HomeMy WebLinkAbout25-3700 j ITFC II IIIII III IIIII II IIII IIIII I . 27I
OOLCERAF EF85921
COLLISION REPRT 1591971
CASE# 25-3700 2
INTERSTATE CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCCO A`GENC'Y 4200 3
COUNTY RD INVOLVED CODING
2 PRIVATE WAY
❑ TRIBAL TOTAL 1
UNITS#OF 02 SO BJECT TRUCK 5 4 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
coLLISION' 04 - 25 - 2025 1814 17 =.= S 8 W E IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑
DUVLL AVE NE BLOCK NO. e 600 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 �. FEET S 8 W e NE 6TH ST
0 1 29
MOTOR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE' ❑ YES Vl NO D:2069103987 0 1 30
5 LAST NAME DUPREE FIRST NAME DEANNA MIDDLE J 1 1 2 31
INITIAL
STREET ❑ 201 UNION AVE SE UNIT 61 CITY RENTON ST WA ZIP 98059 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NOR] INTERLOCKYEs NO�/ YES NoF,/
8 DRIVECEN STATE WA SEX 15 F M MDCSYY' 03 — — 1941 1 2 32
9 ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 N USEET 2 CLASS 1 NAruRE of INJURIES 2
10 LI ENSE', BFS4303 STATE WA VN# NMTKHMBX4JR001992 3
11[—j— TRAILER STATE TRAILER ..STATE ROM TO
11 3 5 PLATE# PLATE#
TRLR TRLR 7 3 33
12 3 5 VIN# vI.
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T v GOVT VEHICLE 5 1 34
13 4 201$ TOYT HR P4 DAMAGE YES 2 No �MEYERS YEs❑ No
REGISTERED OWNER INFO DEANNA DUPREE 201 UNION AVE SE UNIT 6I RENTON WA 98059 D:2069103987 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
4 LIABILITY INSURANCE INSURANCE CO
14 ❑ STATEFARM
IN EFFECT &POLICY# 9TOP
vEHicLE CHARGE S 36
Lemur yes❑NO❑ CITATION# 7 o BOTTOM
15❑ STM ING s 7 e
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT 02 Q ❑ PEDESTRIAN ❑ D:2533495642
VEHICLE CYCLE (7WNFR YES NO
16�
LAST NAME MOTDEL FIRST NAME MOHAMMAD MIDDLE M
INITIAL
STREET ❑
17 ' 1❑ 2748 SE 167TH PL CITY RENTON ST, WA ZIP 98058 4 37
NEW ADDRESS
18 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED: 38
INTERLOCKYEs No INTERLOCK YEs NoF,/ vEs NO
19 DRIVER' # STATE WA SEx M MMO.IL 10 23 2007 39
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 1HELM USE ET 2 INJURY
1 NATURE OF INJURIES 40
21 LICENSLATE E CKF5189 TATE WA VIN# 2T1BURHE5GC560176 41
22❑ PLTL ATE# STATE TILER PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2016 MAKE TOYT MODEL COROLL STYLE P4 VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
24 DAMAGE YE
s�/ NO GENE MEYERS YEs No
REGISTERED OWNER INFO MOHAMMAD MOTDEL 12748 SE 167TH PL RENTON INA 98058 D:2533495642 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE INSURANCECO AMERICAN FAMILY INSURANCE 41077982277
IN EFFECT &POLICY# 9TOP
Ve — ❑ ,.I—I CITATION# CHARGE OUR,
ALLr YES N J
25 e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
RAYMOND WATSON 13127 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EF85921
COLLISION REPORT III III III III III 111
1591972 CASE# 25-3700
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME AHMADI HABIB
(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D(�
3000 SE ROYAL HILLS DRIVE APT 39F RENTON WA 98058 SEX' M MMooYYYv 04 — 05 — 2008
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
Ej 2 P0S. 3 6 4 1 USE 2 GLASS '1
'NAME
LAsr F RST,MIDDLE INITIAL) PHILLIPS MARK
ADDRESS&PHONE#
2063877419 SEX' M D•O.B. 04 _ 17 _ 1968
MMDDYYYY
PASSENGER WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ � POS. : USE CLASS ----�
NAME MIDDLE INITIAL) PHILLIPS DIONNA
',(LAST,FIRST,
ADDRESS&PHONE# 2063877468 SEX IF D.O.B. 03 _ 20 _ 1975
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q 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.
RAYMOND WATSON 04-25-25 09:44 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
P.SUMMERS 8887 4/26/2025 1:19:48 AM
BADGE OR ID# 13127 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 6:15 PM TIME POLICE ARRIVED 6:18 Pm
PART B 3oDo-345-,ao(Rtrras) PAGE 27 OF 47
REPORT NO.` EF85921 CASE# 25-3700 O COLLI COLLISION TIME
OF 04/25/25 18:14
COLLI
NARRATIVE
25-3700
This report is a summary of events that occurred and is not an exact sequencing of events.
Statements have been paraphrased and summarized
On 04/25/2025 at approximately 1815 hours, myself, Officer R. Watson, was dispatched to a blocking
accident without injuries, at the intersection of Duvall AVE NE and NE 6th NE ST, within the City
Limits of Renton, County of King, State of Washington.
Dispatch advised that two vehicles were involved in a collision, blocking northbound lanes, and there
were no reported injuries.
I arrived on scene and observed Unit#1, a 2018 Blue Toyota HR, WA plate# BFS4303, driven by
Deanna J. Dupree (DOB 03/15/1941), later identified by WADOL photo, facing northbound across
both lanes of NE 6th ST. Unit#2, a 2016 Red Toyota Corolla, WA Plate# CKF5189, driven by
Mohammad M. Motadel (DOB 10/23/2007), later identified by WADOL photo, was positioned in lane
1, facing northbound on Duvall AVE NE. Both vehicles had airbags deployed but stated they had no
injuries. Aid was dispatched and spoke with all parties involved due to the airbag deployments.
The driver of Unit#1 stated that she was unsure of what had happened leading up to the collision.
The driver of Unit#1 was unable to find current proof of insurance or her registration. She stated that
her insurance carrier was State farm and current. Unit#2 had its airbags deployed and significant
right-side damage.
The driver of Unit#2 stated that he was traveling northbound on Duvall AVE NE when Unit#1 pulled
in front of him, moving west to east. The driver of Unit#2 was determined to have a permit only, so
asked his passenger for his driver's license. The passenger in the vehicle was Habib Ahmadi (DOB
04/05/2008), identified by WADOL photo. Habib was not of age to be supervising the driver of Unit
#2. The driver of Unit#2 provided me with his vehicle documentation without incident. Unit#2 had its
air bags deployed and had significant front-end damage.
There were two unassociated witnesses who both stated that the driver of Unit#1 had traveled from
the west side of NE 6th ST, crossed over Duvall AVE NE, eastbound towards NE 6th ST, and
appeared to not have cleared the intersection before crossing over.
Both vehicles were towed from the incident by Gene Meyers Towing and an exchange of information
was given to both parties. Pictures were taken on scene and uploaded to evidence.com.
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 R. Watson #13127 04/25/2025 2122 hours, Renton, King County,
WA.
PAGE 3 OF 4
REPORT NO. EF85921 CASE# 25-3700 DATE AND TIME i 04/25/25 18:14
OF COLLISION
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PAGE 4 OF 4