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Describe in detail the defect which caused the injury: <br />COUNTY ROAD DEPARTMENT (DITCH CLEANING CREW) HIT AND DAMAGED <br />PUD POWER POLE #46-04-020 <br />8. Describe in narrative form and in detail exactly how the incident occurred: <br />SEE #7 <br />9. List the names of all persons involved and contact information, if known. <br />HANS SPOELSTRA (PUD LINEMAN) RYAN BERGE (ROAD FOREMAN) <br />10. Was claim investigated by a police officer? NO <br />Sheriff State Patrol City Police <br />11. Description of claimant's vehicle: NA Make NA Year <br />Model: PUD POWER POLE License No. <br />12. Describe what you did after the accident occurred: <br />CONTACTED RYAN BERGE AT KITTITAS COUNTY <br />13. Describe the conversations you had, if any, with County personnel during or after the <br />incident occurred: <br />CALLED TO INFORM RYAN BERGE THAT CREW HAD STRUCK A POWER POLE <br />2 of 3 <br />Kiaitas County Claim for Damages Form <br />Revised 9/2012 <br />