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

 Case Number:  2017027521  Type:  Personal Injury  County:  75
 Crash Date:  09302017  Time:  0702
 Location:  K22 1/2 SOUTH OF C12
 
 Vehicle 1 Year:  2014  Make:  CHEV  Type:  TK
 Towed By:  STOCKTON TOWING
 Driver Name:     Age:   
 City & State of Residence:   
 
 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:  UNKNOWN AT THIS TIME  Age:   
 City & State of Residence:   
 Seatbelt Use:  No  Life saved by Seatbelt:   
 Transported To:  AVERA, SIOUX FALLS  Transported By:  IRETON AMBULANCE
 
 Injury 2 Type:   
 Name:     Age:   
 City & State of Residence:   
 Seatbelt Use:     Life saved by Seatbelt:   
 Transported To:     Transported By:   
 
 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:  
    VEH 1 DROPS OFF ONTO THE SHOULDER ENTERING THE DITCH AND STRIKING A
CULVERT CAUSING IT TO ROLL THE DRIVER WAS EJECTED THE INVESTIGATION IS
ON GOING
OFFICER NAME: ISP 291 SCHERER . POST: 05
ASSISTED BY: IRETON AMBULANCE & RESCUE
 
 Officer Name:  ISP 291 SCHERER  Post:  05
 Assisted By:  IRETON AMBULANCE & R



Any questions about this report may be directed to the following address:
Iowa State Patrol District 05 Office
5116 Highway 3
Cherokee,IA 51012-9404
Phone: (712) 225-5119
Fax: (712) 225-6304