Crash Information

L O C A T I O N	Date of Accident 5/22/2011	Time of Accident 05:55 PM	County Dubuque - 31	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011029724
	Literal Description US 0052 / US 52				Legal Intervention? No	Private Property? No
					X-Coordinate: 669844.4
					Y-Coordinate 4716220.

U N I T 1	Driver's Name - Last COYLE			First ANGELLA			Middle CHRISTIE		Suffix
	City DUBUQUE			State IA - Iowa, US				Zip 52001
	Driver's Age 34					Citation Charge Code 1 UNDER INVESTIGATION		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 None	Citation Charge Code 2		Citation Charge 2
	Alcohol Test Given? 2 - Blood			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 2 - Incapacitating	Occupant Protection 2 - Shoulder and lap belt used		Airbag Deployment 5 - Not deployed	Airbag Switch Status 3 - No ON/OFF switch present		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to: FINLEY HOSP / DUBUQUE					Transported by: HOLY CROSS AMBULANCE
	Insurance Co. Name
	Year 2005		Make Chevrolet - CHEV		Model EQX		Style SW		Approximate Cost to Repair or Replace 8500
	Initial Travel Direction 2 - East	Vehicle Action 01 - Movement essentially straight	Speed Limit 55	Point of Initial Impact 08 - Left Front	Most Damaged Area 09 - Top	Extent of Damage 5 - Severe, vehicle totaled	Underride/Override 1 - None
	Total Occupants 02	Traffic Controls 07 - Warning sign	Vehicle Config. 04 - Sport utility vehicle	Cargo Body Type 01 - Not applicable	Vehicle Defect 01 - None	Driver Condition 6 - Under the influence of alcohol/drugs/medications	Vision Obscured 01 - Not obscured	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 01 - Ran off road, right	Second Event 04 - Crossed centerline/median	Third Event	Fourth Event 11 - Overturn/rollover	Most Harmful Event (by vehicle) 11 - Overturn/rollover
	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 MAILBOX		Estimate of Damage 250
	Owner's Name - Last KENNICKER	First JOHN	Middle F	Suffix
	Owner Company Name
	City HOLY CROSS	State IA - Iowa, US		Zip

ACCIDENT ENVIRONMENT		ROADWAY CHARACTERISTICS Major Contributing Circumstances:	WORKZONE RELATED?	SEQUENCE OF EVENTS
Location of First Harmful Event 2 - Shoulder	Weather Conditions (up to two) 03 - Cloudy	Environment 1 - None apparent	Location	First Harmful Event of Crash (use codes 11-42 only) 11 - Overturn/rollover
Manner of Crash/Collision 1 - Non-collision	Weather Conditions (up to two) 03 - Cloudy	Roadway 01 - None apparent	Type
Light Conditions 1 - Daylight	Surface Conditions 1	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

P
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N

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J
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Name- Last
MILLER

First
CATHY-JO

Middle
ANN

Suffix

City

State

Zip Code

Age
36

Sex
Female

Unit No.
01

Seating Position
03 - Front: Right Side

Injury Status
4 - Possible

Occupant Protection
2 - Shoulder and lap belt used

Airbag Deployment
5 - Not deployed

Airbag Switch Status
3 - No ON/OFF switch present

Ejection
1 - Not ejected

Ejection Path
1 - Not ejected/not applicable

Trapped
1 - Not trapped

Transported to:
FINLEY HOSP / DUBUQUE

Transported by:
HOLY CROSS AMBULANCE

NON-MOTORIST

Type

Location

Action

Condition

Safety Equipment

Contributing Circumstances

Unit No. of Vehicle Striking

D
I
A
G
R
A
M

0

NARRATIVE

VEHICLE 1 EAST BOUND WENT ONTO SOUTH SHOULDER STRUCK A MAIL BOX, LOST CONTROL, CROSSED CENTER LINE, WENT ONTO NORTH SHOULDER, ROLLED ONCE COMING TO REST ON IT'S WHEELS FACING SOUTH

Officer DRISCOLL	Badge No. 127	Time Officer Notified of Accident 17:56	Time Officer Arrived At Scene 18:13
Name of Agency P10	Date of Report 5/22/2011	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