HomeMy WebLinkAbout2025-00006994 RENTON POLICE DEPARTMENT Case Number
TRAFFIC INCIDENT REPORT 2025-0 Citation tion0006# 4
details
Reported Date/Time Occurred DatelTime Location
08/12/2025 06:13 08/12/2025 06:10 116TH AVE SE /
Offense Code Tvae of Incident Attended: Yes Video(s)Taken: YES
4200 Non Injury M Veh Collision Non-Reportable Info Exchanged OnLy: No Photo(s)Taken`. NO
Insurance OnLy: No Invo[ves Pedestrian: NO
Road/WeatherConditions Private Property No
CLEAR / DRY / DAWN Unknown VehicleInfo: No
Subject Unit #1 Driver
No Disclosure Subject Tvae Name(Last,first.middle)
Request? N Victim KHATIALA, MEDIATRIX, B
WA e 1 p g/2027 � 11731 SE 191 ST ST
RENTON, WA 98058-
Primary Phone&Type AdditionaL Contact Number&Type Additional Contact Number&Tvae
(425)547-821 5 - Cell - Personal
Race Sex DOB Height Weight Eyes Hair
B F 10/08/1966 5' 06 180 Brown Brown
Subject Unit#1
No Disclosure Subject Type Name(Last,first,middle)
Request? N Registered Owner MARY OF KAKAMEGA, SISTERS OF
DLState DL�Exp Address
1 1 731 SE 191 ST ST
RENTON, WA 98058-
Primary Phone&Tv°e&Tvae Additional Contact Number&Tvae Additional Contact Number&Tvae
(999)999-9999 - Unknown
Race Sex DOB Hei ht Wei ht Eves Hair
Vehicle
Report of Plate State Expires Related to Subject
Sale CGJ5345 WA 04/17/2026 KHATIALA, MEDIATRIX B
Year Make lModeL Front Door(s) Rear
2015 Nissan Sentra °' Passenger:
Style Color E
Sedan (doors not spe ifT�pO White Front Rear
ti°�om: White
iE
Insurance Company and Policy# a) Driver:
COUNTRY FINANCIAL El El El
P46A4060091 Front Door(s) Rear
Vehicle
Report of Plate state Expires Related to Subject
Sale
Year Make/Model Front Door(s) Rear
Passenger: 1:1 El
Style Color E
m
Top: FrontEl
Rear
Bottom: °'
U
Insurance Company and Policy# >1 Driver:
El EJ El
Front Door(s) Rear
Collision 2025-00006994 Paqe 1 OF 3
Case Number
2025-00006994
Subject Unit#2
No Disclosure Subject Type Name(last.first.middle)
Request? N. Victim CITY OF RENTON
DLState DL Exp Address 1 055 S GRADY WAY
RENTON, WA 98056-
Primary Phone&Type Additional Contact Number&Type Additional Contact N umber&Type
(425)430-7500 — Work
Race Sex, DOB Hai ht Weight Eves Fair
Subject
No Disclosure Subject Type Name(last.first.middle)
Request?
DLState DLExD Address
Primary Phone&Type Additional Contact Number&Type Additional Contact Number&Type
Race Sex DOB Height Wei ht Eyes Hair
Subject
No Disclosure Subject Type Name(last,first.middle)
Request?
DLState DLExp Address
Primary Phone&Type Tditional Contact Number&Type Additional Contact Number&Type
Race Sex DOB', Height Wei ht Eyes Hair
Subject
No Disclosure Subject Type Name(last,first.middle)
Request?
DLState DLExp Address
Primary Phone&Type Additional Contact Number&Type Additional Contact Number&Type
Race Sex � DQB ht i ht � Eves H
Subject
No,Disclosure Subject Type Name(last,first.middle)
Request?
DLState DLExp Address
Primary Phone&Type AdditionalContact Number&Type AdditionalContact Number&Type
Race Sex DOB- Height Weight Eyes Hair
Collision 2025-00006994 Paqe 2 OF 3
Case Number
2025-00006994
Officer Narrative
Narrative
Unit 1 was traveling northbound in the 19100 blk of 116th AVE SE. For unknown reasons, Unit 1 drifted to the
right(east) and down into a roadside ditch. Unit 1 struck Unit 2 (A city 30mph Speed limit sign) destroying it,
and continued for approximately 20 yards before coming to rest in the ditch. Driver 1 was uninjured. Unit 1
was damaged on the passenger side and to an unknown extent on the undercarriage/suspension. Unit 1 was
towed by Gene Meyer.
This incident occurred in the sCity of Renton,King County,Washington State.
!declare underpenalty of perjury under the laws of the State of Washington that the foregoing is true and correct.
Officer: Lane, Kevin #1110008
Reviewed By: Woodward, Scott D Datefrime: 08/12/2025 09:33
Collision 2025-00006994 Paqe 3 OF 3