Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
1/19/2011		 Time of Accident
02:06 PM 		County
Mills - 65		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011004434
Literal Description
L035 / 221ST ST 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
267847.4
Y-Coordinate
4552727.
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1 		Driver's Name - Last
BROWN		 First
ABBY		 Middle
MAY		 Suffix
City
GLENWOOD		 State
IA - Iowa, US		 Zip
515340000
Driver's Age
17		 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

Y - Intermediate License		 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
4 - Possible		 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:
REFUSED GLENWOOD RESCUE		 Transported by:
MOM CONTACTED
Insurance Co. Name
Year
2002		 Make
Ford - FORD		 Model
ESC		 Style
2D		 Approximate Cost to Repair or Replace
5000
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
05 - Rear		 Most Damaged Area
05 - Rear		 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
04 - Crossed centerline/median		 Second Event
01 - Ran off road, right		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
37 - Tree
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
4 - Roadside		 Weather Conditions (up to two)
03 - Cloudy		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
37 - Tree
Manner of Crash/Collision
1 - Non-collision		 Roadway
02 - Road surface condition		 Type
Light Conditions
1 - Daylight		 Surface Conditions
3		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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0
NARRATIVE

Vehicle #1 was southbound on 221st St.. Vehicle #1 lost control on the ice and entered the east ditch. The vehicle turned around and struck a tree with the rear of the vehicle. Female driver refused treatment and was released to her mother.
Officer
BARDSLEY 		Badge No.
037		 Time Officer Notified of Accident
14:09		 Time Officer Arrived At Scene
14:14
Name of Agency
P03		 Date of Report
1/19/2011		 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