HomeMy WebLinkAbout23-8562 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 23-8562 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 2$
5 0
RESERVATION
TRIBAL UNITS 02 STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 07 - 26 - 2023 1525 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
N 6TH ST BLOCK e✓ 900
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 200 00 FMILES N EET e S ❑ E e PARKAVEN
1 9 29
UNIT MOTOR
Z PEDAL-
CYCLE ElD MYESA,GEE NHORESHOLD MET PHONE 1 9 30
01 6� LAST NAME FLORENCE FIRSTNAME MICHAEL MIDDLE P 1 2 31
INITIAL
STREET ❑, 21418 114TH PL SE CITY KENT ST WA ZIP 980311164 z=
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10 9❑ P1 aT�S� /afE2034 sTArI WAurN# WAUMGAFL2CA118342
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 2 5 VIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 7 $ 34
13 2 2012 AUDI S4 DAMAGE vEs 0NO agW�MEYER vEs❑ No✓
REGISTERED OWNER INFO MICHAEL FLORENCE 21418114TH PL SE KENT WA 98031 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14 LIABILI V INSURANCE INSURANCE CO GARRISON 01450 92 55R
IN EFFECT &POLICY# 9TOP
VEHCLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 10 BOTTOM
15❑ STAIN.D'ING
UNIT 02 VE IMOTOCLE CYCLE ❑ PEDESTRIAN ❑ OWN A PEDAL RTY [:]EA.
✓ NO OLD MET PHONE
16 a
LAST NAME SWANIGAN FIRST NAME MARK MIDDLE N
INITIAL
17❑ STREET ❑', 3602 SW 112TH ST CITY' SEATTLE ST WA ZIP 981461612 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 DRIVER'S STATE I WA SEX M D.C... 10 _ O6 _ 1962 El 39
LICENSE# MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I C88228K TAre WA VINIi 1GT42YEY1JF114516
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2018 MAKE GMC MODEL SIERRA STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO✓ YES NO✓
REGISTERED OWNER INFO MARK SWANIGAN 3602 SW 112TH ST SEATTLE WA 98146 VEHICLE NO.2
SHADE DA GEbAREA
LIABILITY
INSURANCE INSU&PORGY#E CO ALLSTATE 87 553 9DIN IGQ'E""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED85548
COLLISION REPORT III III III III III 111
1591972 CASE# 23-8562
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM 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'
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.LEVERTON 08-01-23 03:04 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 8/2/2023 12:47:06 PM
BADGE OR ID# Y517 ORI# WA0171300 TIME POLICE DISPATCHED 3:39 PM TIME POLICE ARRIVED 3:48 PM
PART I PAGE IT]OF 4�
REPORT NO. ED85548 CASE# 23-8562 OF COLLISION
07/26/23 15:25
OF CbLLI510N
NARRATIVE
wht 1 tan 2 trk
RTF
Information/Insurance only
Within the city limits of Renton/King/Wa I responded to a 2 car crash near the 1300 block of N 6th St.
I contacted unit 1 who told me he might have cut off another driver while he was pulling from his
Boeing parking lot onto NB Logan Ave N. He said he and unit 2 had a bit of a difference while EB on
N 6th St, contact between both vehicles occured here. Unit 1 told me he followed unit 2 to Garden
Ave N because after contact unit 1 said unit 2 did not stop. Unit 1 told me when unit 2 made a left
onto Garden Ave N/NB he went around unit 2 and stopped in the roadway to stop unit 2. He said unit
2 clipped his car as he went by. He remained in that area at that point. He did not complain of injury
and damages did require a tow truck.
I contacted unit 2 by phone initially who told me he left the area because he thought after what
happened on Garden that unit 1 may have had a gun. Unit 2 arrived on scene a few minutes later.
Unit 2 told me that unit 1 cut him off on Logan. He told me he went to go around unit 1 on N 6th St
when they had a verbal/finger altercation. Unit 2 described that he wanted to go to Target, but he
believed unit 1 was instigating this close vehicle-vehicle contact. He was not going to stop and
proceed to Target to call 911, but wasnt going to stop based on unit 1. Unit 2 told me when he turned
left onto Garden Ave N, unit 2 went around him and blocked the roadway. As he was passing unit 1
moved his vehicle causing unit 2 to strike the curb to get around him. He continued to Target and
called 911. He did not complain of injury and damages did not require a tow truck.
Both drivers admitted they were contributory to both vehicle contacts. Neither driver wanted to
pursue any chargers against each other.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Motor Vehicle Unit 1
Action Code: .
Motor Vehicle Unit 2
Action Code: .
**** END OF AUTO-POPULATED SECTION ****
PAGE 3 OF 4
REPORT NO. ED85548 CASE# ' 23-8562 DATE AND TIME 07/26/23 15:25
OF COLLISION
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PAGE 4 OF 4