HomeMy WebLinkAbout23-6924 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. ED71254 170
27
COLLISION REP FIT 1591971
CASE 23-6924 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STATE ROUTE OTHER STOLEN
❑ ❑ HFHIC;I F ❑ LOCAL AOENC 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 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# ❑
COLLISION: 06 — 18 — 2023 0915 17 ❑. S 8 W Li OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SUNSET BLVD N BLOCK NO. e✓ 200
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:2068517779 0 11
30
6❑ LAST NAME MBONIPAYE FIRSTNAME FRANCOIS MIDDLE 1 2 31
INITIAL
STREET ❑ 2507 NE 4TH ST,APT 317 CITY RENTON ST WA Zjp, 98056 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'M MM ovY 01 1- 01 - 1988 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 1 CLASS NATURE OF INJURIES z❑
3
10 9❑ LICENS pj ATE 14 BDX5609 STATE WA VIN# 3KPFK4A75HE085671
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM ro
TRLR. TRLR 7 1 33
12 0 0 VIN#' VIN#
>; FROM TO
VEH.YEAR 2017 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 5 34
13 4 KIA FORTE SD DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO GEICO 4576826228 3 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2068498892
16 2
LAST NAME GALVEZ ESPINDOLA FIRST NAME FROYLAN MIDDLE
INITIAL
17 STREET NEW ADDREs7 3815 NE 4TH ST,APT A7 CITY RENTON ST WA ZIP 98056 37
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCK YES❑NO� INTERLOCK YEs❑NOF YES❑NOF,/
19 LDI IVER # STATE WA SEX M M D.C.B. 03 _ 03 _ 1994 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑21❑ PLATE# CGG8395 TATE 41
WA VIN# 1FMZU34XOXZB49904 1
42
22❑ PLATE# STATE PLATE ILER# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
TOWED BY Gov HI 44
VEH YEAR 1999 MAKE FORD MODEL EXPLORE STYLE UT —VEHICLE
TOWED NOO✓ BLIN YES NO 1/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGED AREA
3 4
LIABILITY
INSURANCE &POINSURGY#E CO BRISTOL WEST G01174857802IN 9TOP 5
VEHICLE ❑ ,.I—I CITATION# CHARGE
25 to BOTTOM
LEGALLY YES N
s a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
OQ
26
PHILIP DAVIS 12018 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED71254
COLLISION REPORT III III III III III 111
1591972 CASE# 23-6924
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(/AST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
23-6924
On 6-18-23 around 0934 hours I dispatched to a non-blocking, non-injury collision in the 200 block of
Sunset Blvd N, Renton, King Co, WA. Initial information was two vehicles, BDX5609/WA-unit 1, and
CGG8395/WA-unit 2, were involved in a collision and both vehicles pulled into the lot at 205 Sunset
Blvd N.
Upon arrival I observed unit 1 to have heavy damage to the front driver side and unit 2 to have heavy
damage to the front passenger side.
I contacted Mbonipayne Francois 1-1-88, driver and RO of unit 1, who advised the following.
Mbonipayne was attempting to make a left turn from the lot of 205 Sunset Blvd N onto northbound
Sunset Blvd N. Drivers in lanes 3 and 4 of southbound Sunset Blvd N had stopped allowing
Mbonipayne to attempt his turn. However, as he pulled into lane 2, unit 2 collided with unit 1.
I contacted Froylan Galvez Espindola 3-3-94, driver and RO of unit 2, who relayed a similar telling of
events, adding that unit 1 pulled out right in front of him as he was traveling southbound.
No one was injured and the vehicles were not blocking traffic.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by P Davis 12018 on June 18, 2023 at 10:24 hours in Renton, WA.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
PHILIP DAVIS 06-18-23 10:45 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
S.WOODWARD 11528 1 611812023 4:33:13 PM
BADGE OR ID# 12018 ORI# WA0171300 TIME POLICE DISPATCHED! 9:34 AM TIME POLICE ARRIVED',9:45 AM
PART I PAGE IT]OF
REPORT NO. ED71254 CASE# 23-6924 DATE AND TIME 06/18/23 09:15
OF COLLISION
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