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HomeMy WebLinkAbout26-4010 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c COLLISION REP FIT 1591971 ❑ ❑ FIRE ❑ CASE# 26-4010 2 0 5 INTERSTATE CITY STREET RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4200 3 6 5 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 TOTAL#OF OBJECT 1 1 8 28 TRIBAL UNITS OS STRUCK RESERVATION 2 3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑ cowsloN 05 - 1-- 2026 1300 17 ❑.= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ NE 4TH ST BLOCK NO. e✓ 4000 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5 100 00 FEET e S ❑ E e UNION AVE NE❑ 0 2 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El ✓NO D:2536049265 0 7 30 6� LAST NAME RIVERA-AYALA FIRSTNAME ERICK MIDDLE 1 2 31 INITIAL STREET ❑✓ 20927124TH AVE SE CITY KENT ST WA ZIP 98042 2 NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES NO 1/ I INTERLOCK YES NO YES NO 8 LRIIVERCENS # STATE SEX'M MDMDD 05 - 18 - 2010 1 2 32 9 ON DUTY❑ STATUS AIRBAG 9 RESTR 9 EJECT 1 HELMET USE 2 1 CLAY NATURE OF INJURIES 2❑ 3 10❑ P1 aTES� D68235J sTAr� WAvIN# 1FTEXIEPOJKC42886 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. TRLR 7 3 33 12 3 5 VIN#' VIN# >; FROM TO ❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T v GOVT.VEHICLE J 9 34 13 4 2018 FORD F150 PK DAMAGE YES NO � �MEYERS ves❑ No✓ REGISTERED OWNER INFO YULISSAALVARADO 2150 M STSE,APT85 AUBURN WA 98002 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 ❑ ❑ INSURANCE CO 3 4 14 LIABILITY INSURANCE NONE IN EFFECT &POLICY# Q vewcLE CHARGE t5 36 LEGALLY res No CITATION# 6A0215028,6A0215029, RECKLESS DRIVING,RECKLESS 15❑ NDING 6 MOTOR PEDAL- pROpER7y 16 DAM THR OLD M PHONE UNIT�2 ❑✓ ❑ PEDESTRIAN ❑ ❑ D:2062538218 VEHICLE CYCLE OWNER YES�/ ET NO a LAST NAME GORNOWICH FIRST NAME AMANDA MIDDLE INITIAL 17❑ NEW STREETRE--- 3815 NE 4TH ST#A8 CITY RENTON ST WA ZIP 98056 4❑ 37 18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38 INTERLOCKYES�NO� INTERLOCK YEs It I NOF YES t l NOF,/ 19 F] DRIVERIS ON DUTY STATUS AIRBAG,3 RESTR 4 EJECT 1 WEB SET 2 NJAU SY 6 [-�A—TUREOF INJURIES SEATBELT BURN AND AIRBAG 40 ❑21❑ PLATE# A9263150 TArE 41 WA VIN# KNDJ53AF4L7059011 1 42 22❑ PLATE# STATE PLATE# STATE 23❑ VIN#. 43 TRLR RLR 'IN#. H 44 I VEH YEAR 2020 MAKE KIA MODEL SOUL STYLE SD DAM AG rowed ev 24❑ E TOWED✓ NOO BLIN GENE MEYERS YESGov No�/ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2 SHADE DAGED AREA 4 LIABILITY INSURANCE I POLICY#E CO VERNFONKIN I STOP 5 VEHICLE CITATION# CHARGE to BOTTOM LEGALLY YES NC� 25❑ s e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 J.CARSTENSEN 11648 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EHO5604 COLLISION REPORT III III III III III 111 1591972 CASE# 26-4010 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) SAR/NANA-CONTRERAS JOSE (LAST FIRST, ADDRESS&PHONE# 1660 S 246TH PL DES MO/NES WA 98198 SEX M MMDOYyry 01 - 27 - 2003 PASSENGER Z WITNESS❑ UNIT# 1 Pas 7 AIRBAG'9 RESTR. 9 EJECT ? 