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Filed for Record 12/26/2018 1 2:11:26 PM - Kittitas County, WA Auditor - 201812260036 Page 2 of 3 <br />7. Describe in detail the defect which caused the injury: <br />8. Describe in narrative form and in detail exactly how the incident occurred: <br />46h4-/ lL 42n/kCkd -5J/P76 %7 7-3e91ZIZ <br />9. List the names of all persons involved and contact information, if known. <br />dvr zo`afe ' d 'rZe"z ,' S:in� h 1-5P/2/? <br />10. Was claim investigated by a police officer? /yd <br />Sheriff State Patrol City Police <br />11. Description of claimant's vehicle: Make Year <br />Model: <br />License No <br />12. Describe what you did after the accident occurred: <br />13. Describe the conversations you had, if any, with County personnel during or after the <br />incident occurred: _ _ -113 <br />2 of 3 <br />Kittitas County Claim for Damages Form <br />Revised 912012 <br />