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HomeMy WebLinkAbout24-12084 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 24-12084 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4250 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 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# COLLISION.. 11 - 1-— 2024 2157 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ S 3RD ST BLOCK NO. e✓ 1000 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e MAIN AVE S 2 0 29 MOTUNIT O1 VEHIOR Z PEDAL-CLE CYCLE ElYYESA�NO THRESHOLD MET PHONE Q 3 30 6� LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 1 2 31 INITIAL STREET ❑ CITY ST ZIP 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNIT{ON PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/ 8 DRIVER'S. STATE SEX.U D.Q.B. 1 1 2 32 ❑ :LICENSE# MMDDYY —❑ 9 ON DUTY❑ STATUS I AIRBAG 9 RESTR 9 EJECT 1 H U EEr 9 CLAY 0 NATURE OF INJURIES z❑ 3 LICENSE sTATI urN#' 10❑ PI ATE 14 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# ROM ro TRLR. TRLR 5 3 33 12 25 VIN# VIN# FROM TO ❑ VEH.YEAR MAKE MODEL STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 3 34 13 1 DAMAGE YES NO YES❑ NO✓ REGISTERED OWNER INFO UNKNOWN VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 ABILI INSURANCE❑ NSURANCE CO 3 4 IN EFFECT &POLICY# 9TOP vewcLe CHARGE 1 5 36 LECALLv YES❑NO❑ CITATION# 10 BOTTOM 15❑ NDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2066981030 16 a LAST NAME HELL FIRST NAME JACQUELINE MIDDLE A INITIAL 17❑ STREET ADDRESS❑' 120 H ST NW CITY AUBURN ST WA ZIP 980015229 37 ❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL t—T�RANSPORTED ❑ 38 INTERLOCK YES❑No� INTERLOCK YES It1 I NoF t l YES NO V/ 19 LDIIVEW # STATE WA ]SEX IF M .C.B. 12 _ 26 _ 1987 El 39 WELMET {NJURY NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑ ❑ILICENSE 21❑ PLA E# BST2817 TATE 41 WA vIN# 2T3P1RFV1LW094263 4 42 22 [TRAILER TILER ❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR VIN#. IN#. VEH YEAR 2020 MAKE TOYT MODEL RAV4 STYLE UT VEHICLE TOWED TO BLIN TOWEDeY GOV HI 44 24❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO ALLAN ROBERSON 120HSTNW AUBURN WA 98001 D:2067735371 VEHICLE NO.2 SHADE IN DAGELLAREA z Cdd LIABILITY INSURANCE INSU&PORGY#E CO GEIC04566597458IN 1GQ'E""LE ❑ ,J� CITATION# CHARGE LEGALLY YES N`L J 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 C.PAGET 8660 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF38804 COLLISION REPORT III III III III III 111 1591972 CASE# 24-12084 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) ROBERSON AL/YAH E (LAST FIRST, ADDRESS&PHONE# D O.B. 120 H ST NW AUBURN WA 98001 2066981030 SEX F MMDDYyYv 11 - 25 - 2019 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ 2 POS. 9 2 10 1 USE 2 CLASS I1 NAME '(LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# DOB SEX MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&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. C.PAGET 11-21-24 11:11 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE DESIRES SCOTT 10272 1 1112312024 9:52:33 AM BADGE OR ID# 8660 OR]# WA0171300 TIME POLICE DISPATCHED 10:01 PM TIME POLICE ARRIVED',10:01 PM PART Ei PAGE IT]OF 4� DATE AND REPORT NO. EF38804 CASE# 24-12084 OFCOLISION 11121/2421:57 OF COLLISION NARRATIVE 24-12084 Hit and run collision, non-injury *RTF* Axon: Axon body cam available Suspect/suspect vehicle Purple smaller SUV Black female about25-30, 5'4"-5'5", 150lbs, light skinned wearing a ponytail. Narrative: On 11.21.2024 at 2201 hours, I was checking on a female in a vehicle (a white 2020 Toyota Rav4 WA/BST2817) at 1025 Mill AVE S. When I stopped to check on the female, 1 learned that she was the victim of a hit and run collision that happened on the east side of the intersection of S 3rd ST and Main AVE S. This address is within the city limits of Renton, County of King, WA. I advised the female that our contact was audio and visually recorded. The female was identified by photo WADL as Jacqueline A Hell DOB/12.26.1987. Her DOL status is valid. Hell provided a registration and proof of insurance. The car Hell was driving is registered to Allen Roberson. In the rear passenger seat in a front facing child seat was Aliyah E Roberson DOB/11.25.2019. No one was injured. Hell showed me damage to both passenger side doors. The damage was purple on the white car. There are two lanes that turn from Main AVE S east onto S 3rd ST, which is a one-way street, eastbound. Hell was in the center most lane. Both cars made the turn about the same time, but then the other vehicle turned into her lane. Damage to the other vehicle would be on the driver's side front quarter panel. Hell told me that the driver of the other car briefly pulled over, exited her car, looked at the damage and then made a U-turn and left quickly. Hell was unable to get a plate. Hell was able to drive the car away. Case for information purposes only. I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Officer C. Paget/8660 11:08 PM 11/21/2024 Renton, King County, WA. PAGE 3 OF 4 REPORT NO. EF38804 CASE# 24-12084 DATE AND TIME 11/21/24 21:57 OF COLLISION Ali 3 Y r i � c .� 1 � C`••``<to �` ' t ti ti i Y 33 i 51 tt s,. "1 0 PAGE 4 OF 4