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11020 19TH AVE SE BASE FILE 2019-06-06
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11020 19TH AVE SE BASE FILE 2019-06-06
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Last modified
6/6/2019 1:30:17 PM
Creation date
12/27/2018 7:47:11 AM
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Address Document
Street Name
19TH AVE SE
Street Number
11020
Tenant Name
BASE FILE
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'•'''' ' STATE OF WASHINGTON <br /> _ POLICE TRAFFIC <br /> I14tT 1..' CORRECTION . REPORT NO. E770511 <br /> :,,, COLLISION REPORT -1 11- <br /> 1 1 1 1 <br /> 1591972 PASF#.z.. 2(0848532 <br /> ' , . ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ON -" <br /> . . _ <br /> (IAA FIEHI;mow wtrIAL) .. ,- ) <br /> ADDRESS&PUCK& •,..„ n h <br /> 1825 WETMORE AVE EVERETT WA 9820122424252447555 SEX F mg;;;;;‘,03 - 23 - 1993 <br /> PASSiZMPI1-21ig.IND WO 1'.. 1 :N.. 10 Ansis 2 RW.rk .. <br /> . 4 6.E01... I 1.:1.52.".:: 1,NjoasaY 1 , <br /> MI , <br /> - , <br /> 0.A.91;NNST,MOIL&IN5IA14 ''" . 'MALDONADO JUSTIN D <br /> ADDREM&PHONE& <br /> 1930 JACKSON AVE EVERETT WA 98203 4252089074 MD; M aalliCiAti,Y1 15 - 25 - 1555 • <br /> pAs0ENGen Ei virrwEsso:1.0.01-4.. 1 3 'Mims 2 RESTR. 4 .6t-61-:i HELmEr TM 1 mamE°""Rms <br /> (IASI:Finn fialLE wirtau <br /> ADDRESS&PHOte0 Dail - <br /> , <br /> 8E4 immywv - -, <br /> ProsEN*4 0 williq:i t.TuT* . SEAT AiRt3iiti 1 BE , 6Ear :usHELMET AWRY NATURE 03;MIRES <br /> Unit 1 was traveling south on 19th Ave SE in the right hand lane. Prior to the intersection of 110th St ,. <br /> SE,the vehicle started to drift to the right. I could see the path Unit 1 took in the snow that was <br /> covering the right hand side of the street. Unit 1 continued drifting to the right through the intersection <br /> and impacted the curb just south of the intersection. Unit 1 then continued up onto the curb and <br /> collided with a fire hydrant Unit 1 then stopped about 10 yards south of the fire hydrant,with the front <br /> end on the curb and the back end blocking the right lane. <br /> There was heavy front end damage to Unit 1 and the front right axle appeared to be broken from the , <br /> • <br /> impact with the fire hydrant. <br /> End of narrative. ., <br /> ****AUTO-POPULATED SECTION <br /> THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS"OTHER": <br /> Motor Vehicle Unit 1 <br /> Seat Position (Passenger EMILY WHITE): BACKSEAT <br /> **** END OF AUTO-POPULATED SECTION <br /> ,.. <br /> I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.(ROW 9k72.085) <br /> BRIAN SETZER 024948 03:03 AM <br /> INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED <br /> ----- <br /> APPROVED SY DATE <br /> 2/1912018 3:41:27 AM <br /> A.CROCKER 1303 <br /> BADGE OR ID 4 1437 ON# WA0310300 mg Pouc e t"----) lisP minit 3:09 AM TIME POLICE ARRiVED 3:10 AM <br /> - , <br /> PART B 300446-154 R prom PAGE 2 OF 3 <br />
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