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HomeMy WebLinkAbout24-3410 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF84741OLCERA COLLISION REPORT 1591971 CASE# 24-3410 2 INTERSTATE CITY STREET❑ FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL CODING 4200 3 COUNTY RD PRIVATE WAY ❑✓ INVOLVED TOTAL 2� TOTAL#OF OBJECT 1 1 s 28 TRIBAL UNITS 02 STRUCK RESERVATION : 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eDCL s on' 04 - 15 - 2025 1522 17 =.= S 8 W e OF IN e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ 116TH AVE SE BLOCK NO. e 16022 .� 4a❑ MILE POST DISTANCE OF(REFERENCE OR CROSS STREET) 6 8 C------�.� FEET e S 8 W 0 1 29 MOTOR PEDAL- DAM AG TSHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YES NoHRE�/ D:2064761926 0 9 30 6 LAST NAME ENEBRAD FIRST NAME SAL/NA MIDDLE A 1 1 2 31 INITIAL STREET ❑ 5133 S 212TH ST CITY; KENT ST I WA ZIP; 980321380 2 NEW ADDRESS 7 COE IGNITION REQUIRED IGNITION PRESENT MEflIGAL TRANSPORTED 3 INTERLOCKYES No INTERLOCKYEs NO YEs No 8❑ DRIVER # STATE WA SEXI F MMDDYY' 04 — 11 — 1990 1 2 32 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET INJUR CLASSY 14 NATURE of INJURIES 2 10 LI ENSE' D4302C STATE WA VIN# 1BABNBSA8PF389256 3 TRAILER STATE TRAILER STATE ROM To 11 0 5 PLATE# PLATE# TRLR rRLR 5 1 33 12 0 Q VIN#' VIN# FROM TO VEH.YEAR 2023 MAKE BLOB MODEL T3 RE STYLE VEHICLE TOWED TO BLIN TOWED By GES VEHICLE 9 9 34 13 DAMAGE YES YES) NO REGISTERED OWNER INFO RENTON SCHOOL DISTRICT300 SW 7TH ST RENTON WA 98057 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 A LIABILITY INSURANCE INSURANCE CO 3 4 14 SCHOOLS INSURANCE ASSOCIATION OF WA IN EFFECT &POLICY# 4TOP CHARGE 5 36 Lemur yes❑NO❑ CITATION# 7 0 80TTOM 15❑ STMDING s 7 e UN# MOTOR PEDAL- ❑ PEDESTRIAN PROPERTY DAM THR OLD MET PHONE 1 T 02 VEHT,O,E CYCLE nWNFR 16� LAST NAME PARPART FIRST NAME GREGORY MIDDLE P INITIAL 17 F1 STREET ❑❑ 37 7203 S SUNNYCREST RD CITY' SEATTLE ST, WA ZIP 981782655 NEW ADDRESS 1$� IGNITION REUIREfl IGNITION PRESENT MEDICALTRANSPORTED 38 CDL INTERLOCKYES NO INTERLOCK YES No YES NO 19 DRIVER'S' STATE WA SEX,M I D.ox. 1 05 02 1955 39 LICENSE# MMODYY HELMET INJURY: NATURE OF INJURIES 4Q 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑ 21[ LICENSLATE E B6973C raTE WA vIN# 1BABNBSA5JF339146 41 22❑ [TILER TRAILER PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR 201$ MAKE BLB MODEL SCHOOL STYLE BIJ VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO VES NO REGISTERED OWNER INFO RENTON SCHOOL DISTRICT 300 SW 7TH ST RENTON WA 98057 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE INSURANCE CO SIAW 242534033 IN EFFECT &POLICY# t STOP vemae E VEHICLE YES N CL] CITATION# CHARGE to BOTTOM V 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 C.ARNOLD 12509 WA0171300 PAGE 01 OF PART A 21 3000-345-189(R 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF84741 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3410 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME ABRIL MURPHY (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE RENTON SEX i U MpDDYBVYY —�—� PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES z � 1 POS. 10 2 9 1 USE CLASS i 1 ----� :NAME (LAST EIRS7 MIDDLE INITIAL) { SEARS .LAMES ADDRESS&PHONE# RENTON SEx' U D•O.B. _ _C-------� MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# : 1 PEAT 10 AIRBAG 2 RESTR. 9 EJECT 1 USE CLASS 1 ----� NAME MIDDLE INITIAL) CL/FFORD DEMYA (LAST,FIRST, ADDRESS&PHONE# RENTON SEX UD.O.B. -� MMDDYYYY PASSENGER WITNESS UNIT# 1 SEAT 10 AIRBAG 2 RESTR. 