The URL can be used to link to this page

Home My WebLink About24-8820 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 INTERSTATE ❑ CITY STIR FIRE CASE EET ❑ 24-ss2o 2 RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 8 2$ TRIBAL UNITS 03 STRUCK RESERVATION z 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# COLLISION'. OS - 1-— 2024 1738 17 ❑-= S 8 IN e 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❑ ❑ FEET e S ❑ W e N 3RD ST 0 1 29 MOTU '�01 VEHtOR PI CLE CYDCLE. El �ESAGE NHORE✓LD MET PHONE 0 1 30 6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31 INITIAL STREET ❑ NEW ADDRESS CITY KENMORE ST Zlp'. z 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/ $❑ LICIENSE# STA fE I SEX u MMDOBYY '❑-F 1 1 2 32 9 ON DUTY❑ STATUS I AIRBAG 9 RESTR 9 EJECT 1 H U EEr 9 CLAY 0 NATURE OF INJURIES z❑ 3 LICENSE CEX0091 sTATI WA urN# JT5HF10U8X0041553 10❑ PI ATE 14 5 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# Rom ro TRLR. A'RLR. 1 3 33 12 3 5 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 5 1 34 1999 LEXS RX 300 SD 13 4 DAMAGE YES NO YES❑ NO REGISTERED OWNER INFO PATRICKMERN1N 11110 JUANITA DR NE KENMORE WA 98028 VEHICLE NO. 1 ❑ ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE❑ INSURANCE CO NA NA 3 4 IN EFFECT &POLICY# 9TOP VEIiICLE CHARGE 5 36 LEGALLv res❑NO❑ CITATION# 10 BOTTOM 15❑ STANDING 8 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2057751766 16 a LAST NAME PEREZ VASQUEZ I FIRST NAMEJ DARLIN MIDDLE S INITIAL 17❑ NEW ADDRESSSTREET ❑' 6801 S 133RD ST APT#208 CITY SEATTLE ST' WA ZIP 98178 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 IF D.C.B. 02 _ 28 _ 1999 0 39 LICENSE# MMDDYY 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40 LICENSE ❑21❑ PLA E# CHP9129 TATE 41 WA VIN# 1NXBR32E63Z087958 4 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. IN#. 43 RLR ' Gov HI VEH YEAR 2003 MAKE 7'Oy7' MODEL CORO!! STYLE $D DAMAGE TOWED NOO✓ BLIN TOWED BY 44 YES NO 24❑ ES REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADEDAMAGED AREA 3 4 INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO NA NA 9TOP 5 VEHICLE ❑ C[:] CITATION# CHARGE io BOTTOM LEGALLY YES N 25 ' e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 KEVIN PETERSON 12808 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF07886 COLLISION REPORT III III III III III 111 1591972 CASE# 24-8820 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' I was dispatched to a collision on 08/21/24 at 1738 hours at Logan Ave N and N 3rd St , in city Renton, King County WA. Unit 1 CEX0091 Owner: Patrick Mernin (DOB Unknown) Unit 2 CHP9129 Driver: Darlin S. Perez-Vasquez (02/28/1999) Unit 3 C0980OF Driver: Nathaniel T. Wilhelm (01/08/1993) Upon arriving on scene, I spoke to Unit 3 who told me that he was the first vehicle in the 3 vehicles in the right turning lane. Unit 3 told me he was traveling North on Logan Ave N in the right turn lane. He stopped for pedestrian traffic and then felt Unit 2 slam into the back of him. He stated that he then felt an additional bump after the initial one. Unit 3 told me that Unit 1 stated that he did not hit anyone and then left the scene. Unit 2 had the same account of the accident as Unit 3 did and stated that Unit 1 hit the back of her. She showed me the plate imprint in the back bumper of her car. Unit 3 took photos of Unit 1 and was sent a citizen link to upload the pictures. Looking at the damage on Unit 2 it appears that Unit 2 hit Unit 3 with full force per the damage to the vehicles front end and damage to the rear of Unit 3. Both drivers refused medical on scene. Both drives had the same account of what happen. Unit 3 stated he was going to go to doctors maybe tomorrow for mid back pain but did not want medics on scene. Upon request Perez-Vasquez was unable to provide proof of insurance and was cited for driving a motor vehicle without insurance. Perez-Vasquez was driving without a valid driver's license and was cited for operating a motor vehicle without a valid operating license. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. KEVIN PETERSON 08-21-24 07:51 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE P.SUMMERS 888 1 8/23/2024 7:30:12 PM BADGE OR ID# ! 12808 ORI#' WA0171300 TIME POLICE DISPATCHED 5:39 PM TIME POLICE ARRIVED';5:46 PM PART I PAGE IT]OF 4� SUPPLEMENTAL REPORT NO. EF07886 r`) POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 24-8820 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY ;TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST ZIP—1 I ' 4 ❑ NAME # PLACARD: :❑ GI PLACARD IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO D:2064505265 0 7 29 LAST NAME WILHELM FIRST NAME NATHANIEL MIDDLE' T INITIAL STREET 30 NEW AnDRFSP' 14135 196TH AVE SE CITY RENTON ST WA ZIP 98059 6 ❑ 1 1 2 31 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED INTERLOCK YEs NO zERLOCK YES❑N0� YEs N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv', 01 - 18 - 1993 7 HELMET :INJURY' NATURE OF INJURIES ON DUTY STATUS AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 7 MID BACK PAIN 8 ❑ 1 32 LICENSE C09800F TAr WA VIN# 1GCCT14Z8P8126556 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 3 5 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1I' P FROM TO 1993 CHEV S1O TR DAMAGE YES NO YES NO rj 9 33 REGISTERED OWNER INFONATHANIEL WILHELM 14135196TH AVE SE RENTON WA 98059 D:2064505265 12 � SHADE IN DAMAGED AREA 7 j FROM TO &POLICY# LIABILITY INSURANCE INSURANCE CO PEMCO CA 1603956 q"i"Olx IN EFFECT 1 VEHICLE 34 13 4 LEGALLY YESZ NO❑ CITATION# CHARGE 0 BOTTOM STANDING } 8 7 14 ❑ UNIT Tr Vd IRE O CYDCLE � OWNER YES DAMAGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN ❑ 36 15 LAST NAME FIRST NAME ': NIbIAL STREET 16 TRE "F]' CITY ST NEW Z!P CDL IGNITION REdUiRED IGNITtGN PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY -� II 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of 1NJURIEs 38 USE CLASS 19 ❑ LICENSE TAr VIN# 39 PLATE# 20 ❑ TRAILER' STATE TRAILER STATE ❑ 40 PLATE#< PLATE# 21 ❑ ❑ 41 TRLR TRLR VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM LE C E STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. KEVIN PETERSON 08-21-24 07:51 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 ORRID# 12808 O#IL WA0171300 SUMMERS 812312024 PAGE F OF 4 3000-345-013(R 11118) REPORT NO. EF07886 CASE# 24-8820 DATE AND TIME 08/21/2417:38 OF COLLISION t, r ✓ri si t. " a f a PAGE 4 OF 4