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Home My WebLink About23-12736 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 23-12736 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4Y50 3 HIT&RUN ✓ CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 7 28 TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# cawsloN 11 - 1-- 2023 0059 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SOUTH 43RD ST BLOCK NO. e✓ 400 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e M OT ROAD SOUTH 2 0 29 UNIT MOTOR Z PEDAL ❑ YESA,GEE NHORESHOLD MET PHONE 2 O 30 6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 2 31 INITIAL STREET ❑ CITY MIDVALE ST ZIP z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCK YES NO YES No 8❑ LIRCIENSRE# STATE I SEX u MMDDYY '❑- 1 1 2 32 9 ON DUTY❑ STATUS I AIRBAG 9 RESTR 9 EJECT 1 H USEEr 9 CLAY 0 NATURE OF INJURIES z❑ 3 10 9❑ P1 AT 14 U713HU STATE UT VIN# 3KPA24AD4ME367469 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FR.. ro TRLR. TRLR 5 7 33 12 0 0 VIN#' VIN#' 2021 KIA RlO SD ❑ RO�34 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 13 4 DAMAGE YES NO ✓ yES NO✓ REGISTERED OWNER INFO EAN HOLDINGS 7144 SOUTH STATE STREET MIDVALE UT84047 VEHICLE NO. 1 ❑ ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILITY INSURANCE❑ INSURANCE CO UNKNOWN UNKNOWN 3 4 IN EFFECT &POLICY# 9TOP CHARGE VE—LE 5 36 LEGALLY, YES❑NO❑ CITATION# 1 o BOTTOM 15❑ STANDING 8 6 UNIT 02 VE IOOR CYCLE ❑ PEDESTRIAN ❑ PROPE OWNFRRTY ❑ DYES✓ NO�TFIRrI.LDMET PHONE 16 a LAST NAME UNKNOWN FIRST NAME MIDDLE INITIAL STREET CITY MIDVALE ST ZIP $ 17❑ NEW ADDRESS❑ ❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL t—T�RANSPORTED � 38 INTERLOCK YEs❑NO� INTERLOCK YEs I I No� YES t l NO❑ 19 LLIICENS # STATE SEX U MMODYY —❑_ 39 WELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT '1 USE 9 CLASS 0 ❑ ❑21❑ LICENSE TATE 41 VIN# `1 PLATE# 42 22 [TRAILER T ❑ PLATE# STATE pLATE#ILER STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR MAKE MODEL STYLE DAMAGE TOWED NOO✓ BLIN TOWEDBY GoYES v N HIO✓ 44 24❑ YES REGISTERED OWNER INFO UNKNOWN UNKNOWN VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE❑ &POINSULICY#E CO UNKNOWN UNKNOWNIN IGQ 5 VEHICLE ❑ ,.I—I CITATION# CHARGE LEGALLY YES N`LJ 25 s � a 7ESAGIAO S NAME(PRINT) OFFICER PHONE BADGE OR ID# [AGENCY 26 1 10339 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE20800 COLLISION REPORT III III III III III 111 1591972 CASE# 23-12736 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. E.SAGIAO 11-05-23 01:19 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 1111812023 1:37:25 AM BADGE OR ID# 10339 ORI# WA0171300 TIME POLICE DISPATCHED 1:02 AM TIME POLICE ARRIVED',1:10 AM PART I PAGE IT]OF REPORT NO. EE20800 CASE# 23-12736 OF COLLISION 11/05/23 00:59 OF CbLLI510N NARRATIVE On 11-5-23 at 0102 hours I was dispatched to a hit and run in the 400 block of South 43rd Street, in the City of Renton, King County, State of Washington. The reporting party, Sharon Conrad requested contact at 4550 Talbot Road South. Unit#3 was driven by Conrad and is a light blue 2021 Toyota RAV4 (WA-CBY4754). She is also the registered owner. Unit#1 was a red 2021 Kia Rio (UT-U713HU) possibly, driven by a Hispanic male and registered to EAN Holdings out of Utah, most likely a rental car company. No other description was given. Unit#2 was a white SUV with an unknown make or model and unknown driver. Unit#3 advised she drove north on Talbot Road and when the light turned green, she proceeded to make the protected left turn. At the same time Unit#1 also made the left turn except it veered into Unit#3's lane and struck Unit#3. Both vehicles proceeded westbound on South 43rd Street. There was now a third unit, Unit#2 which was honking its horn and Unit#3 believed it was honking their horn at Unit#1 to stop. Before getting to bottom of the hill (East Valley Road) Unit#1 and Unit#2 did a U-turn and Unit#3 followed them. While heading westbound now on South 43rd Street and on the overpass, Unit#2 rammed the passenger side of Unit#3 and both Unit#2 and #1 left the scene. The only description of Unit#2 was it was an unknown make and model SUV with an unknown driver description. Unit#2 and Unit#1 failed to exchange pertinent information with Unit#3 or check on the welfare of the driver or passenger. Unit#3 was given a business card with this case number. No injuries were reported on scene. The incident was captured on my body worn camera. The report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. I certify or declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. E.Sagiao/10339 PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE20800 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 23-12736 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 DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO D:2065952823 OF 4 29 LAST NAME CONRAD FIRST NAME SHARON MIDDLE' M INITIAL STREET 30 NEW AnDRFSP' 14611 SE 275TH PL CITY KENT ST WA ZIP 1 98042 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED 1 1 2 31 INTERLOCK YEs No NTERLOCK YES[:]NO[:] YES N DRIVER'S LICENSE STATE I WA SEX F MMDDYYv 03 - 13 - 1974 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET I INJURY 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE CBY4754 TAr WA VIN# 2T3RWRFV7MW125320 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 3 5 VEH.YEAR2021 MAKE TOYT MODELRA W STYLE UT I VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1G P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFOSHARON CONRAD 14611 SE 275TH PL KENT WA 98042 5 ] 33 12 � SHADE IN DAMAGED AREA LIABILITY INSURANCE INSURANCE CO PROGRESSIVE 71562682 FROM To IN EFFECT � &POLICY# 5 4 TLSP S VEHICLE 1060T1Y)M 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING } 7 G 14 ❑ UNIT Tr Vd IRE O CYCLE � OWNERRTY YESAGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME INDDLE ITIAL 36 7 AL ❑ STREET"[-] 16 NEW nnR CITY ST ZIP CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED NTERLOCK YES No INTERLOCK YES NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ 39 LICENSE rnr vIN# PLATE# 20 ❑ TRAILER' TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ TRLR TRLR 41 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 VEHICLE 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. E,SAGIAO 11-05-23 01:19 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 ORID# 10339 O#II,WA0171300 APPROVED BY 11/18/202 PAGE F OF 5 3000-345-013(R 11118) REPORT NO. EE20800 CASE# ' 23-12736 DATE AND TIME 11/055/23 00:59 OF COLLISION �u . . , S PAGE 5 OF 5