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Home My WebLink About23-2285 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 2 27c COLLISION REP FIT 1591971 CASE 23-2285 z INTERSTATE ❑ CITY STREET FIRE ❑RESULTED 1 STATE ROUTE OTHER STOLEN ❑ ❑ HFHIC;I F ❑ LOCAL AOENC 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2 2 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# ❑ cawsloN 02 - 1-- 2023 1350 17 ❑. S 8 W Li OF e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓ PARK AVE N BLOCK NO. e✓ 1000 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ 50 00 FEET MILES e S B W e N 10TH ST 0 8 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO ✓ I D:2068999907 30 6 LAST NAME JIMENEZ GARCIA FIRST NAME ZULMA MIDDLE D 1 1 2 31 INITIAL STREET ❑ 32512 1 ST LN SW APT D202 CITY FEDERAL WAY ST WA 2jp, 980236000 z 'NEW ADDRESS 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 H U SE ICNLJAUSSY 1 NATURE OF INJURIES z❑ 3 10❑ P1 aT�S� BLC1873 sTAr� WAvIN# 3N1AB7AP2HY381731 TRAILER STATE TRAILER STATE 11 3 5 PLATE# PLATE# FROM TO TRLR. RLR 1 7 33 12❑ VIN#j VIN# :: FROM TO VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 $ 34 13❑2 2017 NISS SENTRA SD DAMAGE YES NO ✓ YES[:] NO✓ REGISTERED OWNER INFO ZULMA JIMENEZ GARCIA 325121STLN SWAPTD202 FEDERAL WAYWA 98023 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO STATE FARM 4034263DO647A 3 4 IN EFFECT &POLICY# 9TOP VEHlcl.e 5 36 LEGALLv res❑NO❑ CITATION# CHARGE 10 BOTTOM 15❑ STANDING 8 7 6 MOTOR PEDAL- PEDESTRIAN ✓ PROPERTY DAM THR OLD MET PHONE UNIT 02 VEHICLE El PEDAL- ❑ ❑ OWNER ❑ YES✓ NO D:2063543262 16 a LAST NAME DEVOL FIRST NAME DANA MIDDLE H INITIAL 17❑ STREET ❑' 525 BELMONT AVE E APT 7C CITY' SEATTLE ST' WA ZIP 98102 37 NEW ADDRESS ❑ 18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38 INTERLOCK YEs❑NOR INTERLOCK YEs❑NOF YEs❑NO❑ 19 DRIVER # 20 ON DUTY❑ FN—ATUREOF INJURIES STATUS 3 AIRBAG RESTR EJECT H U MEET LASSLjRY 6 ABRASION ON LEFT KNEE 40 ❑21❑ TArE LICENSE vIN 41 PLATE# 42 22❑ PR TRAILER LATE# STATE PLATE# STATE TRLR 23❑ UIN#. IN#. 43 RLR ' VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY Gov HI 44 24 Q 1 DAMAGE YES NO YES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO 1 9TOP 5 VEHICLE ❑ C[:] CITATION# CHARGE i o BOTTOM LEGALLY YES N 25 s e OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 JESSE VANDERHOEK 11631 WA0171300 PAGE 01 OF PART A 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. ED37322 COLLISION REPORT III III III III III 111 1591972 CASE# 23-2285 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) VALLEJOS BRYAN C (LAST FIRST, ADDRESS&PHONE# 525 BELMONT AVE E APT 7C SEATTlE WA 98102 2064125411 SEX M MMDDuyvv 07 - 02 - 1967 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑ ❑✓ SEA USE CLASS NAME (LAST,FIRST MIDDLE INITIAL) JIMENEZ LOPEZ GABRIELA ADDRESS&PHONE# D O B 28705 34TH AVE S APT A301 AUBURN WA 98001 2067695530 SEX: F MMaDuvvv 12 _ 30 _ 1985 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ POS. USE CLASS NAME (LAST FIRST,MIDDLE INITIAL) MEKURA CHRISTINA ADDREss&PHONE# 1205 GRANT AVE S APT 5105 RENTON WA 98055 2064095667 SEX F D.O.B. 01 _ 28 _ 1974 MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ POS. USE CLASS ----� NARRATIVE' Witnesses advised the pedestrian, DANA DEVOL, was crossing the street from west to east on a marked crosswalk with the cross signal allowing him to cross. Witnesses stated the vehicle (vehicle #1), WA plate BLC1873, being driven by the driver, ZULMA JIMENEZ, was stopped at a red light on Park Ave N just north of N 10th St. The vehicle then started to turn to the right onto N 10th St. Witnesses stated that while the vehicle turned to the right, the front right corner of the vehicle collided with DEVOL as he started to cross at the cross walk. Witnesses advised the vehicle then drove away without first exchanging information. The driver of the vehicle, ZULMA, drove into a parking lot approximately one block away and called police to report what happened, and claimed to the dispatcher that she did not hit the pedestrian. ZULMA agreed to return to the scene. Once she arrived, I spoke to ZULMA. ZULMA told me when she started to make the right turn onto N 10th St, a man stood in front of her car and started hitting her car with his hand, and yelled profanities at her. He claimed she hit his husband, who was now laying on the ground in the middle of the crosswalk. ZULMA insisted to me that she did not hit the pedestrian, which was why she left the scene and parked in a nearby parking lot to call police in order to give her side of the story. I did not see any damage to ZULMA's vehicle. Photos were taken of the scene, though no video surveillance was able to be located. The pedestrian, DEVOL, was transported to the hospital by ambulance with what appeared to be minor injuries. I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. JESSE VANDERHOEK 02-25-23 03:39 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE D.SKELTON 9139 1 2/26/2023 4:37:07 AM BADGE OR ID# 11631 OR]# WA0171300 TIME POLICE DISPATCHED 1:54 PM TIME POLICE ARRIVED:1:57 PM PART I PAGE IT]OF 3� REPORT NO. ED37322 CASE# ' 23-2285 DATE AND TIME 02/25/23 13:50 OF COLLISION Not to scale (D YNJIF Vehicle#1 N 10�h t Pedestrian PAGE 3 OF 3