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HomeMy WebLinkAbout24-11153 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 24-11153 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STATE ROUTE OTHER STOLEN
❑ ❑ HFHIC;I F ❑ LOCAL AOENC 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 28
TRIBAL UNITS 01 STRUCK STREET LIGHT POLE
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
C{YLLISION 1O - 1-- 2024 0623 17 ❑.= S 8 W IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
140TH WAY SE BLOCK NO. e✓ 15180
4a❑ MILE POST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 300 00 FMILES N EET e S B W e MAPLE VALLEYHWY
0 1 29
MOTUNIT U1 VEHIOR Z PEDAL-CLE CYCLE ElYESA,G/E NHORESHOLD MET PHONE =30
6❑ LAST NAME ABRAHAM FIRSTNAME NAZARETH MIDDLE B 1 1 2 31
INITIAL
STREET ❑, 3815 S OTHELLO ST APT 310 CITY SEATTLE ST WA 2jp, 981183516 z
'NEWADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
�/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LDRIVER # STATE WA SEX'F MID
.O B 06 — 03 — 1990 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10❑ P1 aT�S� CKW2752 sTArI WAurN# 4T18E46K19U285254
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR 4 1 33
12❑ VIN#' VIN#
FROM
34
13❑ VEH.YEAR 2009 MAKE TOYT MODEL CAMRY STYLE VEHICLE TOWEDNOO pLSSBLIN TQ yEq.BLRs yOS❑ENO
DAMAGE ILJI tSA1Vi�6
REGISTERED OWNER INFO NAZARETIABRA..PO BOX 28703 SEATTLE WA 98118 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14❑ LIABILI INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
VE"'CLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# BOTTOM
15❑ STAIN,'"
UNIT 02 MOTO
R ❑ CYCLE PEDAL- ❑ PEDESTRIAN ❑ OWNER
❑ DYES H OLD METVEHIC PHONE
16❑
LAST NAME FIRST NAME MIDDLE
INITIAL
STREET
17❑ NEW ADDRESS❑' CITY ST ZIP ❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED ❑ 38
INTERLOCK YEs❑NOR INTERLOCK YEs❑NOF YEs❑NO❑
19 LLIRIVERISTICENS # STATE SEX MMDDYY —�_ 39
HELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG RESTR EJECT USE CLASS ❑
❑21❑ LICENSE TArE VIN# 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO I 9TOP 5
VEHICLE ❑ ,.I—I CITATION# CHARGE i o BOTTOM
LEGALLY YES N`LJ
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
/SABELLA DAN/LYUK 13001 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF28958
COLLISION REPORT III III III III III 111
1591972 CASE# 24-11153
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
PM 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'
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.
ISABELLA DANILYUK 10-27-24 12:37 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.KORDEL 9676 1012712024 12:44:43 PM
BADGE OR ID# 13001 OR]# ': WA0171300 TIME POLICE DISPATCHED 6:23 AM TIME POLICE ARRIVED 6:23 AM
PART I PAGE IT]OF 4�
REPORT NO. EF28958 CASE# 24-11153 OF COLLISION
10/27/24 06:23
OF CbLLI510N
NARRATIVE
24-11153
On 10/27/2024 at approximately 0622 hours, I, Officer Danilyuk responded to a blocking accident at
140TH WAY SE/MAPLE VALLEY in the City of Renton, County of King, and the State of Washington.
Dispatch advised that it is a one car collision versus a light pole. Light pole will be down blocking the
northbound traveling direction and people are stopping their vehicles due to not being able to go
around.
Upon arriving on scene, the vehicle was a grey 2009 Toyota Camry (LIC CKW2752) which was pulled
over to the side facing northbound.
Behind the vehicle around 300 feet was the light pole which was directly blocking both northbound
traveling lanes.
Inside the vehicle was the sole occupant and registered owner of the vehicle ABRAHAM, NAZARETH
BEYENE (DOB 06-03-1990)
A tow was called to the location.
Abraham declined aid or needing further medical attention twice during our conversation stating she
is shocked but feeling fine.
Initially Abraham stated that she was traveling northbound, and another vehicle hit her vehicle and
sped off. Upon speaking to another Officer on scene Abraham admitted that she was going down the
hill and losing control over corrected her steering wheel causing her to veer into the right-hand side
curb and flip her car U shaped into the boarder and drive down and pulled over.
Abraham initially did not mention hitting the light pole.
Upon further inspection, the tire tracks indicated that her vehicle spun out and doing a U shape as
she mentioned, hit the light pole damaging the back passenger left side of the vehicle.
When the secondary Officer asked post initial conversation, if after hitting the light pole did she
attempt to regained control by driving off the curb and pulling over to the right side of the roadway,
Abraham stated that she did.
Abraham did not have proof of insurance and was provided with the necessary paperwork along with
signing the appropriate tow paperwork for the tow which was requested.
The vehicle was towed by Bankers.
Abraham was provided with her case number.
All photos take of the incident were later uploaded to AXON.
Due to the damage caused to Renton City property, (LIGHT POLE # 1998D) an Origami form was
completed with the associated incident number of 1-2024-321 as well as notifying a supervisor about
the occurrence.
Secondary pictures of the incident were taken post an hour of the occurrence due to better lighting in
the area with a clearer picture of the roadway and pole.
My involvement in this case was captured on my department-issued Axon body camera. This report is
a summary of events that occurred and is not an exact sequencing of events. Statements have been
paraphrased and summarized. At the time of this call, I was in a full police uniform equipped with a
Renton Police badge and police patches.
This concludes my involvement with this case.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by Ofc. I. Danilyuk#13001, 10/27/2024 at 1214 hours in Renton, Washington.
PAGE 3 OF 4
REPORT NO. EF28958 CASE# 24-11153 DATE AND TIME 10/27/24 06:23
OF COLLISION
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