Crash Information

L O C A T I O N	Date of Accident 5/21/2011	Time of Accident 09:15 PM	County Johnson - 52	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011029612
	Literal Description NB/EB US 0218 / US 218 (Milepost 88)				Legal Intervention? No	Private Property? No
					X-Coordinate: 621216.2
					Y-Coordinate 4605175.

U N I T 1	Driver's Name - Last BLOOM			First DAVID			Middle HENRY		Suffix
	City MOUNT PLEASANT			State IA - Iowa, US				Zip 526411928
	Driver's Age 61					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 None	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 1 - Switch in ON position		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to: N/A					Transported by: N/A
	Insurance Co. Name
	Year 2008		Make Chevrolet - CHEV		Model SILVERADO		Style TK		Approximate Cost to Repair or Replace 5000
	Initial Travel Direction 3 - South	Vehicle Action 01 - Movement essentially straight	Speed Limit 70	Point of Initial Impact 08 - Left Front	Most Damaged Area 01 - Front	Extent of Damage 3 - Functional damage	Underride/Override 1 - None
	Total Occupants 02	Traffic Controls 01 - No controls present	Vehicle Config. 02 - Four-tire light truck (pick-up, panel)	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 25 - Animal	Second Event	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?

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

Vehicle #1 was traveling southbound on Hwy 218 in the right (outside ) travel lane. A deer jumped from the median into the direct path of vehicle #1. Vehicle #1 pulled to the shoulder of the roadway.

Officer AARHUS	Badge No. 058	Time Officer Notified of Accident 21:27	Time Officer Arrived At Scene 21:58
Name of Agency P11	Date of Report 5/21/2011	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 11 Office
5400 16th Ave SW
Cedar Rapids,IA 52404-2240
Phone: (319) 396-1944
Fax: (319) 396-4327