HomeMy WebLinkAbout25-80798 POLICETRAFF'c" III !�� I IIIllI111IN II II I REPORT NO. EG60725 170
27
COLLISION REP FIT 1591971
SASE 25-80798 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4200 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 12 - 1-- 2025 1405 17 ❑.= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SUNSET BLVD N BLOCK NO. e✓ 404
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:4259413880 0 11
30
6� LAST NAME GRIFFITH FIRSTNAME MICHAEL MIDDLE M 1 2 31
INITIAL
STREET ❑, 21326 NE 161ST ST CITY WOODINVILLE ST WA ZIP 980777701 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U SE
ICNLJAUSSY 1 NATURE OF INJURIES z❑
3
10 9❑ PI ATFBit C780192 sTArI WA urN#' 1FTEX1EP8MKD95181
TRAILER STATE TRAILER STATE
11 3 0 PLATE# PLATE# FROM ro
TRLR. TRLR. 1 5 33
12 3 0 VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 1 $ 34
13 2 2021 FORD F150 DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO MICHAEL,GRIFFITH 21326 NE 161ST ST WOODINVILLE WA 980777701 D:4259413880 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI V INSURANCE INSURANCE CO ALLSTATE 087 265 086 3 4
IN EFFECT &POLICY# 9TOP
vErIICLE CHARGE 5 36
EGHALLY YES❑NO CITATION# 5AO900801 IMPROPER LANE USAGE o aorrom
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT U2 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ No D:2063359435
16 a
LAST NAME MORRELL FIRST NAME KRISTIN MIDDLE I L
INITIAL
17❑ STREET ❑', 16037 SE 125TH ST CITY' RENTON ST WA ZIP 980596411 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs It I NOF YES
t t— l NO❑ 11
19 LDI IVERS STATE WA ]SEX IF M D.C.B. O6 _ 28 _ 1980 0 39
WELMET INJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
41
21❑ LICENSE CKM8773 TAre WA VIN1t KNDNE5H36R6354196
❑
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2024 MAKE KIA MODEL CARNIVA STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO MARCUS MORRELL 16037 SE 125TH ST RENTON WA 98059 VEHICLE NO.2
SHADE DA GEbAREA
LIABILITY
INSURANCE INSU&POLICY#E CO PEMCO CA 0682833IN IGQVE""LE
❑ ,J� CITATION# CHARGE
LEGALLY YES N`L J
25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
M.LEVERTON 2517 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG60725
COLLISION REPORT III III III III III 111
1591972 CASE# 25-80798
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'
blk/1 In 2 into In 3 blu/2 In 3 sb
CC
Within the city limits of Renton/King/Wa I responded to a 2 vehicle crash at the 404 block of Sunset
Blvd N.
I contacted the driver of unit 2 who told me she was in lane 3 southbound Sunset Blvd N when unit 1
changed lanes into the side of her vehicle. She did not complain of injury and damages did not
require a tow truck.
I contacted the driver of unit 1 ID'd by his matching picture WADL. He told me he was south in lane 2
and when he changed lanes crashed into unit 2. He did not complain of injury and damages did not
require a tow truck.
I cited unit 1 Ref RCW 46.61.140 Improper lane use/lane change 2 car crash via complaint.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
M.Leverton/2517 City of Renton/King/Wa 12/17/2025
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
M.LEVERTON 12-18-25 06:51 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 12/19/2025 12:36:11 PM
BADGE OR ID# 2517 OR]# WA0171300 TIME POLICE DISPATCHED 2:08 Pry TIME POLICE ARRIVED 2:25 PM
PART I PAGE IT]OF 3�
REPORT NO. EG60725 CASE# ' 25-80798 DATE AND TIME 12/17/25 14:05
OF COLLISION
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