HomeMy WebLinkAbout23-7427 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-7427 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
2
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 06 - 1-- 2023 2030 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SE 168TH ST BLOCK NO. e✓ 11300 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e 113THAVE SE
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:2068510230 0 11
30
6� LAST NAME WINBUSH FIRSTNAME DEMETRI MIDDLE C 1 1 2 31
INITIAL
STREET ❑✓ 18827110TH CT SE CITY RENTON ST WA 21p 98055 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER # STATE WA SEX'M MM D Y' 10 1- 17 - 2000 2 32
CENS [NATURE OF INJURIE
9 ON DUTY❑ STATUS' AIRBAG 4 RESTR 4 EJECT 1 HELMET U E 2 7 CLASS MINOR LEG PAINS 2❑
3
10 9❑ P1 ATE 14 B065653 STATE WA VIN# 5NPE24AF6HH533768
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# Rom ro
TRLR. TRLR. 5 1 33
12 3 5 VIN#' VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T /g[AWk GOVT.VEHICLE 34
13 4 2017 HYUN SONATA SD DAMAG 3 7 E YES NO YES[:] ✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO ESURANCE PAWA-8392367
IN EFFECT &POLICY# STOP
15❑ VEHICLE 1 36
LEGALLY re5�No D CITATION# 3A0488902 CHARGE FAIL TO YIELD MOTOR VEHICLE 1 o aorrom
STANDING 8 7 6
MOTOR PEDAL-:. PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:2699214700
16 a
LAST NAME GLEIBER FIRST NAME ELAN MIDDLE M
INITIAL
17 STREET I❑ 16525 119TH AVE SE CITY RENTON ST WA ZIP 98058 37
NEW ADDREss❑'
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YES t l NOF,/
19 LICENSE# STATE WA SEX M M .C.B. 09 _ 02 _ 1994 39
20❑ ON DUTY STATUS AIRBAG 3 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑LICENSE I 21❑ PLA E# CGH8251 TATE 41
WA VIN# JF2GTAEC9K8269229 1
42
22❑ PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
Gov HI
VEH YEAR 2019 MAKE SUBA MODEL CRO$S7- STYLE UT DAMAGE TO ✓WED NO BANKERS O BLIN TOWED BY 44
Yr
YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#ECO STATE FARM 4490829 B1347IN STOP 5
VEHICLE ❑ C—I CITATION# CHARGE io BOTTOM
LEGALLY YES N
25 a
7BENJAMIN
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26 FLICK 12825 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED80064
COLLISION REPORT III III III III III 111
1591972 CASE# 23-7427
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,FIRS 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.
BENJAMIN FLICK 06-30-23 11:00 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
DESIRES SCOTT 10272 1 711612023 2:33:33 PM
BADGE OR ID# 12825 ORI# WA0171300 TIME POLICE DISPATCHED 8:31 PM TIME POLICE ARRIVED',8:42 PM
PART Ei PAGE IT]OF 4�
REPORT NO. ED80064 CASE# 23-7427 OF COLLISION
06/30/23 20:30
OF CbLLI510N
NARRATIVE
23-7427
On 06-30-2023 at approximately 2031 hours I was working a Renton Police Department patrol in full
uniform in the city of Renton, King County, Washington. I responded to a motor vehicle collision at the
cross of SE 168th ST and 113th AVE SE.
Upon arrival I made contact with both vehicles and parties involved. Both involved drivers agreed
upon the circumstances that occurred. The involved units and drivers were identified as follows:
Unit 1 (WA/BOB5653) driver Demetri C. Winbush (DOB: 10-17-2000 via WADL)
Unit 2 (WA/CGH8251) driver Elan M. Gleiber (DOB: 09-02-1994 via WADL)
Unit 01 stopped at the stop sign northbound on 113th AVE SE at the cross of SE 168th ST, but then
proceeded across SE 168th ST against right-of way of unit 02 which was driving westbound on SE
168th ST. Unit 02 was not able to stop in time and T-bone collided with the passenger side of unit 01.
Driver Winbush told me he had pain in his knee. He was walking outside of the car shortly after the
collision.
Unit 01 had been forced up into the front yard of 16655 113th AVE SE where it settled on some large
rocks. The property owner there did not think there was damage to his property, but wanted a case
number just in case. The property owner was Jaime A Tovar (DOB: 11-19-1978 verbally). I provided
him the case number.
I provided both drivers with a business card which contained the case number.
I observed that the damage to the vehicles was consistent with what both parties had told me.
At the conclusion of my investigation, I determined that driver Winbush had not yielded right-of-way to
driver Gleiber. I received and recorded via Sector Winbush's updated address. I informed him that he
would be receiving a citation for failure to yield right-of-way via mail.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by B. Flick 12825 on 06-30-2023 in Renton, WA.
PAGE 3 OF 4
REPORT NO. ED80064 CASE# 23-7427 DATE AND TIME 06/30/23 20:30
OF COLLISION
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UnitO
113th AVE SE
Unit 02
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PAGE 4 OF 4