9 EJECT 1 HELMET 9NJURY 1 NATURE OF INJURIES a 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.ARNOLD 04-15-25 04:29 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE M.LEVERTON 2517 4/22/2025 2:37:19 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:23 PM TIME POLICE ARRIVED i 3:30 PM PART B 3oDo-345-attar gt 1Mfft. PAGE 2�OF F21 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF84741 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3410 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) HARRIS SKY ADDRESS&PHONE RENTON SEX i U MpDDVBVYY -�-� PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES z � 1 POS. : 10 2 9 1 USE CLASS ;1 ----� :NAME Lnsr EIRST,MIDDLE INITIAL) VELA KENLEAH ADDRESS&PHONE# RENTON SEX' U D G e• MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS1:11 UNIT# : 1 POS. 10 AIRBAG 2 RESTR. 9 EJECT 1 USE CIASS 1 ----� NAME MIDDLE INITIAL) AYLA ALEJANDRO (LAST,FIRST, ADDRESS&PHONE# RENTON SEX. U M MD _ D.O.B. DYYYY PASSENGER WITNESS UNIT# 1 SEAT 10 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 NATURE OF INJURIES a POS. USE GLASS 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.ARNOLD 04-15-25 04:29 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE M.LEVERTON 2517 4/22/2025 2:37:19 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:23 PM TIME POLICE ARRIVED i 3:30 PM PAST B 3 Do-3mx-attar(t 1Mff) PAGE 0 OF F21 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF84741 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3410 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) BARRY FATIMA ADDRESS&PHONE RENTON SEX i U MpDDYBVYY —�—� PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 1 POS. : 10 2 9 1 USE CLASS ;1 ----� :NAME Lnsr EIRST,MIDDLE INITIAL) BARRY►SHA ADDRESS&PHONE# RENTON SEx' U D.O.B. _ _C-------� MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# : 1 POS. 10 AIRBAG 2 RESTR. 9 EJECT 1 USE CIA SS 1 ----� NAME MIDDLE INITIAL) SEARS CAND►CE (LAST,FIRST, ADDRESS&PHONE# RENTON SEX UMMD.O.B. DDYYYY PASSENGER WITNESS UNIT# 1 SEAT 10 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 NATURE OF INJURIES a POS. USE GLASS 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.ARNOLD 04-15-25 04:29 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE M.LEVERTON 2517 4/22/2025 2:37:19 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:23 PM TIME POLICE ARRIVED i 3:30 PM PART B 3 aDo-3mx-attar gt 1Mfft PAGE F4 --]OF F21 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF84741 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3410 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) CLIFFORD ASHTON ADDRESS&PHONE RENTON SEX i U MMDDDYBYYY - - PASSENGER WITNESS UNIT SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES z � 1 POS. : 10 2 9 1 USE CLASS i 1 ----� :NAME Lnsr EIRST,MIDDLE INITIAL) i ABRIL KIMORA ADDRESS&PHONE# RENTON SEX' U D.O.B. _ _C-------� MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# : 1 POS. , 10 AIRBAG 2 RESTR. 9 EJECT 1 USE CLASS 1 ----� NAME WILLIAMS AMAYA (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# RENTON SEX. U _ D.O.B. MMDDYYYY PASSENGER WITNESS UNIT# 1 SEAT 10 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 NATURE OF INJURIES a 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.ARNOLD 04-15-25 04:29 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE M.LEVERTON 2517 4/22/2025 2:37:19 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:23 PM TIME POLICE ARRIVED i 3:30 PM PAST B 3 Do-3mx-attar(t 1Mff) PAGE 0 OF F21 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF84741 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3410 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) PETERSON REIGN ADDRESS&PHONE RENTON SEX i U MpDDYBVYY —�—� PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES z � 1 POS. 10 2 9 1 USE CLASS 1 ----� :NAME (LAST EIRST,MIDDLE INITIAL) { KIRA KIRA ADDRESS&PHONE# RENTON SEX' U D.O.B. _ _C-------� MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# : 2 POS. 10 AIRBAG 2 RESTR. 