1 HELMET INJURY NATURE OF INJURIES USE 2 CLASS +1 NAME (LAST,FIRST,MIDDLE INITIAL) HUERTA AYALA XOVANI ADDRESS&PHONE# D O B 33125 35TH AVE SW FEDERAL WAY WA 98023 SEX/ M MMDDYvvv 04 _ 08 _ 2002 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS UNIT# 1 POS 3 AIRBAG 9 RESTR. 9 EJECT 1 USE 1 2 CLASS 1 NAME MIDDLE INITIAL) VAZQUEZ ABNER (LAST FIRST, AooREss&PHONE# 14604 SE 140TH PL RENTON WA 98059 _ SEX M. D.O.B.M - MDDYYYY PASSENGER WITNESS UNIT# ! 3 SEAT 7 AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 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. J.CARSTENSEN 05-24-26 04:09 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE PHILIP DAVIS 12018 1 5/24/2026 4:20:17 PM BADGE OR ID# 11648 OR]# WA0171300 TIME POLICE DISPATCHED! 4:00 pry] TIME POLICE ARRIVED',1:05 PM PART I PAGE IT]OF 9� STATE OF POLICETRAFFICN CORRECTION REPORT NO. EHO5604 COLLISION REPORT III III III III III 111 1591972 CASE# 26-4010 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) VAZQUEZ ELEANOR (LAST FIRST, ADDRESS&PHONE# D O.B. 14604 SE 140TH PL RENTON WA 98059 SEX F MMDDYyYv - - PASSENGER Z WITNESS UNIT# 3 POS. 9 AIRBAG 2 RESTR. 4 EJECT ? 1 HELMET NATURE OF INJURIES USE 2 CLASS '1 NAME (LAST,FIRST,MIDDLE INITIAL) i HOGINS KAYLEE ADDRESS&PHONE# DOB RENTON SEX F MMDDYYvv - _ SEAT HELMET INJURY NATURE OF INJURIES PASSENGER Z WITNESS UNIT# 3 pOS 8 AIRBAG 2 RESTR. 4 EJECT 1 USE 2 CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) OMAN REBECCA AooREss PHONE# 1925 S 116TH ST BURIEN WA 98168 SEXF 11 28 _ 1996 . D.O.B. _ MMDDYYYY PASSENGER WITNESS UNIT# ! 4 SEAT 1 3 AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 INJURY 1 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. J.CARSTENSEN 05-24-26 04:09 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE PHILIP DAVIS 12018 1 5/24/2026 4:20:17 PM BADGE OR ID# 11648 OR]# WA0171300 TIME POLICE DISPATCHED! 4:00 Pm TIME POLICE ARRIVED',1:05 PM PART I PAGE 3�OF 9� STATE OF POLICETRAFFICN CORRECTION REPORT NO. EHO5604 COLLISION REPORT III III III III III 111 1591972 CASE# 26-4010 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) OMAN DECLAN (LAST FIRST, ADDRESS&PHONE# 1925 S 116TH ST BURIEN WA 98168 SEX M MMDOYyvv 04 - 04 - 2026 PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT H USEET 2 CLASS 1 NAruRE of INJURIEs ❑✓ ❑ 4 POS, 11 2 4 1 NAME (LAST,FIRST,MIDDLE INITIAL) GARCIA ELIZABETH ADDRESS&PHONE# D O B 4909 NE 7TH PL, RENTON WA 98059 4259700337 SEX F MMDDYvvv O6 _ 27 _ 1999 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS❑ UNIT# 5 POS 3 AIRBAG 2 RESTR. 2 EJECT 1 USE 2 CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) DEMIRKAN HALUK AooREss&PHONE# 4805772019 _ SEX U. I. -❑ MDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ Z 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. J.CARSTENSEN 05-24-26 04:09 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE PHILIP DAVIS 12018 1 5/24/2026 4:20:17 PM BADGE OR ID# 11648 OR]# WA0171300 TIME POLICE DISPATCHED! 