HomeMy WebLinkAbout25-1014 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 2 27c
COLLISION REP FIT 1591971
CASE 25-1014 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2� 1 1 8 28
TOTAL#OF OBJECT
TRIBAL UNITS 03 STRUCK' BOULDER
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
GawsloN 01 - 1-- 2025 1754 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
NE 10TH ST BLOCK NO. e ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e INDEX AVE NE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:2068508372 0 11
30
6❑ LAST NAME MERRIS FIRSTNAME MIRANDA MIDDLE W 1 2 31
INITIAL
STREET ❑ 805 HARRINGTON PL SE#2142 CITY RENTON ST WA ZIP' 98058 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LDRIVER # STATE WA SEX'F MID
.O B 01 1— 20 — 1967 2 32
9 ON DUTY❑ STATUS AIRBAG 6 RESTR 9 EJECT 1 HELMET INJURY 7 NATURE OF INJURIES z❑
USE CLASS COMPLAINT OF SHOULDER PAIN,SEEMED
3
10 2❑ Pl ENSEATE 14 6862XC JJ
STATE WA V N#' 1G8JW54R03Y554132
-- TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM ro
TRLR. TRLR 7 3 33
12 0 0 VIN#' VIN#
FROM TO
VEH.YEAR 2002 MAKE SATU MODEL L300 STYLE SD VEHICLE TOWED NOO pLSSBLIN TSIYY.Ep9vMEYER vOS❑ENIC O 1 5 34
DAMAGE ILJI (�ciV6
13 REGISTERED OWNER INFO MARK MERRIS805HARRINGTONPLSE#2142 RENTONWA98058 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14❑ LIABILITY INSURANCE INSURANCE CO AMIKA 95034624JH
IN EFFECT &POLICY# OP
VewcLE CHARGE BOTTOM ❑ 36
LEGALLY YES❑NO CITATION# 5AO168916,5AO168916 OPERATION W/O HEADLIGHTS WHEN
15❑ NDING
MOTOR PEDAL PROPERTY DAM THR OLD MET PHONE
UNIT 02 ❑✓ ❑ PEDESTRIAN ❑ ❑ YES�/ NO D:4258916181
VEHICLE CYCLE OWNER 16 a
LAST NAME HOVATER FIRST NAME BARBARA MIDDLE ,/
INITIAL
17❑ STREET ❑', 2229 SE 2ND PL CITY RENTON ST WA ZIP 98056 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICALt—T�RANSPORTED ❑ 38
INTERLOCK YEs❑NOR INTERLOCK YEs I I NOF YES t l NO❑
19 DRIVER'S STATE WA ]SEX IF D.C.B. 10 _ 14 1967 39
LICENSE# MMDDYY
WELMET {NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 USE CLASS 1 ❑
21❑ LICENSE I BMG4832 TATE WA VIN1t 2C4RC1N7XJR318273
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
TOWED BV Gov HI 44
VEH YEAR 2018 MAKE CHRY MODEL pgCIFICA STYLE VN DAMAGE TOWED✓ NOO BLIN GENE MEYER YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE 8 POINSURGY#E CO CINCINATTI A01 1060077IN 9TOP 5
VEHICLE LEGAL ❑ ,.I—I CITATION# CHARGE to BOTTOM
25 LY YES N`LJ
8 7 a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
N.ODALOV/C 11628 WA0171300
PART A PAGE 01 of C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF63653
COLLISION REPORT III III III III III 111
1591972 CASE# 25-1014
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) MALUEG KELLYK
(LAST FIRST,
ADDRESS&PHONE#
NEWCASTLE 2069406889 SEX' M MMDDYYYY 04 - 02 - 1966
PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY11
NATURE OF INJURIES
❑✓ ❑' 3 POS, 3 2 9 1 USE CLASS 1
NAME
(LAST,FIRST,MIDDLE INITIAL) + LANGLOIS BRITTANY B
ADDRESS&PHONE# D O B
4252773057 SEX' F MMODvuvv 03 _ 15 _ 1981
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ POS. USE CLASS
NAME
(LAST FIRST,MIDDLE INITIAL) HOLDREN BRIAN P
AooREss&PHONE# 2062186726 SEX' D 0 _ 1979
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.
