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Home My WebLink About25-6450 iiTGiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG16649oc� RA COLLISION REPORT 1591971 CASE# 25-6450 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCCO A`GENC'Y 4200 3 COUNTY RD NVOLVED CODING 2 PRIVATE WAY ❑ TRIBAL TOTAL 1 UNITS#OF 02 SO BJECT TRUCK 1 8 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E coLLISION' 07 - 27 - 2025 1303 17 =.= S 8 W E IN OF M ?070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑ BLOCK NO. e .� 4a S 2ND ST MILE POST ❑ ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 �. FEET e S 8 W e WELLS AVE S 2 0 29 MOTOR PEDAL- DAMAG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE' ❑ YES ✓NO D:2067659081 0 1 30 5❑ LAST NAME DEBEBE FIRST NAME NATHANIEL MIDDLE 1 2 31 INITIAL STREET ❑ 10730 GREENWOOD AVE N APT 27 CITY SEATTLE ST; WA ZIP 98133 2 NEW ADDRESS 7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYES ND�/ INTERLOCKYEs NO�/ YES NO W/ 8 DRIVER'S # STATE WA SEX M MMOCSYY' 11 — 11 — 1991 1 2 32 9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 1 INJURY CLASS ? NAruRE of INJURIES 2 LICENSE, CNK3996 STATE WA VN# 5NPD84LFlHH188527 3 10[9� PI ATF# 11[-j— TRAILER STATE TRAILER ,STATE ROM TO 11 2 5 PLATE# PLATE# TRLR TRLR 7 7 33 12 2 5 VIN# VIN# ( FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 13 1 2017 HYUN ELANTR P4 DAMAGE YES NO ✓ YEs❑ No 7 7 34 REGISTERED OWNER INFO NATHANIEL DEBEBE 10730 GREENWOOD AVE N APT 27 SEATTLE WA 98133 D:2067659081 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 1 LIABILITY INSURANCE INSURANCE CO 2 3 4 14 GIECO 6031967349 IN EFFECT &POLICY# 4TOP VEHICLE CHARGE 5 36 Lemur YES❑NO❑ CITATION# 7 0 80TTOM 15❑ sTnNowc MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE VEHICLE UNIT 02 CYCLE (7WNFR Q ❑ PEDESTRIAN ❑ D:2065182403 YES NO 16� LAST NAME ROMERO FIRST NAME ANNA MIDDLE N INITIAL STREET ❑ 37 17 ❑ ?7715 112TH AVE SE CITY RENTON ST, WA ZIP 980556500 4 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDIGALTRANSPORTED' 38 INTERLOCKYEs No INTERLOCK YES NO ves NO 19 DRIVER'S STATE WA SEXI F D,013, 05 21 1994 39 LICENSE# MMDLSYY — 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 SE CLAY ? NATURE OF INJURIES 40 SS 21 LICENSE CFJ2490 rarE WA vIN# 2HKRS4H23PH422100 41 22❑ [TILER AILER PLATE# STATE PATE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. VEH.YEAR 2023 MAKE HOND MODEL CR_V STYLE $V VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO ANNA ROMERO 95 BURNETTAVE S UNIT 322 RENTON WA 98057 VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSURANCECO STATE FARM 4844163A2347B IN EFFECT &POLICY# 9TOP vewaE ❑ ,.I—I CITATION11 CHARGE 1060TTOM LecnLLY YES N J 25 a e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 RAYMOND WATSON 13127 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EG16649 COLLISION REPORT III III III III III 111 1591972 CASE# 25-6450 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) 'NAME (LAST,FIRST MIDDLE INTTIAL) ADDRESS&PHONE# SEX' D.O.B. - [----------� MMDDYYYY PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--� POS. USE CLASS 'NAME (LAST FIRS,MIDDLE INITIAL) ADDRESS&PHONE# SEX' D.O.B. - L----------� MMDDYYYY PASSENGER DWITNESSD UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. : USE CLASS ----� '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. - L----------� MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ Q POS. USE CLASS �____ ----j 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 07-27-25 05:03 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 81612025 8:10:49 PM BADGE OR ID# 13127 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 1:07 PM TIME POLICE ARRIVED 1:12 PM PART B 3 Do-3mx-,ao(Burls) PAGE 27 OF 47 REPORT NO.` EG16649 CASE# 25-6450 O COLLI COLLISION TIME OF 07/27/25 13:03 COLLI NARRATIVE 25-6450 This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. On 07/27/2025 at approximately 1307 hours, myself, Officer R. Watson, was dispatched to a collision, at the intersection of S 2nd ST and Wells AVE S, within the City Limits of Renton, County of King, State of Washington. Dispatch notes stated two vehicles were involved, no injuries and it was non-blocking. I arrived on scene and observed two vehicles pulled to curb on the south side of S 2nd ST with their flashers on. Unit#1 driven by Nathaniel Debebe (DOB 11/11/1991) verified by WADOL photo, stated that he was driving a Blue 2017 Hyundai Elantra, WA plate #CNK3996. He said that he was traveling west bound on S 2nd St in the number 2 lane when he thought he cleared the number 1 lane and merged over colliding with unit#2. He said that unit#2 must have been in his blind spot. Nathaniel said he had no injuries and declined aid. When I asked for his license, registration and insurance for the exchange of information he was able to provide me with the proper information and documentation. Unit#1 had moderate left side damage, no air bag deployment and was able to be driven away from the scene. Unit#2 driven by Anna N. Romero (DOB 05/21/1994) verified by WADOL photo, stated she was driving a Gray 2023 Honda CRV, WA plate # CFJ2490. She said that she was traveling straight in the number 1 lane when unit #2 pulled into her lane, colliding with her. Anna said she had no injuries and declined aid. When I asked for her license, registration and insurance for the exchange of information she was able to provide all the documentation. Unit#2 had slight damage to the front right quarter panel of her vehicle, no air bag deployment and was able to be driven from the scene. An exchange of information was completed and provided to each party. Pictures were taken of each vehicle 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 07/27/2025 1700 hours, Renton, King County, WA. PAGE 3 OF 4 REPORT NO. EG 16649 CASE# 25-6450 DATE AND TIME i 07/27/25 13:03 OF COLLISION wow li � ti' qq see S < r„ t 1 S' s � < or 12 lry{ z y3 4 s 1 PAGE 4 OF 4