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HomeMy WebLinkAbout24-12155 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 24-12155 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 3 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 11 - 1-- 2024 1007 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
RENTON AVE S BLOCK NO. e✓ p ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ MILES N❑ FEET e S ❑ E a HARDIEAVESW/TAYLOR
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2063704515 0 11
30
6� LAST NAME ABDILAHI FIRSTNAME ABDISHAKUR MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 6801 S 133RD ST,APT B219 CITY SEATTLE ST WA ZIP 98178 z
'NEWADDRESS
7❑ CDL IGNITION REQUIRED IGNITION
I IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO NTERLOCKYEs NO Z YEs No�/
8❑ LRIIVERS STATE WA SEXI M MM DAY' 02 1- 15 - 1978 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU SE CLASS 1 NATURE OF INJURIES z❑
3
10❑ PI ATFBit BZP2293 sTAr� WA urN#' 5XYPG4A58LG628737
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 0 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR 2020 KIA SORENT UT MAKE MODEL STYLE VEHICLE TOWED fn TO VBLINJ TOWED BY I GOVT.VEHICLE 1 1 5 34
13 4 DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO GEICO 4237783271 4
LI EFFECT I SUR N# TOPVEHICLE CHARGE 36
LEGALLY YES❑NO❑ CITATION# <1�3
OTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2063278972
16 a
LAST NAME SAETERN FIRST NAME ALEXCIA MIDDLE IM
INITIAL
17❑ STREET � 15606 SE 254TH PL CITY l COVINGTON ST WA ZIP 98047 37
NEW ADDRESS I I I I I ❑
18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES
t l NOF,/
19[—] LDI IVERI # STATE WA ]SEX IF M D.C.B. 02 _ 25 _ 2004 0 39
WELMET INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS' AIRBAG,4 RESTR 4 EJECT ''1 USE CLASS ❑
21❑ LICENSE AYA1495 TAre I WA VIN# 4T1BF1FK7GU538022
❑ 41
pLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2016 MAKE TOYT MODEL CAMRY STYLE SO VEHICLE TOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES�/ NO BANKERS YES NO
REGISTERED OWNER INFO ALEXCIA SAETERN 15606 SE 254TH PL COVINGTON WA 98047 D:2063278972 VEHICLE NO.2
SHADE DAGELLAREA
LIABILITY
INSURANCE I PORGY#ECO STATE FARM 3865325FO147AIN I STOP 5
VEHICLE ❑ I—I CITATION# CHARGE
LLY to BOTTOM
LEGA YES N
,.
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
PHILIP DAVIS 12018 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF42889
COLLISION REPORT III III III III III 111
1591972 CASE# 24-12155
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) ABDILAH/ OSMAN
(LAST FIRST,
ADDRESS&PHONE#
SEATTLE SEX M MMDDYYYY -❑
PASSENGER Z WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT H USE CLASS 1 NAruRE of INJURIEs
' Lr 1 ❑ 1 PGS. 9 2 10 1
NAME
(LAST,FIRST,MIDDLE INITIAL) TRAN JOSHUA
ADDRESS&PHONE# D O B
EX M MMDDYVYV - -
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS❑ UNIT# 2 PGS 3 AIRBAG 4 RESTR. 4 EJECT 1 USE CLASS 7 ARM
NAME
(LAST FIRST,MIDDLE INITIAL) TRAIN ISABELLA
AppRESS&PHONE#
SEX I F I D.O.B.MMDD -❑
YYYY
PASSENGER WITNESS UNIT# ! 2 SEAT 9 AIRBAG 4 RESTR. 4 EJECT 1 HELMET NJURY 1 NATURE OF INJURIES
❑ POS. USE CLASS ----�
NARRATIVE'
24-12155
On 11-24-24 around 1009hrs I dispatched to a collision at the intersection of Renton Ave S/Hardie
Ave SW, Renton, King Co, WA. Initial information was vehicles, BZP2293/WA (unit 1) and
AYA1495/WA (unit 2), were in a collision and had pulled onto the west side of Hardie Ave SW.
