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ouav 7HAFFiiOCN REPORT NO. E849930 <br /> COLLISION REPORT I �1111111 (N <br /> 159197E CASE# 2018-118417 <br /> ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) <br /> NAME <br /> SAFusr,MOIX£INRW7 JENNINGS,LEVIATHEN J <br /> ANEIESSEPI4ONEa <br /> 10220 3RD AVE SE APT 1013 Everett,WA 98208 SEX M m o°oim:, 8 - 27 - 1991 <br /> PASSENGER WITNESSD mat) gaT MESAS RESTS. EJECT NUS I <br /> CLASS NAM$OFIIANIES <br /> NAME <br /> EA S RPST.MIOOI.EINITIALJ <br /> AODRESSSPNONES • <br /> set wD.aYTr - <br /> PASSENGER❑WRNESSO UNITE I MESAS NEM. EJECT HELMEET INJURY <br /> USCLASS NATUREOFIKNIURES <br /> NAME <br /> (IAS;NRSAMOOLEINRVIL) • <br /> AOPRESSAPHONE! <br /> SEX MMDppYTO.B. <br /> W ,• <br /> NA1UREOFEUU"ES <br /> PASSENGER❑WWTNESSO LINKS SEAT • AIRBAG RESTR, EJECT NUE SET INJURY <br /> ASS <br /> DIAGRAM <br /> • <br /> INDICATE NORTH <br /> Please see subsequent diagram page BY ARROW <br /> 0 <br /> • <br /> • <br /> • <br /> • <br /> NARRATIVE <br /> Please see subsequent narrative page(s) <br /> I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OP THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.(ROW 9A.72U85 <br /> COLBY DROULLARD 10/17/2018 <br /> INVESTIGATING OFFICER'S SIGNATURE 1NIITOR DIST.DET DATED PLACE SIGNED <br /> """O'mS` Braley,Sgt.M.1175 "°E <br /> WOW ORIDF 1456 OWE WA0310300 DUE POUCEDISAVOW 7:58 PM TIME POUCEARRNED 7:58 PM <br /> PART B SW VJOS•160 R(7105 PAGE 3 OF 5 <br />