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COLLISION REP FIT 1591971
CASE 23-2817 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STATE ROUTE OTHER STOLEN
❑ ❑ HFH1C;l F ❑ LOCAL AOENC 3
HIT 8 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# ❑
cawsloN 03 - 09 - 2023 0501 17 ❑. S 8 W Li OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
LIND AVE SW BLOCK NO. e
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e SW 19TH ST
0 4 29
UNIT MOTOR
VEHICL Z CYCLE ElDDAMYESA✓THRESHOLD PHONE 0 11
30
6❑ LAST NAME REDA FIRSTNAME HENOK MIDDLE G 1 1 2 31
INITIAL
STREET ZI 19291 MILITARYRD S CITY SEATAC ST WA Zjp, 981885035 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO 1/ INTERLOCKYEs NO Z/ YES R No�/
8❑ CORNER # STATE WA SEX'M MMDDYY 07 — O6 — 1983 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10 9❑ PI ATE BZP2099 sTArI WAurN# 4T18D1FKOEU118203
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# FROM TO
TRLR. TRLR 7 1 33
12 0 0 VIN#' UIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13 4 2014 TOYT CAMRY SD DAMAGE vesNo ves❑ NO
REGISTERED OWNER INFO HENOK REDA 19291 MILITARYRDS SEATAC WA 981885035 D:2065817275 VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
4 INSURANCE CO 3
14 IN EFFECT
INSURANCE GEICO 6075.95.49.30
IN EFFECT &POLICY# 9TOP
vEwcLE CHARGE to BOTTOM 5 36
LECALLv Yes❑NO❑ CITATION# 5
15❑ STANDING 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2533479644
16 a
LAST NAME JOHNSON FIRST NAME STEVEN MIDDLE J
INITIAL
17❑ STREET NEW ADOREs7 802 45TH ST NE APT 8-101 CITY AUBURN ST WA ZIP 98002 37
18� CDL IGNITION REQUIRED IGNITION PRESENT MEDICALTRANSPORTED 38
INTERLOCK YEs❑NO INTERLOCK YEs❑NOF YEs❑NOF,/
19 D IVEW # STATE INA SEX M M .C... O6 _ 24 1956 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 HEJ EET NJAU EY 1 NATURE OF INJURIES 40
❑ILICENSE 21❑ PLA E# BBY4578 TArE 41
WA VIN1 1FMCUOEG6CKA30776 1
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2012 MAKE FORD MODEL ESCAPE STYLE UT VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO STEVEN JOHNSON 80245TH ST NE APT 8-101 AUBURN WA 98002 D:2533479644 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU8 PORGY#E CO FARMERS 189118719IN 1U�"'LE
❑ ,.I— CITATION# CHARGELEGALYYES N`LJ25
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26
RYAN KARLO RIVERA 1
12649 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED41395
COLLISION REPORT III III III III III 111
1591972 CASE# 23-2817
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'
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.
RYAN KARLO R/VERA 03-09-23 07:00 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.CHRISTIANSEN 10437 311112023 12:24:53 AM
BADGE OR ID# 12649 ORI# WA0171300 TIME POLICE DISPATCHED 5:02 AM TIME POLICE ARRIVED',5:07 AM
PART I PAGE IT]OF 4�
REPORT NO. ED41395 CASE# 23-2817 OF COLLISION
03/09/23 05:01
OF CbLLI510N
NARRATIVE
On 02/27/2023, 1 was working uniformed patrol in a marked police car as 1 R22. At approximately
0502 hours, I was dispatched to a blocking accident at the intersection of Lind Ave SW and SW 19th
St which is located within the city limits of Renton, county of King, Washington. Dispatch advised that
a passerby saw a two vehicles that appeared to have been in an accident. One vehicle was in the
grassy patch next to the roadway. The other vehicle was blocking the intersection.
When I arrived, I found both vehicles in the condition that the passerby described.
I identified unit 1 as a gold 2014 Toyota Camry (WA/BZP2099, VIN/4T1 BD1 FKOEU118203). The
driver of this vehicle was also identified as Henok G. Reda (DOB: 07/06/1983, verified via DOL
photo).
I also identified unit 2 as a white 2012 Ford Escape (WA/BBY4678, VIN/1 FMCUOEG6CKA30776).
The driver of this vehicle was also identified as Steven J. Johnson (DOB: 06/24/1956, verified via
DOL photo).
When I spoke to unit 1, he stated he was driving his vehicle eastbound on SW 19th St. He then began
to make a left turn to head northbound on Lind Ave SW before striking unit 2 in the intersection. It
should be noted that unit 1 had a stop sign. The stop sign was on an A-frame stand and it was
partially obstructed by traffic cones.
When I spoke to unit 2, he stated he was traveling northbound on Lind Ave SW. He then stated unit 1
struck him when unit 1 was turning. Unit 2 had no traffic control devices and was continuing straight.
Unit 1 sustained heavy front end damage, with the front bumper completely caved in. Unit 1 also had
a broke passenger side rear window.
Unit 2 sustained damage to his driver's side front and rear. The driver's side tire was slightly inverted
inwards.
I called for owner requested tows for both parties and stood by until the tows arrived.
I provided both parties with an exchange of information prior to leaving the scene.
I completed a SECTOR Collision form.
This concludes my report.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Signature: Ryan Rivera (#12649) Date and Place: 03/09/2023 @ Renton, WA
PAGE 3 OF 4
REPORT NO. ED41395 CASE# 23-2817 DATE AND TIME 03/09/23 05:01
OF COLLISION
RPD Case 23-817
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PAGE 4 OF 4