Laserfiche WebLink
Filed for Record 03/04/2016 01:46:26 PM - Kittitas County, WA Auditor - 201603040039 Page 2 of 8 <br />7. Describe in detail the defect which caused the injury: <br />0121 A <br />Imp), r Co u to 1V 44hvtf t k s td w la w <br />/Z0 <br />Ys G L►i1/oka �i' �� q � <br />A . . n —� i A <br />(+V ( Vt -C S 4 r ti V/ l v 1 't I ` 4L, 4p-; <br />8. Describe in narrative form and in detail exactly how the in,c ident occurred: <br />rC <br />G y w 6'110 q/ rl 1ov) ��U /<kf �ftu lel <br />�© sr�,� e v _�la�►� lrGb �l t��� wou � ���c /�D, <br />.� w a 5 f'e- lo <br />waS tra v-,i1I o-(41 �/ C/ �o u� 30 -7S ,Lp k , Kofi <br />9. List the names of all persof involved and contact information, if known. <br />PC, L fi�Snkfk — dIkSS-th�iL �' <br />r -o � K ��, �� �; �, C � All 6 wig h) 1� d"'Vt � <br />PL ti wl-t. uv, kL�ko w h . <br />10. Was claim investigated by a police officer? NCS <br />Sheriff State Patrol City Police <br />11. Description of claimant's vehicle: (.t ► Make Z D 1 S Year <br />Model: Q License No. <br />12. Describe what you did after the accident occurred: <br />p v o c -c ekd %a tk Kk C>r, ckW ;4jy T_"S w►- k Co - <br />13 <br />Jim 0"' 1► toy wq, tis 1 bLIX C q11 <br />Q k h Q w f'1...f C19 kL'L . S' l 1,7 C'I' <br />Describe the conversations you had, if any, with County personnel during or after the <br />incident occu ed: <br />f a I kW � <br />i'� �� kL e WJ <br />2 of 3 <br />Kittitas County Claim for Damages Form <br />Revised 9/2012 <br />