Crash Information

L O C A T I O N	Date of Accident 7/28/2010	Time of Accident 01:30 PM	County Keokuk - 54	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2010044387
	Literal Description Iowa 0021 / IOWA 21 (Milepost 13) and SB/WB Iowa 0092 / IOWA 92				Legal Intervention? No	Private Property? No
					X-Coordinate: 554042.1
					Y-Coordinate 4576298.

U N I T 1	Driver's Name - Last MAXWELL			First JOSHUA			Middle W		Suffix
	City WHAT CHEER			State IA - Iowa, US				Zip 50268
	Driver's Age 20					Citation Charge Code 1 321J.21		Citation Charge 1 DRIVING WHILE REVOKED
	Gender Male	State IA - Iowa, US	Class 0 - ID	Endorsements None	Restrictions None	Citation Charge Code 2 321.313		Citation Charge 2 UNSAFE START OF A STOPPED VEHICLE
	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: N/A					Transported by: N/A
	Insurance Co. Name
	Year 1988		Make Lincoln - LINC		Model TOW		Style 4D		Approximate Cost to Repair or Replace 500
	Initial Travel Direction 1 - North	Vehicle Action 02 - Turning left	Speed Limit 55	Point of Initial Impact 08 - Left Front	Most Damaged Area 01 - Front	Extent of Damage 4 - Disabling damage	Underride/Override 1 - None
	Total Occupants 01	Traffic Controls 04 - Stop signs	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 21 - Vehicle in traffic	Second Event	Third Event	Fourth Event	Most Harmful Event (by vehicle) 21 - Vehicle in traffic
	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?

U N I T 2	Driver's Name - Last COULTER			First RUTH			Middle ELLEN		Suffix
	City OSKALOOSA			State IA - Iowa, US				Zip 525770000
	Driver's Age 58					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 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 IMPALA		Style 4 DR		Approximate Cost to Repair or Replace 3000
	Initial Travel Direction 4 - West	Vehicle Action 01 - Movement essentially straight	Speed Limit 55	Point of Initial Impact 08 - Left Front	Most Damaged Area 08 - Left Front	Extent of Damage 4 - Disabling damage	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 01 - None	Driver Condition 1 - Apparently normal	Vision Obscured 01 - Not obscured	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 21 - Vehicle in traffic	Second Event	Third Event	Fourth Event	Most Harmful Event (by vehicle) 21 - Vehicle in traffic
	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) 21 - Vehicle in traffic
Manner of Crash/Collision 5 - Broadside	Weather Conditions (up to two) 01 - Clear	Roadway 01 - None apparent	Type
Light Conditions 1 - Daylight	Surface Conditions 1	Type of Roadway Junction/Feature 11 - Four-way intersection	Workers Present?

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NARRATIVE

UNIT #1 WAS SOUTHBOUND ON HWY 21 AND CAME TO A STOP AT THE HIGHWAY 21 AND 92 INTERSECTION. UNIT #1 BEGAN TO PULL INTO THE INTERSECTION WHILE UNIT #2 WAS WESTBOUND ON HWY 92. BECAUSE UNIT #1 PULLED INTO THE INTERSECTION, UNIT #2 STRUCK THE FRONT OF UNIT #1. BOTH CARS WERE TOWED FROM THE SCENE AND BOTH DRIVERS WERE CHECKED AT THE SCENE BY EMS.

Officer HENNINGSEN	Badge No. 194	Time Officer Notified of Accident 13:36	Time Officer Arrived At Scene 13:44
Name of Agency P13	Date of Report 7/28/2010	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 13 Office
1300 S Grand Ave
Mt Pleasant,IA 52641-1862
Phone: (319) 385-8715
Fax: (319) 385-2743