HomeMy WebLinkAbout23-8613 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 23-8613 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3
HIT 8 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# ❑
cowsloN 07 - 1-- 2023 1900 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
HARDIE AVE SW BLOCK NO. e✓ 700
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 10 00 FEET ❑ S B W e RAINIER AVE S
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2063972681 0 81
30
6� LAST NAME EVANS FIRSTNAME RAHJIA MIDDLE K 1 2 31
INITIAL
STREET ❑, 200 SW 5TH PL,APT D101, CITY RENTON ST WA ZIP 98057 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
❑
10 2❑ PI ATE Bit BXH2471 JBTATIJ WA u N If WBAV813556PT00885 3
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 5 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR 2006 MAKE BMW MODEL 325 STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 9 9 34
13 2 DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO KIMBERLY CROCKETT.0 SW 5TH PL D101 RENTON WA 98057 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
2 INSURANCE CO 4
14 LIABILITY INSURANCE❑ BRISTOL WEST GO1-0664380.Ot
LI EFFECT I POLICY# TOPVEwcLE CHARGE <1�3
OTTOM 5 36
LEGALLY YES No CITATION# 3A0568731,3A0568731 OP MOT VEH W/OUT INSURANCE,
15❑ STANDING 6
MOTOR PEDAL-:. PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2064372592
16 a
LAST NAME BADGETT FIRST NAME DUANE MIDDLE E
INITIAL
17 STREET I5❑' 5831 S 152ND ST CITY TUKWILA ST WA ZIP 981885789 37
NEW ADORE5
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCKYES�NO� INTERLOCK YEs❑NOF YEs❑NOF,/
19 D IVER #
❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑21❑ PLATE# CCF7053 TArE WA VIN# 41
KNAE15LA7J6020195 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2018 MAKE KIA MODEL STINGER STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO DUANE BADGETT 201 SW 5TH PL APT M104 RENTON WA 98057 D:2064372592 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE 8 POINSURGY#E CO AARP 55PHG326485IN I STOP
—e E CITATION# CHARGE
25 i o BOTTOM
LEGALLY YES Ncl
❑ J s
7SI
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY26 12225 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED84855
COLLISION REPORT III III III III III 111
1591972 CASE# 23-8613
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.
E.SIMS 07-27-23 11:29 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
DESIRES SCOTT 10272 713112023 6:23:52 PM
BADGE OR ID# 12225 ORI#' WA0171300 TIME POLICE DISPATCHED! 7:05 PSI TIME POLICE ARRIVED]7:13 PM
PART Ei PAGE IT]OF 4�
REPORT NO. ED84855 CASE# 23-8613 OF COLLISION
07/27/23 19:00
OF CbLLI510N
NARRATIVE
RPD CASE#: 23-8613
On 07/27/2023 at approximately 1905 hours, I was dispatched to Rainier Ave S and S Grady Way, in
the City of Renton, King County, Washington, for a non-injury non-blocking accident.
Upon arrival I located the vehicles in the parking lot of 765 Rainer Ave S. I identified Unit 1 as a silver
2006 BMW 325, bearing WA license plate #BXH2471. Unit 1 sustained damage to the front bumper
of the vehicle.
I identified the driver of Unit 1 via her WADL as Rahjia Kor'an Evans (DOB 10/13/2002.) Evans told
me she was not injured and stated she was wearing her seatbelt. I asked Evans what happened, and
she stated she was driving southbound in the 700 block of Hardie Ave SW, in the City of Renton,
approaching a stop sign. Evans stated Unit 1 was in front of her stopped at the stop sign and she hit
the rear of the vehicle. Evans admitted she was not paying attention when the collision happened.
When I asked to see Evans insurance, she provided me with an expired insurance card and stated
she had current insurance for the vehicle but did not have the proof of insurance with her.
I identified Unit 2 as a white Kia Stinger, bearing WA license plate #CCF7053. Unit 2 sustained
damage to the rear bumper.
I identified the driver of Unit 2 via his WADL as Duane Eliot Badgett (DOB 03/19/1964.) Badgett told
me he was not injured, and he was wearing his seatbelt.
I asked Badgett what happened, and he stated he was stopped at a stop sign in the 700 block of
Hardie Ave SW when he was hit from behind by Unit 1.
I provided both parties with my business card with the case number on it and answered their
questions. I advised Evans she was the at fault party and she would receive a citation in the mail for
inattention and for operating a motor vehicle without insurance.
I then cleared the scene.
This ends my report.
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 E. Sims on 07/27/2023 at 2208 hours in the City of Renton.
PAGE 3 OF 4
REPORT NO. ED84855 CASE# ' 23-8613 DATE AND TIME 07/27/23 19:00
OF COLLISION
NQW
NOT TO SCALE
Rainier Ave S
1.
/ \ \unit 2
Unit
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