Laserfiche WebLink
Filed for Record 08/16/2017 03:23:28 PM - Kittitas County, WA Auditor - 201708160073 Page 2 of 5 I <br />7. Describe in detail the defect which caused the injury: <br />CSa-re. � rle V i c. eS r P A1114 V 'eck C) VL,( 9 ale. <br />Si` eI e c-oxe(` `mor 's-e,vsaP bake", <br />lei L4,. 6� rou r�9 fie tf�cdz.vt",ssgY4, <br />S. Describe in narrative form and in detail exactly how the incident occurred: <br />t i'4 9'+ C -E:. (s,•.L, 'i�Cr�;S 'YJ ci'L��ti', 1 ✓ `J y CIg & 'i.= t IA-- f f•^£c ' '^I PJ +.330`'r C <br />Esqq 2 ' a r�d ctn._. ^el <br />-0 e k " p �..Q P..,le".?,'a,?d Pj7 Y",C t L -- <br />far <br />^ ( 'e ,$ 1 �'. (-T'�'• `F�1 <br />_fie l� m.ai-uacarki a r�Lal.t1 <br />9. List (he parties of all pe sons involved and contact �inflib atiioon,, if lcpo�m (,mak <br />t 0. e -`f fsl.,$ En: C -a"/ F✓ a r.��. Cta�:.a''�. f ?Qv+�hh_ <br />�. O t( CJS c�0..5 the iyv✓d e_� rte\ 25 fi OtJ f a, <br />J jqnE-, ,4er-S0-" e ; VT --A (-Tc T4W5dJQSV t- `162- 4 LS (p <br />CV;rcli� <br />10. Was claim investigated a police officer? <br />Sheriff State PatrolCity Police <br />11. Description of claimant's vehicle: 5u to F.c Make S Year <br />�- A <br />Model: -F --A License3Io. V OUDU p y <br />12. Describe whatyou did atlertheaccident occurred <br />iPr, 0,4,e✓ aJ ria nJ A .s S a E� A -e (,A C,'s yl -,k'5 S t',I <br /><j- r� Ff. <br />1.3.. Describe the convetsationsyou had, if;`any,with. County personnel. dunng.orafter the <br />incident occurred: <br />:P.- 77 — S1\,Q.r. - t"E_5,46ry —• J t tce, e.(4 -b T <br />4<) 14- `gyp C_c} <br />Vr`,,J-0-t�\ 8 j t If ((O(Jt of <br />7 coSi2 S�e�; r cc�c�,n-!FIOLsf�f �9 <br />I r�Jk I Ir4- aS A. CAS✓° 8f VaJO--(l <br />1 <br />{7'11 S S ! -b, s 6 -F� q; e L C'� Kittitas CaunryGlaim fm namages Pam <br />Revised9kO42: <br />Y'i 1, U._. <br />