HomeMy WebLinkAbout23-13399 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 6 27c
COLLISION REP FIT 1591971
CASE 23-13399 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 N E IN CITY#
GowsloN 11 - 1-- 2023 1353 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SE CARR RD BLOCK NO. e✓ 10600 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 106TH PL SE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2068177266 0 11
30
6� LAST NAME ALLDREDGE FIRSTNAME SHERRIE MIDDLE L 1 1 2 31
INITIAL
STREET ❑ 17313 160TH AVE SE CITY RENTON ST WA 21p 980589149 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 4 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10❑ P1 aT�S� CAt8053 sTArI WAvIN# 4T18K36625U047507
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# IR.. To
TRLR. TRLR 3 7 33
12 3 5 VIN#' VIN#
ROM TO
VEH.YEAR ZOOS MAKE TOYT MODEL AVALON STYLE VEHICLE TOWED 0 TO
ffBLIN T,QVWkkRS VEHICLE 5 1 34
DAMAGE ILJI tSA1Wl6
13 REGISTERED OWNER INFO SHERRIEALLDREDGE17313160THAVESE RENTONWA98058 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE INSURANCE CO ALL STATES17840776 3 4
IN EFFECT &POLICY# 9TOP
❑ LEGALLY LE CHARGE 1 5 36
15 1 srnNoiNG YEs No clTAnoN# 3A0387760 FAIL TO OBEY TRAFFIC CONTROL o aorrob
MOTOR PEDAL- : PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ YES,/ NO D:4252552510
VEHICLE CYCLE : OWNER
16 a
LAST NAME FRANKUM FIRST NAME NORMA MIDDLE I,/
INITIAL
17❑ STREET ❑', 12200 SE 168TH ST CITY RENTON ST WA ZIP 980586021 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 LICENSE# STATE WA SEX F M .C... 04 03 _ 1946 El 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE AUJ9624 TAre WA VIN# 1HGCP3F88AA009677
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. N#. 43
RLR
'I
VEH YEAR 2010 MAKE HOND MODEL ACCORD STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO DENNIS FRANKUM 12200 SE 168TH ST RENTONWA 98058 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE� &POINSURGY#E CO STATE FARM 1347412 B15 47QIN STOP 5
vewcLE ❑ ,J� CITATION# CHARGE
25 0( ' a io BOTTOM
LEGALLY YES N`L J
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
J.M/TCHELL 10377 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT No. EE23194
COLLISION REPORT III III III III III 111
1591972 CASE# 23-13399
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) JOHNSON BRAN L
(LAST FIRST,
ADDRESS&PHONE# D O.B.
RENTON 4257574712 SEX U MMDDYyYv - -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ ❑✓ POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX MMDDYYYY
PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.MMDD -❑
YYYY.
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
On 11/21/23 1 responded to a 2-vehicle non-injury/blocking collision at 106th PI Se and SE Carr Rd.
I contacted the driver of unit 2 who told me they were traveling southbound on 106th PI through the
intersection at SE Carr Rd. Driver 2 says she has a solid green light as she entered the intersection.
Driver 2 was involved in a collision with unit 1 in the intersection at Se Carr and 106th PI Se. The
driver was not injured. Her vehicle sustained front end damage.
I contacted the driver of unit 1, identified as Sherrie Alldredge via her WA DL. Alldredge says she
was traveling westbound in the #1 lane of SE Carr Rd. She says as she was approaching the
intersection, the vehicle in front of her was making a right. Alldredge says she then made a lane
change into lane #2 and entered the intersection with a green light. Alldredge was involved in a
collision with unit#2 in the intersection. Alldredge's vehicle had airbag deployment and was seen by
Renton FD as a precaution. Alldredge's vehicle was towed by Bankers due to passenger side
damage.
Witness says he was facing northbound on 106th PL waiting to turn left onto westbound SE Carr Rd.
Witness says his light was green, but he was waiting to yield to the southbound traffic. He witnessed
unit 2 moving through the intersection southbound as unit 1 was driving westbound on SE Carr Rd.
Based on the witness statement, I have determined but not for the action of UNIT 1 DRIVER the
result would not have happened.
I cited Alldredge via SECTOR under RCW 46.61.050 -Failure to Obey Traffic Signal
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
J.MITCHELL 11-22-23 12:25 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 11/25/2023 2:32:03 PM
BADGE OR ID# 10377 ORI# WA0171300 TIME POLICE DISPATCHED 1:53 PM TIME POLICE ARRIVED 2:00 PM
PART I PAGE IT]OF 3�
REPORT NO. EE23194 CASE# 23-13399 DATE AND TIME 11/21/2313:53
OF COLLISION
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