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Home My WebLink About24-646 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 ❑ ❑ RESULTED ❑ CASE 24-646 z INTERSTATE CITY STREET FIRE 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2❑ TOTAL#OF OBJECT ❑2$ i TRIBAL 1 02 STRUCK FENCE RESERVATION 2 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# COLLISION.. 01 - 19 - 2024 0032 17 . N E IN� S 8 W H OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ MAPLE VALLEY HIGHWAY BLOCK NO. e✓ 14000 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5 ,❑ FEET e S ❑ W e 140TH WAY SE ❑ � 1 9 29 MOTOR PEDAL- DAMAGE THRESHOLDHONE UNIT 01 VEHICLE ❑ CYCLE El MET P YES �/No D:2543173429 30 6� LAST NAME SELF FIRSTNAME TRUETT MIDDLE W 1 1 2 31 INITIAL STREET ❑ 2652 N 57TH ST TTLE WA NEW ADDRESS ST zlp', 96107 2 CITY SEA 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO�/ YES R No�/ ❑ DRIVER'S' STATE TX SEX'M MM DAY' 01 - 07 - 2006 32 8 LICENSE# 9 ON DUTY❑ STATUS AIRBAG 6 RESTR 9 EJECT 1 HELM USEET 2 INJUR 5Y 1 NATURE OF INJURIES 2❑ 3 10❑ P1 ATE 14 4172Al2 STATE TX VIN# 1 FMCUOGN4PUA94224 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO rRLR TRLR 5 1 33 12❑ VIN#j VIN# 2023 FORD ESCAPE SV I FROM 34 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO u BLIN TOWED BY GOVT.VEHICLE 13 3 DAMAGE YES NO YES[:] NO✓ REGISTERED OWNER INFO DUSTIN SELF 33011 US HIGHWAY 281 MARBLE FALLS TX 78611 D:5123184821 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 3 4 14 LIABILITY INSURANCE Z INSURANCE CO PROGRESSIVE 974356114 IN EFFECT &POLICY# 912P VEHICLe CHARGE IOSOTTOM 5 36 -ALLY YES No CITATION# gg0022151,4A0022151, SPEED TOO FAST FOR CONDITIONS, 15❑ STANDING 6 MOTOR PEDAU: PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE El CYCLE ❑ PEDESTRIAN ❑ OWNER YES 1/ NO D:4254307500 16❑ LAST NAME RENTON FIRST NAME CITY OF MIDDLE INITIAL 17❑ NEW STREETREs7 1055 S GRADY WAY CITY RENTON ST WA ZIP 98057 37 18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES t l NO❑ 19 DRIVE # STATE SEX X M .O.B. 08 _ 18 _ 198 5 39 INJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑ ❑21❑ TATE LICENSE vIN1 41 1 PLATE# El 42 22❑ PLATILER E# 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 N J 25 s e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 C.ARNOLD 12509 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT No. EE48843 COLLISION REPORT III III III III III 111 1591972 CASE# 24-646 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) FLETCHER NATHANIEL C (IAST FIRST, ADDRESS&PHONE# 4047 8TH AVE NE SEATTlE WA 98105 SEX M MMDDYyry 08 - 11 - 2005 PASSENGER I�I WITNESS[] UNIT# 1 SEAT EA 3 AIRBAG'6 RESTR. 9 EJECT ? I HELM U EET 2 INJURY CLAS !1 NATURE OF INJURIES POS.NAME L�1 (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O E4 SEX' MMDDYYYV PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIRST 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' On 01/19/2024 at 0034 hours I was dispatched to a single vehicle collision at the intersection of 140th Way SE and Maple Valley Highway in the City of Renton, King County, Washington. I observed Vehicle 1 that was off of the roadway and onto the fairway of the Maplewood Golf Course after it had ran through the fence. Driver 1 stated that he was traveling North on 140th Way SE and was not familiar with the area. Driver 1 stated that as he came to the intersection he was unable to stop when he slammed on his brakes, and proceeded through the intersection and off of the roadway. Driver 1 stated that he observed traffic traveling West on Maple Valley Highway through the intersection and he maneuvered Vehicle 1 to the left to avoid a collision. Driver 1 stated that after doing so, he was still unable to stop and left the roadway, striking a wooden fence. Driver 1 said that he was still unable to stop Vehicle 1 and proceeded further North off of the roadway, over a bike path, and collided with a metal chain link fence and mesh net of the golf course. Driver 1 then said he was still unable to come to a stop and proceeded onto the fairway, maneuvering Vehicle 1 to the right to drop speed, where Vehicle 1 came to a rest approximately 25 yards into the fairway. Passenger 1 provided the same story to me when asked. Both Driver 1 and Passenger 1 were evaluated at the scene by Renton Fire Authority (RFA) and medically cleared. A tow was caled to the scene and Vehicle 1 was removed from the golf course. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. C.ARNOLD 01-19-24 05:28 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE D.MOYNIHAN 11288 1 2/9/2024 9:07.55 PM BADGE OR ID# 112509 ORI# i WA0171300 TIME POLICE DISPATCHED 12:34 AM TIME POLICE ARRIVED 12:40 AM PART I PAGE IT]OF 3� REPORT NO. EE48843 CASE# ' 24-646 DATE AND TIME 01/19/24 00:32 OF COLLISION a Y f 1 �� Y�.'.;��YSYY� �iyi,u�ll�i!M1�il�Ytrl�p�)Sw��F�I£itl)✓,i r�tE£��t�`�r�Aa xu ,��,'; ,� s � � a Y � Y y ( I ft 3 jt PAGE 3 OF 3