Laserfiche WebLink
i <br />4 <br />7. Describe in detail the defect which caused the injury: <br />1<14AAS <br />CO <br />S1UOW feMOI%A-( <br />Slowe-fL <br />wis e4yeJE,> <br />V1'1�1 b0vnt <br />z C4 <br />+n J)e 14f4,t 4•i•�D�r_� <br />_ OT -5-naw <br />8. Describe in narrative formandand in detail exactly how the incident occurred: r <br />�O--%) LA-Prf [ r re c.'i� G3 � bol✓ a,^ Go 07 µ o w <br />9. List the names of all persons involved and contact information, if known. <br />L4 N K(A o c—j O.J <br />10. Was claim investigated by a police officer? AP6 <br />Sheiiff tate Patrol City Police <br />11. Description of claimant's vehicle: Make Year <br />Model: <br />License No. <br />12. Describe what you did after the accident occurred: <br />SR+- Ann Ie4 VnegJ ars i c-+ Th 're.,AJ Fo�E.,.,�►,� fd <br />13. Describe the conversations you had, if any, with County personnel during or after the <br />incident occurred: <br />2 of 3 <br />Kittitas County Claim for Damages Form <br />Revised 9/2012 <br />