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HomeMy WebLinkAbout23-14323 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-14323 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cawsloN 12 - 1-- 2023 1834 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
RAINIER AVE S BLOCK NO. e ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e SW GRADYWAY
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:2065124600 0 11
30
6� LAST NAME SECKA FIRSTNAME SHEIKH MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 3047 S BRIGHTON ST CITY SEATTLE ST WA 2jp, 981083772 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LRIIVERS STATE WA SEXI M MID
-O B 11 1— 04 — 1974 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES 2❑
3
10[1P1 ATNES# CKH8724 sTAr WAV N# 5YJ3E1EB2KF530490
11[-j7TRAILER STATE PLATE# STATE
11 0 0 ILER
PLATE# PLATE# IR.. ro
TRLR. TRLR 5 7 33
12 0 0 VIN#' VIN#'
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 8 2019 TESL MODEL DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO B&WRIDESLLC2020MALTBYRDSTE7-311 BOTHELLWA98021 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 INSURANCE CO 3 4
14 LIABILITY INSURANCE UNITED SERVICES AUTOMOBILE ASSN 5YJ3EtEB2KF530490
IN EFFECT &POLICY# 9TOP
VEHICLE 5 36
LEGALLY
Yes❑NO❑ CITATION# CHARGE 10 BOTTOM
15❑ �_STANDING 6
MOTOR PEDAL- PEDESTRIAN
16 a PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2064131311
LAST NAME KIDANE FIRST NAME BSRAT MIDDLE M
INITIAL
17❑ STREET ❑', 6801 S 133RD ST APT E334 CITY l SEATTLE ST WA ZIP 981785139 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YEs t l NOF,/
19 DRIVER'S STATE WA SEX F D.C... 01 01 1985 El 39
LICENSE# MMDDYY
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 USE CLASS ❑
21❑ LICENSE I CKD2917 TAre I WA vIN# JTME6RFV5PD546534
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2023 MAKE TOYT MODEL RAV4 STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO BSRATKIDANE680IS133RDSTAPTE334 SEATTLEWA98178 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE &POINSURGY#E CO ALLSTATE 817 826 601IN CQVE""LE
❑ ,J� CITATION# CHARGE i o
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
LACY SMITH 12613 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE31871
COLLISION REPORT III III III III III 111
1591972 CASE# 23-14323
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
During this incident, I was equipped with a body-worn camera, which records both audio and video.
Portions of this incident were recorded. This report is merely a summary of the incident and is not
intended to be an exact transcription of the entire investigation or what may have been captured with
the recording system.
On 12/13/2023, 1 was assigned to District 13 as the, 3R13. At approximately 1836 hours, while I was
on routine patrol I observed a collision in the intersection of Rainier Ave S/S Grady Way, this is
located in the city of Renton, the county of King, and the state of Washington.
I contacted and positively identified the driver of Unit 1 as, Sheikh Secka, by his Washington State
Driver's License. Secka stated he was attempting to turn left from Rainier Ave S onto SW Grady Way
and Unit 2 was the only car traveling through the light.
I contacted and positively identified the driver of Unit 2 as, Bsrat Kidane, by her Washington State
Driver's License. Kidane stated she was traveling Southbound on Rainier Ave S and had a green light
when Unit 1 turned in front of her.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer L. Smith 12613 on 12/15/2023 in Renton, WA.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
LACY SMITH 12-15-23 02:01 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.THIELMAN 11462 1 12/19/2023 1:39:38 AM
BADGE OR ID# 12613 OR]# WA0171300 TIME POLICE DISPATCHED; 6:36 PM TIME POLICE ARRIVED',6:36 PM
PART I PAGE IT]OF
REPORT NO. EE31871 CASE# ' 23-14323 DATE AND TIME 12/13/23 18:34
OF COLLISION
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