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Home My WebLink About25-4721 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 CASE 25-4721 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 1 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# ❑ cawsloN 05 - 1-- 2025 1748 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ BLOCK NO. e✓ --- ----� S PUGET DR MILEPOST 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 S ❑ 100 00 FMILES EET e ❑ E e GRANT AVE S 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2068839627 0 11 30 6� LAST NAME STILLWELL FIRSTNAME ANTONIO MIDDLE L 1 1 2 31 INITIAL STREET ❑ 1425 S PUGET DR APT H2 CITy RENTON ST WA ZIP' 980554319 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/ 8❑ DRIVERS # STATE WA SEXI M I ELMIDI Y' 06 - 23 - 2001 1 2 32 9 ON DUTY❑ STATUS AIRBAG 6 RESTR 4 EJECT 1 H USE CLASS 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ LICENS P1 ATE 14 CMS8515 sTAr WAv N# 5J8YE1H41 RL033216 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# ROM To TRLR. TRLR 7 3 33 12 3 5 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TR Y GOVT.VEHICLE 7 3 34 13 4 2024 ACUR MDX SD DAMAGE YES NO �MEYERS YES❑ No✓ REGISTERED OWNER INFO CELESTE HERNANDEZ 5572 VESEL CT FREELAND WA 98249 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILI INSURANCE INSURANCE CO STATE FARM 4256933FO147B 4 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 5 36 LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM 15❑ STANDING 6 MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4258305280 16 a LAST NAME WHITEFIELD FIRST NAME JEANNETTE MIDDLE M INITIAL 17 STREET❑ NEW ADOREss❑' 16720 125TH AVE SE CITY RENTON ST WA ZIP 980585557 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t-T�RANSPORTED � 38 INTERLOCKYES�NO� INTERLOCK Y�EsI I I NOF YES t l NO� 19 LICENSE# STATE WA SEX F M D.C.B. 02 _ 14 1990 39 20 ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 WEB SET 2 NJAU Sy 5 LACERATIONS INJURIESF—NATURE OF TO FACE AND UNKNOW OTHER 40 ❑21❑ PLATE# CBF5327 TArE 41 WA VIN# KNDRJDLH8N5086360 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2022 MAKE KIA MODEL SORENT STYLE SD VEHICLE TOWED TO BLIN TOWEDBY GOV 44 24 DAMAGE YES NO GENE MEYERS YES NOHI REGISTERED OWNER INFO JEANNETTE WHITEFIELD 16720125TH AVE SE RENTON WA 980585557 D:4258305280 VEHICLE NO.2 SHADE DA GEbAREA LIABILITY INSURANCE &POLICY#E CO SAFCO H2485951IN 9TOP 5 VEHICLE ❑ ,.I—I CITATION# CHARGE io BOTTOM LEGALLY YES N J 6 25 OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 KEV/N PETERSON 12808 WA0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF97253 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4721 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) HERNANDEZ CELESTE DEL C (LAST FIRST, ADDRESS&PHONE# D O.B. 5572 VESEL CT APT H2 FREELAND WA 98249 SEXi F MMDOYyry 07 - 22 - 2000 SEAT HELMET NJURY NATURE OF INJURIES PASSENGER WITNESS❑ UNIT# 1 POS 3 AIRBAG 6 RESTR. q EJECT 1 USE 2 CLASS 'S EXTREMITYFRACTURES/SENT NAME (LAST,FIRST,MIDDLE INITIAL) TIBBS ISLA W ADDRESS&PHONE# DOB 16720 125TH AVE SE RENTON WA 98058 SEX F MMDDWvv 08 _ 18 _ 2024 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 2 POS 7 AIRBAG 6 RESTR. 11 EJECT 1 USE 1 2 CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) TIBBS IVY M AooREss PHONE# 16720 125TH AVE SE RENTON WA 98058 SEX MMDDYYYY _08 05 _ 2022 . F D.O.B. NATURE OF INJURIES PASSENGER(�WITNESS UNIT# 2 SEAT 9 AIRBAG 6 RESTR, 11 EJECT 1 HELMET 2 CLASS 6 BURN ON HENE�CK FROM IJ 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. KEVIN PETERSON 05-31-25 02:45 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE RAYMOND GORAJEWSKI 12399 1 6/3/2025 7:35:08 AM BADGE OR ID# 1Y808 OR]# WA0171300 TIME POLICE DISPATCHED 5:50 PM TIME POLICE ARRIVED',5:53 PM PART I PAGE IT]OF 5� STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF97253 