9 EJECT 1 USE CLASS 1 ----� NAME MIDDLE INITIAL) NICOLAUS NICOLAUS (LAST,FIRST, ADDRESS&PHONE# RENTON SEX UD.OB. -� MMDDYYYY PASSENGER WITNESS UNIT# 2 SEAT 10 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 NATURE OF INJURIES a 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.ARNOLD 04-15-25 04:29 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE M.LEVERTON 2517 4/22/2025 2:37:19 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:23 PM TIME POLICE ARRIVED i 3:30 PM PART B 3 aDo-3mx-attar(t 1Mff) PAGE 0 OF F21 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF84741 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3410 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) BAILEE BAILEE ADDRESS&PHONE RENTON SEX i U MpDDVBVYY —�—� PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 2 POS. 10 2 9 1 USE CLASS 1 ----� :NAME Lnsr EIRST,MIDDLE INITIAL) K ARIA ADDRESS&PHONE# RENTON SEX' U D O e• MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# : 2 PEAT 10 AIRBAG 2 RESTR. 9 EJECT 1 USE CIA SS 1 ----� NAME(LAST,FIRST,MIDDLE INITIAL) —FUNK ANVI ADDRESS&PHONE# RENTON SEX UD.O.B. -� MMDDYYYY PASSENGER WITNESS UNIT# 1 2 1 SEAT 10 AIRBAG 2 RESTR. 9 EJECT 1 HELMET 9NJURY 1 NATURE OF INJURIES a 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.ARNOLD 04-15-25 04:29 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE M.LEVERTON 2517 4/22/2025 2:37:19 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:23 PM TIME POLICE ARRIVED i 3:30 PM PART B 3 aDo-3mx-attar(t 1Mff) PAGE 7=OF F21 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF84741 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3410 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) UNK COHON ADDRESS&PHONE RENTON SEX i U MpDDYBVYY -�-� PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES z � 2 Pos. 110 2 9 1 USE CLASS 1 ----� :NAME (LAST EIRST,MIDDLE INITIAL) { UNK DJ ADDRESS&PHONE# RENTON SEX' U D•O.B. _ _C-------� MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# : 2 P1:11OS. 10 AIRBAG 2 RESTR. 9 EJECT 1 USE CJU:R 1 ----� NAME MIDDLE INITIAL) UNK DESTINY (LAST,FIRST, ADDRESS&PHONE# RENTON SEX U MMDDYYYY PASSENGER WITNESS UNIT# 2 SEAT 10 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY]Pos 1 NATURE OF INJURIES a � SEA : USE GLASS _ ----� 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.ARNOLD 04-15-25 04:29 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE M.LEVERTON 2517 4/22/2025 2:37:19 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:23 PM TIME POLICE ARRIVED i 3:30 PM PART B 3 Do-3mx-attar(t 1Mff) PAGE 0 OF F21 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF84741 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3410 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) UNK MCKELSIE ADDRESS&PHONE RENTON SEX i U MMDDDYBYYY - - PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 2 POS. 10 2 9 1 USE CLASS i 1 ----� :NAME (LAST EIRST,MIDDLE INITIAL) { UNK MILES ADDRESS&PHONE# RENTON SEX' U D.O.B. _ _C-------� MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# : 2 POS. 10 AIRBAG 2 RESTR. 