HomeMy WebLinkAbout23-4848 POLICE
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POLICE TFFITCOREPORT No. ED56520
COLLISION REP FIT 1591971
CITY STREET FIRE CASE# 1 23-4848 2
INTERSTATE RESULTED F
STOLEN ❑STATE ROUTE ❑ OTHER ❑ VIILICI F F LOCALAGENCI 4100 3
HIT&RUN CODING
F
2❑1 COUNTY RD PRIVATE WAY INVOLVED
F OBJECT 1 28
TRIBAL 1 02 STRUCK
RESERVATION 1 2
3 M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑
-7301- 2023 1 0120 [jE] =.= N E IN 3 SH WH OF
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION [:1 NON INTERSECTION ❑
MILEPOST [:] �
4a 43RD ST S B 300 LOCK NO.
DDISTANCE OF(REFERENCE OR CROSS STREET)
MILE N E
5 F1 1.= FEETs H S H OF FO ,]29
UNIT VEHIOR Z MOT PEDCYCLE YAL- El DAMESAGE,/THRESHOLD MET IPHONE 01 CLE [ ]NO [ ] lo 11 30
❑ LAST NAME MULWEE FIRST JASIAH MIDDLE F 1 [l 2]31
6 INITIAL
STREET ❑ 16715 133RD AVE E CITY PUYALLUP ST WA Zjp�,98374 2
NEW ADDRESS I I I -----�GNITION PRESENT MEDICAL TRANSPORTED
IGNITION REQUIRED 3
7 1 CDL I I:NTERLOCKYES[:]NOV I�NTERLOCKYES[:]No✓ YES NOF
8❑ DRIVERS
ll�D�YY -[�:::]
ON DUTY❑ I EJECT
9
11 HELMET [NATURE OF INJURIES 2
STATUS AIRBAG 6 RESTIR 12 1 INJURY
❑
USE CLASS BROKEN LEG,FACIAL INJURIES
LICENSEI PI ATF�k CDJ5582 $TAT WA VIN# JF1ZNAA12F9713921 3
lo Fg-1 I ❑
❑
TRAILER TRAILER PLATE# STATE PLATE# STATE FROM TO
I TRIL TRUl M73 33
1 2 0� VIN# VIN RI I FROM TO
[0
VEFLYEAR N MAKE ToyT MODEL SCION STYLE SD CL IVEHI .TOWED fn TO BLINJ TOWED BY I GOVT.
JASIAH MULWEE 16715 133RD AVE E PUYALLUP WA 98374 1 DAMAGE
YES NO V YES❑
,.VEHICLE Hil 34
REGISTERED OWNER INFO VEHICLE No, 1
n SH ❑
ADE]IS DAMIWIE�D AREA
14[WI LIABILITY INSURANCE❑ INSURANCE CO 35
IN EFFECT &POLICY
.
VEHICLE ❑ 36
�LFGAL,L,Y, YES[:]NO❑ CITATION# CHARGE
15❑
2
UNIT ,
MOTOR PEDAL- ❑ PROPERTY
UNIT 02 PEDESTRIAN YAM OLD MET PHONE
❑ YES
THR D:9394881777
VEHICLE CYCLE OWNER NO
16 a
LAST NAME VA ENTINE-BENITEZ FIRST NAME MARIO MIDDLE A
I I I I INITIAL
17❑ STREET —F670 PETERSON PL APT 215 CITY I BURLINGTON ST I WA ZIP 1 98233 ❑ 37
NEW ADDRESS
18 IGNITION REQUIRED JIGNITION PRESENT MED CALTRANSPORTED 38
CDL :ERLOCK YESF-]NoF,/IIINTERLOCK YEs .okZ YE$F NO F,/
STATE IWA ]SEXIM I D-O.B. --W92 39
LICENSE# MMDDYY T
STATUS AIRBAG 6 RESTR 4 EJECT 1 HELMET 12 1 'INJURY 17 N UREOFINJURIES 40
20 F1 ON DUTY[:]I I FTATE I I WA I IN#I USE CLASS MINE SCRAPES ON ELBOWS 41
21[ LICENSE I CAH0071 55SWF8HBOGU126625 ❑
PLATE# IV I I
42
22❑ TRAILER STATE STATE
TRAILER PLATE
LE PLATE
23❑ I TRU-1 'IN
43 VINV I IN#
VFH,YEAR 2016 IMAKE MERZ IMODEL CCLASS ISTYLE SO —TEHICLETOVVEDfIT.ffEILINI TOWED BY OVffHI%� 44
24❑
YES ES NO✓
YES N.7
REGISTERED OWNER INFO MARIO VALENTINE-BENITEZ 670 PETERSON PL APT 215 BURLINGTON WA 98233 D:9394881777 VEHICLE NO.2
SHADV DAMAGED ARE
IN E