COLLISION REPORT III III III III III 111 1591972 CASE# 25-4721 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) WHITEFIELD BRENDA J (LAST FIRST, ADDRESS&PHONE# D O.B. 16720 125TH AVE SE RENTON WA 98058 SEX F MMDOYyry 07 - 11 - 1957 SEAT HELMET NJURY NATURE OF INJURIES PASSENGER WITNESS❑;UNIT# 2 POS. 3 AIRBAG'6 RESTR. q EJECT USE 2 CLASS '5 PELVIS,LEG AND LOWER BACK FRACTURE NAME '(LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# D 0.8 SEX MMDDYVYv PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIRST 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. KEVIN PETERSON 05-31-25 02:45 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE RAYMOND GORAJEWSKI 12399 1 6/3/2025 7:35:08 AM BADGE OR ID# 1Y808 OR]# WA0171300 TIME POLICE DISPATCHED 5:50 PM TIME POLICE ARRIVED',5:53 PM PART I PAGE 3T]OF 5� REPORT NO. EF97253 CASE# 25-4721 OF COLLISION 05/30/25 17:48 OF CbLLI510N NARRATIVE I was dispatched to a collision on 05/30/25 at 1750 hours on S Puget Dr and Grant Ave S, in city Renton, King County WA. Unit 1 CMS8515 Driver: Antonio L. Stillwell (DOB 06/23/2001) Unit 1 CBF5327 Driver: Jeannette M. Whitefield (DOB 02/14/1990) Upon arriving on scene there was 1 passenger in unit 1 who was trapped in the passenger seat of the vehicle with pain in multiple areas. I could see that the driver of Unit 1 was out and walking around but the passenger of unit 1 remained in the vehicle with complaints of pain and unable to exit. The 2 small children in Unit 2 were out of the vehicle with the driver of Unit 2 who had multiple lacerations to her face and was bleeding. The children seemed to be ok besides seatbelt burn to one of the necks. I spoke to the driver of Unit 2 who told me the following: She stated that she was traveling West on S Puget Dr in lane one she believes she was uncertain due to how fast everything happened and how hard she hit her head. She told me out of nowhere Unit 2 crossed over the center turn lane and lane 2 driving head on with Unit 2 in lane 1 on the westbound side of traffic. She told me that she tried to stop and just everything happened so fast. I spoke to Unit 1 who told me the following: He told me that he worked earlier today from 0500 hours to 1400 hours at Boeing. When he got off, he came to look at open houses due to him looking to move. He was traveling in lane 2 East up S Puget Dr when he believes he fell asleep for a moment. When he opened his eyes, he saw the car Infront of him but had no time to react. He traveled across the center turn lane into Westbound lanes crossing both east travel lanes hitting head on with Unit 2 in Lane one of Eastbound lanes. He said that he must have been tired from work and fell asleep only for a second. All personal on scene were seen by Renton Fire. The driver and passenger of Unit 2 and the passenger of Unit 1 were transported via ambulance to Harborview Medical Center. Unit 2's passenger was suspected to have multiple extremity fractures. Unit 2's driver had multiple lacerations to the face and hit her head extremely hard. The passenger of Unit 1 had suspected serious injuries unsure of injuries. Unit 1's driver showed no signs of intoxication or under the influence of any substance or alcohol. Both vehicles were impounded, and 1 followed them to the evidence garage and submitted them into Evidence On Q. Pictures were taken on scene and submitted to evidence. The driver of Unit 1 was given an information exchange on scene and Unit 2's husband was given an information exchange on scene. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed: Officer Kevin L. Peterson Date and Place: 05/31/2025, 0001 hours at Renton, WA PAGE 4 OF 5 REPORT NO. EF97253 CASE# ' 25-4721 DATE AND TIME 05/30/25 17:48 OF COLLISION { 4 Y+ l � 1 t ipp 1� 1 \Z wr, �r 3`a r S 4 4 1l5q�� A`> � 3 1 F } PAGE 5 OF 5