HomeMy WebLinkAbout25-1234 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EF65427 170
27
COLLISION REP FIT 1591971
CASE 25-1234 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 2 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 02 - 1-- 2025 1542 17 ❑-= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
MAPLE VALLEY HWY
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �,❑ FEET e S ❑ w 131STAVESE
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2064573225 0 11
30
6� LAST NAME REYNA FIRSTNAME FRANSICO MIDDLE V 1 1 2 31
INITIAL
STREET ❑1 19793 144TH APL SE CITY RENTON ST WA Zlp' 98058 z
NEW ADDRESS
]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES NO
LRIIVER # STATE WA SEX'U MMDD
8❑ 10 — 04 — 1980 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10 9❑ Pi aT�S� WSU072R sTArI WAurN# JTJBT20X050073835
TRAILER STATE TRAILER STATE
11 4 0 PLATE# PLATE# FROM TO
TRLR. A'RLR. 1 5 33
12 4 0 VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 2 200$ LEXS GX 46O DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO FRANSICO REYNA 19793144TH APL SE RENTON WA 98058 D:2064573225 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICY# 9TOP
VEHCLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:2533159405
16 a
LAST NAME WALTERING FIRST NAME EMMA MIDDLE N
INITIAL
17❑ STREET ❑', 18524 SE 259TH PL CITY COVINGTON ST WA ZIP 980425078 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES
t t— l NO❑
19 D IVEW #
INJURY1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑
21❑ LICENSE I BEK7944 TAre WA vIN# JA4JZ4AXOHZ020084
❑ 41
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2017 MAKE MITS MODEL OUTLAN STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
24❑ DAMAGE YES NO YES NO✓
REGISTERED OWNER INFO EMMA WALTERING 18524 SE 259TH PL COVINGTON WA 980425078 D:2533159405 VEHICLE NO.2
SHADE IN DAGED AREA
2 4
LIABILITY
INSURANCE INSU&PORGY#ECO ST FARM 4154925E1847BIN 1GQ'E""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF65427
COLLISION REPORT III III III III III 111
1591972 CASE# 25-1234
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) JENKINS LALONNIE
(LAST FIRST,
ADDRESS&PHONE# D O.B.
4255728256 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 11
SEX MMD D0 V
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.MMDD -❑
YYYY.
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
wht/1 change lanes blue/2 lane 1 straight driver provide infor but not insurance
RTF
Within the city limits of Renton/King/Wa I responded to a 2 vehicle crash near the 13100 block of
Maple Valley Hwy.
I contacted the driver of unit 2 who wanted a police report even though she had made an information
exchange with unit 1 because she wasnt sure what to do. Unit 2 told me she was in lane 2 when unit
1 made a lane change into the side of her car. The both stopped and made exchanged information
and unit 1 left the scene. She told me neither of them complained of injury and damages did not
require a tow truck for unit 1 or unit 2.
Unable to contact unit 1 driver/Frank Reyna (Fransico) by phone.
Information/Insurance only
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
M.LEVERTON 02-11-25 11:40 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 2/13/2025 4:22:25 PM
BADGE OR ID# 2517 ORI#' WA0171300 TIME POLICE DISPATCHED 3:42 PM TIME POLICE ARRIVED 3:46 PM
PART I PAGE IT]OF 3�
REPORT NO. EF65427 CASE# ' 25-1234 DATE AND TIME 02/07/25 15:42
OF COLLISION
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