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

 Case Number:  2017006365  Type:  Fatality  County:  62
 Crash Date:  02242017  Time:  1810
 Location:  HWY 163 46MM
 
 Vehicle 1 Year:  2004  Make:  CHEVY  Type:  TK
 Towed By:  JERRY PRO COLLISION
 Driver Name:  FALCON,CARRIE ELLEN  Age:  35
 City & State of Residence:  BURLINGTON,IA
 
 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:  FALCON,CARRIE ELLEN  Age:  25
 City & State of Residence:  BURLINGTON,IA
 Seatbelt Use:  Yes  Life saved by Seatbelt:  Yes
 Transported To:  PELLA REG HEALTH CNT  Transported By:  PELLA EMS
 
 Injury 2 Type:  Injured
 Name:  MCCAMPBELL,SHANE YOREL  Age:  25
 City & State of Residence:  BURLINGTON,IA
 Seatbelt Use:  Yes  Life saved by Seatbelt:  Yes
 Transported To:  PELLA REG HEALTH CNT  Transported By:  PELLA EMS
 
 Injury 3 Type:  Fatality
 Name:  FRANCISKOVIC,JAMES LEE  Age:  52
 City & State of Residence:  W BURLINGTON,IA
 Seatbelt Use:  No  Life saved by Seatbelt:   
 Transported To:  GARDEN CHAPEL F/H  Transported By:  PELLA AMB
 
 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 WB HWY 163 46MM DRIVER LOST CNTRL ON SNOW COVERED RDWAY AND
ENTERED THE NORTH DITCH VEHICLE ROLLED COMING TO REST ON ITS TOP IN THE
NORTH DITCH DECEASED WAS EJECTED FROM VEHICLE AND PRONOUNCED DECEASED AT
THE SCENE ACCIDENT REMAINS INVESTIGATION
OFFICER NAME: ISP29 PITLICK . POST: 13
 
 Officer Name:  ISP29 PITLICK  Post:  13
 Assisted By:  ISP MAHASKA CO SO PE


Any questions about this report may be directed to the following address:
Iowa State Patrol District 13 Office
1300 S Grand Ave
Mt Pleasant,IA 52641-1862
Phone: (319) 385-8715
Fax: (319) 385-2743