On arrival I observed side airbags deployed and significant damage to the passenger side of unit 2,
and moderate damage to the front end of unit 1. Occupants of unit 2 were checked by RFA, and
occupants of unit2 advised they were uninjured.
I contacted the driver of unit 2, Alexcia M Saetern, who advised the following. Unit 2 approached the
intersection from southbound Taylor Ave NW. Alexcia stopped at the intersection because the signals
were out due to a power outage. As unit 2 proceeded through the intersection onto Hardie Ave SW,
unit 1 collided with the passenger side of unit 2. Alexcia did not think unit 1 stopped at the
intersection.
I contacted driver of unit 1, Abdishakur A Abdilahi, who advised the following. Unit 1 approached the
intersection from eastbound Renton Ave S. Unit 2 entered the intersection from Taylor Ave NW.
Abdishakur tried to stop but was unable to do so due to the wet conditions and downhill slope of the
road.
Unit 1 was drivable and unit 2 was towed privately by Bankers Towing.
I provided both drivers a case number and insurance information.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by P Davis 12018 on November 24, 2024 at 11:39 hours in Renton, WA.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
PHILIP DAVIS 11-24-24 12:00 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
S.WOODWARD 11528 1 12/6/2024 2:39:42 AM
BADGE OR ID# 12018 ORI# WA0171300 TIME POLICE DISPATCHED', 10:09 AM TIME POLICE ARRIVED 10:16 AM
PART I PAGE IT]OF 4]
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF42889
COLLISION REPORT III III III III III 111
1591972 CASE# 24-12155
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME(LAST FIRST,MIDDLE INITIAL) NGO DYLAN
ADDRESS&PHONE# D O.B.
SEX' U MMDDYYYY -❑
PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑✓ ❑ 2 POS. 7 4 4 1 USE CLASS
NAME
`(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX MMDDYYYY
PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.MMDD -❑
YYYY.
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
24-12155
On 11-24-24 around 1009hrs I dispatched to a collision at the intersection of Renton Ave S/Hardie
Ave SW, Renton, King Co, WA. Initial information was vehicles, BZP2293/WA (unit 1) and
AYA1495/WA (unit 2), were in a collision and had pulled onto the west side of Hardie Ave SW.
On arrival I observed side airbags deployed and significant damage to the passenger side of unit 2,
and moderate damage to the front end of unit 1. Occupants of unit 2 were checked by RFA, and
occupants of unit2 advised they were uninjured.
I contacted the driver of unit 2, Alexcia M Saetern, who advised the following. Unit 2 approached the
intersection from southbound Taylor Ave NW. Alexcia stopped at the intersection because the signals
were out due to a power outage. As unit 2 proceeded through the intersection onto Hardie Ave SW,
unit 1 collided with the passenger side of unit 2. Alexcia did not think unit 1 stopped at the
intersection.
I contacted driver of unit 1, Abdishakur A Abdilahi, who advised the following. Unit 1 approached the
intersection from eastbound Renton Ave S. Unit 2 entered the intersection from Taylor Ave NW.
Abdishakur tried to stop but was unable to do so due to the wet conditions and downhill slope of the
road.
Unit 1 was drivable and unit 2 was towed privately by Bankers Towing.
I provided both drivers a case number and insurance information.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by P Davis 12018 on November 24, 2024 at 11:39 hours in Renton, WA.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
PHILIP DAVIS 11-24-24 12:00 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
S.WOODWARD 11528 1 12/6/2024 2:39:42 AM
BADGE OR ID# 12018 ORI# WA0171300 TIME POLICE DISPATCHED', 10:09 AM TIME POLICE ARRIVED 10:16 AM
PART I PAGE IT]OF 4]
REPORT NO. EF42889 CASE# ' 24-12155 DATE AND TIME 11/24/24 10:07
OF COLLISION
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