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Home My WebLink About23-11929 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 23-11929 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑ cowsloN 10 - 18 - 2023 1739 17 ❑.❑ N E IN S 8 W H OF e 1070 3 4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ SW GARDY WAY BLOCK NO. e✓ 1000 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 200 00 FMILES EET e S ❑ W e OAKSDALEAVESW 0 1 29 R PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES ✓NO D:2066500474 0 7 30 6❑ LAST NAME VENZANT FIRSTNAME ALETTA MIDDLE M 1 1 2 31 INITIAL STREET ❑, 11444 69TH PL S CITY SEATTLE ST WA 2jp, 98178 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/ 8❑ LDRIVER # STATE WA SEX'F MID .O B 03 1- 04 - 1970 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 1 CLASS NATURE OF INJURIES z❑ 3 10 9❑ pl ATE 14 BZH6829 STATE WA VIN# 1 VWCP7A36DC056844 TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# ROM ro TRLR. TRLR 3 7 33 12 0 0 VIN#' UIN# FROM TO ❑ VEH.YEAR 2013 VOLK PASSAT SD MAKE MODEL STYLE VEHICLE TOWED fn TO VBLINJ TOWED By I GOVT.VEHICLE J 9 34 DAMAGE YES NO 13 4 YES[:] No REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 LIABILITY INSURANCE INSURANCE CO GEICO 6088-82.78.00 4 LI EFFECT I SUR N# TOPVEHCLE CHARGE 36 LEGALLY YES❑NO❑ CITATION# <1�3 OTTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER [:]EA. 1/ No D:2358813185 16 a LAST NAME PRUITT FIRST NAME RANDALL MIDDLE IS INITIAL 17❑ STREET Es7 16415131STAVEE CITY''' PUYALLUP ST WA ZIP 98474 37 18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES t l NOF,/ 19[ DRIVER # ❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES 40 ❑ILICENSE 21❑ PLA E# ATJU511 TATE WA VIN1i 1FMCU9J95FU807982 41 1 42 22❑ PILER LATE# STATE pLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. rowed ev Gov HI 44 VEH YEAR 2015 MAKE FORD MODEL ESCAPE STYLE UT24❑ DAMAGETOWED TOO✓ BLIN YE NO 1/ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE IN DAMAGEbAREA 2 3 Cd LIABILITY INSURANCE INSU PORGY#E CO USAA 0040489 OOC 71017IN 1 9TOP VE."Le YES❑ N,J� CITATION# CHARGE i o BOTTOM LEGALLY 25 $ ' 7BRYAN NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26GROZAV 12489 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE11001 COLLISION REPORT III III III III III 111 1591972 CASE# 23-11929 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) VENZANT LOWS J (LAST FIRST, ADDRESS&PHONE# 11444 69TH P!S SEATTLE WA 98178 SEX M MMDovyry 02 - 11 - 2010 PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ 1 POS, 9 2 4 1 USE 2 CLASS 11 NAME (LAST,FIRST,MIDDLE INITIAL) PRWTT SHANNON P ADDRESS&PHONE# D O B 16415 131ST AVE E PUYALLUP WA 98374 2538207499 SEX I F MMopvuvv 03 _ 14 _ 1966 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER FV]WITNESS UNIT# 2 POS 3 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1 NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&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. BRYAN GROZAV 10-18-23 09:12 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE DESIREE SCOTT 10272 1 1011912023 4:47:07 PM BADGE OR ID# 12489 ORI# WA0171300 TIME POLICE DISPATCHED! 5:41 PM TIME POLICE ARRIVED',5:45 PM PART Ei PAGE IT]OF REPORT NO. EE11001 CASE# 23-11929 OF COLLISION 10/18/23 17:39 OF CbLLI510N NARRATIVE CASE 23-11929 This incident was captured on my body worn video camera. This report is a summary of events that occurred and is not an exact sequencing of events. On Wednesday October 18th, 2023, at approximately 17:41, 1 responded to a 911 call regarding a three-vehicle collision in front of Enterprise Rent A Car located at 1110 SW Grady Way within the City limits of Renton, King County, Washington. 'CALL REMARKS: 2 MVA, REQ AID FOR FEM UNIT ONE: BLACK 2013 VOLKSWAGEN PASSAT WASHINGTON LICENSE: BZH6829 UNIT ONE DRIVER: ALETTA M. VENZANT (DOB: 3.14.1970) UNIT TWO: SILVER FORD ESCAPE WASHINGTON LICENSE: ATJ0511 UNIT TWO DRIVER: RANDALL S. PRUITT (DOB: 8.19.1964) UNIT THREE: GOLD TOYOTA TACOMA WASHINGTON LICENSE: C31836Y UNIT THREE DRIVER: CHARLES L. LAUFFER(DOB: 1.12.1954) Upon arriving on scene, I noticed the involved vehicles were blocking the right lane. Aletta complained of stomach pain and was examined by Renton Fire on scene. None of the other involved parties reported any injuries and no one was transported to the hospital. Randall and Charles reported they were stopped in traffic when they were hit in the rear. Aletta reported the sun was in her eyes and couldn't see the vehicles in front of her stopping causing her to crash into Randall's vehicle. All of the involved were able to drive away from the scene. Aletta's vehicle had damage to the front, Randall's vehicle had damage to the rear, and Charles vehicle did not have any noticeable damage. I provided Aletta, Randall, and Charles a copy of the SECTOR exchange of information form. This concludes my involvement in this case. 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 B. Grozav #12489 on 10.18.2023 at 21:10 hours in Renton, WA. PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE11001 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-11929 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER L ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO D:2064075707 OF 7 29 LAST NAME LAUFFER FIRST NAME CHARLES MIDDLE L INITIAL ] r:j STREET 30 ❑ NEW AnnRFrtP 529 CEDAR AVE S CITY RENTON ST WA ZIP 1 98057 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31 INTERLOCK YEs NO zERLOCK YES❑N0� vES N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 01 - 12 - 1954 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE C31836Y TAr WA VIN# 5TENL42NO2Z130263 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN It VIN.#. 11 0 0 VEH.YEAR2002 MAKE TOYT MODELTACOMA STYLE PK VEHICLE TOME E T SABLIN TOWED BY anvi vFH1C P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNED BY DRIVER J 9 33 12 � SHADE IN DAMAGED AREA 34 FROM TO ((ABILITY INSURANCE INSURANCE CO IN EFFECT &POLICY# tGQO EHICLE 34 13LEGALLY YES❑ NO CITATION# CHARGE STANDING } 8 7 6 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 36 15 LAST NAME FIRST NAME : INITIAL MIDDLE ❑ STREET 16 NEW AnnRFs.�' CITY'. ST ZIP CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE TAr VIN# 39 PLATE# 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ ❑ 41 TRLR TRLR VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LECALLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. BRYAN GROZAV 10-18-23 09:12 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OI BADGE 12489 O#I WA0171300 SCOTT 10/19/202 PAGE F41 OF F 3000-345-013(R 11118) REPORT NO.! EE11001 CASE# ' 23-11929 DATE AND TIME 10/18/23 17:39 OF COLLISION NOT TO SCALE OAKSOALE AVE SW SW GRADY WAY PAGE 5 OF 5