9 EJECT 1 USE CLASS 1 ----� NAME MIDDLE INITIAL) -FUNK RIELLE (LAST,FIRST, ADDRESS&PHONE# RENTON SEX. U MMDDYY _ D.O.B.YY PASSENGER WITNESS UNIT# 2 SEAT 10 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 NATURE OF INJURIES a 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.ARNOLD 04-15-25 04:29 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE M.LEVERTON 2517 4/22/2025 2:37:19 PM BADGE OR ID# 12509 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:23 PM TIME POLICE ARRIVED i 3:30 PM "ART B 3 Do-3mx-attar(t 1Mff) PAGE 0 OF F21 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF84741 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3410 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) UNK JEFFERSON ADDRESS&PHONE RENTON SEX i U MpDDYBVYY —�—� PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 2 POS. 10 2 9 1 USE CLASS ;1 ----� :NAME Lnsr EIRST,MIDDLE INITIAL) K VALENTINA ADDRESS&PHONE# RENTON SEx' U D.O.B. _ _C-------� MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# : 2 POS. 10 AIRBAG 2 RESTR. 9 EJECT 1 USE CLASS 1 ----� NAME(LAST,FIRST,MIDDLE INITIAL) —FUNK MARIA ADDRESS&PHONE# RENTON SEX UMMD.O.B. DDYYYY PASSENGER WITNESS UNIT# 2 SEAT 10 AIRBAG 2 RESTR. 9 EJECT 1 HELMET 9NJURY 1 NATURECFINJURIES a 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.ARNOLD 04-15-25 04:29 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE M.LEVERTON 2517 4/22/2025 2:37:19 PM BADGE OR ID# 125509 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:23 PM TIME POLICE ARRIVED i 3:30 PM PART B3aDo-3mx—,ao(t1Mff) PAGE 10 OF F21 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF84741 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3410 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) UNK MARIAH ADDRESS&PHONE RENTON SEX i U MMDDDYBYYY - - PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 2 POS. 10 2 9 1 USE CLASS i 1 ----� :NAME (LAST EIRST,MIDDLE INITIAL) { UNK MATEO ADDRESS&PHONE# RENTON SEX' U D.O.B. _ _C-------� MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# : 2 P1:11OB. 10 AIRBAG 2 RESTR. 9 EJECT 1 USE CJU:R 1 ----� NAME(LAST,FIRST,MIDDLE INITIAL) —FUNK DIEGO ADDRESS&PHONE# RENTON SEX UD.OB. -� MMDDYYYY PASSENGER WITNESS UNIT# 1 2 1 SEAT 10 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 NATURE OF INJURIES a 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.ARNOLD 04-15-25 04:29 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE M.LEVERTON 2517 4/22/2025 2:37:19 PM BADGE OR ID# 125509 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:23 PM TIME POLICE ARRIVED i 3:30 PM PART B3aDo-3mx—,ao(t1Mff) PAGE 11 OF F21 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF84741 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3410 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) UNK VISH ADDRESS&PHONE RENTON SEX i U MpDDYBVYY —�—� PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 2 POS. 10 2 9 1 USE CLASS ;1 ----� :NAME (LAST EIRS7 MIDDLE INITIAL) { UNK DEXTER ADDRESS&PHONE# RENTON SEx' U D.O.B. _ _C-------� MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS1:11 UNIT# : 2 POS. 10 AIRBAG 2 RESTR. 