HomeMy WebLinkAbout25-9442 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG44866OLCERA
COLLISION REPORT 1591971
CASE# 25-9442 2
INTERSTATE CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL A`GENC'Y 4200 3
COUNTY RD INVOLVED CODING
PRIVATE WAY TOTAL 1
2❑ TRIBAL 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' 10 - 31 - 2025 1445 17 �.�� S WE IN
OF 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
SEAHAWKS WAY BLOCK NO. e 4400 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 10 00 FEET e✓ S 8 Nl e N 44TH ST
0 1 29
MOTtlR PEDAL- DAMAG THRESHOLD MET PHON
UNIT 01 E
VEHICLE ❑ CYCLE ❑ YES No �/ D:4256067193 0 8 30
6 LAST NAME PIERCE FIRST NAME GRIFFIN MIDDLE A 1 1 2 31
INITIAL
STREET ❑ 1019 N 28TH PL CITY RENTON ST WA ZIP 98056 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCKYES NO W/ INTERLOCKYEs NO�/ YES No�/
8 �CIENSE# STATE WA SEX M MMorYY' 11 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 1 INJURY
CLASS 1 NAruRE of INJURIES 2
LICENSE, C10312S STATE WA VN# 1FTFW1EF7EFC43286 3
10 PI ATF#
11[-j— TRAILER STATE TRAILER ..STATE
11 2 5 PLATE# PLATE# FROM TO
rRLR TRLR 1 5 33
12 2 5 VIN# VIN#
( FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 9 9 34
13 4 2014 FORD F150 PK DAMAGE YES NO ✓ YEs_ No
REGISTERED OWNER INFO TROY HALPIN 1019 N 28TH PL RENTON WA 98056 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
LIABILITY INSURANCE❑ INSURANCE CO 2 3 4
14 PURE INSURANCE PA251964601
IN EFFECT &POLICY# 4TOP
5 VEHICLE
CHARGE 36
Lemur YES❑NO❑ CITATION# 7 o BOTTOM
15❑ nNowc B e
III MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE CYCLE nWNFR YES NO �/ D:8326897230
16�
LAST NAME MILROE FIRST NAME JALEN MIDDLE' p
INITIAL
❑
17 F1 STREET' 3602 CARDIFF MIST DR CITY KATY ST, TX ZIP 77494 37
NEW ADDRESS❑
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEQICALTRANSPORTED ❑ 38
INTERLOCKYEs No INTERLOCK YES NO YES NO
19 F DRIVER'S STATE TX SEX M Q O g 12 13 2002 ❑ 39
LICENSE# MMDDYY —
HELMET INJURY' NATURE OF INJURIES 40
20❑ ON DUTY❑ STATUS' AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21 PATE# 63A95AC rare AL vIN# WPOAG2A73PL135618 41
22❑ [TILER AILER
PLATE# STATE PATE# STATE ❑ 42
23 TRLR kRLR 43
UIN#. 'IN#.
VEH.YEAR 2025 MAKE PORS MODEL pgNAME STYLE p$ VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO MILTICKET LLC 1401.CLECIRCLE#507 TUSCALOOSAAL 35406 D:8326897230 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCECO TEXAS LIABILITY 01804 12 27U 71032
IN EFFECT &POLICY# I 9TOP
veeiCLe ,J—I CITATION# CHARGE tO BOTTOM
LecnLLr YES N`[
25 a 7 a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
D.NELSON 12421 WA0171300
PAGE 01 OF
PART A 3000-345-159(R 11/18)
POLIICFETRAFFICN CORRECTION REPORT NO. EG44866
COLLISION REPORT III III III III III 111
1591972 CASE# 25-9442
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE#
SEX' D.O.B. - [----------�
MMDDYYYY
PASSENGER WITNESS 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
25-9442 ACC
On 10/31/2025 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. I was dispatched to a report of a two-vehicle, non-injury, non-blocking collision near
the intersection of N 44th St and Seahawks Way Renton/King/WA. The caller was reporting both
parties were pulled to the side of the road and requested police.
I arrived on scene and located both parties, I confirmed there was no injury.
The driver of the 2014 Ford F150 WA/C10312S, was identified by his WADL as Griffin A Pierce DOB:
11/19/1999. Griffin said that he was pulling up to the stop sign where Unit 2 was stopped and collided
with the rear bumper. There was very minor damage to the Ford front bumper.
The driver of the 2025 Porsche Panamera GTS AL/63A95AC, was identified by his TXDOL as Jalen
O Milroe DOB: 12/13/2002. Jalen said that he was at the stop sign preparing to turn onto N 44th St
when he was rear-ended by Unit 1. Jalen was not injured and there was minor damage to the rear
bumper.
No airbags had deployed inside either vehicle, and both vehicles were drivable.
I provided an exchange of information form to both drivers and advised them to contact their
respective insurance companies.
This report is for documentation purposes only.
Nothing further.
I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
D. Nelson #191 10/31/2025 Renton WA
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
D.NELSON 10-31-25 04:31 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 11/4/2025 11:55:29 AM
BADGE OR ID# 12421 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 2:53 PM TIME POLICE ARRIVED 3:14 PM
PART B 3aaa-345-,aa(R11Y1s) PAGE 27OF 37
REPORT NO. EG44866 CASE# 25-9442 DATE AND TIME 10/31/25 14:45
OF COLLISION
n
n
to
�1
rn
q
t nr.
kt
i,
v
t �
34r k 7
Wi
3
S�
k
5'" ai '� {S Ck1:ti11k
z �1
a
PAGE 3 OF 3