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11229 19TH AVE SE 2016-01-01 MF Import
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11229 19TH AVE SE 2016-01-01 MF Import
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Last modified
4/2/2017 12:30:08 PM
Creation date
4/2/2017 12:30:01 PM
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Address Document
Street Name
19TH AVE SE
Street Number
11229
Imported From Microfiche
Yes
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Page'Lyf Z <br /> DD���p <br /> �Everett Police �epartment <br /> � FOLLOW-UP REPORT � ORlG1NAL NARRATIVE <br /> INCIDENT CASE NUMBER <br /> TRAFFIC COLLISION DD 15-6482 <br /> REPORT OATE: <br /> ACC APRIL 9, 2015 <br /> DA �C OA ❑C OA ❑C DA ❑C �A ❑C OA ❑C <br /> INCIDENT RECLASSIFIED TO: DATE OF RECLASSIFICATION RELATED CASE NUMBERIS�AY.5.P.CONTROL NO <br /> On April 9, 2015 at approximately 0528 hours, I responded to a car-pole tra�c collision in the 11200 block of 19�' <br /> Ave SE in the City of Everett, Washington. I arrived and found a gray Chevrolet WA license plate AHR5748 up on <br /> the sidewalk with extensive front end damage. The utility pole#G149 in front of the Chevrolet was damaged and <br /> the fire hydrant in front of the Chevrolet was sheared off. <br /> The driver Anna P. Brown DOB/01-06-1986 was siriing on the curb being treated by firefighters. I contacted <br /> Washington State Patrol Trooper Enpart Kociaj #746. He said he arrived and found the collision and obtained a <br /> statement from the witness. He said the driver appears to have had a seizure and is not speaking coherently. <br /> Trooper Kociaj handed me the drivers Utah drivers iicense identifying her as Anna P. Brown DOB/01-06-1986. I <br /> asked Anna if Trooper Kociaj could retrieve her registration and insurance card. Anna said her passenger"Emma" <br /> couid retrieve it. I looked back at the car and there was no passenger. Trooper Kociaj said there was no <br /> passenger. <br /> I contacted witness Chris E. Miller D06/12-09-1990. I read his statement which indicated that he saw the <br /> Chevrolet hit the pole with no brake lights. Chris also wrote in his statement that the female driver appeared to be <br /> having a seizure with gart�led speech and foam at her mouth. <br /> An ambulance transported Anna to the hospital. I took digital photographs of the scene. DTI towing responded <br /> and towed the car away. I cleared the scene and completed my report. I also completed a Department of <br /> Licensing Driver Evaluation Request fortn. I faxed a copy of the vehicle report to Everett Police Records. <br /> 1 certify(or declareJ unde�penafty o/perJury under tl�e laws o/tlte Stato 01 Washington thaf tho lomgoingls We and wrtect (RC W 9A.72.OB5.) <br /> OFF�CER SIGNATURE AT EVERETT WASHINGTON DATE FORCE USED FLEEING <br /> � – �S YES ❑ NO YES ❑ NO <br /> OFFICER N UMBER / � _� O UNIT APPROVE B :�P,E/RS.NO. � <br /> I <br /> S N;4 <br /> IBR CLEARANCE ()UNFOUNDED ISTRIBUTION—()JW ()T OTHER: LOGGED: <br /> ( )ARRfA OFJCC/A OPA OGPS OHD ODET � <br /> ()ARR/J ()IXC/J ()ADMIN ()DSHS ()MH ()PAT �ATE INITIALS <br /> ❑ENTERED RMS / ❑ENTERED WACIC I NCIC I ❑CLEARED WACIC I NCIC I__ <br /> DATE INITU+LS DATE INfTN�S DATE INRIALS <br /> Rev.2Y2007 <br />
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