HomeMy WebLinkAbout23-6916 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
❑ ❑ FIRE ❑ CASE$# 23-6916 z 6 0
INTERSTATE CITY STREET RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4950 3❑HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cawsloN 06 - 18 - 2023 0200 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BRONSON WAY N BLOCK NO. e ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e FACTORYAVE N
0 1 29
UNIT MOTOR
VEHICL Z CYCLE ElDDAMYESA✓NOESHOLDMET PHONE O 1 30
6❑ LAST NAME UNKNOWN FIRSTNAME UNKNOWN MIDDLE 1 1 2 31
INITIAL
STREET ❑ UNKNOWN CITY ST ZIP Z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8 DRIVERS. STATE SEX.U I D.Q.B. 1 1 2 32
❑ LICENSE# I I MmDDYYl I-❑
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 9 H USEET 9 CLAY 0 NATURE OF INJURIES z❑
3
10[1P1 ATNES# UNKNOWN sTAT V N# UNKNOWN
11[-jTRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
rRLR. TRLR. 1 5 33
12 3 5 VIN#' UIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34
13 3 FORD SEDAN SD DAMAGE YES YES❑ NO
REGISTERED OWNER INFO UNKNOWN UNKNOWN UNKNOWN VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 ABILI INSURANCE❑ INSURANCE CO NIA <��34
IN EFFECT &POLICY#VEHCLE CHARGE 36
LEGALLY YES❑NO❑ CITATION#
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2069450099
16 a
LAST NAME KING FIRST NAME KEA MIDDLE JW
INITIAL
17❑ STREET ❑' 3070 118TH AVE SE APT M202 CITY BELLEVUE ST WA ZIP 98005 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 DRIVERS
❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES ❑ 40
21❑ LICENSE I CBF0709 TATE WA VIN# 1C4SDJET7DC668615
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
TOWED BY Gov HI 44
VEH YEAR 2013 MAKE DODG MODEL DURANG STYLE 5D DAMAGE TOWED✓ NOO BLIN BANKERS YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO GENERAL 53-WA-9998695IN STOP 5
VE—LE ❑ ,J� CITATION# CHARGE
25 io BOTTOM
LEGALLY YES N`L J
' a
=TURNER
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26 12650 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED76221
COLLISION REPORT III III III III III 111
1591972 CASE# 23-6916
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) THOMAS KATHERYN K
(LAST FIRST,
ADDRESS&PHONE#
3811 130TH!N SE APT C3 BELLEVUE WA 98006 2064580522 SEXi F MMDOYyvv 09 - 04 - 1983
{� SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER ZWITNESSE] UNIT# 2 POS. 8 AIRBAG 2 RESTR, 4 EJECT 1 USE 2 CLASS 6 CHEST PAIN
NAME
(LAST,FIRST,MIDDLE INITIAL) CLEEK PATRICK D
ADDRESS&PHONE# D O B
14621 129TH AVE E PUYALLUP WA 98374 2068593098 SEX M MMDDYYvv O6 _ 21 _ 1996
SEAT HELMET NJURY NATURE OF INJURIES
PASSENGER Z WITNESS UNIT# 2 PGS 9 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.
MMDDYYYY. -
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.
JASON TURNER 06-18-23 04:27 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.TOLLIVER 10540 1 7/3/2023 6:27.51 PM
BADGE OR ID# 12650 OR]#' WA0171300 TIME POLICE DISPATCHED! Y:09 AM TIME POLICE ARRIVED',2:11 AM
PART I PAGE IT]OF 4�
REPORT NO. ED76221 CASE# 23-6916 OF COLLISION
06/18/23 02:00
OF CbLLI510N
NARRATIVE
23-6916
On 06/18/2023 at approximately 0209 hours I was working as a Police Officer for the City of Renton.
While working I was dispatched to a hit and run accident with injuries, located at the intersection of
Bronson Way N/Factory Ave N.
The notes of the call stated that the reporting party was hit by an unknown vehicle and that she was
experiencing knee pain.
I arrived on scene an met with the victims of the incident, Patrick D. Cleek (DOB: 06/21/1996),
Katheryn K Thomas (DOB: 09/04/1983), and Kea W. King (DOB: 02/22/1986). Kea was the driver of
the vehicle and Katheryn/Patrick were passengers of the vehicle. Kea's vehicle is a silver 2013
Dodge Durango (WA LIC: CBF0709). Kea and Patrick reported that they were not injured. Katheryn
was reporting that her chest was in substantial pain and needed to be checked out by fire. Fire
arrived and checked out all three occupants, all three were cleared. Kea's vehicle was totaled, the
damage was much greater than $1,000 and made the vehicle inoperable. The entirety of the front end
was damaged, and fluid was leaking from the vehicle.
I asked Kea, Kathryn, and Patrick how the accident happened, and they reported the following:
Kea was driving west bound on Bronson Way N approaching the intersection of Factory Ave N. Kea
had a green light and continued through the intersection at approximately 25mph. As she crossed
through the intersection a red ford sedan was seen proceeding south bound on Factory Ave N
approaching a red light at the Bronson Way N intersection. The red Ford sedan then ran through the
intersection at approximately 45mph and collided with Kea's vehicle. The Ford sedan remained at the
scene shortly but then drove away at a high rate of speed.
The red Ford Sedan was observed to have extensive front end damage. Kea believed that the vehicle
would not make it very far because of the extensive damage. The red Ford was seen going south
bound onto 1405 from the Maple Valley Y intersection. Officers performed an area check but could not
locate the vehicle.
Kea, Patrick, and Kathryn described the driver of the vehicle as a white male, short brown hair,
heavier build, wearing a red sweatshirt. They also stated that a female was seated in the passenger
seat of the vehicle.
Officer Gall took photos of the accident and uploaded them to evidence.com
Kea, Patrick, and Kathryn all stated that they would like to assist with prosecution in the incident.
Patrick and Kathryn reported that they would be able to recognize the driver if they saw him again.
Currently there is probable cause to arrest the driver of the red Ford for felony hit and run as Kathryn
was suffering from a chest injury at the scene.
There is no further information at this time.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct. Electronically signed by J. Turner 12650 on 06/18/2023 at 0425 hours.
PAGE 3 OF 4
REPORT NO. ED76221 CASE# 23-6916 DATE AND TIME 06/18/23 02:00
OF COLLISION
- 45
U.
L�
Bronson Way(1
i
I
PAGE 4 OF 4