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Home My WebLink About24-00221 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 CASE 24-00221 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 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 N E IN CITY# ❑ COLLISION.. 01 - 1-- 2024 1353 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ S GRADY WAY BLOCK NO. e✓ 700 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �.❑ FEET e S ❑ W e 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/NO D:4255186908 0 81 30 6❑ LAST NAME RICHARDS FIRSTNAME RICKEY MIDDLE R 1 2 31 INITIAL STREET ❑✓ 315 RENTON AVE S CITY RENTON FT WA 2jp, 98057 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO Z/ YES R No�/ 8❑ LDRIVER # STATE WA SEX'M MID LOB 06 1— 08 — 1988 2 32 [NATURE OF INJ 9 ON DUTY❑ STATUS' AIRBAG 3 RESTR 4 EJECT 1 H USE 2 7 CLASS CHEST PAIN URIES z❑ 3 10 9❑ p7 ATNES14 BWG7326 STATE WA V N# JH4CU2F82EC000936 0 C....� TRAILER STATE TRAILER STATE PL 11 0 PLATE# PLATT E# FROM ro TRLR. TRLR 7 3 33 12 0 0 VIN#' VIN# :: FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 7 9 34 13 2 2014 ACUR TSX 4D DAMAGE vEs 0NO agW�MEYERS ves❑ No REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 LIABILI INSURANCE INSURANCE CO PROGRESSIVE 916899879 4 IN EFFECT &POLICY# TOPVE"'CLE CHARGE 36 LEGALLY YES❑NO❑ CITATION# <1�3 OTTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2532278660 16 a LAST NAME CANTU FIRST NAME SARA MIDDLE IN INITIAL 17 NEW STREETR 1506 S 7 GRANT AVE CITY TACOMA ST WA ZIP 98405 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'S STATE WA ]SEX IF D.C... 07 08 _ 1994 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS I AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES 40 ❑ 41 21❑ PLA E# BZM3274 TATE WA VIN# 1GNSKCKC7FR292978 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. TOWED By GOV HI 44 VEH YEAR 2015 MAKE CHEV MODEL TAHOE STYLE UT DAMAGE TOWED NOO✓ BLIN YES NO 1/ 24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGEbAREA s Cd LIABILITY INSURANCE &POINSURGY#E CO STATE FARM 540-9373-B12-47IN 9TOP VEHICLE CITATION# CHARGE to BOTTOM LEGALLY 25❑ —HL YES NC[:] OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 KEITH PETTY 12809 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE42573 COLLISION REPORT III III III III III 111 1591972 CASE# 24-00221 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) WILMORE LATHROPE G (IAST FIRST, ADDRESS&PHONE# D O.B. ' 17844 109TH AVE SE RENTON WA 98055 2062283824 SEXi F MMDovyry 05 - 22 - 1960 PASSENGER Z WITNESS[- UNIT# g SEA 7 AIRBAG 2 RESTR. q EJECT ? 1 HELMET INJURY NATURE OF INJURIES USE 1 2 CLASS i1 NAME (LAST,FIRST,MIDDLE INITIAL) BLAIR RI:HARD H ADDRESS&PHONE# D O B 130 MAIN AVE S,APT 304 RENTON WA 98057 2532938565 SEX' M MMoovvvv 09 _ 29 _ 1945 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 3 POS 3 AIRBAG 2 RESTR. 4 EJECT 1 USE 1 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. KEITH PETTY 01-07-24 04:16 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE G.BARFIELD 6476 1 112112024 2:17:48 PM BADGE OR ID# 12809 OR]# WA0171300 TIME POLICE DISPATCHED! 1:55 PM TIME POLICE ARRIVED',1:56 PM PART I PAGE IT]OF REPORT NO. EE42573 CASE# 24-00221 OF COLLISION 01/07/24 13:53 OF CbLLI510N NARRATIVE 24-0221 On 01/07/2024 at approximately 1553 hours I was dispatched to the 700 block of S Grady Way in the City of Renton, County of King, State of Washington to a blocking disabled traffic accident. Upon arrival I view three vehicles in the collision. Unit 1, a black 2014 Acura TSX (BWG7326/WA) driven by Rickey R Richards (DOB 06/08/1988), Unit 2, a tan 2015 Chevy Tahoe (BZM3274/WA) driven by Sara N Cantu (DOB 07/08/1994) and Unit 3, a Blue 2005 Honda Odyssey driven by Darry Wilmore (DOB 01/29/1958) Unit 1 had stated that he was looking for his cell phone and turned around to look in the back seat. When he looked up the vehicle were stopped in front of him and he didn't have time to stop. Unit 2 stated that she was waiting at the light to turn south onto Talbot Ave S when she was struck in the rear of her vehicle which caused her to hit unit 3. Unit 3 stated that he was waiting at the light to turn south onto Talbot Ave S when he was struck from behind. Unit 1 had damage to the front of the vehicle, unit 2 had damage to the front and rear of the vehicle and unit 3 had damage to the rear of the vehicle. RRFA was dispatched to the scene and cleared Richards (unit 1) who had complained of chest pain. RRFA also checked out the occupants of unit 3. No visible injuries were sustained. Unit 2 refused medical treatment. Unit 1 had Gene Meyers tow the vehicle while unit 2 and 3 were able to function enough to drive. This concludes my involvement. This incident was captured on my body worn camera. This report is a summary of the 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." Electronically signed:K.Petty, Date: 01/07/24 Place: Renton, King County, WA PAGE 3 OF 5 SUPPLEMENTAL REPORT NO. EE425573 r`I POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-00221 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USL70r !CC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST' ZIP' 4 ❑ NAME # PLACARD: :❑ GI NAME 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:2062286923 0 8 29 LAST NAME WILMORE FIRST NAME DARRY MIDDLE INITIAL STREET 30 ❑ NEW AnnRFrtP 17844 109TH AVE SE CITY RENTON ST WA ZIP 98055 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 - 29 - 1958 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE BOL7237 [TAT WA VIN# 5FNRL38835B002182 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN It VIN.#. 11 0 0 VEH.YEAR200Jr MAKE HOND MODELODYSSEY STYLE VN I VEHICLE TOME ET SABLIN TOWED BY anvi vFH1GP FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO OWNED BY DRIVER ] 9 33 12 � SHADE IN DAMAGED AREA 7 j FROM TO LIABILITY INSURANCE INSURANCE CO SAFECOX5988236 R"i"Olx IN EFFECT &POLICY# 1 EHICLE 34 13 2 LEGALLY YESZ NO❑ CITATION# CHARGE 0 BOTTOM STANDING } 7 14 ❑ UNIT Tr Vd IRE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME N DL 36 ❑ AL STREET 16 NEW An [_% CITY ST ZIP CDL IGNITION REdUiRED 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 rnr VIN# 39 PLATE# 20 ❑ TRAILER STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 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 AREA 43 3 4 71 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. KEITH PETTY 01-07-24 04:16 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED 126 � BADGE O#IIWA0171300 LD 21 PAGE FOFOI 3000-345-013(R 11118) REPORT NO. EE42573 CASE# 24-00221 DATE AND TIME 01/07/2413:53 OF COLLISION r Text ,Ave S �w Cz NV-Z7-- &--- CD not to scale PAGE 5 OF 5