N.ODALOV/C 01-31-25 09:13 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 888 1 2/8/2025 4:33:37 AM
BADGE OR ID# ! 11628 ORI#' WA0171300 TIME POLICE DISPATCHED 5:55 PM TIME POLICE ARRIVED',6:00 PM
PART I PAGE IT]OF 7�
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF63653
COLLISION REPORT III III III III III 111
1591972 CASE# 25-1014
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) NELSON LAURIE
(LAST FIRST,
ADDRESS&PHONE# D O.B.
2067750111 SEX U MMDDYYYY -❑
PASSENGER UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
[:]WITNESS❑✓ POS. USE CLASS
NAME
'(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX' MMDDYVYV
PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.MMDD -❑
YYYY.
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.
N.ODALOV/C 01-31-25 09:13 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 8887 2/8/2025 4:33:37 AM
BADGE OR ID# ! 11628 ORI#' WA0171300 TIME POLICE DISPATCHED 5:55 PM TIME POLICE ARRIVED',6:00 PM
PART I PAGE 3�OF 7�
TIME
REPORT NO. EF63653 CASE# 25-1014 OF COLLISION01/31/25 17:54
NARRATIVE
25-1014
Unit 1 -WA Lic/686ZXC silver 2003 Saturn
Driver unit 1 -Miranda Merris
Registered owner-Mark Merris
Unit 2 -WA Lic/BMG4832 blue 2018 Chrysler
Driver/registered owner-Barbara Hovater
Unit 3 -WA Lic/BTR2909 white 2014 Subaru
Driver/registered owner-Kimberly Malueg
Witnesses: Brittany Langlois, Brian Holden, Laurie Nelson
Unless otherwise noted, the following occurred in the City of Renton, County of King, WA.
On 01-31-2025 at approximately 1755 hours I was dispatched to a collision at the intersection of NE
10th St/ Index Ave NE. Reporting parties were telling 911 call receivers that one of the involved
vehicles, unit 1, fled the scene towards Golden Pines Apartments.
I arrived at approximately 1800 hours. I was immediately flagged down by witness Brittany, who was
pointing towards Golden Pines Apartments and said she had to pull an occupant out of the vehicle
who needed medical attention. I followed Brittany until we contacted Miranda, the driver of unit 1.
Miranda seemed shaken up and complained of shoulder pain from the collision. Miranda told me that
she was leaving Safeway (2725 NE Sunset Blvd) towards NE 10th St when she was involved in a
collision. Miranda's vehicle's airbags deployed, and she did not have control of the vehicle. Brittany
was also in the parking lot of Safeway when she heard the collision and saw Miranda's vehicle go
"airborne" on Index Ave NE, hitting a large rock, and came to a rest in a grassy area south of Index
Ave NE. Brittany said she ran to unit 1 that was smoking and pulled Miranda out of the vehicle.
Brittany described Miranda as "dazed". Miranda gave me permission to enter her vehicle to find her
insurance in the driver door pocket.
Ofc Gall contacted the rest of the involved drivers. It was relayed to me that the other drivers and
witnesses saw Miranda traveling eastbound on NE 10th St and did not have headlights on. As she
was crossing Index Ave NE, unit 2 was traveling south through the intersection coming from Jefferson
Ave NE and both units collided. Kimberly, the driver of unit 3, witnessed the collision and was just
south of the intersection. Kimberly attempted to drive in reverse to gain distance from the collision,
but Miranda collided with her as well. Miranda then continued southbound onto the grass on Golden
Pines Apartment's property, almost struck witness Brian who was on foot. Witness Laurie told me via
phone that she was at a bus stop just east of the intersection and witnessed the collision. After the
impact, she saw unit 1's bumper and other car parts fly off of the vehicle and heard unit 1 accelerate
southbound on Index Ave NE. Laurie also told me that unit 1 was driving fast before the collision.
