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Driver's Name - Last SHEPPERD |
First PAUL |
Middle EDWARD |
Suffix
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City VAN METER |
State IA - Iowa, US |
Zip 502610000 |
Driver's Age 45 |
Citation Charge Code 1 321A.32(1) |
Citation Charge 1 OPERATING VEH WHILE LIC SUSP (SR REQUIRED) |
Gender Male |
State IA - Iowa, US |
Class 0 - ID |
Endorsements None |
Restrictions
None |
Citation Charge Code 2 321J.21 |
Citation Charge 2 DRIVING WHILE LICENSE OWI REVOKED |
Alcohol Test Given? 4 - Breath |
Drug Test Given? 1 - None |
Citation Charge Code 3 321.288 |
Citation Charge 3 FAIL TO MAINTAIN CONTROL |
Citation Charge Code 4
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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 1 - Deployed front of person |
Airbag Switch Status 3 - No ON/OFF switch present |
Ejection 1 - Not ejected |
Ejection Path
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Trapped 2 - Freed by non-mechanical means |
Transported to: DSM METHODIST |
Transported by: DALLAS CO AMBULANCE |
Insurance Co. Name
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Year 1995 |
Make Buick - BUIC |
Model REG |
Style 2D |
Approximate Cost to Repair or Replace 4000 |
Initial Travel Direction 2 - East |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 70 |
Point of Initial Impact 01 - Front |
Most Damaged Area 01 - Front |
Extent of Damage 5 - Severe, vehicle totaled |
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 5 - Asleep, fainted, fatigued, etc |
Vision Obscured 01 - Not obscured |
Contributing Circumstances, Driver (up to 2)
|
SEQUENCE OF EVENTS |
First Event 04 - Crossed centerline/median |
Second Event 03 - Ran off road, left |
Third Event
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Fourth Event 37 - Tree |
Most Harmful Event (by vehicle) 37 - Tree |
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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