9 EJECT 1 USE CIASS 1 ----� NAME(LAST,FIRST,MIDDLE INITIAL) —FUNK AXEL ADDRESS&PHONE# RENTON U _ SEX D.O.B. MMDDYYYY PASSENGER WITNESS UNIT# 2 SEAT 10 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 NATURE OF INJURIES a 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.ARNOLD 04-15-25 04:29 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE M.LEVERTON 2517 4/22/2025 2:37:19 PM BADGE OR ID# 125509 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:23 PM TIME POLICE ARRIVED i 3:30 PM PART B3aDo-3mx—,ao(t1Mff) PAGE 12 OF F21 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF84741 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3410 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) UNK ANGELIQ ADDRESS&PHONE RENTON SEX i U MMDDDYBYYY - - PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 2 POS. 10 2 9 1 USE CLASS ;1 ----� :NAME (LAST EIRS7 MIDDLE INITIAL) { UNK ISSAC ADDRESS&PHONE# RENTON SEX' U D O e• MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# : 2 POS. 10 AIRBAG 2 RESTR. 9 EJECT 1 USE CLASS 1 ----� NAME MIDDLE INITIAL) —FUNK MIRIAM (LAST,FIRST, ADDRESS&PHONE# RENTON SEX U I D. _ O.B. -C----� C----------� MMDDYYYY PASSENGER WITNESS UNIT# 2 SEAT 10 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 NATURE CFINJURIES a 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.ARNOLD 04-15-25 04:29 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE M.LEVERTON 2517 4/22/2025 2:37:19 PM BADGE OR ID# 125509 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:23 PM TIME POLICE ARRIVED i 3:30 PM PART B 3 Do-3mx-,ao(t 1Mff) PAGE 13 OF F21 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF84741 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3410 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) UNK OWEN ADDRESS&PHONE RENTON SEX i U MpDDYBVYY -�-� PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES z � 2 POS. 10 2 9 1 USE CLASS 1 ----� :NAME (LAST EIRS7 MIDDLE INITIAL) { UNK CARTER ADDRESS&PHONE# RENTON SEx' U D•O.B. _ _C-------� MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# : 2 P1:11OS. 10 AIRBAG 2 RESTR. 9 EJECT 1 USE CJU:R 1 ----� NAME MIDDLE INITIAL) -FUNK MIKITA (LAST,FIRST, ADDRESS&PHONE# RENTON SEX UD.OB• -C====�-C=====_____� MMDDYYYY PASSENGER WITNESS UNIT# 2 SEAT 10 AIRBAG 2 RESTR. 9 EJECT 1 HELMET NLASS 1 NATURE OF INJURIES a � SEAPos USE GLJURY ASS : _ ----� 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.ARNOLD 04-15-25 04:29 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE M.LEVERTON 2517 4/22/2025 2:37:19 PM BADGE OR ID# 125509 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:23 PM TIME POLICE ARRIVED i 3:30 PM PART B 3 Do-3mx-,ao(t 1Mff), PAGE D4l OF F21 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF84741 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3410 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) UNK REGINA ADDRESS&PHONE RENTON SEXi U MMDDDYBYYY - - PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 2 PAS. II 10 2 9 1 USE CLASS 1 ----� :NAME Lnsr EIRST,MIDDLE INITIAL) UNK CRISTOPHER ADDRESS&PHONE# RENTON SEx' U D.O.B. _ _C-------� MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# : 2 POS. 10 AIRBAG 2 RESTR. 9 EJECT 1 USE CLASS 1 ----� NAME(LAST,FIRST,MIDDLE INITIAL) UNK KYLIE ADDRESS&PHONE# RENTON SEX U MMDDYY _ D.O.B.YY PASSENGER WITNESS UNIT# 2 SEAT 10 AIRBAG 2 RESTR. 9 EJECT 1 HELMET INJURY 1 NATURE OF INJURIES a 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.ARNOLD 04-15-25 04:29 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE M.LEVERTON 2517 4/22/2025 2:37:19 PM BADGE OR ID# 125509 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:23 PM TIME POLICE ARRIVED i 3:30 PM PART B3aDo-3mx—,ao(t1Mff) PAGE 15 OF F21 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF84741 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3410 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) UNK MARK ADDRESS&PHONE RENTON SEX i U MpDDVBVYY —�—� PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 2 POS. 10 2 9 1 USE CLASS 1 ----� :NAME (LAST EIRST,MIDDLE INITIAL) { UNK FATIMA ADDRESS&PHONE# RENTON SEX' U D O e• MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS1:11 UNIT# : 2 POB. 10 AIRBAG 2 RESTR. 