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HomeMy WebLinkAbout25-7223 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG27030OLCERA COLLISION REPORT 1591971 CASE# 25-7223 2 INTERSTATE CITY STREET El STATE ROUTE OTHER LOCAI-A`NG 4250 3 C©DINGCOUNTY RD PRIVATE WAY 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS 02 STRUCK RESERVATION : 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s on' 08 - 18 - 2025 1808 17 =.= S 8 W e IN OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ S 4TH STREET BLOCK NO. e 0 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 1.� FEET e S 8 W e BURNETTAVES 0 4 29 MOTOR PEDAL- DAMAG THRESHOLD MET E UNIT 01 VEHICLE ❑ CYCLE ❑ YES NO ✓ PHON 30 6 LAST NAME UNKNOWN FIRST NAME MIDDLE t 1 2 31 INITIAL STREET ❑) CITY', ST ZIP 2 NEW ADDRESS 7� +CDL IGN(TIUN REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCKYEs NO✓ INTERLOCKVEs NO✓ YES NOW 8❑ LCEENSE# SRVERSTTATE SEX U MMDDYY' —�— 32 9 ON DUTY STATUS' AIRBAG 9 RESTR 9 EJECT 1 HELM USEET 9 CLASSY 0 NATURE OF INJURIES 2 LICENSE, 3 10� PI ATP# STATE V(N TRAILER STATE TRAILER STATE 11 1 5 PLATE# PLATE# ROM To TRLR zRLR 1 3 2= 33 1 UIN#' VIN# FROM TO VEH.YEAR MAKE FORD MODEL F150 STYLE TR VEHICLE TOWEDfnTOZBUN TOWEBBY GOVT VEHICLE 5 1 34 13� DAMAGE YES II_II NO ✓ YESII_I) NO✓ REGISTERED OWNER INFO UNKNOWNUNKNOWN VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE❑ NSURANCE CO UNKNOWN 3 4 IN EFFECT &POLICY# __4_TO_P_ vewcLe CHARGE t S ❑ 36 ecnur yes❑NO❑ CITATION# 7 0 80TTOM 15❑ TM ING s 7 e MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE UNIT( ❑ ❑ PEDESTRIAN W D:4258301541 VEHICLE CYCLE OWNER YES✓ NO 16� LAST NAME BROWN FIRST NAME CURTIS MIDDLE R INITIAL 17 F1 STREET ❑ ❑ 1533 ABERDEEN AVE NE CITY RENTON ST, WA ZIP 98056 g 37 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' 38 INTERLOCKYEs No INTERLOCK YES R N.Fj YES NO 19� DRIVER'S STATE WA SEX M D.O.B. 1 06 01 1994 � 39 LICENSE# MMDDYY — 20 ON DUTY STATUS 3 AIRBAG RESTR EJECT R UET 2 SE CLAY 1 NATURE OF INJURIES 40 SS LICENSE 21[ PLATE# TATe VIN# 4� 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 Q 1 DAMAGE YES NO VES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 9TOP vewcLE 25 YES N.I—I❑ , CITATION# CHARGE to BOTTOM EEGnEEY a s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 MICAELA CASTAIN 7 1 12573 WA0171300 PAGE 01 OF PART A 3000-348-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG27030 COLLISION REPORT III III III III III 111 1591972 CASE# 25-7223 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE SEXi D.O.B. — MMDDYYYY PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES POS. ' USE CLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE CLASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. I 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. MICAELA CASTAIN 08-18-25 07:58 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE J.THIELMAN 11462 911012025 5:58:41 PM BADGE OR ID# 12573 ORI# WA0171300 TIME POLICE DISPATCHED 1 6:13 PM TIME POLICE ARRIVED i 6:13 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EG27030 CASE# 25-7223 DATE OF COLLI r�510NN + 08/18/25 18:08 L1 NARRATIVE Unit 1: Gray Ford F-150 (approximately 2015 model) Unit 2: Curtis Brown (DOB 06/01/1994) On 08-18-2025 at approximately 1813 hours I was flagged down for a Hit and Run Accident at S 4th Street and Burnett Ave S, in the City of Renton, King County, WA. I contacted Curtis Brown (DOB 06/01/1994), who informed me that approximately 5 minutes ago he was hit by a gray Ford F-150 while walking in a crosswalk. Brown was walking northbound in the crosswalk that was on the east side of the intersection. While Brown was walking, a gray Ford F-150 (approximately 2015 model) was traveling southbound through the intersection and made a left hand turn to travel eastbound. Brown stated that the Ford struck him at approximately 10-15 miles per hour while he was walking in the crosswalk. After the impact the Ford continued to travel eastbound on S 4th Street, making no attempt to stop and exchange information with Brown. Brown informed me that at the time of impact, his signal permitted him to cross the street, and he believes the Ford had a yield signal. Brown did not get a good look at the driver and informed me that he could not identify if the Ford was located. Brown stated he got hit on the left side of his chest and was not in pain. Brown did not have any visible injuries, however, Renton Fire arrived on scene to evaluate Brown. Brown was cleared by Fire. While Brown was being evaluated by Fire, 1 observed a gray Ford F-150 traveling southbound on Williams Ave S from S 4th Street. 1 contacted this gray Ford F-150 (WA/D39475A) while parking on the street on the north side of Melrose Grill (819 Houser Way S). I conducted a terry stop on the Ford and contacted the driver, John Piwtorak (DOB 04/27/1959). Piwtorak informed me that he was meeting his friend for dinner at Melrose Grill and traveled southbound on Williams Ave S to find a parking spot. Piwtorak informed me that he did not hit a pedestrian on his way to the restaurant. 1 did not observe any damage to Piwtorak's front bumper. I did not develop probable cause on Piwtorak for hit and run. I provided Brown with my business card and the case number. 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 M. Castain #12573 8/18/2025 Renton, WA PAGE 3 OF 4 REPORT NO. EG27030 CASE# 25-7223 DATE AND TIME 08/18/2518:08 OF COLLISION t Y t st 3� sj� t k f i ny^ h y fit, ti k t �. Y I�Y34t Lt 7 6 'S �r PAGE 4 OF 4