HomeMy WebLinkAbout26-2443 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EG93704OLCERA
COLLISION REPORT 1591971
CASE# 26-2443 2
INTERSTATE CITY STREET FIRE I
RESULTEDSTOLENSTATE ROUTE OTHER VEHICLE LOL`CODICENC'Y 4200 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eDCLson' 03 - 29 - 2026 1258 17 =.= S 8 W e IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE SUNSET BVD BLOCK NO. e 3212 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 8001.1 00 FEET e✓ S 8 W e NE 12TH ST
1 2 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YES No �/ D:3374120396 0 4 30
5 LAST NAME RIVERA MATUTE FIRST NAME MILTON MIDDLE R 1 1 2 31
INITIAL
STREET ❑ 4455 NE 12TH ST APT 19-01 CITY; RENTON ST WA ZIP; 980594070 2
NEW ADDRESS
7 +CDL IGNITION REQUIRED IGNITION ENT MEDICAL TRANSPORTED 3
INTERLOCKYEs ✓NO INTERLOCKmPRES NO✓ YES F NO✓
8❑ DCIENSE# STATE WA SEXI M MMDDYY' 10 - 14 - 2000 1 2 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEET 2 CLASSY 1 NATURE of INJURIES 2=
LICENSE, C53489T STATE WA V 1GCHK73K49F121806 3
10� PI ATF tI IN#
TRAILER STATE TRAILER STATE
11 0 o PLATE# PLATE# 1ROM To
TRLR zRLR 7 1 33
12 3 5 mN# vIN#
FROM TO
VEH.YEAR 2009 MAKE CHEV MODEL SILVER STYLE 4C VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE $ 7 34
13� DAMAGE YES II_II NO ✓ YESII_I) NO✓
REGISTERED OWNER INFO MILTON RI.MATUTE 4455 NE 12TH STAPT I9-01 RENTON WA 980594070 D:3374120396 VEHICLE NO. 1
SHADE IN DAMAGED AREA 11
35
14 LIABILITY INSURANCE❑ NSURANCE CO NO INSURANCE NO INSURANCE 3 4
IN EFFECT &POLICY# �;;Qsrg, ❑ ❑ 6AO058567 CHARGE OP MOT VEH W/OUT INSURANCE 36
Yes NO CITATION#
15
MOTOR ✓ PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE CYCLE nWNFR YES'/ NO D:2064807516
16�
LAST NAME DO FIRST NAME TRO MIDDLE V
INITIAL
STREET ❑ 37
17 ❑ 4009 NE 5TH PL CITY RENTON ST, WA ZIP 980563992 4
NEW ADDRESS
1 g❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED'. 38
INTERLOCKYES No✓ INTERLOCI£YES xz ✓ YES No l✓
19 DRIVER'S ' STATE WA SEXI M D.O.B. 11 1942 � 39
LICENSE# MMDDYY 13 -
20❑ ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H ET 2 INJ 6Y 1 NATURE OF INJURIES 40
21 LICENSLATE E AUA1761 TATE WA VIN# 2TIBURHE9FC331689 41
22❑ PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR 2015 MAKE TOYT MODEL COROLL STYLE p4 VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO�/ VES NO✓
REGISTERED OWNER INFO TRO DO4009 NE 5THPL RENTON WA 98056 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO COMMERCE WEST INS ACPA 002503748
IN EFFECT &POLICY# I STOP
1— ❑ ,J—I CITATION# CHARGE to BOTTOM
L,—LY YES N
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
RAYMOND WATSON 13127 WA0171300
PAGE 01 OF
PART A 3000-345-189(R 11/18)
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG93704
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2443
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 0,SS ----�
: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.
RAYMOND WATSON 04-11-26 09:46 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
JESSE VANDERHOEK 11631 1 411112026 4:37:26 PM
BADGE OR ID# 13127 ORI# WA0171300 TIME POLICE DISPATCHED 1 1:00 pry] TIME POLICE ARRIVED i 1:01 PM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EG93704 CASE# 26-2443 DATE OF COLLI r�510NN + 03/29/26 12:58
L1
NARRATIVE
26-2443
This report is a summary of events that occurred and is not an exact sequencing of events.
Statements have been paraphrased and summarized.
On 03/29/2026 at approximately 1300 hours, myself, Officer R. Watson, was dispatched to a collision,
at Plum Delicious, 3212 NE Sunset BLVD, within the City Limits of Renton, County of King, State of
Washington.
Dispatch notes stated that there was a two-vehicle collision with unknown injuries.
I arrived on scene and observed a white truck coming out the Goodwill parking lot and a red car with
damage blocking westbound NE Sunset BLVD.
Unit# 1, driven by Milton R. Rivera Matute (DOB 10/14/2000) verified by WA DOL photo, stated he
was driving a White 2009 Chevy Silverado, WA plate C53489T. There was one other passenger in
the vehicle who did not identify himself. Milton stated that he was pulling out of the Goodwill parking
lot turning left onto NE Sunset BLVD eastbound when he did not see unit#2 pulling into the parking
lot and collided with him. When I asked for Milton's license, registration and insurance, he was only
able to provide me with his license and the vehicles registration. He stated that eh dd not have valid
insurance on the vehicle. Unit#1 had minor damage to the front left side of the vehicle, no airbag
deployment and was able to be driven from the scene.
Unit#2 driven by Tro V. Do (DOB 11/13/1942) verified by WA DOL photo, stated he was driving a
Red 2015 Toyota Corolla, WA plate AUA1761. There were no other passengers in the vehicle. Tro
stated that he was traveling eastbound on NE Sunset BLVd and went to turn left into the Goodwill
parking lot from the center turn lane when unit #1 pulled out and collided with him. Tro was not injured
and declined aid. When I asked for Tro's license, registration and insurance, he was able to provide
me with all documents. Unit#2 had moderate left side damage, no airbag deployment and was able
to be driven from the scene.
An exchange of information was facilitated and the report number given to both drivers. Milton was
cited for not having valid insurance, citation #6A58567, which was forwarded to the Renton
Prosecutors Office.
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 by Officer R. Watson #13127 04/11/2026 0945 hours, Renton, King County,
WA.
PAGE 3 OF 4
REPORT NO. EG93704 CASE# 26-2443 DATE AND TIME 03/29/2612:58
OF COLLISION
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