HomeMy WebLinkAbout23-5702 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-5702 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4250 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS 02 STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 05 - 21 - 2023 0608 17 ❑-= S 8 IN e 1070 3
4❑ oN (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
140TH WAY SE BLOCK NO. e✓ 15200 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e MAPLE VALLEYRD
0 8 29
UNIT 01 VEHICLE
MOTPI PEDAL-ORCYCLE ElYESA,G/E NHORESHOLD MET PHONE 0 8 30
6� LAST NAME GEBRESELASE FIRSTNAME MULUBERHAN MIDDLE T 1 1 2 31
INITIAL
STREET ❑1 4622 S FRONTENAC ST CITY SEATTLE ST WA ZIP 98118 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNIT{ON PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO Z/ INTERLOCKYEs NO�/ YEs No�/
8❑ DRIVERS
# STATE WA SEXI M I ELMIDI Y' 09 - 14 - 1987 1 2 32
9 ON DUTY❑ STATUS AIRBAG 6 RESTR 9 EJECT 1 HELMET U E 9 CLASS 0 NATURE OF INJURIES 2❑
3
LICENSE CCW6466 sTArI WAurN# 7SAYGDEE8NF386818
10❑ PI ATE 14
0 TRAILER STATE TRAILER STATE
11 4 0 PLATE# PLATE# FROM TO
TRLR. TRLR 7 5 33
12 4 0 VIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T GOVT.VEHICLE 5 9 34
13 2 2022 TESL Y SD DAMAGE vE6 0NO f �AWkkRS vEs❑ No
REGISTERED OWNER INFO HERTZ VEHICLES LLC HERTZ VEHICLES LLC 18625 DES MOINES MEMORIAL DR SEATAC WA 98148 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO 4
IN EFFECT &POLICY# 9TOP
CHARGE
VEHICLE 5 36
LEGALLY Yes❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES�/ No D:4254635744
16 a
LAST NAME PALMER FIRST NAME AUTUMN MIDDLE R
INITIAL
17 STREET NEW ADOREs7 17726 163RD PL SE CITY RENTON ST WA ZIP 98058 37
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED ❑ 38
INTERLOCK YEs❑No� INTERLOCK vEs I I NOF YEs t l NOF,/
19 LICENSE# STATE WA SEX F M .C.B. 11 15 _ 1994 El 39
HELMET {NJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT '1 USE 2 CLASS ❑
❑ILICENSE 21❑ PLA E# CBW9730 TAre WA VIN# 41
1J8HG58N26C303096 4
42
22❑ PLATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
TOWED By Gov HI 44
VEH YEAR 2006 MAKE JEEP MODEL COMMAN STYLE (/T —YEHICLE
TOWED,/ NOO BLIN BANKERS YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE DAGELLAREA
LIABILITY INSURANCE INSU&PORGY#E CO MUTUAL OFENUMCLAWAB40064296 I STOP 5
IN EFFECT
VE""LE CITATION If CHARGE
LEG to BOTTOM
ALLY YES Nu
25❑ OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
C.STEED 8770 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED62140
COLLISION REPORT III III III III III 111
1591972 CASE# 23-5702
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) PETERSON HOLLYM
(LAST FIRST,
ADDRESS&PHONE# D O.B.
21014 SE 271 ST ST COVINGTON WA 98042 2536783835 SEX F MMDDYyry 12 - 20 - 1973
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ ✓❑ POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL) WHITE DANNY
ADDRESS&PHONE# D O B
4254459359 SEXI M MMDDYv- -F _
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&PHONE#
SEX D.O.B.MMDD -❑
YYYY.
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.
C.STEED 05-21-23 08:53 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
D.SKELTON 9139 512112023 9:42:38 AM
BADGE OR ID# 8770 OR]# ! WA0171300 TIME POLICE DISPATCHED 6:10 AM TIME POLICE ARRIVED i 6:13 AM
PART I PAGE IT]OF 4]
TIME
REPORT NO. ED62140 CASE# 23-5702 OF COLLISION05/21/23 06:08
NARRATIVE
On 05/21/23 at about 0610 hrs I was dispatched to a roll over hit and run accident at 140th Way SE
and Maple Valley Hwy, in the City of Renton, County of King, and State of Washington. The reporting
party and witness Holly Peterson advised the accident involved at red Tesla and a silver Jeep. The
driver of the jeep had to crawl out of the sunroof due to the jeep being on its side. The driver of the
Tesla left the area on foot SB on 140th Way SE. The driver of the Tesla was described as a black
male, 25-30 years old, 59", black hair, wearing a white jersey and white shorts. The driver of the
Tesla was seen walking into the Preserve at Cedar River apartments. Holly advised he was very
intoxicated and was swerving all over the road prior to the accident.
I arrived at about 0617 hrs and observed the Jeep Commander was laying on the passenger side on
NB 140th Way SE and the Tesla was just south of the Jeep facing the wrong direction on 140th.
There was heavy intrusion on the Jeep's driver door area and heavy front-end damage on the front
driver's side area of the Tesla. 1 spoke with witness Holly who advised that she had been traveling EB
on Maple Valley Hwy when the Tesla passed her going the same direction. She advised the Tesla
was driving erratically and tried to turn SB on 140th Way SE but was going too fast to negotiate the
turn.
I spoke with the driver of the Jeep Autumn Palmer who advised she was stopped at the red light in
the center left turn lane to go from NB 140th Way SE to WB Maple Valley Hwy. Autumn said she
thought the Tesla was trying to turn but hit her vehicle instead. Autumn said the driver of the Tesla
told her he was drunk and was trying to look for his wife. Autumn said the driver left the scene of the
accident walking SB on 140th Way SE. She described him as a black male in his 30's, about 57',
small stature, short loose afro, wearing white Cowboys jersey with unknown color shorts. Even with
the heavy intrusion in the driver's door and the force of the impact being enough to flip the Jeep on its
passenger side Autumn advised she was not injured from the collision. Both Holly and Autumn said
they could identify the driver if they saw him again. Assisting officers looked for the suspect but where
unable to locate him. There was another witness Danny White who left his number but had to leave
the scene for work. I tried calling Danny, but the phone immediately went to his voicemail.
WA DOL returns on the Tesla showed the vehicle belonged to Hertz Rental LLC. Renton Fire Fighter
Kelley Rose entered the Tesla to render it safe after the collision. He located a wallet and iPhone in a
cup holder and a women's handbag in the center console. He gave those items to Officer
Vanderhoek. Inside the men's wallet was a WADL for Muluberhan T Gebreselase (09/14/1987) who
matched the description of the driver provided by Holly and Autumn. Inside the handbag was an SSN
and other cards identifying the owner as Rosa Robles. Officer Vanderhoek advised he would attempt
to complete a photomontage of the suspect to see if Holly or Autumn could identify him as the driver. I
entered the wallet, handbag, and iPhone into evidence. Both vehicles had to be impounded by
Banker's Towing.
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 Steed on 05/21/23 0845 hrs, Renton Washington
Cassidy Steed/8770
PAGE 3 OF 4
REPORT NO. ED62140 CASE# 23-5702 DATE AND TIME 05/21/23 06:08
OF COLLISION
Maple Vaifey Hwy �,
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PAGE 4 OF 4