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HomeMy WebLinkAbout23-13988 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c COLLISION REP FIT 1591971 CASE 23-13988 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TRIBAL TOTAL#OFOBJECT 1 2$ UNITS 1U STRUCK FENCE RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ COLLISION.. 12 - 06 - 2023 0656 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ TALBOT RD S BLOCK NO. e✓ 3100 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 200 00 FEET MILES e S B W e S 32RD ST 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2063037892 30 6� LAST NAME DADOLE FIRSTNAME JEROLD MIDDLE R 1 1 2 31 INITIAL STREET ❑ 16828 6TH AVE W CITYF WOOD ST WA ZIP 980373300 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❑ P1 aT�S� BJK4154 sTArI WAvIN# JNICV6AR6DM358770 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. A'RLR. 1 5 33 12❑ VIN#' VIN# RomM TO 34 13 2 VEH.YEAR2013 MAKE INFI MODEL G37 STYLE VEHICLETOWED0NOOffBLIN TSIgWgYMEYER vOs❑ENo / ❑ DAMAGE IILLJJII (�ciV6 REGISTERED OWNER INFO UEROLD DADOLE 168286THAVE W LYNNWOOD WA 980373300 D:2063037892 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILI INSURANCE INSURANCE CO ST FARM 1172625115 IN EFFECT &POLICY# 9TOP vECALLv HICLE 5 36 res❑NO❑ CITATION# CHARGE INATTENTIVE DRIVING 1 o BOTTOM 15❑ LE STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT a2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2062763876 16❑ LAST NAME SMITH FIRST NAME BRIAN MIDDLE I A INITIAL 17❑ STREET ❑', 3117 TALBOT RD S CITY' RENTON ST WA ZIP 980555015 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED 38 INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t t— l NO❑ 19 F] LDI IVEW # STATE SEX M M D.O.B. 12 — 11 _ 195 8 39 HELMET INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑ ❑21❑ TArE LICENSE vIN# 41 PLATE# 42 22❑ PR TRAILER LATE# STATE PLATE# STATE 23❑ TRLR R 43 LR VIN#. N I #. VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY Gov HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE❑ INSURANCE #E CO IN EFFECT &PO I 9TOP 5 vE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM LEGALLY YES Nu 25 s � e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# 26 M.LEVERTON 2517 [V7�ENCY A0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE32472 COLLISION REPORT III III III III III 111 1591972 CASE# 23-13988 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 12-06-23 09:38 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY E DAT C.JACOBS 1953 12/20/2023 10:09:53 AM BADGE OR ID# 2517 OR]# WA0171300 TIME POLICE DISPATCHED', 6:57 AM TIME POLICE ARRIVED 7:03 AM PART I PAGE IT]OF 8� REPORT NO. EE32472 CASE# 23-13988 OF COLLISION 12/06/23 06:56 OF CbLLI510N NARRATIVE 9 mail boxes and a fence plus a car with info exchng CC Within the city limits of Renton/King/Wa I responded to a vehicle into a fence at the 3100 block of Talbot Rd S, While enroute Dispatch advised unit 1 had contact with another vehicle but they did an info exchange and unit 2 was gone before I arrived. However, unit 1 while southbound had left the roadway for about 100 feet, struck several mailbox stands and came to rest in a front yard 3117 Talbot Rd S damaging the fence. I contacted the driver of unit 1 ID'd by his picture WADL. He provided very little information other than he saw something on the roadway, swerved and hit this fence. He had a large piece of wood through his windshield and after walking back I could see where he traveled about 100 feet off the roadway nearly missing a power pole by inches along with mailboxes laying all over. When I told him I could see the path of his vehicle, not consistent with swerving but rather someone who was not paying attention or distracted by a cell phone or something he did not reply. I cited unit 1 ref RMC 10-12-25 Driver inattention with 8 mailboxes and a fence damages via complaint. 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 12/6/2023 PAGE 3 OF 8 SUPPLEMENTAL REPORT NO. EE32472 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-13988 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 I_J CYCLE u PEDESTRIAN � OWNER � YES IN MIDDLE' 29 LAST NAME : UNK FIRST NAME INITIAL STREET 30 NEW AnnRFSP 3037 TALBOT RD S CITY RENTON ST WA ZIP 1 98055 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YEs MNCTEll 3NTERLOCK YES❑N0[:] YEs N DRIVER'S STATE I SEX U M��DYSYv' —� 2 LICENSE 7 ON DUTY STATUS AIRBAG RESTR. EJECT HELMET I INJURY NATURE OF INJURIES USE cLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9F-I TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIC E FROM TO DAMAGE Y E ES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO ((ABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ EHILLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING �} MOTOR 8 7 6 14 ❑ UNIT# 4 MO VEHICLE � FEDDAL � � OWNER RTY � I YESAGE NOHRE3/HOLD MET PHONE ❑ 35 PEDESTRIAN 35 15 ❑ UNK MIDDLE LAST NAME FIRST NAME INITIAL 16 ❑ STREET ❑; 3036 TALBOT RD S CITY RENTON ST' WA ZIP 98057 NEW AnnRES.9 CDL IGNITION REtIUiR rD IGNITION PRESENT MEDICAL TANSPORTEL 1-1 17 ❑ INTERLOCK YES No INTERLOCK YEs N0 rEs NO ElDRIVER'S STATE SEX U D.O 37 18 ❑ LICENSE# MMDDYYY 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 DI 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 s a 