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HomeMy WebLinkAbout24-6577 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EE90618 170
27
COLLISION REP FIT 1591971
CASE 24-6577 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#TRIBAL OF OZ OBJECT 1 1 8 28
UNITS
RESERVATION I I
STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 06 - 1-- 2024 2035 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SOUTHWEST BLVD BLOCK NO. e✓ 2100
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e BOTH AVE S
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:2066889203 0 11
30
LAST NAME ABDULLAHI FIRSTNAME ABDIRAHMAN MIDDLE MI I
6 INITIAL 1 2 31
STREET ❑, PO BOX 68863 CITY SEATTLE ST WA ZIP', 98118 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ vEs No�/
8❑ DRIVERS
# STATE WA SEX'M I ELMIDI Y' 01 — 24 — 2001 1 2 32
9 ON DUTY❑ STATUS AIRBAG 3 RESTR 9 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10[9 PI PI ATE 14 AZH5224 sTAr WAv N#' KMHFU45E24A324217
-___� TRAILER AZH5224 TRAILER
11 0 0 PLATE# STATE PLATE# STATE FR.. To
TRLR. TRLR 7 3 33
12 1
VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 $ 34
13❑8 2004 HYUN XG3 4D DAMAGE YES NO YES NO✓
REGISTERED OWNER INFO MOHAMED KHALIF 7409 ROCKERY DR S SEATTLE WA 98118 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# 9TOP
❑ LEGA LE CHARGE 5 36
15 2 srn'CLL YES❑NO CITATION# NO INSURANCE o BorroM
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2065225443
16 a
LAST NAME MIA KHIL FIRST NAME QAIS MIDDLE A
INITIAL
17 STREET I❑ S❑' 13445 MARTIN LUTHER KING JR W UNIT B406 CITY SEATTLE ST WA ZIP 98178 4❑ 37
NEW ADDRES
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED ❑ 38
INTERLOCK YEs❑No� INTERLOCK vEs I I NOF YEs t l NOF,/
19[—] LICENSE# STATE WA SEX M M D.O.B. 05 _ 05 _ 2007 El 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
❑21❑ PLATE# CGT2945 TAre 41
WA VIN# T18U4EEOCC856823 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. N#.
43
%
RLR
'I
VEH YEAR 2012 MAKE TOYT MODEL COROLL STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO NOMANUL MIAKHIL 13445 MARTIN LUTHER KING JR WUNITB406 SEATTLE WA 98178 D:2537374303 VEHICLE NO.2
SHADE DA GEbAREA
LIABILITY INSURANCE INSU8 PORGY#E CO NATIONAL GENERAL 2TlBU4EE0CC856823 5
IN EFFECT
'E""LE ❑ ,J� CITATION# CHARGE C�Q
LEGALLY YES N`L J
25 s � e
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. EE90618
COLLISION REPORT III III III III III 111
1591972 CASE# 24-6577
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) M/AKH/L NOMANUL H
(I.P.ST FIRST,
ADDRESS&PHONE# D O.B.
13445 MARTIN LUTHER KING JR IN UNIT B406 SEATTLE WA 98178 2537374303 SEX U MMDOYyry 05 - OS - 2007
PASSENGER I�I WITNESS UNIT# 2 PEA 3 AIRBAG 2 RESTR. q EJECT 1 HELIv1ET INJURY NATURE OF INJURIES
L,!1 USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX' MMDDYVYY
PASSENGER ❑WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
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.
LACY SMITH 06-24-24 03:22 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.THIELMAN 11462 1 6/27/2024 2:44:38 AM
BADGE OR ID# 12613 ORI#' WA0171300 TIME POLICE DISPATCHED! 8:41 PM TIME POLICE ARRIVED:8:50 PM
PART I PAGE IT]OF 4]
DATE AND
TIME
REPORT NO. EE90618 CASE# 24-6577 OF COLLISION06121/2420:35
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 06/21/2024, 1 was assigned to District 11 as the, 3R11. At 2041 hours I was dispatched to a
collision located in the area of: MARTIN LUTHER KING JR WAY S/SW SUNSET BLVD. This is
located in the city of Renton, the county of King, and the state of Washington.
I arrived in scene and located two vehicles in the ditch on the North side of SW SUNSET BLVD.
I contacted the driver and sole occupant of Unit 1. 1 positively identified this male as
ABDIRAHMANABDULLAHI, via his Washington State driver's license. ABDULLAHI stated that he
was traveling Eastbound on SW Sunset Blvd and he did not see Unit 2 when he changed lanes and
collided into him.
I contacted the driver of Unit 2. 1 positively identified this male as QAIS AHMAD MIA KHIL, via his
Washington State identification. MIA KHIL stated he was driving Eastbound on SW Sunset Blvd when
Unit 1 turned into him causing them to veer off the road.
Renton Fire came to the scene and medically cleared everyone on scene.
Both vehicles were privately towed.
I cited, ABDIRAHMAN ABDULLAHI, with RCW 46.30.020 for operating a motor vehicle without
insurance, due to the fact ABDULLAHI did not have insurance for this vehicle. Ticket 4A0158688.
This concludes my involvement in this case.
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 06/24/2024 in Renton, WA.
PAGE 3 OF 4
REPORT NO. EE90618 CASE# 24-6577 DATE AND TIME 06/21/24 20:35
OF COLLISION
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