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'Filed for Record 04/12/2018 02:20:26 PM - Kittitas County, WA Auditor - 201804120025 Page 2 of 7 <br />7. Describe in detail the defect which caused the injury: 1 <br />0 Cdr K�`-j e!! d c -ee WkO t,%!os �prQiI 'r�Q <br />4 -✓,j c k � 16 xp "- S2 C u re <br />8. Describe in narrative form and in detail exactly how the incident occurred:: <br />1 � S V ir.9 ®wyaMp ' 4 na o& 06 �u�Jc.rus i%w v% 4j6_&% <br />� <br />a (OOK -i ``C\XMp ick- die pQS4- mv- ke*dw -fiV_ opp"Ile <br />a��QCF:On.I 1 H i*- psSSe� 5+iCICS)C z,4z'rock% e+ -r- C-let.J ou4- <br />kilt- Vk j 1r.VC�, W4e� L [00 �1 i'�0-o +`PSe.✓cJ i,Gt� 9/�a i �'' r or <br />T %,4 �,�� �- 4fie l w ct S vt o� Co U" a4 � du w p f-r-ve-k <br />co�.�l��(l �o spread bebrfS ail OVQr . +461C rq, <br />9. List the names of all persons involved.and contact information, if known. <br />Rt- 4-S }-I�.s dri J��' wwci $a,�. sll ir•�.eCLS w � <br />IJ <br />G©v� d%Jw.o {-,ruck 04 exp Ian, �,e <br />10. Was claim investigated by a police officer? WcL% C', ko 1,1Vo S k&ri aero+ <br />Sheriff State Patrol City Police <br />11. Description of claimant's vehicle: AC. Make ;'O« Year <br />Model: 15W Sit rr�cX License No. �- © �� < < AA <br />12. Describe <br />'what you did after the accident o�crc�urred: <br />tu.e ac,v-tawa,.a +b ask +(-et" +° k�- ie u bhC works <br />13. Describe the conversations you had, if any, with County personnel during or after the <br />incident occurred: a <br />yes � T_ c��l� �-�- 51�+�r;C� � s o�,•� �� C. a`� <br />-b L'Ir le q C[C« P-^ w i \-" +t,.e Audi �ac . <br />2 of 3 <br />Kittitas County Claim for Damages Form <br />Revised 9/2012 <br />