4:00 Pm TIME POLICE ARRIVED',1:05 PM PART I PAGE 4�OF 9� REPORT NO. EH05604 CASE# 26-4010 OF COLLISION 05/24/26 13:00 OF CbLLI510N NARRATIVE On 5/24/26 at about 1300 hours I was working uniformed patrol in my unmarked patrol vehicle when I was dispatched to a collision at NE 4th ST/ Union Ave NE in the City of Renton, King County, WA. I contacted the witness, Haluk Demirkan, who relayed the following: Haluk was driving eastbound on NE 4th ST approaching Union Ave NE. He was behind Unit 2 and witnessed the entire crash. Haluk saw Unit 1 weaving between cars from lane to lane, and speeding while driving eastbound on NE 4th ST, approaching Unit 2. He saw Unit 1 try to change lanes to the middle turn lane, which caused Unit 1 to hit Unit 2 and Unit 3. He then saw Unit 1 unable to stop in time and run into Unit 5. Police contacted the driver of Unit 1, who was identified by his Kentridge High School ID Card, Erick Rivera-Ayala (DOB: 5/18/2010), and he relayed the following: Unit 1 was driving eastbound on NE 4th ST, approaching Union Ave NE. Unit 1 wanted to make the left turn at Union Ave NE. Unit 1 moved over into the middle turn lane and collided with Unit 2. This caused damage to the front right side of Unit 2. Unit 1 then collided with the back of Unit 5. Unit 1 does not have insurance. I contacted Unit 2, who was identified by her WADL, and she relayed the following: Unit 2 was traveling eastbound on NE 4th ST towards Union Ave NE. Unit 2 was in the middle lane, waiting to turn left into the 7/11 parking lot. All of a sudden, Unit 2 was hit, causing the right two tires to lift off the ground. The car leaned towards the driver side on the left two tires before coming back down. Unit 2 did not see who hit them. There was damage to the front right and front end of Unit 2. 1 contacted Unit 3, who was identified by her WADL, and she relayed the following: Unit 3 was traveling eastbound on NE 4th ST, approaching Union Ave NE. Unit 3 was in the left lane. All of a sudden, Unit 3 was struck from behind. This pushed Unit 3 into the back of Unit 4. Unit 3 didn't see who hit her. There was damage to the rear and front of Unit 3. Unit 4 was contacted, who relayed the following: Unit 4 was traveling eastbound on NE 4th ST, approaching Union Ave NE. Unit 4 was in the left lane. All of a sudden, Unit 4 was struck from behind. Unit 4 then pulled over into the nearby parking lot. Unit 4 had minor damage to the back end. I contacted Unit 5, who was identified by his WADL, and he relayed the following: Unit 5 was driving eastbound on NE 4th ST, approaching Union Ave NE in the left lane. Unit 5 was possibly slowing down for a yellow light at Union Ave NE. Unit 5 was hit from behind and pushed forwards multiple car lengths. Unit 5 was extreme damage to the rear end, pushing the entire trunk towards the cab. Unit 5 remembers the collision, hitting the brake, and continuing to move forward. I looked at a large pile of broken glass, which appeared to come from the rear window of Unit 5. It appears that is where Unit 5 was hit from behind. I estimate it to be about 15-20 yards from the stopping