HomeMy WebLinkAbout24-7279 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
INTERSTATE ❑ CITY STREET ❑ FIRE ❑
CASE#r` 24-7279 2
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENC 24-4250 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
2
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cawsloN 07 - 1-- 2024 1130 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SW 12TH ST BLOCK NO. e✓ 325
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 1 9 29
MOTU '�01 VEHtOCLEZ PEAL-CYMLE. El �ESAGE NHORE✓LD MET PHONE 1 4 30
6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31
INITIAL
STREET ❑ CITY Sr ZIP 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYES NO INTERLOCK YES NO YES No
8❑ LIRCIENSRE# STATE SEX u MMDOBYY - 32
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 1 H U EEr 9 CLAY 0 NATURE OF INJURIES 2❑
3
10❑ I P1 ATE 14 AQJ7516 STATE WA VIN#' JTEEP21A270222887
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FR.. ro
TRLR. TRLR 0 0 33
12 0 0 VIN#' VIN#'
2007 TOYT HIC�HLA UT ❑ RO�34
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE
13 A DAMAGE YES NO �I YES NO
REGISTERED OWNER INFO DEBRA MOREY 13224 NE 131ST PL KIRKLAND WA 98034 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ ABILI INSURANCE❑ NSURANCE CO 3 4
IN EFFECT &POLICY# eq�T9TOP
VE— 1 o BOTTO
CHARGE 1 5 36
LEGALLv YFS❑NO❑ CITATION# M
15❑ NDING 8 7 6
UNIT 02 VEHIMOTOCLE CYCLE ❑ PEDESTRIAN ❑ OWNFRRTY ❑ DYES NO PROPEAM OLD MET PHONE
16❑
LAST NAME UNKNOWN FIRST NAME MIDDLE
INITIAL
STREET
CITY' ST ZIP 37
17❑ NEW ADDRESS❑'
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs I I No� YES t l NO❑
19 LLIICENS RIVEWS# STATE SEX U MMDDYY -=_ 39
WELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT '1 USE 9 CLASS 0 ❑
❑ILICENSE 21❑ PLA E# A7023950 TATe WA VIN# 2(B1FE1EV9A9221425 41
4
42
22 [TRAILER TILER
❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR 2010 MAKE CHEV MODEL CAMARO STYLE Sp VEHICLE TOWED TO BLIN TOWEDeY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO JUSTIN WMIRIG124520 RUSSELL RD#G202 KENT WA 98032 D:4259029889 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE &POINSURGY#E CO PROGRESSIVE 982402352IN 1 9TOP 5
vE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 s a
7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26LAN 12007 WA0171300
PART A PAGE 01 OF
3000-345-159 fR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE97373
COLLISION REPORT III III III III III 111
1591972 CASE# 24-7279
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'
On July 12, 2024, at 1130 hours dispatch requested that I respond to a collision that occurred in the
parking lot of Good Chevrolet, 325 SW 12th St, in the city of Renton.
Upon contact, I spoke with the owner of unit 2, a Chevrolet Camaro (WA/A7023950). The owner
explained he is an employee at Good Chevrolet and left his parked vehicle unattended in one of the
parking lot stalls. Later, he was approached by another employee and advised that his appeared to
be involved in a collision.
The owner, identified as Justin Mwirigi, said he investigated the collision and reviewed the properties
surveillance footage. He concluded that another vehicle tried parking in the adjacent parking stall, but
while adjusting he struck his driver's side doors.
The other vehicle then fled the location after being involved in the collision.
The other vehicle was described as a 2007 Toyota Highlander (WA/AQJ7516).
I checked the vehicles information, and the owner appears to be Debra Morey from Kirkland, WA. I
was unable to contact the Debra, so I provided Justin Mwirigi with my contact information and case
number.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Motor Vehicle Unit 1
Action Code: PARKING THEIR VEHICLE
**** END OF AUTO-POPULATED SECTION ****
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.CATALAN 07-19-24 12:18 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 711912024 2:48:09 PM
BADGE OR ID# 12007 OR]# WA0171300 TIME POLICE DISPATCHED 11:39 AM TIME POLICE ARRIVED';12:34 PM
PART I PAGE IT]OF
REPORT NO. EE97373 CASE# ' 24-7279 DATE AND TIME 07/12/24 11:30
OF COLLISION
dam
NTS
x`
t
t
PAGE 3 OF 3
