12-29-2017 Rector, Suzanne-Rob - Laserfiche WebLink

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Filed for Record 12/29/2017 11:45:18 AM - Kittitas County, WA Auditor - 201712290016 Page 14 of 16 WITNESS INFORMATION Name: Name: Rob Rector Address: - Address: P.o. Box 366, 442 Buckboard Lane City. State, Zip City. State, Zip Ellensburg, WA 98926 Day Phone Number: I Dav Phone Number: 509-929-4645 Evening Phone Number: Evening Phone Number: 509-929-4645 i Comments: While Staging to enter the show arena outside of Bloom Pavilion with ponies, there were other horses exiting the arena. A pickup with a horse trailer and another pickup drove through which caused all of the horses and people to squish together closely. at the same time, there was a child walking a pig into the staging area that we were in. Dominics horse backed away from the pig while turning. This caused the horse to run into Suzanne with its hind end knocking Suzanne to the ground on top of Faith. The horse was trying to get away from the pig and the commotion, but was stomping on Suzanne's legs with its back legs while she was on the ground sheilding Faith. Suzanne got hit from behind and never saw it coming. I was standing next to Suzanne and saw it all happen, while nearly getting hit myself. I told Dominic to take the horse into the alley and yelled at the woman in the truck to get the truck away from us. She was stopped and was looking at. what was going on I guess. REFUSAL OF TREATMENT have been advised to seek emergency medical treatment and transportation to a hospital or emergency clinic. I hereby refuse to accept emergency treatment and/or transportation i to a hospital or emergency clinic,`and further. hold harmless Kittitas County i and its personnel from damage and/or claims that may arise from my refusal of services. i Signature: Date: Witness: Witness: i I