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Filed for Record 01/25/2016 04:51:36 PM - Kittitas County, WA Auditor - 201601250078 Page 2 of 4 <br />7. Describe in detail the defect which caused the injury: <br />Describe in narrative form and in detail exactly how the incident occurred: <br />Q1 <br />9. List the names of all persons involved and contact information, if known. <br />10. Was claim investigated by a police officer? <br />Sheriff State Patrol City Police <br />11. Description of claimant's vehicle: Make Year <br />Model: License No. <br />12_ Describe hat you did after the accident occurred: , <br />arm <br />13. Describe the conversations you ha if any, with County personnel during or after the <br />incident occurred: <br />2of3 <br />Kittitas County Claim for Damages Form <br />Revised 9=2 <br />