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COLLISION REP FIT 1591971
CASE 23-10134 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 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 09 - 1-- 2023 0927 17 ❑.❑ S 8 W e IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
108TH AVE SE BLOCK NO. e✓ 17600
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 30 1. 00 FMILES EET e S B W e SEPETROVISKYRD
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:2067872492 2 01
30
6❑ LAST NAME BROWN FIRSTNAME AKIL MIDDLE J 1 1 2 31
INITIAL
STREET ❑, 21733 113TH PL SE CITY KENT ST WA 2jp, 980311343 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LDRIVER # STATE WA SEX'M MID
ELOB 11 1— 19 — 2001 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 3 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ Pi aTES� CGD8471 sTArI WAvIN# JFIZNAA12J8701086
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. YRLR. 5 1 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13 2 ZO18 TOYT 86 CP DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO AKIL BROWN 21711113TH PL SE KENT WA 98031 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 905268811 3 4
IN EFFECT &POLICY# 9TOP
VEH'CLe CHARGE 1 5 36
LEGALLY
Yes❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UN�T VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO 1/ D:5103013851
16 a
LAST NAME GEBREEYESUS FIRST NAME ERMIAS MIDDLE
INITIAL
17❑ NEW EET 1:❑' 4803 S HENDERSON ST APT 305 CITY SEATTLE ST WA ZIP 981184965 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSFORTED � 38
INTERLOCK YEs❑No� INTERLOCK ves No / YEs ND�
19[—] DRIVER'S
MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 3 EJECT 1 H EET 2 NJAURSY 1 NATURE OF INJURIES 40
❑21❑ PLATE# CHR7402 TArE 41
WA vIN1 4T4BE46K59R065993 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN It 'IN#.
VEH YEAR 2009 MAKE TOYT MODEL CAMRY STYLE 4D VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO�/ YES NO✓
REGISTERED OWNER INFO ERMIAS GEBREEYESUS 4803 S HENDERSON ST APT 305 SEATTLEWA98118 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# I 9TOP 5
VEHICLE Yes Nc❑ CITATION# 3A0637006 CHARGE OP MOT VEH W/OUT INSURANCE Io BorroM
LecnLLY `LJ
25 s a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
JAREN JOKELA 12805 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED95349
COLLISION REPORT III III III III III 111
1591972 CASE# 23-10134
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
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'
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.
JAREN JOKELA 09-02-23 12:23 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.KORDEL 9676 9/3/2023 8:27.47 AM
BADGE OR ID# 12805 OR]# WA0171300 TIME POLICE DISPATCHED 9:27 AM TIME POLICE ARRIVED',9:41 AM
PART I PAGE IT]OF 4�
REPORT NO. ED95349 CASE# 23-10134 OF COLLISION
09/02/23 09:27
OF CbLLI510N
NARRATIVE
Renton Case #23-10134
On 09/02/2023 at 0928 hours I was dispatched to the corner of 108th Ave SE/SE Petrovisky RD, in
the City of Renton, King County, Washington. I was responding to a call of non-injury, non-blocking
vehicle collision.
While en route, dispatch advised the following: Both parties were parked in the U.S. Bank parking lot,
one party was refusing to exchange information.
At approximately 0941 hours, I arrived and contacted both parties in the U.S. Bank parking lot located
at the corner of 108th Ave SE/SE Petrovisky Rd. 1 identified Unit 1 as a gold 2009 Toyota Camry (WA
License #CGH8431). Unit 2 sustained minor damage to the right front bumper.
I identified the driver of Unit 2 as Ermias Gebreeyesus (DOB 11/27/1994, WA DOL). Gebreeyesus
told me he was not injured. I asked Gebreeyesus what happened, he stated he was in the far-left turn
lane traveling North on 108th Ave SE when he attempted to change into the center lane. At that time,
he struck Unit 1 who was also traveling northbound on 108th Ave SE.
Gebreeyesus provided me with his WADL and registration but stated that he did not have car
insurance.
I Identified Unit 1 as a white 2018 Toyota 86 (WA License #CGD8471). Unit 2 sustained damage to
the front left bumper, front left quarter panel, left drivers door, and left rear quarter panel.
I identified the driver of Unit 1 as Akil J Brown (DOB 11/19/2001, WA DOL). Brown stated that he was
not injured. Brown explained that he was in the far-right lane of 108th Ave SE traveling northbound.
He attempted to merge into the center lane of 108th when he struck Unit 2 who was attempting to
merge from the opposite lane at the same time. Brown had dash camera footage that he was able to
provide that showed the events described above.
Brown provided me with his license, registration, and proof of insurance.
I provided both parties with an Exchange of Information sheet and gave them their documents back.
Gebreeyesus was advised that he would receive a citation in the mail for operating a motor vehicle
without insurance.
I then cleared the scene.
This ends my report.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by Ofc. Jaren Jokela #12805, 09/02/2023 at 1048 hours in Renton, Washington.
PAGE 3 OF 4
REPORT NO. EU95348 CASE# 23-10134 DATE AND TIME 08/02/230027