HomeMy WebLinkAbout24-10196 a ITFFi "OLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 1 27c
COLLISION REP FIT 1591971
CASE 24-10196 2
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIl.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2❑ TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 02 RESERVATION STRUCK
z
3 DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION' 09 - 1-- 2024 1910 17 ❑.= S IN 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
LOGAN AVE N
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ MILES�.❑ FEET e S ❑ W e N 10TH ST
0 4 29
MOTOR PEDAL- DAMAHSHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
GE THRESHOLD
D:2067247038 0 1 30
6 LAST NAME SHUT FIRSTNAME VIKTAR MIDDLE 1 2 31
INITIAL
STREET ❑ 3970 W LAKE SAMMAMISH PKWY NE APT 304 CITY REDMOND ST I WA 2jp, 98052 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES No�/
8❑ LICENSE# STATE WA SEX'M I ELMMDDYY 07 - 19 - 1984 1 2 32
9❑ ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 H USE CLASS 2 CLASS 1 NATURE OF INJURIES 2❑
3
LICENSE CLU7496 sTArI WAvIN# 19UU67F94PA000258
10[1 PI PI ATF�4
- TRAILER STATE PLA Eft STATE
11 3 5 PLATE# PLATT E# IR.. ro
TRLR. YRLR. 1 3 33
12 3 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 5 1 34
13 4 2023 ACUR TLX SD DAMAGE YES NO 1'�AWkkRS YES❑ No
REGISTERED OWNER INFO VIKTAR SHUT 3970 W LAKE SAMMAMISH PKWY NE APT 304 REDMOND WA 98052 D:2067247038 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO BRISTOL WEST GOI-4451445.00 4
IN EFFECT &POLICY# 9TOP
VEHICLE 5 36
LECALLv res❑NO❑ CITATION# CHARGE 10 BOTTOM
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:2069450943
LAST NAME RUTLEDGE FIRST NAME AUNI'QUWIA MIDDLE F
INITIAL
17 STREET❑ NEW ADOREss❑' 9061 SE WARD PARK CITY SEATTLE ST' WA ZIP 98118 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YEs t l NOF,/
19 DRIVER'S STATE WA SEX F D.C... 09 _ 07 1990 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES ❑ 40
❑CL
21❑ PLATE# CBT1951 TArE 41
WA VIN# 3CZRU6H11NM731885 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR 2022 MAKE HOND MODEL CRV STYLE (I7' VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE vES�/ NO GENE MEYERS TOWING YES No�/
REGISTERED OWNER INFO AUNI'QUWIA RUTLEDGE 9061 SEWARD PARK SEATTLE WA 98118 D:2069450943 VEHICLE NO.2
SHADEd DAtYGED AREA
4� 4
LIABILITY
INSURANCE &POLICY#E CO GEICO 6164616127IN 9TOP 5
VEHICLE ❑ ,.I—I CITATION# CHARGE toBOTTOM
LEGALLY YES N J 6
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# [ZoNCY
26
KEV/N PETERSON 12808 171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICE TRAFFICN CORRECTION REPORT No. ER 9934
COLLISION REPORT III III III III III 111
1591972 CASE# 24-10196
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) BRYANT DENNIS L
(IAST FIRST,
ADDRESS&PHONE#
9061 SEWARD PARK SEATTlE WA 98118 SEX i M MMDDvyry 10 - 23 - 1976
PASSENGER L,WITNESS R UNIT# 2 Poi 3 AIRBAG'6 RESTR. 4 EJECT ? 1 HELMET U 2 CLASs 1 NATURE OF INJURIES
NAME
(LAST,FIRST,MIDDLE INITIAL) BRYANT ARIAH A
ADDRESS&PHONE# D O B
9061 SEWARD PARK SEATTLE WA 98118 SEX' F MMDDvuvv 03 _ 13 _ 2024
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 2 POS. g AIRBAG 6 RESTR. 12 EJECT 1 USE 2 CLASS 1
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'
I was dispatched to a collision on 09/29/24 at 1910 hours at Logan Ave N and N 10th St, in city
Renton, King County WA.
Unit 1 CLU7496 Driver: Viktar Shut (DOB 07/19/1984)
Unit 1 CBT1951 Driver: Auni'quwia F. Rutledge (DOB 09/07/1990)
Unit 2 stated they were driving down Logan Ave N heading Northbound when approaching the
intersection of Logan Ave N and N 10th St Unit 2 pulled Infront of them as they were going through
the green light. Unit 2 stated they had a green light and he just pulled out front of them. Unit 1 stated
he was traveling South on Logan Ave N when at the intersection of Logan Ave N and N 10th St he
was going to take a left onto 10th St when the light was yellow, he then tried turning and was hit by
Unit 2.
Both driver and passengers were evaluated by fire on scene, no injuries reported.
Both Units were given the case number as reference.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed: Officer Kevin L. Peterson Date and Place: 09/29/2024, 2340 hours at Renton,
WA
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
KEVIN PETERSON 09-29-24 11:51 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 888 1 9/30/2024 11:54:49 AM
BADGE OR ID# ! 1Y808 OR#' WA0171300 TIME POLICE DISPATCHED 7:10 PM TIME POLICE ARRIVED 7:13 PM
PART B PAGE IT]OF 3�
REPORTNO. EF19934 CASE# 24-10196 DATE AND TIME 09/29/2419:10
OF COLLISION
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PAGE 3 OF 3