Iowa State Patrol: Department of Public Safety
Minimal Crash Report:

 Case Number:  2010066756  Type:  Personal Injury  County:  65
 Crash Date:  11242010  Time:  1815
 Location:  221ST AND ABBEY
 
 Vehicle 1 Year:  1995  Make:  OLDS  Type:   
 Towed By:  BROWNS
 Driver Name:  CHRISTOPHER JACOBS  Age:  46
 City & State of Residence:  OMAHA,NE
 
 Vehicle 2 Year:     Make:     Type:   
 Towed By:   
 Driver Name:     Age:   
 City & State of Residence:   
 
 Vehicle 3 Year:     Make:     Type:   
 Towed By:   
 Driver Name:     Age:   
 City & State of Residence:   
 
 Injury 1 Type:  Injured
 Name:  WILLIAM JACOBS  Age:  8
 City & State of Residence:  OMAHA,NE
 Seatbelt Use:  Yes  Life saved by Seatbelt:  Yes
 Transported To:  NOT TRANSPORTED  Transported By:  REFUSED
 
 Injury 2 Type:  Injured
 Name:  CHRISTOPHER JACOBS  Age:  46
 City & State of Residence:  OMAHA,NE
 Seatbelt Use:  Yes  Life saved by Seatbelt:  Yes
 Transported To:  NOT TRANSPORTED  Transported By:  REFUSED
 
 Injury 3 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 Injury 4 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 Injury 5 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 Injury 6 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 Motor Carrier Info (IF Large truck is involved)
 Name of Carrier:   
 DOT or MCC #:   
 City & State of Carrier:     Hazmat Involved?:   
 
 Summary:  
    UNIT 1 WAS NB ON 221ST, LOST CONTROL ON ICE, OVERTURNED, AND
CAME TO REST IN THE E DITCH DRIVER REFUSED TREATMENT, BUT DID
HAVE MINOR VISIBLE BLEEDING PASSENGER WAS TREATED AND RELEASED
BROWNS TOWED THE VEHICLE PRIVATELY
 
 Officer Name:  TROOPER JEREMY HILT #277  Post:  03
 Assisted By:  MILLS COUNTY SO GLE



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