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

 Case Number:  2016001698  Type:  Fatality  County:  19
 Crash Date:  20160119  Time:  1818
 Location:  HWY 63 AND 240TH ST
 
 Vehicle 1 Year:  2002  Make:  CHEV  Type:  MALIBU
 Towed By:  GILBERT TOWING
 Driver Name:  SMITH,BERTHA A  Age:  22
 City & State of Residence:  WATERLOO IOWA
 
 Vehicle 2 Year:  2000  Make:  PETERBUILT  Type:  SEMI
 Towed By:  GIBERT TOWNIG
 Driver Name:  POWERS,KEVIN E  Age:  43
 City & State of Residence:  AINSWORTH IOWA
 
 Vehicle 3 Year:     Make:     Type:   
 Towed By:   
 Driver Name:     Age:   
 City & State of Residence:   
 
 Injury 1 Type:  Injured
 Name:  SMITH,BERTHA A  Age:  22
 City & State of Residence:  WATERLOO IOWA
 Seatbelt Use:  Yes  Life saved by Seatbelt:  Yes
 Transported To:  MASON CITY MERCY  Transported By:  NEW HAMPTON AMBULANC
 
 Injury 2 Type:  Injured
 Name:  ANDERSON,SHAUN N  Age:  25
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:  MASON CITY MERCY  Transported By:  CHICKASAW COUNTY AMB
 
 Injury 3 Type:  Fatality
 Name:  DUFFIE,LATORRIS S  Age:  24
 City & State of Residence:   
 Seatbelt Use:  No  Life saved by Seatbelt:   
 Transported To:  MEDICAL EXAMINERS  Transported By:  CONWAY FUNERAL HOME
 
 Injury 4 Type:  Fatality
 Name:  DEMRY,KEITH A  Age:  29
 City & State of Residence:   
 Seatbelt Use:  No  Life saved by Seatbelt:   
 Transported To:  MEDICALS EXAMINERS  Transported By:  CONWAYS FUNERAL HOME
 
 Injury 5 Type:  Fatality
 Name:  GORDIN,DEVIN  Age:  25
 City & State of Residence:   
 Seatbelt Use:  No  Life saved by Seatbelt:   
 Transported To:  MEDICAL EXAMINERS  Transported By:  HUGHBACK FUNERAL HOM
 
 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:  SULLY TRANSPORT INC
 DOT or MCC #:  98116
 City & State of Carrier:  SULLY IOWA  Hazmat Involved?:  No
 
 Summary:  
    VEH NUMBER ONE WAS WEST BOUND ON 240TH ST VEH NUMBER ONE FAILED TO YEILD
TO VEH NUMBER TWO THAT WAS NORTH BOUND ON HWY 63 VEH NUMBER TWO STRUCK
VEH NUMBER ONE IN A BROADSIDE MANNER BOTH VEHS CAME TO REST IN THE MEDIAN
ALSO THE RIGHT REAR PASSENGER WAS EJECTED FROM VEH NUMBER ONE ASSISTED
BY CHICKASW COUNTY SHERIFF OFFICE CHICKASAW COUNTY FIRE RESCUE AMBULANCE
AND NEW HAMPTON AMBULANCE
 
 Officer Name:  IOWA STATE PATROL TROOPER MACABE SCHMIDT 336  Post:  09
 Assisted By:  SEE SUMMARY



Any questions about this report may be directed to the following address:
Iowa State Patrol District 09 Office
1510 W 1st St
Cedar Falls,IA 50613-1799
Phone: (319) 266-2677
Fax: (319) 266-2228