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Home My WebLink About25-80405 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EG58492 170 27 COLLISION REP FIT 1591971 CASE 25-80405 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 3 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# cawsloN 12 - 1-- 2025 1751 17 ❑-= S 8 E IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SW 41 ST ST BLOCK NO. e✓ 4100 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ VV a LIND AVE SW 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2062503884 0 81 30 6� LAST NAME HUMPHRIES FIRSTNAME MARY MIDDLE E 1 2 31 INITIAL STREET ❑ 10706 219TH AVENUE CT E CITY BUCKLEY ST WA ZIP, 98321 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 :NTERLOCKYEs NO INTERLOCK YES NO YES No 8❑ DRIVERS # STATE WA SEX'F MIDI Y' 05 - 11 - 1960 1 2 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE 2 CLASS 1 NATURE OF INJURIES z❑ 3 10[1P1 ATNES# BVA1451 sTAr WAv N# 5N1AT2MV6LC762714 F_ TRAILER STATE TRAILER STATE 11 0 0 PLATE# PLATE# ROM ro TRLR. A'RLR. 1 3 33 12 0 0 VIN#' VIN# >; FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34 13 4 2020 NISS ROGUE UT DAMAGE YES YES[:] NO ❑ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 SHADE IN DAMAGED AREA ❑ 35 14 LIABILI INSURANCE INSURANCE CO ALLSTATE 817247110 3 4 IN EFFECT &POLICY# 9TOP VE"'CLE CHARGE 5 36 LEGALLY YEs❑NO❑ CITATION# 5A0945656 PROH/IMPROPER TURN I o eorrom 15❑ NDING 6 MOTOR PEDAL- PROPERTY DAM THR PHONE UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ PEDESTRIAN NO OLD MET D:2066832132 16 a LAST NAME DUNCAN FIRST NAME SKYLER MIDDLE A INITIAL 17 NEW STREETR 7' 29416 3RD AVE S CITY ROY ST WA ZIP 98580 4❑ 37 18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED 38 INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑ 19 LICENSE# STATE WA SEX M M D.C.B. 12 _ 10 _ 1981 39 20❑ ON DUTY STATUS AIRBAG, 1 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE of INJURIES ❑ 40 USE CLASS LEFTKNEE ❑ILICENSE 21❑ PLA E# A WR7739 TArE WA VIN# 41 KMHDH4AEODU725281 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. VEH YEAR 2013 MAKE HYUN MODEL ELANTRA STYLE SD VEHICLETOWED TO BLIN TOWEDBY GOV HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO SARA BAILIE 294163RD AVE S ROYWA98580 VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE &POINSURGY#E CO pROGRESSIVE71145927IN STOP 5 VEHICLE YES N CITATION# CHARGE i o BOTTOM LEGALLY � 25❑ a 1 0( OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY 26 KEITH PETTY 12809 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG58492 COLLISION REPORT III III III III III 111 1591972 CASE# 25-80405 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) DUNCAN ZAYNE (IAST FIRST, ADDRESS&PHONE# D O.B. ' 29416 3RD AVE S ROY WA 98580 SEX M MMDOYyry 07 - 16 - 2013 PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ , 2 POS, 3 1 4 1 USE 2 CLASS 1 NAME '(LASTr FIRS' MIDDLE INITIAL) ADDRESS&PHONE# Id I DOB E MMDDYVYV PASSENGER ❑WITNESS UNIT# SEAT I AIRBAG RESTR. EJECT HELMET NJURY 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. KEITH PETTY 12-04-25 08:12 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.THiELMAN 11462 1 1211312025 10:37:56 PM BADGE OR ID# ( 12809 ORI# WA0171300 TIME POLICE DISPATCHED' 5:53 PM TIME POLICE ARRIVED 5:58 PM PART I PAGE IT]OF REPORT NO. EG58492 CASE# 25-80405 OF COLLISION 12/04/25 17:51 OF CbLLI510N NARRATIVE 25-80405 On 12/04/2025 at approximately 1753 hours, I was dispatched to the intersection of Lind Ave SW and SW 41 st St in the City of Renton, County of King, State of Washington for an accident with possible injuries. Unit 1: gray 2020 Nissan Rogue (BVA1451/WA) VIN/5N1AT2MV6LC762714 driven by Mary Elizabeth Humphries (DOB 05/11/1960) Unit 2: silver 2013 Hyundai Elantra (AWR7739/WA) VIN/KMHDH4AEODU725281 driven by Skyler A Duncan (DOB 12/10/1981). Unit 2 stated he was waiting on SW 41 st St waiting to turn south onto Lind Ave SW. As he waited at the light, he observed unit 1 heading south on Lind Ave SW and then began making a left-hand turn onto SW 41 St. Unit 1 made a sharp turn and collided into the front driver side of unit 2. The damage was estimated over $1000. Unit 1 stated she was heading south on Lind Ave SW and attempted to make a left-hand turn onto SW 41 st ST. She did not see unit 2 at the intersection and collided the front driver side of her vehicle into the front drivers' side of unit 2. Both vehicles damage was over $1000. Unit 2 driver (Skyler) had been waiting for a medical appointment for his knee. The impact from the collision caused his knee to be struck by the dash in his car causing additional pain. He had some minor scrapes that were visible. Both parties refused any on scene medical treatment. Skyler was planning on going to the hospital to be evaluated. Both vehicles were moved to a private parking lot and needed to be towed due to the damage. I provided an exchange of information to both parties. Based on the above statements, I determined that the Driver of Unit#1 (Humphries) is the proximate cause for the collision due to not making a proper left turn, (RCW 46.61.290). This incident was captured on my body worn camera. This report is a summary of the events that occurred and is not an exact sequencing of events. Statements have been paraphrased and summarized "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: K.Petty, Date: 12/04/25at 2002 hours, Place: Renton, King County, WA PAGE 3 OF 5 REPORT NO. EG58492 CASE# 25-80405 OF COLLISION 12/04/25 17:51 OF CbLLI510N NARRATIVE PAGE 4 OF 5 REPORT NO. EG58492 CASE# ' 25-80405 DATE AND TIME 12/04/25 17:51 OF COLLISION r k; b i i � �I a 3 l:r t fl i t � 4 � � 4 l:. PAGE 5 OF 5