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Fatal #: 620       Operator #: 3802  
Accident #: 537     Station Sending SPTL     #(1) Deceased   #(1) Injured
Date of Crash: 11/28/2004   Time of Crash: 147am   Location: SHILOH DR @ KRUPA DR  
City: FAYETTEVILLE   County: WASHINGTON    
 
Deceased
Name (Vehicle #) Age City of Residence M/F Driver Passenger Pedestrian
THOMAS CODY THEISS ()   05/16/1984   3404 SCOTT LN SPRINGDALE, AR   M       X  
THOMAS CODY THEISS ()   05/16/1984   3404 SCOTT LN, SPRINGDALE, AR   M       X  
             
Additional Deceased
 
INJURED
Name (Vehicle #) Age City of Residence M/F Driver Passenger Pedestrian
MATTHEW DERRINGER (1)   01/28/1981   3794 N PARK OAKS #12, SPRINGDALE, AR   M   X      
MATTHEW DERRINGER (1)   01/12/1981   3794 N PARK OAKS DR #12, SPRINGDALE, AR   M   X      
             
Additional Injured
 
Vehicle Year Direction Hwy. Vehicle Year Direction Hwy.
1. CHRY LEBN 1992 SOUTH SHILOH DR 2. CHRY LBN 1992 SOUTH SHILOH DR
Additional Vehicles
 
Initial Narrative     VEHICLE 1 TRAVELING SOUTH ON SHILOH DR STRUCK THE VICTIM WHO WAS CROSSING AT THE INTERSECTION OF SHILOH AND KRUPA DR.  
 
Weather Condition:   CLEAR  Road Condition:   DRY 
 
Injured Taken To:    WASHINGTON REG MED CENTER   Body Held At:    WASHINGTON REG MED CENTER  
 
NOK Notified  Yes Investigating Officer:  PTLTRAVIS LEE 249 Agency:  FAYETTEVILLE PD

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