16-00004609, 030916

Incident Report
Print Date/Time:
Login ID:
03/14/2016 14:16
ss0139
Lake Stevens Police Department
ORI Number:
WA0311900
Incident:
Incident Date/Time:
Location:
2016-00004609
3/9/2016 7:39:00 AM
84TH AVE SE / 5TH PL SE
LAKE STEVENS WA 98258
(425) 530-4149
No
No
Phone Number:
Report Required:
Prior Hazards:
LE Case Number:
Incident Type:
Venue:
Collision
Lake Stevens
Source:
Priority:
Status:
Nature of Call:
911
3
3
Unit/Personnel
Unit
Personnel
19D2
SS0112-Warbis
Person(s)
No.
Role
1
Reporting Party ORBINO, DON
Name
Address
Phone
Race
Sex
DOB
Vehicle(s)
Role
Type
Year
Make
Model
Color
License
State
Disposition(s)
Disposition
Count
R
1
Property
Date
Page: 1 of 1
Code
Type
Make
Model
Description
Tag No.
Item No.
CAD Narrative
03/09/2016 : 08:13:33 SP0174 Narrative: TOW ONSC
03/09/2016 : 07:53:28 SP0112 Narrative: JETTA REQ RESCUE TOWING FRONT END DAMAGE
03/09/2016 : 07:41:27 SP0181 Narrative: BLKING 84TH AVE SE LR /181
03/09/2016 : 07:40:26 SP0181 Narrative: CC, NON INJ BLKING RP IN A WHI JETTA VS BLK MAZDA
Page: 2 of 5
Page: 3 of 5
16-00004609, 030916
E522831
2
3
1
8
0
4
0
3
1
2
1
2
3
5
5
3
2016-00004609
2
2
02
1
03
09
2016
0740
31
0664
5TH PL. S.E.
84TH AVE S.E.
D: 4253069125
1
ANIS-MUHAT
MA
C
415 85TH DR SE
LAKE STEVENS
ANISMMC207CW
9
0
0
2
5
4
629ZHX
1
WA
2009
MAZD
CX9
982587377
02
16
1980
1
JM3TB38V990177966
UT
MA ANIS 415 85TH DR SE LAKE STEVENS WA 98258 D: 4253069125
2
F
WA
2
9
2
WA
C
h
e
c
k
STATE FARM 133 3715-A27-47
O
2
4
D: 4255304149
2
ORBINO
DON
A
4
427 85TH DR SE
LAKE STEVENS
WA
ORBINDA527P1
WA
2
4
W7748A
1
WA
M
982587377
10
21
1948
1
3VWRZ7AJ4AM068259
1
2010
VOLK
JETTA
4D
1
BELLA ORBINO 427 85TH DR SE LAKE STEVENS WA 98258 D: 4255304149
ALLSTATE 976 377 283
O
O
STEVE WARBIS
112
O
WA0311900
3
Page: 4 of 5
E522831
2016-00004609
ANIS-MUHA LAWRENCE A
415 85TH DR SE LAKE STEVENS WA 98258
1
6
M
2
4
12
1
30
2005
1
NARRATIVE
Unit 2 was traveling north on 84th Ave S.E.and attempting to turn right onto 5th Pl. S.E. Unit 1 was
traveling west on 5th Pl. S.E. and was attempting to turn left onto 84th Ave S.E. Unit 1 cut the corner
of the intersection and struck the front of Unit 2. No injuries. Unit 1 was driven from the scene, and
Unit 2 was towed by Rescue towing.
STEVE WARBIS
03-09-16 09:52 AM
3/9/2016 4:53:16 PM
R. BROOKS 0013
112
WA0311900
7:41 AM
7:45 AM
2
3
Page: 5 of 5
REPORT NO.
E522831
CASE #
2016-00004609
DATE AND TIME
OF COLLISION
03/09/16 07:40
PAGE 3
OF
3