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

 Case Number:  2021030777  Type:  Fatality  County:  15
 Crash Date:  12232021  Time:  0855
 Location:  OLIVE AVE SOUTH OF DUNBAR RD
 
 Vehicle 1 Year:  2006  Make:  FORD  Type:  ECONOLINE
 Towed By:  RICHTER TOWING
 Driver Name:  ANDERSEN, AVERY CARL  Age:  20
 City & State of Residence:  ATLANTIC, IOWA
 
 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:  Fatality
 Name:  ANDERSEN, AVERY CARL  Age:  20
 City & State of Residence:  ATLANTIC, IOWA
 Seatbelt Use:     Life saved by Seatbelt:  No
 Transported To:  SCHMIDT FUNERAL HOME  Transported By:  SCHMIDT FUNERAL HOME
 
 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:  
    UNIT 1 WAS TRAVELLING NB ON OLIVE ST 1/4MI S OF DUNBAR RD WHEN THE VEH
LOST TRACTION ON THE FROST COVERED RDWY // VEH BEGAN TO FISHTAIL, CROSSED
CENTER LINE, LEFT THE RDWY TO THE LEFT INTO THE DITCH & ROLLED ON ITS TOP
OFFICER NAME: TROOPER BURN #478 . POST: 03
ASSISTED BY: CASS CO SO, CASS CO MED EXAMINER, ATL FIRE/RESCUE
 
 Officer Name:  TROOPER BURN #478  Post:  03
 Assisted By:  CASS CO SO, CASS CO



Any questions about this report may be directed to the following address:
Iowa State Patrol District 03 Office
2025 Hunt Ave
Council Bluffs,IA 51503-4254
Phone: (712) 328-8001
Fax: (712) 328-1504