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LeGALLv 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. M.LEVERTON 12-06-23 09:38 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 25 OI BADGE 2517 O#I',WA0171300 APJACOBS 12120/202 PAGE 4 OF F 3000-345-013 IR 11t18) SUPPLEMENTAL REPORT NO. EE32472 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-13988 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# 5 VEHICLE I_J CYCLE u PEDESTRIAN � OWNER � YES IN MIDDLE' 29 LAST NAME : UNK FIRST NAME INITIAL STREET 30 NEW AnnRFrtP 3124 TALBOT RD S CITY RENTON ST WA ZIP 1 98057 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YEs NOEll 3NTERLOCK YES❑N0[:] YEs N DRIVER'S STATE SEX LICENSE U M��DYSYv' —� 2 LICENSE 7 ON DUTY STATUS AIRBAG RESTR. EJECT HELMET I INJURY NATURE OF INJURIES USE cLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9F-I TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWS E T SABLIN TOWED BY anvi vEHII' E FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO ((ABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ VEHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING S} 8 7 6 14 ❑ UNIT Tr 6 VEO IOCRLE O CYCLE 1:1OWNERRTY YES AGE THRESHOLD MET PHONE ❑ 35 PEDESTRIAN 36 15 ❑ LINK FIRST LAST NAME FIRST NAME 71 INITIAL 16 ❑ STREET ❑; 3120 TALBOT RD S CITY RENTON ST' WA ZIP 98057 NEW AnnRES.9 CDL IGNITION REtIUiR rD IGNITION PRESENT MEDICAL TANSPORTEL 17 1- YES N INTERLOCK YEs N0 YEs NO ElDRIVER'S STATE SEX U D.O 37 18 ❑ LICENSE# MMDDYYY 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 AREA 43 s a 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P _ 4 E:l 44 24 LEHIcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LeGALLv 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. M.LEVERTON 12-06-23 09:38 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OI BADGE 2517 O#I',WA0171300 JACOBS 12120/202 PAGE 5 OF F 3000-345-013 IR IIII8l SUPPLEMENTAL REPORT NO. EE32472 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-13988 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# 7 VEHICLE I_J CYCLE u PEDESTRIAN � OWNER � YES IN MIDDLE' 29 LAST NAME : UNK FIRST NAME INITIAL STREET 30 NEW AnnRFSP' 3101 TALBOT RD S CITY RENTON ST WA ZIP 1 98057 6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YEs NOEll 3NTERLOCK YES❑N0[:] YEs N DRIVER'S STATE I SEX U M��DYSYv' —� 2 LICENSE 7 ON DUTY STATUS AIRBAG RESTR. EJECT HELMET I INJURY NATURE OF INJURIES USE cLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9F-I TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIC P FROM TO DAMAGE Y E ES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO ((ABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ EHILLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING S} MOTOR 8 7 6 14 ❑ UNIT Tr $ MO VEHICLE � CYCLE � � OWNER RTY � I YESAGE NOHRE3/HOLD MET PHONE ❑ 35 PEDESTRIAN 35 15 ❑ UNK MIDDLE LAST NAME FIRST NAME INITIAL 16 ❑ STREET ❑; 3100 TALBOT RD S CITY RENTON ST' WA ZIP 98057 NEW AnnRFS.9 CDL IGNITION REtIUiR rD IGNITION PRESENT MEDICAL TANSPORTEL 17 ❑ INTERLOCK YES No INTERLOCK YEs NO rEs NO DRIVER'S STATE SEX U D.O.B El37 18 ❑ LICENSE# MMDDYYY 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 AREA 43 s 4 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEHIcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LeGALLv 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. M.LEVERTON 12-06-23 09:38 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 25 OI BADGE 2517 O#I',WA0171300 JACOBS 12120/202 PAGE 6 OF F 3000-345-013 fR 11t18) SUPPLEMENTAL REPORT NO. EE32472 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 23-13988 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# 9 VEHICLE I_J CYCLE u PEDESTRIAN � OWNER � YES IN MIDDLE' 29 LAST NAME : UNK FIRST NAME INITIAL STREET 30 NEW AnnRFSP 3107 TALBOT RD S CITY RENTON ST WA ZIP 1 98057 6 CDL IGNITIttN 12EQUIREb IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YEs MNCTEll 3NTERLOCK YES❑N0[:] YEs N DRIVER'S STATE I SEX U M��DYSYv' —� 2 LICENSE 7 ON DUTY STATUS AIRBAG RESTR. EJECT HELMET I INJURY NATURE OF INJURIES USE cLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9F-I TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIC E FROM TO DAMAGE Y E ES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO ((ABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ EHILLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING �} 8 7 6 14 ❑ UNIT Tr 10 MOTOR O CYCLE OWNER RTY YES AGE NOHRE3/HOLD MET PHONE ❑ 35 PEDESTRIAN 35 15 ❑ UNK MIDDLE LAST NAME FIRST NAME INITIAL 16 ❑ STREET ❑; 3112 TALBOT RD S CITY RENTON ST' WA ZIP 98057 NEW AnnRES.9 CDL IGNITION REtIUiR rD IGNITION PRESENT MEDICALTANSPORTED 17 1-1 INTERLOCK YES N-1-1 INTERLOCK YEs NC7 YES No El DRIVER'S STATE SEX U D.OY 37 18 ❑ LICENSE# MMDDYYY 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 DI 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 s a 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM C=DLv 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. M.LEVERTON 12-06-23 09:38 AM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 25 OI BADGE 2517 O#I',WA0171300 APJACOBS 12120/202 PAGE 7 OF F 3000-345-013 IR 11t18) REPORT NO. EE32472 CASE# 23-13988 DATE AND TIME 12/06/23 06:56 OF COLLISION fencetl; nts "v i 4� irr i i P I i Yi 6 PAGE 8 OF 8