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Home My WebLink About23-8108 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 23-8108 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4100 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# cawsloN 07 - 1-- 2023 1331 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ LOGAN AVE N BLOCK NO. e --- ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 1.❑ FEET e S ❑ W e N 6TH ST 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO D:2067926377 0 11 30 6� LAST NAME ACOBA FIRSTNAME MONICA MIDDLE M 1 2 31 INITIAL STREET ❑, 2524 BURNETT CT S CITY RENTON FT WA ZIP 980555029 z NEW ADDRESS 7❑ CDL I 1/ IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO NTERLOCKYEs NO Z YEs No'/ 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU SE CLASS 1 NATURE OF INJURIES z❑ 3 10❑ P1 ATNES# AMV5615 sTAr WAV N# KNAFK4A62E5066930 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# FROM TO TRLR. TRLR $ 7 33 12 0 0 VIN#' VIN#' FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T /g[ GOVT.VEHICLE 1 $ 34 13 2014 KIA FORTE DAMAGE YES NO � '` RS YES❑ No✓ REGISTERED OWNER INFO JULIAN ACOBA 2524 BURNETT CT S RENTON WA 98055 D:4254969970 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 ABILI V INSURANCE INSURANCE CO ALLSTATE 987 169 988 4 IN EFFECT &POLICY#VEHCLE CHARGE 36 LEGALLY YES❑NO❑ CITATION# <1�3 OTTOM 15❑ STANDING 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2069660877 16 2 LAST NAME MCCULLOUGH FIRST NAME ERIC MIDDLE K INITIAL 17❑ STREET ❑', 10625 22ND PL S APT 106 CITY SEATTLE ST WA ZIP 981681744 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 DRIVER # INJURY 6 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 USE CLASS RIGHT KNEE 21❑ LICENSE I NO PLATE TAre WA VIN# KMHCG45C25U645456 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ UIN#. 43 TRLR RLR 'IN#. VEH YEAR 200$ MAKE HYUN MODEL ACCENT STYLE VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES�/ NO BANKERS YES NO REGISTERED OWNER INFO ROBYN BOWEN 77 S WASHINGTON ST SEATTLE WA 98104 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO 9TOP 5 VE""LE ❑ ,J� CITATION# CHARGE to BOTTOM LEGALLY YES N J 25 e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 M.MAZURE 11700 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED80076 COLLISION REPORT III III III III III 111 1591972 CASE# 23-8108 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) ACOBA SHERYLL M (LAST FIRST, ADDRESS&PHONE# D O.B. ' 2524 BURNETT CT S RENTON WA 980555029 2067926366 SEXi F MMDovyry 08 - 27 - 1996 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ ❑ 1 POS, 3 2 4 1 USE CLASS 1 NAME (LAST,FIRST,MIDDLE INITIAL) HARMON PETERS ADDRESS&PHONE# D O B 1605 LOWELL AVE ENUMCLAW WA 7604010599 SEX M MMDDvvvy27 _ 1991 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ POS. USE CLASS NAME (LAST FIRST,MIDDLE INITIAL) FJETLAND CHASE K AooREss&PHONE# 2063273640 M M 02 10 _ 1999 SEX. MDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY 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. M.MAZURE 07-15-23 03:52 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE DESIRES SCOTT 10272 1 711612023 2:32:37 PM BADGE OR ID# 11700 ORI# WA0171300 TIME POLICE DISPATCHED! 1:33 PM TIME POLICE ARRIVED',1:36 PM PART Ei PAGE 2�OF❑ STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED80076 COLLISION REPORT III III III III III 111 1591972 CASE# 23-8108 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) ABELLA THERESEA (LAST FIRST, ADDRESS&PHONE# D O.B. ' 2063046958 SEX' F MMDDYYYY 12 - 23 - 1966 --------------------------- PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES �✓ PM USE CLASS NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O 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' 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. M.MAZURE 07-15-23 03:52 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE DESIRES SCOTT 10272 1 711612023 2:32:37 PM BADGE OR ID# 11700 ORI# WA0171300 TIME POLICE DISPATCHED! 1:33 PM TIME POLICE ARRIVED',1:36 PM PART Ei PAGE IT]OF REPORT NO. ED80076 CASE# 23-8108 OF COLLISION 07/15/23 13:31 OF CbLLI510N NARRATIVE 23-8108 CC This incident was captured on my body worn Axon video camera. This report is a summary of events that occurred and is not in exact sequencing of events. Statements have been paraphrased and summarized. On 7/15/2023 at approximately 1533 hours, I was dispatched to a two-vehicle collision. The collision occurred at the intersection of Logan Ave N and N 6th ST in the City of Renton, County of King, WA. Dispatch said, 2 motor vehicle collision, airbag deployment, blocking. I arrived on scene at the above address at approximately 1340 hours. I observed a white 2014 Kia Forte bearing WALP AMV5615 and a gray 2005 Hyundai Accent that had a WA Temp tag and they collided in the middle of the intersection. I first talked to the witnesses. Peter S. Harmon, Chase K. Fjetland, and Therese A. Abella all told me the same thing. The Kia was waiting to turn west onto N 6th Street from northbound Logan Ave N. The light was a blinking yellow arrow for the Kia. As soon as the Kia turned into the intersection it collided with the Hyundai. The Hyundai was going south on Logan Ave N. I then talked to the driver of the Kia, who was later positively identified by her picture matching WADL as Monica M. Acoba. Monica said she saw the blinking yellow arrow but did not see the Hyundai. I also talked to the driver of the Hyundai, who's identity was also positively verified by his picture matching WAID as Eric M. McCullough. Eric said he was driving south on Logan Ave N and then all of a sudden, the Kia pulled into the intersection. He said he had the green light. Renton Fire arrived on scene and Eric was the only person that was taken to the hospital. Eric said he had right knee pain. Both the Kia and the Hyundai were towed by Bankers Towing. I provided all drivers a copy of the exchange of information. This ends my involvement. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. This report was electronically signed by Officer M. Mazure #11700, July 15, 2023 Renton, WA. PAGE 4 OF 5 REPORT NO. EU80070 CASE# 23-8108 DATE AND TIME 07/ S/2313:31