point. All parties were checked out by Renton Fire on scene. I gave all parties a business card with the case number. Units 1, 2, and 5 were towed away. By driving his vehicle in willful or wanton disregard for the safety of persons or property, Erick Rivera- Ayala (DOB: 5/18/2010) committed the crime of Reckless Driving. PAGE 5 OF 9 REPORT NO. EH05604 CASE# 26-4010 OF COLLISION 05/24/26 13:00 OF CbLLI510N NARRATIVE By driving recklessly, where he crashed with such speed and force that he pushed another vehicle 15 -20 yards, completely totaling Unit 5, and putting the occupants of Unit 1 at risk of being seriously injured, Erick Rivera-Ayala (DOB: 5/18/2010) committed the crime of Reckless Endangerment. Citation 6AO215028 and 6AO215029 were forwarded to the Prosecutor's Office for Review. Infraction #6A0215030 was sent via Court Mail to Unit 1 for No Insurance, Failure To Yield Right of Way When Changing Lanes, No Valid Operating License- With ID, Too Fast For Conditions. I certify (declare) under penalty of perjury under the laws of the State of Washington that the foregoing information provided by me is true and correct. Electronically signed: J. Carstensen #11648 PAGE 6 OF 9 SUPPLEMENTAL REPORT NO. EH055604 r`I POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 26-4010 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USL70r !CC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 1 8 28 CARRIER NAME 3 CARRIER ADDRESS `❑ CITY ST' ZIP' 4 ❑ NAME # PLACARD: :❑ GI NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN � OWNER �I YES✓ NO D:2066029209 0 1 29 LAST NAME RUIZ DURAN FIRST NAME LOIDA MIDDLE INITIAL 0 1 30 STREET NFW AnDRFSP 14604 SE 140TH PL CITY RENTON ST WA ZIP 98059 6 [2 1 1 2 31 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TAN5PORTED INTERLOCK YEs NO✓ zERLOCK YEs❑NO❑✓ YES N ✓ DRIVER'S LICENSE STATE I WA SEX F MMDDYYv 02 - 13 - 1991 7 ❑ ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 1 2 32 LICENSE CKM2822 TAr WA VIN# 1N4BZOCPXHC300667 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 TRLR TRLR VIN.#. VIN.#. 11 3 5 VEH.YEAR MAKE MODEL STYLE VEHICLE TOME E T SABLIN TOWED BY anvi vEH1O F FROM TO 2017 NISS LEAF S/ SD DAMAGE YES NO ✓ YES NO ✓ REGISTERED OWNER INFOLOIDA RUIZDURAN 14604 SE 140TH PL RENTONWA 98059 D:2066029209 ] $ 33 12 3 5 SHADE IN DAMAGED AREA 4 FROM TO LIABILITY INSURANCE INSURANCE CO STATE FARM 5856399-801.47 TOP IN EFFECT &POLICY# 7 3 vewcLe 10 BOTTOM 34 4 ❑ ❑ CITATION# CHARGE 13 �Fcnuv YES NO gg�@ g� STANDING a Q DAMAGE THRESHOLD MET PHONE ❑ 35 14 UNIT# 4 MOTOR ❑✓ PEDAL- ❑ PEDESTRIAN ❑ PROPERTY ❑ YES NO VEHICLE CYCLE OWNER ✓ D:2069407069 OMAN MARK MIDDLE ❑ 36 15 LAST NAME FIRST NAME INITIAL 2 STREET 16 ❑ ❑; 1925 S 116TH ST CITY BURIEN ST WA ZIP 98168 NFn+AnntxFss CDL IGNITION REOUIREE7 IGNITION PRESENT MEDICALTANSPGRTED 17 ❑ INTERLOCK YEs NO✓ INTERLOCK YEs NC7✓ YES No�/ ❑ DRIVER'S D.O.B 4 37 LICENSE# STATE WA SEX M MMDDyYY' 09 - 20 - 1992 18 ❑ ON DUTY❑ STATUS' AIRBAG 2 RESTR, 4 EJECT 1 1 HELMET 2 INJURY 1 NATURE OF INJURIES 38 