HomeMy WebLinkAbout25-7938 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG29026oc� RA
COLLISION REPORT 1591971
CASE# 25-7938 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOCALANG 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#
DATE OF N E IN eDLLISION' 09 - 11 - 2025 1608 17 =.= S 8 W E OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO.
MAPLE VALLEY HWY
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 C------ 1.1 FEET e S 8 W e 131ST AVE SE
0 4 29
MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4252219990 0 1 30
5 LAST NAME CHURCHILL FIRST NAME BRETT MIDDLE J 1 1 2 31
INITIAL
STREET ] 18624 114TH AVE SE CITY; RENTON ST WA ZIP' 980557124 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYEs NO✓ INTERLOCKYES NO✓ YEs NOF,/
DCIENSE# STATE WA SEXI M MMDDYY' 12 — 02 — 1956 1 2 32
8❑
9 ON DUTY STATUS' AIRBAG 2 RESTR 9 EJECT 1 HELM
USEET CLASSY 1 NATURE of INJURIES 2
LICENSE, CMS1726 STATE WA VINE 1FMCU9NA8PUA94652 3
10 PI ATF#
STATE STATE
TRAILER TRAILER
11 4 5 PLATE# PLATE# FROM To
TRLR zRLR 3 5 33
12 4 5 VIN# vIN#
FROM TO
VEH.YEAR 2023 MAKE FORD MODEL ESCAPE STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 7 $ 34
13� DAMAGE YES II_II NO ✓ YESII_I) NO✓
REGISTERED OWNER INFO BRETT CHURCH1LL 2308 NE 7TH ST RENTON WA 98056 D:4252219990 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
4 LIABILITY INSURANCE NSURANCE CO 4
14 FIRST NATIONAL INSURANCE COMPANY OF AMER Z5256968
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
Lemur yes❑NO❑ CITATION# 80TTOM
15❑ sTnNowc 7 e
MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR D:2069637523
16�
LAST NAME MIATKE FIRST NAME MARY MIDDLE' L
INITIAL
STREET ❑
17� ❑ 15219 160TH PL SE CITY RENTON ST, yyq ZIP 98058 37
NEW ADDRESS
1$❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED') 38
INTERLOCKYES NO✓ INTERLOCK YES NO✓ YES NO✓
19 DRIVERS STATE WA SEXI F I D.O.e. 09 27 1963 � 39
LICENSE# MMDDYY I I —
:
20❑ ON DUTY STATUS AIRBAG 6 RESTR g EJECT 1 HELMET INJURY NATURE OF INJURIES 40 USE CLASS 1 ❑
LICENSE 235YWZ TATE I WA VIN# 2C3AE76K82H199051
21 PLATE# 41
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2002 MAKE CHRY MODEL 300M STYLE 4p VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO✓ VES NO✓
REGISTERED OWNER INFO MARY MIATKE 15219160TH PL SE RENTONWA98058 D:2069637523 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCECO AMERICAN COMMERCE INSURANCE COMPANY 000067423
IN EFFECT &POLICY# IUQ
L,EILe ❑ ,J—I CITATION CHARGE LEGALLY YES N25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
LACY SMITH 12613 WA0171300
PAGE 01 OF
PART A 3000-348-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG29026
COLLISION REPORT III III III III III 111
1591972 CASE# 25-7938
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) KEARNS OLIVIA
ADDRESS&PHONE# 4
2534070396 SEX i U MMDDDYBYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NRE OF INJURIES
POS. ' USE CLASS [ATU ----�
:NAME
(LAST EIRS7 MIDDLE INITIAL) { SHOUSE TUCKER
ADDRESS&PHONE#
7135577000 SEX' U MMDa eYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURECFINJURIES
❑ z POS. USE CLASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX/ D.O.B. —
MMDDYYYY
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.
LACY SMITH 09-15-25 09:47 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
J.TRADER 4553 1 911812025 6:57:54 AM
BADGE OR ID# 12613 ORI# WA0171300 TIME POLICE DISPATCHED 1 4:11 PM TIME POLICE ARRIVED i 4:?9 pry/
PAST B 3 Do-3m5—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG29026 CASE# 25-7938 O OF COLLISION TIME 09/11/25 16:08
NARRATIVE
On 09/11/2025, 1 was assigned to District 22 as the, 1 R22. At approximately 1613 hours, I was
dispatched to MAPLE VALLEY HWY/131 ST AVE SE for a two-vehicle collision. This incident
occurred in the City of Renton, County of King, State of Washington.
Unit 1- WA/CMS1726
Unit 2- WA/235YWZ
I arrived on scene and contacted the driver and sole occupant of Unit 2. 1 positively identified her as,
Mary Miatke, via her Washington State driver's license. Miatke stated she was traveling Eastbound
on Maple Valley Hwy. At Maple Valley Hwy/131ST AVE SE Miatke stated she had a green light and
continued through the intersection and Unit 1 turned in front of her.
I then contacted the driver and sole occupant of Unit 1, and I positively identified him as Brett
Churchill, via his Washington State driver's license. Churchill stated he was stopped at Maple Valley
Hwy/131 ST AVE SE waiting to make a left turn from Maple Valley Hwy onto 131 ST AVE SE. While
he was waiting, the vehicle behind him honked, and he looked up to see that he had a green light. He
then accelerated into the intersection, colliding with Unit 2.
Both drivers denied injuries.
I observed moderate damage to the front of Unit 1 and moderate damage to the front driver's side of
Unit 2.
There were two eyewitnesses on scene.
Witness 1- Tucker Shouse stated that Unit 2 had the green light when she entered the intersection.
Witness 2, Olivia Kearns, was positioned behind Unit 1 at the light, and stated Unit 1 had the green
arrow to turn when he was making his left turn.
Based on the evidence on scene and the conflicting statements made by both drivers and witnesses,
I am unable to determine who had the right of way at this time.
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.
PAGE 3 OF 4
REPORT NO. EG29026 CASE# 25-7938 DATE AND TIME 09/11/2516:08
OF COLLISION
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