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HomeMy WebLinkAbout25-10016 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c COLLISION REP FIT 1591971 SASE 25-10016 2 INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS OZ STRUCK RESERVATION z 3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# cowsloN 11 - 1-- 2025 2243 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ WILLIAMS AVE S BLOCK NO. e ❑ MILEPOST 4a❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �,❑ FEET e S ❑ W e S 4TH ST 0 1 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ,/No D:4084409146 0 11 30 6� LAST NAME REPUNTE FIRSTNAME MARIA MIDDLE I E 1 1 2 31 INITIAL STREET ❑ 2209 28TH CT SE CITY AUBURN ST WA ZIP 980027091 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs No✓ INTERLOCKYEs NO✓ YEs No✓ 8❑ DRIVERS # STATE WA SEX'F MIDI Y' 06 - 22 - 1959 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU SE CLASS 1 NATURE OF INJURIES z❑ 3 10 2❑ P1 ATNES# CSY9181 sTAr WAu N# 3CZRU6H15NM766445 5 TRAILER STATE TRAILER STATE 11 2 5 PLATE# PLATE# FROM TO FT -R TPILF1 1 5 33 12 0 0 VIN#j VIN# FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 ] 34 13 2 2022 HOND HR-V 4D DAMAGE YES NO ✓ YES[:] No✓ REGISTERED OWNER INFO MARIA REPUNTE 220928TH CTSE AUBURN WA 98002 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14� IN EF ITY INSURANCE z INSURANCE CO STATE FARM 425 5268-E07.47D 4 LI EFFECT I POLICY# TOPVE—LE CHARGE 36 LEGALLv res❑NO❑ CITATION# <1�3 OTTOM 15❑ STAIN"'C 7 6 UNIT VE IOOR CYCLE ❑ PEDESTRIAN ❑ OWNER RTY ❑ DYES✓ NO OLDMET PHONE 16 a LAST NAME WEBER FIRST NAME LEE MIDDLE A INITIAL 17❑ STREET ❑', 23710 SE 253RD PL CITY' MAPLE VALLEY ST WA ZIP 980388326 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED ❑ 38 INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES t l NOF,/ 19 D IVERI # STATE WA SEX M MMr O.B. 10 _ 15 _ 2003 39 WELMET INJURY1 NATURE OF INJURIES 40 20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS ❑ 21❑ LICENSE AFC4574 TAre I WA vIN# 4S3BH625747305165 ❑ 41 pLATE# 42 22❑ PLATE# STATE PLATE# STATE TRLR 23❑ UIN#. IN#. 43 RLR ' VEH YEAR 2004 MAKE SUBA MODEL LEGSW STYLE SD VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO✓ YES NO✓ REGISTERED OWNER INFO BRENDA WEBER 23710 SE 253RD PL MAPLE VALLEY WA 98038 D:3607612551 VEHICLE NO.2 SHADE IN DAGELLAREA z Cdd LIABILITY INSURANCE I PORGY#ECO COUNTRY FINANCIAL A46A4423623 I STOP 5 IN EFFECT VEHICLE ❑ ,.I—I CITATION# CHARGE i o BOTTOM LEGALLY YES N`LJ 25 s e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 /SABELLA DAN/LYUK 13001 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG57448 COLLISION REPORT III III III III III 111 1591972 CASE# 25-10016 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,FIRST MIDDLE INITIAL) ADDRESS&PHONE# D D B SEX MMDDYYYY PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS R PHONE# SEX D.O.B. MMDDYYYY. - PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑ POS. 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. ISABELLA DANILYUK 11-18-25 01:47AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.CHRISTIANSEN 10437 12/11/2025 2:32:50 AM BADGE OR ID# 13001 ORI# WA0171300 TIME POLICE DISPATCHED'I 10:43 PM TIME POLICE ARRIVED',10:46 PM PART I PAGE IT]OF 4� REPORT NO. EG57448 CASE# 25-10016 OF COLLISION 11/17/25 22:43 OF CbLLI510N NARRATIVE 25-10016 On 11/17/2025 at approximately 2243 hours, I responded to a non-injury, blocking accident at the intersection of WILLIAMS AVE S and S 4TH ST in the City of Renton, County of King, and the State of Washington. Arriving on scene both victims waved me down as another officer assisted both parties in moving their vehicles off the roadway. Unit 1 was a gray 2022 Honda HRV (LIC CSY9181) with the registered owner as the sole occupant and driver, who identified herself as REPUNTE, MARIA EVE VELOSO (DOB 06-22-1959) via providing WA DOL. Unit 1 was traveling southbound on Williams Ave S, approaching the four-way intersection of Williams Ave S and S 4th St. Unit 2 was a white 2004 Subaru Legacy (LIC AFC4574) with the registered owner listed as WEBER, BRENDA JANE (DOB 11-07-1968) and the driver and sole occupant during the collision was WEBER, LEE ANN (DOB 10-15-2003). Weber Lee Ann identified herself via providing me with her WA DOL as well. Unit 2 was traveling eastbound on S 4th St, approaching the four-way intersection of Williams and S 4th St. When interviewed about the incident, both parties stated they both stopped at the four-way stop located at the intersection of Williams and 4th. Unit 1 assumed they had right of way and proceeded through the intersection, traveling southbound without seeing Unit 2. Unit 2 had already began its travel westbound across Williams Ave S. Unit 1 T-boned Unit 2. This was also apparent in the damages seen on both vehicles. Pictures of both involved vehicles were collected on scene and later uploaded to AXON. Both vehicles were provided with an exchange of information which contained both phone contacts as well as insurance policies. Both parties were provided with a case number. My involvement in this case was captured on my department-issued Axon body camera. This report is a summary of events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized. At the time of this call, I was in a full police uniform equipped with a Renton Police badge and police patches. This concludes my involvement with this case. I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by Ofc. I. Danilyuk#13001, 11/18/2025 at 0131 hours in Renton, Washington. PAGE 3 OF 4 REPORT NO. EG57448 CASE# ' 25-10016 DATE AND TIME 11/17/25 22:43 OF COLLISION ti i r � s i Y VI ' n t " h h � � 4 ati �t. 3 PAGE 4 OF 4