Karmen Kay Neilson, a 62‑year‑old Caucasian female from Sacramento, California, was last seen on **November 20, 2016** at approximately **2:30 p.m.** authorities say. At the time, she was driving a **silver 2012 Honda Civic** with California license plate **6XBB720**, heading southbound on **River Road** just outside the city limits. Neilson was considered **at‑risk** due to a **medical condition** that authorities warned could leave her a danger to herself if untreated.
She stood about **5 ft 9 in** tall, weighed roughly **130 lbs**, and had **sandy or blonde shoulder‑length hair** with **hazel eyes**. On the day she disappeared, she was reportedly wearing a **black trench coat**, and was seen with a **blanket draped over the front seat of her car**—suggesting she may have been carrying it with her as she left.
Her case was cataloged by the National Missing and Unidentified Persons System under case **MP59481**, with the date of last contact noted as November 20, 2016. The Charley Project profile records her as classified as **Endangered Missing**, noting that volunteer dive group **Adventures With a Purpose** eventually located her vehicle in the **Sacramento River in December 2024**, where her remains were found inside.
Investigators from the **Sacramento Police Department**, case number **16‑335572**, led the original search efforts. Community members were urged shortly after her disappearance to contact authorities at ** 264‑5471** with any relevant information. The discovery by AWP effectively resolved the six‑year long missing person case, bringing closure to her family in December 2024, with the Charley Project noting the case as **Resolved** as of **May 4, 2025**.Last Seen: Nov 20, 2016