19 USE CLASS ❑ ❑ LICENSE CTE9772 TAr WA v!N# 1HGCY2F81SA046059 3 39 20 ❑ TRAILER' STATE TRAILER ST 40 PLATE#< PLATE# ATE 21 ❑ ❑ 41 TRLR TRLR ViN# YIN#i 42 22 VEH.YEAR2O25 MAKE HOND MODEL ACCOR STYLE SD VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE 1 DAMAGE YES NO ✓ YES NO ✓ 23 ❑ REGISTERED OWNER INFO OWNED BYDRIVER SHADE IN DAMAGED AREA 43 z s LIABILITY INSURANCE IN INSURANCE CO GEIC04617-44-30-82 9'1'OP ❑ EEFFECT &POLICY# 44 VEHICLE LE ALE YES[:] NO❑ CITATION CHARGE iq BOTTOMLEGALLY E:l STANDING 8 7 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. J-CARSTENSEN 05-24-26 04:09 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 ❑ ',ORID# 11648 O#I',WA0171300 APPROVED DAVISBY 5/24/2026 PAGE F71OFF 3000-345-013(R 11118) SUPPLEMENTAL REPORT NO. EH055604 r`I POLICE TRAFFIC 1 1 8 27 COLLISION REPORT CASE# 26-4010 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G UNIT'# USL70r !CC# VEHICLE TYPE CARGO BODY TYPE 2 ❑ 1 28 CARRIER NAME 3 CARRIER ADDRESS ` CITY ST' ZIP' 4 ❑ NAME # PLACARD: :❑ GI NAME IF NO NUMBER SOURCE AXLES + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# 5 VEHICLE tSJ CYCLE I_) PEDESTRIAN � OWNER � YES� NO D:2532616019 0 1 29 LAST NAME CARIVEAU FIRST NAME : COLTON MIDDLE INITIAL STREET 30 NEW AnDRFSP' 4909 NE 7TH PL CITY RENTON ST WA ZIP 98059 6 ❑ 1 1 2 31 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED INTERLOCK YEs NO zERLOCK YES❑N0� YES N DRIVER'S LICENSE STATE I WA SEX M MMDDYYv 07 - O6 - 1999 7 ON DUTY� STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 NATURE OF INJURIES USE CLASS 8 ❑ 1 32 LICENSE I CEP4271 [TAT WA VIN# 1ZVFT80N675272803 PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 3 5 VEH.YEAR2007 MAKE FORD MODELMUSTAN STYLE SD I VEHICLE TOWE E T SABLIN TOWED BY anvi vEH1C P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO COLTON CARIVEAU4909 NE 7TH PL RENTON WA 98059 D:2532616019 ] $ 33 12 � SHADE IN DAMAGED AREA 7 FROM TO LIABILITY INSURANCE INSURANCE CO TRAVELERS 943386911.101 2 IN EFFECT &POLICY# 1 4 TLSP LEGA LE 34 CITATION CHARGE 100QT1Y)M 13 LEGALLY YES NO STANDING �} 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNERRTY YES AGE NOHRESHOLD MET PHONE ❑ 35 PEDESTRIAN 15 LAST NAME FIRST NAME INITIAL ❑ 36 STREET 16 NEW An F]% CITY ST ZIP CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YES NO ❑ 17 4 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE CLASS 19 ❑ LICENSE TAT VIN# 39 PLATE# 20 ❑ TRAILER TRAILER El40 PLATE#< STATE PLATE# STATE 21 ❑ ❑ 41 TRLR TRLR VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43 3 4 71 LIABILITY INSURANCE INSURANCE CO ' VINE EFFECT &POLICY# i 970P - 4 E:l 44 24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM C=DLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. J-CARSTENSEN 05-24-26 04:09 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED APPROVED BY DATE 26 OR ID# 11648 O#II,WA0171300 DAVIS 5/24/2026 PAGE OF 3000-345-013(R 11118) REPORT NO. EH05604 CASE# ' 26-4010 DATE AND TIME 05/24/26 13:00 OF COLLISION At4 .......... mow, r� i t PAGE 9 OF 9