HomeMy WebLinkAbout26-2894 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
SASE 26-2894 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4250 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 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 04 - 14 - 2026 0620 17 ❑.= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
TALBOT RD S BLOCK NO. e✓ 1500
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 50 00 FEET MILES e S B W e S PUGET DR
0 1 29
MOTUNIT U1 VEHIOR Z PEDAL-CLE CYCLE ElYYESA�NO THRESHOLD MET PHONE 0 6 30
6� LAST NAME UNK FIRSTNAME UNK MIDDLE U 1 1 2 31
STREET NEW
❑ CITY ST zIP INITIAL z
'NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNIT{ON PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCK YES No YES No
8❑ LIRCIENSRE#
STATE I
SEX u MMDDYY - 1 1 2 32
9 ON DUTY❑ STATUS I
AIRBAG 9 RESTR 9 EJECT 9 H USEEr 9 CLAY 0 NATURE OF INJURIES z❑
3
LICENSE UNK sTATI urN#
10❑ PI ATE 14
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# ROM ro
TRLR 5 1. TRLR 33
12 3 5 VIN# VIN#
FROM TO
❑ VEH.YEAR MAKE UNKN MODEL UNK STYLE SD VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13 4 DAMAGE YES YES❑ NO
REGISTEREDOWNERINFO UNKUNK VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 ABILI INSURANCE❑ INSURANCE CO 3 4
IN EFFECT &POLICV# 9TOP
VEHICLE CHARGE 5 36
LEGALLY YES❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 7 6
UNIT 02
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
❑VEHICLE ❑ CYCLE ❑ OWNER ❑ YES No 1/ D:4255451398
16 a
LAST NAME LA FIRST NAME LILLY MIDDLE
INITIAL
17❑ STREET ❑', 18102 113TH AVE SE CITY RENTON ST WA ZIP 980556577 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL t—T�RANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YES It1 I NoF t l YES NO
19 LDIIVEW # STATE WA ]SEX IF M .C.B. 08 _ 17 2006 39
HELMET {NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT '1 USE 2 CLASS 1 ❑
21❑ LICENSE ASM3120 TATE WA vIN# USE
❑ 41
PLATE#
42
22 [TRAILER TILER
❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR 2014 MAKE TOYT MODEL CAMRY STYLE SD VEHICLE TOWED TO BLIN TOWEDey GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO LILLY LA 18102113TH AVE SE RENTON WA 98055 VEHICLE NO.2
SHADE IN DAMAGEbAREA
2 3 Cd
INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO 1 9TOP
'E""LE ❑ N`L J
,J� CITATION# CHARGE
LEG
25 i o BOTTOM
ALLY YES $ '
=ON
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26 12421 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG99600
COLLISION REPORT III III III III III 111
1591972 CASE# 26-2894
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(/AST 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'
26-2894 ACCHR
On 4/14/2026 1 was working as a uniformed patrol officer and driving a marked patrol vehicle for the
City of Renton. I was dispatched to a report of a hit and run that had recently occurred near the
intersection of S Puget Dr and Talbot Rd R Renton/King/WA. Lillie I La DOB: 8/17/2006 was calling to
report that someone had hit her 2014 Toyota Camry WA/ASM3120 and fled the scene.
I located Lillie near the intersection and asked what happened, she said that she was driving north on
Talbot in the #1 lane and was slowing down for a red light. She said that she heard tires squealing
and then felt an impact from behind. A gray or tan sedan driven by a white male with a license plate of
WA/BZR??? fled the scene north on Talbot Rd S.
Lillie said she was not injured, and I saw minor damage to her rear bumper, I could not see any
visible paint transfer.
Lillie said she would not be able to recognize the driver if seen again and she did wish to pursue
charges.
Based on the information provided, this case is closed pending new information.
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 4/14/2026 Renton WA
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
D.NELSON 04-17-26 02:47 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOSS 1953 1 4/23/2026 1:54:50 PM
BADGE OR ID# 12421 ORI# WA0171300 TIME POLICE DISPATCHED; 6:20 AM TIME POLICE ARRIVED',6:23 AM
PART I PAGE IT]OF 3�
REPORT NO. EG99600 CASE# 26-2894 DATE AND TIME 04/14/26 06:20
OF COLLISION
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