LIABILIFFECT 1:1 &POLITY INSURANCE❑ INSURANCCY#E CO
1
VEHICLE YES[:] NC[:] CITATION If CHARGE
25= LEGALLYI OFFICER PHONE BADGE OR ID# AGENCY
BATTLE 12049 WA0171300
CE-S NAME(PRINT)
AH
26= PAGE 01 OF
PARTA 3000-345-159 OR 11/181
TON
POLICE T AFFII CORRECTIONREPORT . ED56520
COLLISION s��c�
1591972 cAsr=# 1 23-4848
tNll::
AWTIONAL PERSONS INVOLVED PASSENGERS AND/OR WfTNESSES GNLMIDDLEDLE INITIAL? JUNKA ALECEYA D
AD Sew 3 PHCNE 0
6301 199TH ST E SPANAWAY WA 98387 SEX F w11%011 1101 19 2004
SEAT HELMET oN aURr FEATURE OF INJURIES.
PASSENGER�WIT`NESS❑'UNIT 1 SEAT 1 AIRBAG 6 RESTR, 4 EJECT 1 USE 2 CLASS 6 FACIAL INJURY
NAME
T FIRST MIDDLE IN8MAL) ESTRADA HORIZON N
ADDRESS&PRONE#
670 PETERSON PL 215 BURLINGTON WA 98223 3609418884 SEK F MUDDYWYY 09 1_ 13 _ 1998
PASSENGER WITNESS UNIT# 2 SEAT 1 AIRBAG 6 RESTF 4 EJECT 1 HELMET 2 INJURY
1 FoazURE GF INJURIES
�/ PID& USE CLASS
(LZ FIP11,MIDDLE INITIAL)
AD SS S.PHONE'
SEXNIODY D.D.R.
PASSENGER WTNESS[j UNIT# SE S AIRBAG RESTR, EJECT HELMET
flC SS FGazuRE cF INJURIES
NARRATIVE'
23-4848
On 4/30/23 at 0120 hours, I was dispatched to an injury collision at S 180th St and SR 167 Overpass
within the City of Renton, County of King, Washington.
Dispatch advised of a two-vehicle accident with an unconscious occupant.
Unit 1 (U1) was identified as Jasiah F. Mulwee (3/17/04), who was driving WA-CDJ5582, with front
passenger Aleceya D. Junka (1/19/04).
Unit 2 (U2) was identified as Mario A. Valentine-Benitez (6/3/92), who was driving WA-CAH0071, with
front passenger Horzion N. Estrada (9/13/98)
U2 stated he was driving eastbound on S 180th St on the SR 167 Overpass in the number one lane,
when U1 turn in front of him from the eastbound number two lane. He was unable to stop which led to
U2 collide with the driver side door of U1 with his front end.
I observed catastrophic damage to the driver side of U1, and moderate damage to U2's front end.
U1 Mulwee was transported to Harbor View Hospital with a broken left femur and broken left
shoulder. U1 Junka was transported to Valley Medical Hospital with a minor face laceration.
Occupants of U2 sustained minor lacerations.
U1, and U2 were towed by Gene Meyers.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically Signed, M. Battle 12049, 4/30/23, 0336
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
MICAH BATTLE 04-30-23 07:56 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED RY _.. _..... _ DATE _...
DESIRES SCOTT 10272 1 512(2023 2:55:12 PM
BADGE OR ID# 12049 ORI II WA0171300 TRME PO U05 DISPATCHED 1:20 AM TIME POLICE ARRIVED',1:20 AM
PART... �7x -346,1960 M I1181 _ _ AGE 1 2 OF.. 3 _.
REPORT NO. ED56520 CASE# 23-4848 DATE AND TIME 04/30/23 01:20
OF COLLISION
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