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

 Case Number:  2015068912  Type:  Fatality  County:  08
 Crash Date:  12102015  Time:  1622
 Location:  HWY 30 EB AND 222ND ST
 
 Vehicle 1 Year:  2005  Make:  PTRB  Type:  SEMI
 Towed By:  DAVES TOWING
 Driver Name:  GRAY,JEFFREY  Age:  38
 City & State of Residence:  STORY CITY,IA
 
 Vehicle 2 Year:  2001  Make:  PONT  Type:  AZTEK
 Towed By:  DAVES TOWING
 Driver Name:  MYERS,THOMAS KEITH  Age:  79
 City & State of Residence:  OGDEN,IA
 
 Vehicle 3 Year:     Make:     Type:   
 Towed By:   
 Driver Name:     Age:   
 City & State of Residence:   
 
 Injury 1 Type:  Injured
 Name:  JEFFREY GRAY  Age:  38
 City & State of Residence:  STORY CITY,IA
 Seatbelt Use:  Yes  Life saved by Seatbelt:  Yes
 Transported To:  BOONE CO HOSP  Transported By:  BOONE CO AMB
 
 Injury 2 Type:  Fatality
 Name:  MYERS,THOMAS KEITH  Age:  79
 City & State of Residence:  OGDEN,IA
 Seatbelt Use:  Yes  Life saved by Seatbelt:  No
 Transported To:  BOONE CO HOSP-MERCY  Transported By:  BOONE CO AMB-MERCY 1
 
 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:  JEFFERY GRAY
 DOT or MCC #:  2790460
 City & State of Carrier:  STORY CITY, IA  Hazmat Involved?:  No
 
 Summary:  
    UNIT 1 WAS EB HWY 30-UNIT 2 CROSSED THE INTERSECTION SB PULLING OUT IN
FRONT OF THE UNIT 1-THIS ACCIDENT IS STILL UNDER INVESTIGATION-
OFFICER NAME: ISP 254 CLYDE . POST: 01
ASSISTED BY: BCH, BOONE CO SO, MVE, OGDEN 1ST RESP-FIRE,MERCY 1
 
 Officer Name:  ISP 254 CLYDE  Post:  01
 Assisted By:  BCH, BOONE CO SO, MV


Any questions about this report may be directed to the following address:
Iowa State Patrol District 01 Office
260 NW 48th Place
Des Moines,IA 50313-2299
Phone: (515) 725-0010
Fax: (515) 725-0011