Loading...
HomeMy WebLinkAbout25-6907 TFFiNouCERA II I III 1 III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 SASE 25-6907 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4150 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS . 02 STRUCK RESERVATION z 3 DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑ cawsloN 08 - 087 - 2025 1817 17 ❑.❑ N E IN S H W H OF 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ S CARR RD BLOCK NO. e✓ 500 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 90 00 FMILES EET e S ❑ E e TALBOT RD S OF,1 29 (� � VMO OR6 Z PEDAL- ElDAMAGETHRESHOLD MET PHONE CYCLEYES NO 30 L 6❑ LAST NAME UNKNOWN FIRSTNAME MIDDLE 1 2 31 INITIAL STREET ❑ CITY Sr zIP z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NO INTERLOCK YES NO YES No 8 DRIVER'S. STATE SEX.U D.Q.B. 1 32 ❑ :LICENSE# MMDDYY -= 9 ON DUTY❑ STATUS I AIRBAG 9 RESTR 9 EJECT 1 H USEEr 9 CLAY 0 NATURE OF INJURIES z❑ 3 LICENSE sTAT� urN#' 10 9❑ PI ATF 14 TRAILER TRAILER STATE STATE 11 0 0 PLATE# PLATE# ROM ro TRLR. TRLR m 33 12❑ VIN#' VIN#' FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE R 9 34 13❑ DAMAGE YES NO YES❑ NO REGISTERED OWNER INFO UNKNOWN VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 LIABILITY INSURANCE❑ INSURANCE CO 3 4 IN EFFECT &POLICY# 9TOP VEwcLe 1 5 36 LECALLv Yes❑NO❑ CITATION# CHARGE 10 BOTTOM 15❑ STANDING 8 6 MOTOR PEDAL- PEDESTRIAN ✓ :. PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNFR ❑ YES 1/ NO D:4058193278 16 a LAST NAME IAMANDITA FIRST NAME NARCISA MIDDLE INITIAL 17❑ STREET ADOREss❑' 20906 110TH AVE SE#2322 CITY KENT ST WA ZIP 98031 37 ❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t-T�RANSPORTED � 38 INTERLOCKYES�NO� INTERLOCK YEs I I No� YES t l NO❑ 19 DRIVER'S STATE CA ]SEX IF D.Q.B. 04 15 _ 1978 0 39 LICENSE# MMDDYY 20 ON DUTY STATUS 3 AIRBAG RESTR EJECT H U EET 2 NJAURSY 5 [NATURE.1 INJURIES POSSIBLE RIGHT ARM FRACTURE ❑ 40 ❑21❑ LICENSE TATE VIN# 41 4 PLATE# 42 22 [TRAILER TILER ❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY Gov HI 44 24 1 6 DAMAGE YES NO YES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE❑ INSURANCE #E CO IN EFFECT &PO IGQVE""LE ❑ ,J� CITATION# CHARGE LEGALLY YES N`L J 25 =ORAJEWSKI (PRINT) OFFICER PHONE BADGE OR ID# 771�NCY 26 12399 0171300 PART A PAGE 01 OF C7 3000-345-159 OR 11/181 STATE OF WASHINGTO POLICE TRAFFIC N CORRECTION REPORT NO. EG 18284 COLLISION REPORT III III III III III 111 1591972 CASE# 25-6907 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME (LAST FIRST,MIDDLE INITIAL)_ ADDRESS&PHONE# SEX D.O.B. - - MMDDYYYY. PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES POS. USE CLASS NAME '(LAST,FIRS MIDDLE INITIAL) ADDRESS&PHONE# D D B SEX MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS R 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. RAYMOND GORAJEWSK/ 08-12-25 08:24 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE RAYMOND GORAJEWSKI 12399 811212025 8:25:40 AM BADGE OR ID# 12399 ORI# WA0171300 TIME POLICE DISPATCHED; 5:11 PM TIME POLICE ARRIVED 5:24 PM PART B PAGE IT]OF 4� REPORT NO. EG 18284 CASE# 25-6907 OF LNa 08/08/25 16:17 F coy�isI©�ON u NARRATIVE ASSIGNMENT/ARRIVAL On Friday, 08/08/2025, at approximately 1711 hours, I was dispatched to a hit and run collision report that occurred on the north sidewalk in the 500 block of S Carr Road in the city of Renton, King County, Washington. The reporting party said their sister was struck by an unknown vehicle nearby and was in the Valley Medical Center Emergency Room. I arrived at Valley Medical Center, 400 S 43rd Street, at approximately 1724 hours. PEDESTRIAN: IAMANDITA, NARCISA I contacted Narcisa lamandita (DOB: 04/15/1978) in the Emergency Room waiting area. I verified lamandita's identity by her California Driver License. lamandita was sitting in a wheelchair and not moving her right arm. I saw lacerations to her right elbow, and she seemed in pain, wincing every time she moved her right arm. lamandita also complained of pain to both of her legs. lamandita spoke Romanian, so I used a Language Line Romanian interpreter via phone. The following is a summary of our conversation: lamandita was walking on the north sidewalk of S Carr Road east of Talbot Road S when she was suddenly struck by a person on a motorized foot scooter. The impact knocked her to the ground and was in great pain, eventually walking to the hospital for treatment. The scooter rider briefly stopped after the collision, but got back on the scooter and rode away. lamandita described the rider as a white male in his 20's with long, dark hair, average height and thin. She didn't remember what the rider wore, but believed she could identify him if seen again. lamandita signed a Consent for Release of Medical Information. This concluded my conversation with lamandita. SURVEILLANCE FOOTAGE I downloaded surveillance footage of the incident captured by City of Renton traffic cameras. The footage showed a person riding a scooter on the sidewalk, striking lamandita, briefly stopping, then riding away on the scooter as lamandita was on the ground. I uploaded the footage to Axon's Evidence.com. DISPOSITION I will conduct follow up on this case. I 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. Gorajewski, #12399, on 08/12/2025 at 0819 hours in Renton, Washington. PAGE 3 OF 4 REPORT NO. EG 18284 CASE# 25-6907 DATE AND TIME 08/08/25 16:17 OF COLLISION t x v f� \awm.t" e l�r a �4, 5 t t �S Y{ M X l ti s PAGE 4 OF 4