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Driver's Name - Last NETTEN |
First MELISSA |
Middle JO |
Suffix
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City ORANGE CITY |
State IA - Iowa, US |
Zip 510410000 |
Driver's Age 44 |
Citation Charge Code 1 321.279(3) |
Citation Charge 1 ATTEMPTING TO ELUDE LAW ENFORCEMENT |
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 2 321.285 |
Citation Charge 2 SPEED |
Alcohol Test Given? 2 - Blood |
Drug Test Given? 2 - Blood |
Citation Charge Code 3 321.303 |
Citation Charge 3 UNSAFE PASS |
Citation Charge Code 4 321.297 |
Citation Charge 4
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Seating Position 01 - Front: Left Side / Motorcycle Driver |
Injury Status 3 - Non-incapacitating |
Occupant Protection 2 - Shoulder and lap belt used |
Airbag Deployment 5 - Not deployed |
Airbag Switch Status 9 - Unknown |
Ejection 1 - Not ejected |
Ejection Path
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Trapped 1 - Not trapped |
Transported to: ORANGE CITY HOSPITAL |
Transported by: ORANGE CITY AMBULANCE |
Insurance Co. Name
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Year 2007 |
Make Ford - FORD |
Model F150 |
Style PK |
Approximate Cost to Repair or Replace 5000 |
Initial Travel Direction 2 - East |
Vehicle Action 88 - Other (explain in narrative) |
Speed Limit 25 |
Point of Initial Impact 04 - Right Rear |
Most Damaged Area 04 - Right Rear |
Extent of Damage 4 - Disabling damage |
Underride/Override 1 - None |
Total Occupants 01 |
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 8 - Other (explain in narrative) |
Vision Obscured 01 - Not obscured |
Contributing Circumstances, Driver (up to 2)
|
SEQUENCE OF EVENTS |
First Event 03 - Ran off road, left |
Second Event 34 - Curb/island/raised median |
Third Event
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Fourth Event 23 - Parked motor vehicle |
Most Harmful Event (by vehicle) 26 - Other non-fixed object (explain in narrative) |
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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