Involved parties were evaluated by Renton Fire Authority at the scene. I am only aware of one
involved party, Miranda, who complained of pain and that was to her shoulders. She did not go to a
hospital for further evaluation. Unit 1 sustained damaged all around the vehicle from impact with the
other units and hitting a very large rock. Unit 2 sustained front and passenger side damage rendering
the vehicle undrivable. Unit 3 sustained front-end damage. There was a fourth, parked and
unoccupied vehicle (WA License/A7401082) that had some minor damage on the driver side and 1
am not sure that the damage is from this collision. The temporary plate hanging in the rear window
provided no WACIC/DOL return. Involved vehicles were all towed by Gene Meyer Towing. Involved
PAGE 4 OF 7
TIME
REPORT NO. EF63653 CASE# 25-1014 OF COLLISION01/31/25 17:54
NARRATIVE
drivers were identified by their WA DOS. images. Images of involved vehicles were uploaded to
evidence.com by Ofc Gall and I. All parties provided valid insurance. Citation 5A0168916 was issued
to Miranda for operating a vehicle with no headlights on during hours of darkness and inattentive
driving for not seeing unit 2 driving into the intersection.
During this incident I was equipped with body-worn camera which records both audio and video.
Portions of the incident were recorded. This report is merely a summary of the incident and is not
intended to be an exact transcription of the entire investigation or what may have been captured with
the recording system.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct. Electronically signed by N. Odalovic#11628 on 01-31-2025 at 2100 hours in Renton,
WA.
PAGE 5 OF 7
SUPPLEMENTAL REPORT No. EF63653
r`I POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 25-1014
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USL70r !CC# VEHICLE TYPE CARGO BODY
TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER L
ADDRESS `
CITY ST' ZIP'
4 ❑ NAME # PLACARD: :❑
GI NAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MCFLOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO
D:6617475609
5 29
LAST NAME MALUEG FIRST NAME KIMBERLY MIDDLE ',, A
1
INITIAL
STREET 30
❑ NFW AnDRFrtP 8433 118TH AVE SE CITY NEWCASTLE ST WA ZIP 98056
6
CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TAN5PORTED 1 1 2 31
INTERLOCK YEs No NTERLOCK YES[:]NO[:]
vES N
DRIVER'S
LICENSE STATE I WA SEX F MMDDYYv 03 - 16 - 1995
7
ON DUTY� STATUS AIRBAG' 2 RESTR. g EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE BTR2909 [TAT WA VIN# JF2GPACC2E8246046
PLATE#
9 2] TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.It VIN.#.
11 0 0 VEH.YEAR2014 MAKE SUBA MODEL STYLE VN VEHICLE TOWS E T SABLI W_6'•ER Gf1VT VFHIG P FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFO OWNED BY DRIVER Q Q 33
12 � SHADE IN DAMAGED AREA
j 4 FROM TO
LIABILITY INSURANCE INSURANCE CO pEMCO CA 1805166 R"i"Olx
IN EFFECT &POLICY#
VEHICLE 10 6QTTUM 34
13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE gg�@,
STANDING �} MOTOR
l:9 7 6
14 ❑ UNIT Tr Vd I RE O CYCLE � OWNERRTY � DASMMNOHRESHOLDMET PHONE ❑ 35
El PEDESTRIAN YE
15 LAST NAME FIRST NAME INITIAL
36
MIDDLE ❑
STREET
16 NFW Aa "[ CITY ST ZIP
CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED
NTERLOCK YES No INTERLOCK YEs NO YEs NO El
17 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE ICLASS
19 ❑ 39
LICENSE VIN#
PLATE# rnr
20 ❑ TRAILER STATE TRAILER STATE ❑ 40
PLATE#< PLATE#
21 ❑ TRLR TRLR 41
VIN# YIN#i
42
22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWED 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 '
VEHICLE
EFFECT &POLICY# i 970P - 4 44
24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LEG E
E:l
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.
N.ODALOVIC 01-31-25 09:13 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 ORID# 11628 O#IL WA0171300 SUMMERS 2/8/2025 PAGE F OF 7
3000-345-013(R 11118)
REPORT NO. EF63653 CASE# 25-1014 DATE AND TIME 01/31/2517:54
OF COLLISION
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PAGE 7 OF 7