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HomeMy WebLinkAbout24-5279 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
CASE 24-5279 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 02 RESERVATION STRUCK
z
3 DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
cawsloN 05 - 18 - 2024 1035 17 . N E IN� S H W H OF 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
S GRADY WAY BLOCK NO. e✓ 800 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e TALBOT RD S
OF,1 29
MOTOR ✓ PEDAL- DAMAGE THRESHOLD MET PHONE
NIT 01 VEHICLE ❑ CYCLE. ❑ YES NO D:4252282294 0 4 30
6❑ LAST NAME WALMSLEY FIRSTNAME JEANNETTE MIDDLE P 1 1 2 31
INITIAL
STREET ❑ 2308 NE 27TH ST CITY RENTON ST WA 2jp, 980562233 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'F MID
.O B 07 - 14 - 1947 1 2 32
9❑ ON DUTY❑ STATUS AIRBAG 4 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 aT�S� 8VGA744 sTATe CA VrN# 1VWSA7A30MC011962
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 3 7 33
12 2 5 VIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 1 3 34
13 3 2021 YOLK JETTA P4 DAMAGE YES No � �MEYER TOWING YES❑ No✓
REGISTERED OWNER INFO LLC EAN HOLDINGS 14002 E 21ST ST SUITE 1500 TULSA OK 74134 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 rI LIABILI INSURANCE INSURANCE CO USAA 4
IN EFFECT &POLICY# 9TOP
15❑ vewCLE 5 36
LECALLv res❑NO❑ CITATION# CHARGE 10 BOTTOM
STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2538825903
16 2
LAST NAME AUTHORLEE FIRST NAME OLIVIA MIDDLE I E
INITIAL
17❑ STREET ❑', 1420 117TH ST S CITY' TACOMA ST WA ZIP 984442458 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES t l NOF,/
19 LDI IVERI # STATE WA ]SEX IF M D.O.B. 07 21 2000 39
HELMET {NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21❑ LICENSE I CDR5429 TATE I WA VIN# 2FMDK49CX86A88772
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. N#.
43
RLR
'I
VEH YEAR 2008 MAKE FORD MODEL EDGE STYLE UT VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO OLIVIA AUTHORLEE 1420117TH STS TACOMAWA98444 D:2538825903 VEHICLE NO.2
SHADE,IN DAMAGED AREA
4� 3 4
LIABILITY
INSURANCE &POINSURGY#E CO USAA 00348 24 95U7102 3IN 5
VEHICLE ❑ ,.I—I CITATION# CHARGE25 UQ
LEGALLY YES N
7Q"u,'
S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
TIBEAU 07691 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE78124
COLLISION REPORT III III III III III 111
1591972 CASE# 24-5279
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) HENRICH PAM
(LAST FIRST,
ADDRESS&PHONE#
2249 SE BANDERE CT PORT ORCHARD WA 98367 4252182350 SEXi F MMDOYyry
PASSENGER WITNESS UNIT# I SEAT AIRBAG< RESTR. EJECT ' HELMET INJURY NATURE of INJURIES
❑ ❑ POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL) TAYLOR KEVIN D
ADDRESS&PHONE# D O
2249 SE BANDERE CT PORT ORCHARD WA 98367 4252182350 SEX: M 4:O-B vv 05 - 20 - 1970
PASSENGER []WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY
POS. NATURE OF INJURIES
USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.MMDD -❑
YYYY.
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
Please see subsequent narrative pages
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
QUINT TIBEAU 05-18-24 02:10 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
D.SKELTON 9139 511812024 2:53:35 PM
BADGE OR ID# 07691 OR]# ! WA0171300 TIME POLICE DISPATCHED; 10:36 AM TIME POLICE ARRIVED 10:39 AM
PART B PAGE IT]OF 4�
REPORT NO. EE78124 CASE# 24-5279 FC LNaoy L isI©�ON
O 05/18/24 10:35
F cu
NARRATIVE
Narrative
The following occurred in the City of Renton, County of King, State of Washington.
On 05/18/2024 at about 1036 hours I was dispatched to an Unknown if Injury Collision at SW Grady
Way and Talbot RD S. I arrived at about 1041 hours and the vehicles involved had already moved
from the intersection.
I contacted the driver and sole occupant of V-2 who identified herself as Olivia Authorlee, with her
WADL. Authorlee stated that she was trying to turn left from southbound Talbot RD S onto east
bound S Grady way with a green arrow when V-1 struck the front of her vehicle.
Officer Crow informed me that he spoke to witnesses Taylor and Henrich, who both stated that they
were west bound on S Grady way approaching the intersection with Talbot RD S when they saw V-1
proceed into the intersection against the red light and strike V-2.
I contacted the driver and sole occupant of V-1 who identified herself as Jeannette Walmsley with her
WADL. She stated that she was west bound in the middle lane of S Grady Way and proceeded into
the intersection with a green light, when suddenly V-2 struck her vehicle. When I later informed her
that she actually had a red light, she made the comment that she could have sworn they told her she
had the green light.
Gene Meyer Towing handled the private impound of V-2.
This incident was captured on my Axon body worn video camera. This report is a summary of events
that occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized.
Nothing further at this time.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Q. Tibeau 05/18/2024 1220 hours, Renton, WA.
PAGE 3 OF 4
REPORT NO. EE78124 CASE# 24-5279 DATE AND TIME 05/18/2410:35
OF COLLISION
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PAGE 4 OF 4