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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 t� �rt � Y 4 tip S'1'�F lit 1 t ✓y � S 3 ti' ��c F� ti k {���'�� s{IF�{pi S•il��`•� �� Yrz � c�`•;Ls4 � `,;t�yt FF} t s�Zt � � �,���z 4 Y y t t; w i s PAGE 4 OF 4