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

 Case Number:  2018015888  Type:  Personal Injury  County:  51
 Crash Date:  06162018  Time:  0922
 Location:  HWY 34W 214MM
 
 Vehicle 1 Year:  2005  Make:  CHEV  Type:  EQX
 Towed By:  RPM
 Driver Name:  SMITH, LORENE R  Age:  66
 City & State of Residence:  FAIRFIELD, 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:  SMITH, LORENE R  Age:  66
 City & State of Residence:  FAIRFIELD, IA
 Seatbelt Use:  Yes  Life saved by Seatbelt:  Yes
 Transported To:  JEFFERSON CO HOSP  Transported By:  MIDWEST AMB
 
 Injury 2 Type:  Injured
 Name:  SHIRLEY, DELOROUS J  Age:  49
 City & State of Residence:  MT PLEASANT, IA
 Seatbelt Use:  Yes  Life saved by Seatbelt:  Yes
 Transported To:  JEFFERSON CO HOSP  Transported By:  MIDWEST AMB
 
 Injury 3 Type:  Injured
 Name:  GALLEGOS, ELIZABATH  Age:  46
 City & State of Residence:  FAIRFIELD, IA
 Seatbelt Use:  No  Life saved by Seatbelt:  Yes
 Transported To:  JEFFERSON CO HOSP  Transported By:  MIDWEST 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:  
    VEH 1 WAS WESTBOUND ON HWY 34 LEFT THE ROADWAY WENT ON TO THE SHOULDER
THEN OVER CORRECTED ENTERED THE NORTH DITCH ROLLED AND EJECTED ONE
PASSENGER CRASH REMAINS UNDER INVESTIGATION WITH THE IOWA STATE PATROL
ASSISTED BY FAIRFIELD PD JEFFERSON CO SO FAIRFIELD FIRE MIDWEST AMBULANCE
OFFICER NAME: ISP 361 . POST: 13
 
 Officer Name:  ISP 361  Post:  13
 Assisted By:  ISP 417 414 318 SEE


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