HomeMy WebLinkAbout26-3542 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 26-3542 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 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 05 - 1-- 2026 1700 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
NE 4TH ST BLOCK NO. e✓ 3700
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e 0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO F,/ I D:2064685116 0 81
30
6� LAST NAME MILES FIRSTNAME ALLANTE MIDDLE M 1 1 2 31
INITIAL
STREET ❑ 5034 57TH AVE S TTLE WA
NEW ADDRESS ST ZIP 96118 2 CITy SEA
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES z❑
3
LICENSE CGU1916 sTATe WA VIN# 2C3CCAAG8KH590666
10 PI ATE#
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 0 0 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR 2019 CHRY 300 SD MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 9 9 34
13 4 DAMAGE YESNo YES[:] NO
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 ❑ INSURANCE CO 3 4
LIABILITY INSURANCE
IN EFFECT &POLICV# 9TOP
VE—L L CHARGE 10BOTTOM 5 36
LEGALv YEs No CITATION# 6A0290611,6A0290611 OP MOT VEH W/OUT INSURANCE,NO
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
16 a UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:2069993103
LAST NAME BUI FIRST NAME SINH MIDDLE X
INITIAL
17 STREET I❑ s❑' 12522 8OTH AVE S CITY' SEATTLE ST' WA ZIP 98178 4❑ 37
NEW ADDREs
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL—T�RANSPORTED � 38
INTERLOCK YEs❑NOR INTERLOCK YEs I I NOF YES
t l NO❑
19 LDI IVER # STATE WA SEX M M D.C.B. 10 _ 20 _ 1984 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES 40
LICENSE I ❑21❑ PLA E# CPV8877 TATE 41
WA VIN# 1NXAE94A4MZ255421 1
42
22❑ PLATE# STATE PLATE ILER# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
TOWED BY Gov HI 44
VEH YEAR 1991 MAKE 7'Dy7' MODEL CORO!! STYLE $D DAMAGE TOWED NOO✓ BLIN YES NO
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE I PORGY#E CO GEIC04588085474IN 1 GQO,
VE25
LEGALLY YESZ Nu
❑ s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
MICHAEL THOMPSON 13311 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EH02591
COLLISION REPORT III III III III III 111
1591972 CASE# 26-3542
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'
26-3542
On 05-07-2026 at 1707 hours I was dispatched to a report of a non-injury, non-blocking collision at
3815 NE 4th St (Maplewood Park Apartments), in the city of Renton, King county, Washington.
Upon my arrival I contacted the driver of Unit 2, identified as Sinh X. Bui (DOB 10-20-1984, verified
by WADL photo). He stated he was driving east bound on NE 4th st when pedestrians suddenly
entered the crosswalk and he had to quickly come to a stop. He stated that as he was stopped, he felt
Unit 1 collide with the rear of his vehicle. He provided me with his license and insurance.
I then contacted the driver of Unit 1, identified as Allante M. Miles (DOB 08-16-1991, verified by
WADOL photo). She stated that as the pedestrians entered the road and Unit 2 stopped in front of
her, she barely hit him. In my contact with Allante she stated that she did not have insurance for her
vehicle. A check of her DOL status returned that she was unlicensed, but she did provide me with ID.
Based on this information I completed a sector cite for operating a motor vehicle with no insurance,
and for driving with no valid operator's license that was mailed to Allante.
The damage threshold was not met on either vehicle.
Neither party reported any injuries.
I completed an exchange of information and emailed it to both parties.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer Michael A. Thompson #13311 at 1824 on 5/7/2026 in the City of
Renton, King County, Washington.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
MICHAEL THOMPSON 05-07-26 06:45 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 1 5/13/2026 2:53:43 PM
BADGE OR ID# 13311 ORI# WA0171300 TIME POLICE DISPATCHED! 5:07 Pry] TIME POLICE ARRIVED'5:27 PM
PART I PAGE IT]OF 3�
REPORT NO. EH02591 CASE# ' 26-3542 DATE AND TIME 05/07/26 17:00
OF COLLISION
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