Crash Information

L O C A T I O N	Date of Accident 12/6/2010	Time of Accident 05:39 PM	County Pottawattamie - 78	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2010068921
	Literal Description EB INTERSTATE 0680				Legal Intervention? No	Private Property? No
					X-Coordinate: 264536.6
					Y-Coordinate 4597303.

U N I T 1	Driver's Name - Last SCHOEMANN			First PATRICIA			Middle ANN		Suffix
	City PORTSMOUTH			State IA - Iowa, US				Zip 51565
	Driver's Age 48					Citation Charge Code 1 321.288		Citation Charge 1 FAIL TO MAINTAIN CONTROL
	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 S - SR Required	Citation Charge Code 2 321.561		Citation Charge 2 DRIVING WHILE BARRED HABITUAL OFFENDER
	Alcohol Test Given? 1 - None			Drug Test Given? 1 - None		Citation Charge Code 3 321.45		Citation Charge 3 FAILURE TO TRANSFER TITLE
						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 9 - Unknown		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to: NA					Transported by: NA
	Insurance Co. Name
	Year 2000		Make Oldsmobile - OLDS		Model INTRIGUE		Style 4DR		Approximate Cost to Repair or Replace 3500
	Initial Travel Direction 2 - East	Vehicle Action 01 - Movement essentially straight	Speed Limit 70	Point of Initial Impact 09 - Top	Most Damaged Area 09 - Top	Extent of Damage 5 - Severe, vehicle totaled	Underride/Override 1 - None
	Total Occupants 3	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 06 - Evasive action (swerve, panic braking, etc.)	Second Event 01 - Ran off road, right	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?

ACCIDENT ENVIRONMENT		ROADWAY CHARACTERISTICS Major Contributing Circumstances:	WORKZONE RELATED?	SEQUENCE OF EVENTS
Location of First Harmful Event 2 - Shoulder	Weather Conditions (up to two) 01 - Clear	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) 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?

P
E
R
S
O
N

I
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J
U
R
E
D

Name- Last
KLEYMANN

First
JEANNIE

Middle
K

Suffix

City

State

Zip Code

Age
25

Sex
Female

Unit No.
1

Seating Position
09 - Rear: Right Side

Injury Status
4 - Possible

Occupant Protection
2 - Shoulder and lap belt used

Airbag Deployment
5 - Not deployed

Airbag Switch Status
9 - Unknown

Ejection
1 - Not ejected

Ejection Path
1 - Not ejected/not applicable

Trapped
1 - Not trapped

Transported to:
NA

Transported by:
NA

NON-MOTORIST

Type

Location

Action

Condition

Safety Equipment

Contributing Circumstances

Unit No. of Vehicle Striking

D
I
A
G
R
A
M

0

NARRATIVE

VEH #1 WAS EAST BOUND ON I680, VEH #1PASSING NO CONTACT VEH. VEH #1 SWERVED AND LOST CONTROL, VEH WENT INTO SOUTH DITCH ROLLING COMMING TO REST ON WHEELS. VEHICLE WAS NOT CURRENTLY REGISTERED.

Officer ZENOR	Badge No. 239	Time Officer Notified of Accident 17:39	Time Officer Arrived At Scene 17:53
Name of Agency P03	Date of Report 12/6/2010	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 03 Office
2025 Hunt Ave
Council Bluffs,IA 51503-4254
Phone: (712) 328-8001
Fax: (712) 328-1504