HomeMy WebLinkAbout25-7343 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG27032oc� RA
COLLISION REPORT 1591971
CASE# 25-7343 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCCODICENC'Y 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eDCL s o v' 08 - 22 - 2025 2122 17 =.= S 8 W e OF IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION BLO❑
MAPLE VALLEY HWY MILE POST
e Y900 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET e S 8 W e SE STH ST
0 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES ✓NO 0 1 30
5❑ LAST NAME BOWEN FIRST NAME KENZIE MIDDLE P 1 2 31
INITIAL
STREET ] 1015 MOUNTAIN CIR
NEWAbaREss CITY', OAK HARBOR ST: WA ZIP 98277 2
7� +CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYEs ✓NO INTERLt)CKYES NO✓ YES ]NOW
I
8 DRIVER # STATE WA SEX I F MMD4YY' 03 - 09 - 2005 1 2 32
9 ON DUTY STATUS' AIRBAG 6 RESTR 4 EJECT 1 N UET SE �JAU SY 1 NAruRE of INJURIES 2
LICENSE, CFP5083 STATE WA VIN# 2G1FP32G3X2130860 3
10 Fq I as ATP tt
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# ROM To
TRLR TRLR 7 1 1 33
12 0 0 VIN#' VIN#
' FROM TO
13 2 VEH.YEAR 1999 MAKE CHEV MODEL CAMAR STYLE 2D VEHICLE TO YED NO fiS46LIN diW9YMEYER YESr`-IVT ENp✓HICLE 7 3 34
DAMAGE IIII._IIII I_I
REGISTERED OWNER INFO MARCUS BOWEN 5516 TIMBER RIDGE DR MOUNT VERNON WA 98273 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ NSURANCE CO NONE NONE 3 4
IN EFFECT &POLICY# 4TOP
VEHICLE CHARGE t 5 36
Lemur yes❑NO❑ CITATION# 7 0 80TTOM
15❑ sTnNowc
MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR YES�/ NO D:2535612156
16�
LAST NAME CARLSON FIRST NAME KATIE MIDDLE'
INITIAL
17 F1 STREET ❑
❑ 42926 268TH AVE SE CITY ENUMCLAW ST, WA ZIP 98022 q 37
NEW ADDRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38
INTERLOCKYEs NO✓ INTERLOCKYEs ND F vEs NO✓
19 DRIVERS '
MMDDYY -
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT 1 H UET SE CLAUII�Y 1 NATURE OF INJURIES 40
21 LICENSECSY9622 TATE I WA VIN# 1FM5K8FW1MNA17534 41
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2021 MAKE FORD MODEL EXPLORE STYLE UT VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO✓ VES NO✓
REGISTERED OWNER INFO KATIE CARLSON 42926268TH AVE SE ENUMCLAW WA 98022 D:2535612156 VEHICLE NO.2
SHADFY DAGED AREA
4
LIABILITY INSURANCE INSURANCE CO UNKNOWN UNKNOWN
IN EFFECT &POLICY# 9TOP
HICLE EEILe L YES❑ NCO CITATION# CHARGE t080TTOM
VE
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
TYLER EDIGER 12807 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG27032
COLLISION REPORT III III III III III 111
1591972 CASE# 25-7343
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 GLASS 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.
TYLER EDIGER 08-24-25 07:56 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY E
DAT
J.THIELMAN 11462 911012025 5:57:59 PM
BADGE OR ID# 12807 ORI# WA0171300 TIME POLICE DISPATCHED 1 9:22 PM TIME POLICE ARRIVED i 9:30 PM
PAST B a Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO.` EG27032 CASE# 25-7343 DATE OF COLLI r�510NN + 08/22/25 21:22
L1
NARRATIVE
During this incident, I was equipped with a body-worn camera, which records both audio and video.
Portions of this incident were recorded. This report is merely a summary of the incident and is not
intended to be an exact transcription of the entire investigation or what may have been captured with
the recording system. I was operating a fully marked Police Tahoe #309 which was equipped with
overhead emergency lights and sirens. I was also wearing my department issued Renton Police
uniform clearly identifies me as a Police Officer.
Case Number 25-7343
On 08/22/2025 at approximately 2124 hours I was dispatched to a collision that had occurred at
Maple Valley Hwy and SE 5th St, within the City of Renton, King County, Washington.
I identified unit 1 as a 1999 Chevy Camaro (WA/LIC: CFP5083 VIN#2G1 FP32G3X2130860). The
driver and sole occupant of unit 1 was identified as Kenzie P Bowen (DOB 03/09/2005) by her
WADOL photo. Unit 1 sustained significant damage to the driver's side and required to be towed by
Gene Meyers. The DOL return for the driver of unit 1 showed her driving status was
suspended/revoked in the 3rd degree and that she was required to have an ignition interlock device.
She did not have an ignition interlock device. Unit 1 had no apparent injuries.
I identified unit 2 as 2021 Ford Explorer (WA/LIC: CSY9622 VIN# 1 FM5K8FW1 MNA17534). The
driver and sole occupant of unit 2 was identified as Katie J Carlson (DOB 02/12/1997) by her WADOL
photo.
Based on my interviews of both drivers I determined that both vehicles were driving eastbound on
Maple Valley Hwy. As they approached SE 5th St unit 1 slowed down significantly. Unit 2 was behind
unit 1 and because of unit 1's significant change in speeds she had to make a sudden lane change
into the center turn lane to avoid a collision. Unit 1 then quickly cut across the center turn lane in an
attempt to turn to travel north on SE 5th St. When unit 1 made this turn, she failed to notice that unit 2
was now in her blind spot causing the two vehicles to collide. I am led to believe that the proximate
cause of this collision was unit 1 making an abrupt lane change and cutting off unit 2.
1 advised unit 1 she would be receiving citations in the mail for DWLS 3 and driving without an ignition
interlock device. I also forwarded her an insurance for driving without insurance.
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 T. Ediger#12807 08/24/2025 Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EG27032 CASE# 25-7343 DATE AND TIME 08/22/25 21:22
OF COLLISION> '
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