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26-223
IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG68746OLCERA COLLISION REPORT 1591971 ❑ 0✓ FIRERES ED I CASE# 26-223 2 INTERSTATE CITY STREET FIRESTOLENSTATE ROUTE OTHER VEHICLE LOCAI-AGENCY 4100 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT o $ 28 TRIBAL UNITS 02 STRUCK RESERVATION : 1 1 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# eaCL s on' 01 - 08 - 2026 1338 17 =.= S 8 W e OF e 1070 s 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ LOGAN AVE N BLOCK NO. e 400 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 MILES 1.1 FEET e S 8 W e N 4TH ST 0 3 29 MOTOR ✓ PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4252491505 30 6 LAST NAME NGUYEN FIRST NAME JENNY MIDDLE R 1 1 2 31 INITIAL STREET ] 14312 SE 144TH ST CITY; RENTON ST, WA ZIP; 980595509 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSP©RTED 3 INTERLOCK YEs �/NO INTERLOCKYEs N �/ YES NO DRIVER # STATE WA SEXI F MMDDYY' 01 - 21 - 2004 t 32 8❑ 9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 NATURE of INJURIES 2 LICENSE, CLZ6349 STATE WA VIN# 3CZRU6H56GM706938 3 10 Fq I as ATP tt TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM To TRLR rRLR 3 1 1 33 12 VIN#' VIN# : FROM TO VEH.YEAR ZOI6 MAKE yOND MODEL HR-V STYLE SD VEHICLE TOWED[n TO ZBE TOWEDBY GOVT VEHICLE 1 $ 34 13� DAMAGE YES II_II NO YESII_I) NO REGISTERED OWNER INFO JENNY NGUYEN 14312 SE 144TH ST RENTON WA 98059 VEHICLE NO. 1 SHADE IN DAMAGED AREA 35 3 LIABILITY INSURANCE INSURANCE CO 4 14 GE/CO 6209877056 IN EFFECT &POLICY# 9TOP vEn ' CHARGE t 5 36 IALLr yes❑NO❑ CITATION# t a 80TTOM 15❑ STMDwc s 7 e �y MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE UNIT U2 ❑✓ PEDESTRIAN VEHICLE CYCLE OWNER YES NO 16� LAST NAME BRAWN FIRST NAME DERRICK MIDDLE C INITIAL 17 F1 STREET ❑ ❑ 1415 NE 43RD ST CITY SEATTLE ST, WA ZIP 98115 37 NEW ADDRESS 1$❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 38 INTERLOCKYEs Na fNTERLOCI YES NO vEs NO' 19� DCENSE# STATE SEX I M I D-MM DYY 12 30 1992 39 3 HELMET INJURY NATURE OF INJURIES 3 40 20 ON DUTY STATUS 1 AIRBAG' RESTR EJECT 2 USE 2 CLASS 6 PREVIOUS WOUNDS OPENED ON R ANKLELICENSE ❑ 21 PLATE# T-1- VIN# 41 22❑ [TILER TAILER PLATE# STATE PLATE# STATE 42 23 TRLR RLR 43 UIN#. 'IN# VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOV HI 44 24 DAMAGE YES NO YES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# 9TOP vemaE ❑ ,.I—I CITATION# CHARGE to BOTTOM EEGnEEY YES NC 25 a s OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY WA0171300 26 $ 0 D.NELSON 12421 PAGE 01 OF PART A 3000-345-189(R 11/18) STATE OF POLICETRAFFICN CORRECTION REPORT NO. EG68746 COLLISION REPORT III III III III III 111 1591972 CASE# 26-223 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) '.NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE SEXi D.O.B. — MMDDYYYY PASSENGERQ WITNESS� UNIT SEAT AIRBAG RESTR. EJECT ; HELMET INJURY NATURE OF INJURIES POS. ' USE GLASS 1 ----� :NAME (LAST FIRST MIDDLE INITIAL) ADDRESS&PHONE# SEX D.O.B. — MMDDYYYY PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURECFINJURIES POS. USE CLASS ----� :NAME (LOST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# SEX MMDDYY D.O.B. YY 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. D.NELSON 01-09-26 01:02 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED APPROVED BY DATE C.JACOBS 1953 1 111412026 11:47:30 AM BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED 1 1:40 Pry] TIME POLICE ARRIVED i 1:45 PM PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4 REPORT NO. EG68746 CASE# 26-223 O OF COLLI 510N TIME 01/08/26 13:38 COLLISION NARRATIVE 26-223 ACCINJ BIKE On 1/8/2026 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the City of Renton. 1 was dispatched to a report of a collision involving a bicycle with injury near Logan Ave N and N 4th St Renton/King/WA. Several witnesses were calling to report that the vehicle was stopped, and the bicyclist was down with an injury to his ankle. RRFA was dispatched to the scene and was with the bicyclist when I arrived. The bicyclist was verbally identified as Derrick C Brawn DOB: 12/30/1992. 1 was not able to positively identify him as he did not have a WADOL return or photograph. There were several misdemeanors warrants for theft but no physical description. Derrick advised he did not have a phone number either. Derrick had a visible injury to his right ankle; upon closer inspection it appeared to be severe open sores that had began to bleed. It was difficult to determine if there was new injury based on the severity of the open sores. Derrick was transported to VMC for further evaluation. The driver of the 2016 Honda HRV WA/CLZ6349 was identified by her WADL as Jenny R Nguyen DOB: 1/21/2004. Jenny said that she was stopped at the traffic signal facing west on N 4th St waiting to turn north onto Logan Ave N. Jenny said that she was looking to the south waiting for a break in traffic before she entered Logan Ave. Jenny believed she was at a complete stop when Derrick entered the roadway on his bicycle. There was damage to the front passenger side quarter panel of the Honda where Derrick hit it. N 4th St is a one-way westbound street, it is 4-lanes that merges down to 3 before the intersection. The #1 lane turns into a yield lane with a crosswalk in it to turn north on Logan Ave. Jenny had dash camera footage that 1 was able to review. The footage showed that Jenny was stopped waiting to turn, she begins to slowly inch forward when Derrick entered the roadway outside of the crosswalk and struck her vehicle. Derrick was travelling southbound on the sidewalk before he entered the roadway. It did not appear that Derrick slowed or attempted to alter course before striking the Honda. This footage was uploaded to Axon Evidence. 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 1/8/2026 Renton WA PAGE 3 OF 4 REPORT NO. EG68746 CASE# 26-223 DATE AND TIME 01/08/26 13:38 OF COLLISION mi 9T4 I 4 h, u yy� k x l et 1 S`t 41 Y W- ,> r iE c PAGE 4 OF 4