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COLLISION REP FIT 1591971
CASE 23-14993 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#TRIBAL OF OZ OBJECT 1 1 8 28
UNITS
RESERVATION I I
STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
CowsloN 12 - 1-- 2023 1625 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SUNSET BLVD N BLOCK NO. e✓ 400
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 3❑ 1000 FMILES N EET e S B W e BRONSON WAYNE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
�/No D:2535619553 0 6 30
5� LAST NAME TUN FIRSTNAME MALEES MIDDLE S 1 1 2 31
INITIAL
STREET ❑ 958 SUNSET BLVD NE APT D CITY RENTON ST WA 7jp, 98056 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 1 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
10� Pi aT�S� CHT2695 sTArI WAurN# WBAVC53518F009734
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 5 33
12 3 0 VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE $ 34
13 3 2008 BMW 328 SD DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO MALEES TUN 958 SUNSET BLVD NE APT D RENTON WA 98056 D:2535619553 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO GENERAL WA6185469 4
LI EFFECT I SUR N# TOPVEHICLE CHARGE 36
LEGALLYYES NO CITATION# 3AO852528 INATTENTIVE DRIVING <1�3
orrom
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2064740386
16 a
LAST NAME AHMED FIRST NAME AHMED MIDDLE A
INITIAL
17 STREET NEW ADOREO 1055 BLANE AVE NE APT#B CITY RENTON ST WA ZIP 98056 1� 37
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38
INTERLOCK YES❑No� INTERLOCK YEs I I NOF YEs t l NOF,/
19[—] DRIVER #
ON DUTY STATUS AIRBAG, 1 RESTR 4 EJECT 1 HE 2 INJURY 7 NATURE of INJURIES 40
USE CLASS LOWER BACK PAIN
❑ILICENSE 21❑ PLATE# A6942860 TArE 41
WA VIN# JM3KFBXY8R0388694 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. N#. 43
RLR
'I
VEH YEAR 202Q MAKE MAZp MODEL CX-5 STYLE U7 VEHICLE TO TO BLIN TOWEDBY GOV HI 44
L4❑ AMAGE YES NO YES NO
REGISTERED OWNER INFO AHMED AHMED 1055 BLAINEBLANE AVE NEAPT#B RENTON WA 98056 D:2064740386 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
LIABILITY
INSURANCE INSU&POLICY#E CO GEICO 6128234834IN 1U
9TOP
VEHICLE ❑ ,.I—I CITATION# CHARGE o BOTTOMLEGALLY YES N25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
KEVIN PETERSON 12808 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT No. EE39316
COLLISION REPORT III III III III III 111
1591972 CASE# 23-14993
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) YUSUF FADUMA J
(LAST FIRST,
ADDRESS&PHONE# D O.B.
1055 BLANE AVE NE APT#B RENTON WA 98056 SEXi F MMDDYyry 06 - 09 -SEAT 1995
PASSENGER Z WITNESS❑;UNIT# 2 POS 3 AIRBAG USE 2 CLASS
,1 RESTR. 4 EJECT ? 1 HELMET NATURE OF INJURIES
' !1
NAME
(LAST,FIRST,MIDDLE INITIAL) ABDIHAKIN MAXSA A
ADDRESS&PHONE# D O B
1055 BLANE AVE NE APT#B RENTON WA 98056 SEX IF MMDDYvvv 05 _ 18 _ 2022
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 2 POS. 7 AIRBAG 1 RESTR. 11 EJECT 1 USE 2 CLASS 1
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.Q.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
I was dispatched to a collision on 12/31/23 at 1625 hours at Sunset Blvd NE in the 400 block, located
under the 405 freeway in city Renton, King County WA.
Unit 1 CHT2695 Driver: Malees S. Tun (12/28/1994)
Unit 2 A6942860 Driver: Ahmed A Ahmed (01/24/1992)
All drivers were identified by their WADL. All drivers had the same account of what occurred.
Unit 2 was traveling South on Sunset Blvd NE when it saw a vehicle sticking into their lane from the U
turn in the 400 block of Sunset Blvd NE under 405 freeway. Unit 2 slowed down to not cause a
collision. The driver of Unit 1 was travelling South down Sunset Blvd NE not paying attention and
collided with Unit2.
The driver of Unit 2 had complaints of lower back pain and was seen by fire on scene.
The driver of Unit 1 Malees S. Tun (12/28/1994) was cited with Inattentive driving.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
KEVIN PETERSON 01-03-24 06:54 PM
INVESTIGATING QFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
S.WOODWARD 11528 1 111112024 6:17:14 AM
BADGE OR ID# 12808 OR]# WA0171300 TIME POLICE DISPATCHED; 4:28 PM TIME POLICE ARRIVED:4:32 PM
PART I PAGE IT]OF
REPORT NO. EE39316 CASE# ' 23-14993 DATE AND TIME 12/31/23 16:25
OF COLLISION
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