Suffix
	City OSSIAN			State IA - Iowa, US				Zip 521610000
	Driver's Age 25					Citation Charge Code 1		Citation Charge 1
	Gender Female	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 5 - Not deployed	Airbag Switch Status 9 - Unknown		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to:					Transported by:
	Insurance Co. Name
	Year 2005		Make Ford - FORD		Model ECP		Style SW		Approximate Cost to Repair or Replace 8000
	Initial Travel Direction 2 - East	Vehicle Action 01 - Movement essentially straight	Speed Limit 55	Point of Initial Impact 01 - Front	Most Damaged Area 09 - Top	Extent of Damage 4 - Disabling damage	Underride/Override 2 - Underride, compartment intrusion
	Total Occupants 01	Traffic Controls 01 - No controls present	Vehicle Config. 04 - Sport utility vehicle	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 06 - Evasive action (swerve, panic braking, etc.)	Third Event	Fourth Event	Most Harmful Event (by vehicle) 05 - Animal or object in roadway
	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 NONE		Estimate of Damage
	Owner's Name - Last	First	Middle	Suffix
	Owner Company Name
	City	State		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) 03 - Cloudy	Environment 6 - Animal in roadway	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) 03 - Cloudy	Roadway 01 - None apparent	Type
Light Conditions 2 - Dusk	Surface Conditions 1	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

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NARRATIVE

VEHICLE 1 WAS EASTBOUND ON HWY9. A DEER RAN ONTO THE ROADWAY FROM THE NORTH DITCH. VEHICLE 1 STRUCK THE DEER. THE DEER CAME UP OVER THE HOOD AND PARTIALLY ENTERED THE PASSENGER COMPARTMENT. THE DEER EVENTUALLY CAME TO REST ON THE ROADWAY. VEHICLE 1 PULLED ONTO THE SOUTH SHOULDER AND PARKED.

Officer HANSEN	Badge No. 092	Time Officer Notified of Accident 19:53	Time Officer Arrived At Scene 19:55
Name of Agency P10	Date of Report 4/21/2011	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