9 EJECT 1 USE CIASS 1 ----� NAME MIDDLE INITIAL) —FUNK LAMARCUS (LAST,FIRST, ADDRESS&PHONE# RENTON SEX UMMD.O.B. DDYYYY PASSENGER WITNESS UNIT# 2 SEAT 10 AIRBAG 2 RESTR. 9 EJECT 1 HELMET 9NJURY 1 NATURECFINJURIES a 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.ARNOLD 04-15-25 04:29 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE M.LEVERTON 2517 4/22/2025 2:37:19 PM BADGE OR ID# 125509 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:23 PM TIME POLICE ARRIVED i 3:30 PM PART B3aDo-3mx-,ao(t1Mff) PAGE 16 OF F21 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF84741 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3410 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) UNK GEORGE ADDRESS&PHONE RENTON SEX i U MpDDVBVYY -�-� PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 2 POS. 10 2 9 1 USE CLASS 1 ----� :NAME Lnsr EIRST,MIDDLE INITIAL) K DAN ADDRESS&PHONE# RENTON SEX' U D O e• MMDDYYYY SEAT HELMET INJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# : 2 PEAT 10 AIRBAG 2 RESTR. 9 EJECT 1 USE CIASS 1 ----� NAME MIDDLE INITIAL) —FUNK MATIAS (LAST,FIRST, ADDRESS&PHONE# RENTON SEX UD.OB. -� MMDDYYYY PASSENGER WITNESS UNIT# 1 2 1 SEAT 10 AIRBAG 2 RESTS. 9 EJECT 1 HELM 1ET INJURY NATURE OF INJURIES a 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.ARNOLD 04-15-25 04:29 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE M.LEVERTON 2517 4/22/2025 2:37:19 PM BADGE OR ID# 125509 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:23 PM TIME POLICE ARRIVED i 3:30 PM PART B3aDo-3mx-,ao(t1Mff) PAGE 17 OF F21 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF84741 COLLISION REPORT III III III III III 111 1591972 CASE# 24-3410 E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) M (LAST,FIRST,MIDDLE INITIAL) UNK ABISH ADDRESS&PHONE RENTON SEX i U MpDDYBVYY -�-� PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES 2 POS. 110 2 9 1 USE CLASS i 1 ----� :NAME Lnsr EIRST,MIDDLE INITIAL) K MCKENZIE ADDRESS&PHONE# RENTON SEX' U D OYe MMDDYYYY 1:11SEAT HELMET NJURY NATURE OF INJURIES PASSENGER a WITNESS UNIT# : 2 POS• 10 AIRBAG 2 RESTR. 9 EJECT 1 USE CJU:R 1 ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX I D.O.B. - MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. I 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.ARNOLD 04-15-25 04:29 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE M.LEVERTON 2517 4/22/2025 2:37:19 PM BADGE OR ID# 125509 ORI# WA0171300 TIME POLICE DISPATCHED 1 3:23 PM TIME POLICE ARRIVED i 3:30 PM PART B 3 Do-3mx-,ao(t 1Mff) PAGE 18 OF F21 REPORT NO. EF84741 CASE# 24-3410 O OFF COLL1 COLLI r�510NN + 04/15/25 15:22 NARRATIVE CC 25-3410 On 4/15/2025 at 1523 hours I was dispatched to a motor vehicle collision at Cascade Elementary School located at 16022 116th Ave SE in the City of Renton, King County, Washington. Pre-Collision Driver 2 stated that he was stopped with children loaded on Unit 2 and waiting. Driver 1 stated that she was pulling forward in the parking lot of Cascade Elementary School in the pickup lane with children on board. Collision Driver 2 stated that the front bumper of Unit 1 