HomeMy WebLinkAbout24-11536 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 1 27c
COLLISION REP FIT 1591971
CASE 24-11536 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4250 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2� 1 1 8 28
TOTAL#OF OBJECT
TRIBAL UNITS 02 STRUCK' ROADWAYD/TCH
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION'. 11 - 1-— 2024 1802 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
1150 OAKESDALE AVE BLOCK NO. e✓ 1100 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e SWGRADYWAY
0 1 29
UNIT 01 MOTOR CYCLE
❑ YES ]NO
MET PHONE 0 1 30
6❑ LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31
INITIAL
STREET ❑ CITY ST zIP z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCK YES NO YES No
8 DRIVER'S. STATE SEX.M D.O.B. 1 1 2 32
❑ :LICENSE# MMDDYY ❑-
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 1 H U EET 9 CLAY 0 NATURE OF INJURIES z❑
3
LICENSE 609PTU STATE OR VIN# 1G1ZD5ST4RF209504
10 9❑ pr ATF�
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR 3 7 33
12 0 0 VIN# VIN#
FROM TO
❑ VEH.YEAR 2024 CHEV MAL/BU SD MAKE MODEL STYLE VEHICLE TOWED PilF TO BLIN T GOVT.VEHICLE 7 3
13 4 YES � �v MEYERS TOWING vE
AMAGE s❑ No 34
D
REGISTERED OWNER INFO UNKNOWN VEHICLE NO. 1
SHADE IN DAMAGEDAREA ❑ 35
14 LIABILITY INSURANCE❑ INSURANCE CO <53 4IN EFFECT &POLICY# TOPVE—LE CHARGE 36
LECALLv res❑NO CITATION# OTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:20EA038336
16 2
LAST NAME CARNCROSS FIRST NAME KAREN MIDDLE C
INITIAL
17 NEW STREETREs7' 15300 SE 155TH PL APT B-101 CITY' RENTON ST WA ZIP 98058 37
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED ❑ 38
INTERLOCK YEs❑NOR INTERLOCK vEs I I NOF YEs t l NO❑
19 DRIVER'S STATE WA SEX F D.Q.B. 09 _ 07 1949 El
39
LICENSE# MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
LICENSE I ❑21❑ PLA E# BFP3140 TATE WA VIN# 41
KNMAT2MVXGP682660 4
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
TOWED BV Gov HI 44
VEH YEAR 2016 MAKE pJ/$$ MODEL ROGUE STYLE UT —FEHICLE
TOWED✓ NOO BLIN GENE MEYERS YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSU&PORGY#ECO AMERICAN FAMILY CONNECT A104160484 STOP
IN EFFECT
VE"Le ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N`L J
25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
SlTIVEN/TAMA/VENA 12812 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF36939
COLLISION REPORT III III III III III 111
1591972 CASE# 24-11536
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) GALVEZ JOSHUA O
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
922 GLENNWOOD AVE NE APT 7 RENTON WA 98056 4253067991 SEX M MMDOYyry 09 - 09 - 2001
PASSENGER T# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
[:]WITNESS❑✓ UNI POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL) MARTEN MARIA I
ADDRESS&PHONE# D O B
7518 40TH AVE S SEATTLE WA 98118 2064787802 SEX: U MMDDYvvv 10 - 26 - 1969
PASSENGER WITNESSZ UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ POS. USE CLASS
NAME
(LAST FIRST,MIDDLE INITIAL) THRASHER STEVIE L
AooREss PHONE# 6111 S 124TH ST SEATTLE WA 98178 2532450744 SEX F D•o•B• 03 _ 01 _ 1992
MMDDYYYY
PASSENGER WITNESS Z I UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY 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.
S/TIVENI TAMAIVENA 11-07-24 02:23 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 11/18/2024 7:54:20 PM
BADGE OR ID# 12812 OR]# WA0171300 TIME POLICE DISPATCHED; 6:04 PM TIME POLICE ARRIVED',6:16 PM
PART I PAGE IT]OF 4�
REPORT NO. EF36939 CASE# 24-11536 OF COLLISION
11/06/24 18:02
OF CbLLI510N
NARRATIVE
On 11/06/2024, at approximately 1802 hours, while employed as a uniformed Patrol Officer for the
City of Renton, I was dispatched to an accident at 1150 Oakesdale Ave SW, within the City of
Renton, County of King, State of Washington.
The Driver of Unit 1 was unidentified. The vehicle is registered to Hertz Vehicles LLC, located at 9475
NE Airport Way, Portland, OR. The vehicle is a 2024 Chevy Malibu with license plate OR/609PTU.
The Driver of Unit 2 is Carncross, Karen C (DOB 09-07-1949). Carncross is the registered owner of a
2016 Nissan Rogue with license plate WA/BFP2140.
The witnesses involved in the accident were Galvez, Joshua O. (DOB 09-09-2001), and Marten,
Maria I. (DOB 10-26-1969). Thrasher, Stevie L. (DOB 03-01-1992), saw the driver of Unit 1.
Dispatched advised that a witness observed a Hispanic male last seen leaving Unit 1 wearing a black
long-sleeved sweatshirt, jeans, and white shoes. Also noted that the witness stated that the subject
had been drinking.
While on the scene searching for the Hispanic subject, dispatch advised that there was a collision on
SW Grady Way and Oakesdale Ave SW, unknown if possibly related. I checked the woods and did
locate the subject. I arrived at the scene of the collision and was advised by Galvez that he had seen
Unit 1 swerving through lanes. Galvez did not see the collision but was able to describe the vehicle of
Unit 1. Marten was behind unit 2 in lane one going eastbound on SW Grady Way. Maarten stated that
Unit 1 was the vehicle that hit Unit 2, causing Unit 2 to go off the road. Carncross stated that she was
in lane 1, traveling eastbound on SW Grady Way, when she was struck in the rear driver's side,
pushing her to lane 2, and then getting struck again in the front driver-side bumper causing her to go
back into lane 1 and off the road. Unit 2 was not aware of who hit her vehicle.
Officer Edmunds advised me that the subject in Unit 1 was getting into a black four-door sedan with a
female. Please see Officer Edmunds' report for further details of the vehicle and video surveillance.
I spoke with Thrasher, who was on the scene with Unit 1. She stated that she saw the vehicle in a
ditch and checked on the subject. The subject told Thrasher not to call the cops. Thrasher stated she
saw a beer fall out of the driver's side of the vehicle. She stated that the subject was drunk and ran
into the woods across the street from the location stated above. Thrasher provided me with a video
statement, which was recorded from 1930 to 1933 hours. Thrasher is able to identify the subject that
was the driver for Unit 1.
Substantial damage was done to the Unit 2 vehicle.
My Axon camera was on for this call.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct. This report was electronically signed by Officer Si. Tamaivena #12812,
November 7th, 2024, at 0221 Renton, WA.
PAGE 3 OF 4
REPORT NO. EF36939 CASE# ' 24-11536 DATE AND TIME 11/06/24 18:02
OF COLLISION
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PAGE 4 OF 4