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Home My WebLink About23-12890 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 23-12890 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS OZ RESERVATION STRUCK z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑ DawsloN 11 - 08 - 2023 1559 17 ❑.❑ N E IN S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ LIND AVE SW BLOCK NO. e✓ 3600 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 350 00 FEET MILES e S B W e SW 34TH ST 2 0 29 UNIT01 MOTOR Z CYCCLE. ElD MYESA,GEE NHORESHOLD MET PHONE 2 01 30 6� LAST NAME SEYLER FIRSTNAME DALLAS MIDDLE J 1 2 31 INITIAL STREET ❑, 12019 SE 312TH PL CITY AUBURN ST WA 2jp, 980923614 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 10� PI ATE CGY9722 sTATI WAurN#' 1 FMCU031XDA12299 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. A'RLR. 1 5 33 12 3 5 VIN#j VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE $ 34 13 2 200$ FORD ESCAPE DAMAGE YES NO ✓ YES[:] No ✓ REGISTERED OWNER INFO JENNIFER SEYLER 12019 SE 312TH PL AUBURN WA 980923614 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO ST FARM 5470887DO847001 4 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 5 36 ECALLv ❑NO❑ CITATION# 10 BOTTOM 15❑ L STANDING YES 8 7 6 UNIT 02 VE ICCLE CYCLE ❑ PEDESTRIAN ❑ OWNFRRTY ❑ DYES✓ NO OLD MET PHONE 16 a LAST NAME BROWN FIRST NAME MARCUS MIDDLE M INITIAL 17❑ STREET ❑', 9100 LAKEWOOD DR SW APT H2O3 CITY LAKEWOOD ST WA ZIP 984995918 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NOR INTERLOCK Y�EsI I I NOF YEs t l NO❑ 19� DRIVER # STATE WA SEX M M D.O.B. O6 _ 04 1983 0 39 WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE BYH8838 TATE WA VIN# 2C3CDXCT2KH598210 ❑ 41 PLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. N#. 43 RLR 'I VEH YEAR 2019 MAKE DODG MODEL CHARGE STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 24❑ DAMAGE YES NO✓ YES NO✓ REGISTERED OWNER INFO MARCUS BROWN 9100 LAKEWOOD DR SW APT H2O3 LAKEWOOD WA 98499 D:2067750995 VEHICLE NO.2 SHADEDAMAGEbAREA B Cd INAEFFIECTTY NSURANCE INSU&POLICY#E CO SAME. I STOP 5 vETILE ❑ ,J� CITATION# CHARGE to BOTTOM LEGALLY YES N J 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 M.LEVERTON 2517 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE20385 COLLISION REPORT III III III III III 111 1591972 CASE# 23-12890 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. M.LEVERTON 11-09-23 10:59 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1111612023 4:30:04 PM BADGE OR ID# 2517 ORI# WA0171300 TIME POLICE DISPATCHED 4:00 Pry TIME POLICE ARRIVED',4:07 Pry PART I PAGE IT]OF 4� REPORT NO. EE20385 CASE# 23-12890 OF COLLISION 11/08/23 15:59 OF CbLLI510N NARRATIVE gray suv 1 lane 2 gray sedan lane 1 RTF Within the city limits of Renton/King/WA I responded to a 2 car crash at the 3600 block of Lind Ave SW. I contacted the driver of unit 2 who told me he was in lane 1 southbound when unit 1 changed lanes into the side of him causing damage to his car. There was also secondary contact with the sidewalk that caused damage to his wheels on the passenger side of his car. Damages did not require a tow truck and he did not complain of injury. I contacted the driver of unit 1 who told me he looked in his mirror to make a lane change from lane 2 into lane 1. He told me his mirror check showed unit 2 way back behind him. He believed he was clear to make his lane change yet had contact with unit 2. He told me he believed unit 2 rear- ended/side swiped him. He did not complain of injury and damages did not require a tow truck. There was several other people not involved but stood by during the intimal contact between unit 1 and 2. Unit 2 said he was heated mad and was swearing at unit 1. Unit 1 said he locked his doors and remained in the car because unit 2 was hitting his glass and trying to open his door. A local business provided me a video captured from an outside camera. The video shows unit 1 in lane 2 and unit 2 in lane 2 change lanes into lane 1. A white truck was parked in the parking lot that blocked the view of both vehicles making contact. I watched the video several times and could not make a determination what caused the crash. The video kind of looks like both vehicles moved at the same time, but without being able to see lane position I can not determine cause. Information/Insurance only. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. M.Leverton/2517 City of Renton/King/Wa 11/9/2023 PAGE 3 OF 4 REPORT NO. EE20385 CASE# ' 23-12890 DATE AND TIME 11/08/23 15:59 OF COLLISION z I � P t i i i Y � I I � � t i i i� 3 Y 4 ICY' PAGE 4 OF 4