collided with the rear bumper of Unit 2, causing no significant damage. Driver 1 stated that the front bumper of Unit 1 collided with the rear bumper of Unit 2 causing no significant damage. Injuries Neither parties nor passengers complained of injuries. Renton Fire Authority was called to the scene regardless with a dual response to confirm. Vehicle Disposition Both vehicles were operable and driven from the scene. Proximate Cause This report is for informational purposes only. It should be noted that Driver 2 refused to allow us to obtain passenger information for the children on board, thus they are only referred to by their first names. I certify (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. Arnold #12509 at 16:14 on 4/15/2025 in the City of Renton, King County, Washington. **** AUTO-POPULATED SECTION **** THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER": Motor Vehicle Unit 1 Seat Position (Passenger MURPHY ABRIL): ON BUS Seat Position (Passenger JAMES SEARS): ON BUS Seat Position (Passenger DEMYA CLIFFORD): ON BUS Seat Position (Passenger SKY HARRIS): ON BUS Seat Position (Passenger KENLEAH VEGA): ON BUS Seat Position (Passenger ALEJANDRO AYLA): ON BUS Seat Position (Passenger FATIMA BARRY): ON BUS Seat Position (Passenger ISHA BARRY): ON BUS Seat Position (Passenger CANDICE SEARS): ON BUS Seat Position (Passenger ASHTON CLIFFORD): ON BUS Seat Position (Passenger KIMORA ABRIL): ON BUS Seat Position (Passenger AMAYA WILLIAMS): ON BUS Seat Position (Passenger REIGN PETERSON): ON BUS Motor Vehicle Unit 2 Seat Position (Passenger KIRA KIRA): ON BUS Seat Position (Passenger NICOLAUS NICOLAUS): ON BUS Seat Position (Passenger BAILEE BAILEE): ON BUS Seat Position (Passenger ARIA UNK): ON BUS Seat Position (Passenger ANVI UNK): ON BUS Seat Position (Passenger COHON UNK): ON BUS PAGE 19 OF 21 REPORT NO. EF84741 CASE# 24-3410 OF DATE AND r�N + 04/15/25 15:22 OF COLLISION NARRATIVE Seat Position (Passenger DJ UNK): ON BUS Seat Position (Passenger DESTINY UNK): ON BUS Seat Position (Passenger MCKELSIE UNK): ON BUS Seat Position (Passenger MILES UNK): ON BUS Seat Position (Passenger RIELLE UNK): ON BUS Seat Position (Passenger JEFFERSON UNK): ON BUS Seat Position (Passenger VALENTINA UNK): ON BUS Seat Position (Passenger MARIA UNK): ON BUS Seat Position (Passenger MARIAH UNK): ON BUS Seat Position (Passenger MATEO UNK): ON BUS Seat Position (Passenger DIEGO UNK): ON BUS Seat Position (Passenger VISH UNK): ON BUS Seat Position (Passenger DEXTER UNK): ON BUS Seat Position (Passenger AXEL UNK): ON BUS Seat Position (Passenger ANGELIQ UNK): ON BUS Seat Position (Passenger ISSAC UNK): ON BUS Seat Position (Passenger MIRIAM UNK): ON BUS Seat Position (Passenger OWEN UNK): ON BUS Seat Position (Passenger CARTER UNK): ON BUS Seat Position (Passenger MIKITA UNK): ON BUS Seat Position (Passenger REGINA UNK): ON BUS Seat Position (Passenger CRISTOPHER UNK): ON BUS Seat Position (Passenger KYLIE UNK): ON BUS Seat Position (Passenger MARK UNK): ON BUS Seat Position (Passenger FATIMA UNK): ON BUS Seat Position (Passenger LAMARCUS UNK): ON BUS Seat Position (Passenger GEORGE UNK): ON BUS Seat Position (Passenger DAN UNK): ON BUS Seat Position (Passenger MATIAS UNK): ON BUS Seat Position (Passenger ABISH UNK): ON BUS Seat Position (Passenger MCKENZIE UNK): ON BUS **** END OF AUTO-POPULATED SECTION **** PAGE 20 OF 21 REPORT NO. EF84741 CASE# 24-3410 DATE AND TIME 04/15/2515:22 OF COLLISION> ' d.{ t st i t ��n t� �n Fl nn Y\ t lA {1 t tX� Y 4 !4y{ R@IL ti PAGE 21 OF 21