Local Report Number * Crash Severity Hit/Skip. Road Types or Milepost AL - Alley AV - Avenue BL - Boulevard. CR - Circle CT- Court DR - Drive

Transcription

1 Photos Taken OH- OH-P OH- Other County * Traffic Crash Report Local Information City * Village * Township * PDO Under State Reportable Dollar Amount Private Property Reporting Agency NCIC * Crash Severity Hit/Skip Reporting Agency Name * Distance From Reference Dir From Ref O Reference Reference Number Ref Prefix Reference Name (Road, Milepost, House #) Miles 00 Feet F W E,W Type E E,W 88TH Yards - Fatal - Injury - PDO Number Units Unit in error - Solved - Unsolved 98 - Animal City, Village, Township * Crash Date * Time Crash Day Week Degrees / Minutes / Seconds Decimal Degrees Latitude Longitude O Latitude Longitude o / // o / // R - Roadway Division Divided Undivided Location Type Reference Point Used - Intersection - Mile Post - House Number Road Contour - Straight Level - Straight Grade - Curve Level Manner Crash Collision/Impact Road Surface 8 7 Narrative - Not Collision Between Two Motor Vehicles In Transport - Concrete - Blacktop, Bituminous, Asphalt - Brick/Block Work Zone Divided Lane Direction Travel N - Northbound S - Southbound Location Number Crash Location - Curve Grade - Rear-End - Head-On - Rear-to-Rear - Slag, Gravel, Stone 5 - Dirt - Other Workers Present Law Enforcement Present (Officer/Vehicle Law Enforcement Present (Vehicle Only) GARFIELD HTS 0 E - Eastbound W - Westbound Loc Prefix E,W 0 - Not an intersection 0 - Four-way Intersection 0 - T-Intersection 0 - Y-Intersection 05 - Traffic Circle/Roundabout Road Conditions Number Thru Lanes Location Road name 5 - Backing - Angle 7 - Sideswipe, Same Direction Light conditions Type Work Zone GARFIELD HEIGHTS 0 0 GARFIELD 0 - Five-point, or more 07 - On Ramp 08 - Off Ramp 09 - Crossover 0 - Driveway/Alley Access Road Types or Milepost AL - Alley AV - Avenue BL - Boulevard 0 - Dry 0 - Wet 0 - Snow 0 - Ice 8 - Sideswipe, Opposite Direction - Daylight - Dawn - Dusk - Dark - Lighted Roadway - Lane Closure - Lane Shift/Crossover - Work on Shoulder or Median UNIT'S & WERE BOTH EASTBOUND ON GARFIELD BLVD, WHEN UNIT # ATTEMPTED TO CHANGE LANES AND STRUCK UNIT # CR - Circle CT- Court DR - Drive - Railway Grade Crossing - Shared-Use Paths or Trails HE - Heights HW - Highway LA - Lane Location Road Type MP - Milepost PK - Parkway PI - Pike Types IR - Interstate (inc turnpike) US - US SR - State Intersection 05 - Sand, Mud, Dirt, Oil, gravel 0 - Water (Standing, Moving) 07 - Slush 08 - Debris* Weather - Intermittent or Moving Work 5 - Other B L - Clear - Cloudy - Fog, Smog, Smoke Location First Harmful - On Roadway - On Shoulder - In Median - On Roadside ST - Street TE - Terrace TL - Trail WA - Way CR - Numbered County TR - Numbered Township Reference Road Type 5 - On Gore - Outside Trafficway 09 - Rut, Holes, Bumps, Uneven Pavement* 0 - Other * Condition Only - Rain 5 - Sleet, Hail - Snow 5 - Dark - Roadway Not Lighted - Dark - Unknown Roadway Lighting 7 - Glare* 8 - Other * Condition Only Location Crash in Work Zone Before the first Work Zone Warning Sign - Advance Warning Area - Transition Area PL - Place RD - Road SQ - Square 7 - Severe Crosswinds 8 - Blowing Sand, Soil, Dirt, Snow 9 - Other/Unknown School Zone 0 S T School Bus Yes, School Bus Directly Involved Yes, School Bus Indirectly Involved - Activity Area 5 - Termination Area M O N Report Taken By Police Agency Date Crash Reported HSY700 (Rev 0/) Time Crash Reported Supplement (Correction or Addition to an Existing Report Sent to ODPS) Dispatch Time Arrival Time Time Cleared Officer's Name * Officer's Badge Number Checked By B Foxx 00 Other Investigation Time Total Minutes L0 M Kaye

2 Unit Owner LP State Owner Name: Last, First, Middle License Plate Number ( ü Same As Driver) ( ü Same As Driver) Vehicle Identification Number Owner Phone Number - inc area code Vehicle Year Vehicle Make Vehicle Model Vehicle Color 0 0 Pro Insurance Shown BAKER RUTH C GPQ599 Insurance Company Policy Number Towed By Carrier Name, KIA Kia Motors Corpora OPT Optima RED Red GEICO X X G M A 7 7 D G ( ü Same As Driver) 07 LA ROSE AVE CLEVELAND OH 05 5 # Occupants Damage Scale - None - Minor - Functional - Disabling Carrier Phone - include area code US DOT HM Placard ID No HM Class Number Location Prior to Impact 0 - Intersection - Marked Crosswalk 0 - Intersection - No Crosswalk 0 - Intersection - Other 0 - Midblock - Marked Crosswalk 05 - Travel Lane - Other Location 0 - Bicycle Lane 07 - Shoulder/Roadside 08 - Sidewalk 09 - Median/Crossing Island 0 - Driveway Access - Shared-Use Path or Trail - Non-Trafficway Area Special Function HSY80 OHU (Rev 0/) Vehicle Weight GVWR/GCWR - Less Than or Equal to 0k Lbs - 0,00 to,000 Lbs - More Than,000 Lbs Hazardous Material Released 0 - None 0 - Taxi 0 - Rental Truck (Over 0K Lbs) 0 - Bus - School (Public or Private) 05 - Bus - Transit 0 - Bus - Charter 07 - Bus - Shuttle 08 - Bus - Other Type Use - Personal - Commercial - Government In Emergency Response Cargo Body Type 0 - No Cargo Body Type/Not Applicable 0 - Bus/Van(9-5 Seats, IncDriver) Bus(+ Seats, Inc Driver) 0 - Vehicle Towing Another Vehicle 05 - Logging 0 - Intermodal Container Chassis 07 - Cargo Van/Enclosed Box 08 - Grain, Chips, Gravel Unit Type or Hit/Skip 09 - Ambulance 0 - Fire - Highway/Maintenance - Military - Police - Public Utility 5 - Other Government - Construction Equip Passenger Vehicle (less than 9 passengers) 0 - Sub-Compact 0 - Compact 0 - Mid Size 0 - Full Size 05 - Minivan 0 - Sports Utility Vehicle 07 - Pickup 08 - Van Motorized Bicycle - Snowmobile/ATV - Other Passenger Vehicle 7 - Farm Vehicle 8 - Farm Equipment 9 - Motorhome 0 - Golf Cart - Train - Other (Explain in Narrative) 09 - Pole 0 - Cargo Tank - Flat Bed - Dump - Concrete Mixer - Auto Transporter 5 - Garbage/Refuse Trafficway Description - Two-Way, Not Divided - Two-Way, Not Divided, Continuous Left Turn Lane - Two-Way, Divided, Unprotected (Painted or Grass> Ft) Median - Two-Way, Divided, Positive Median Barrier 5 - One-Way Trafficway Hit / Skip Unit Med/Heavy Trucks or Combo Units>0k lbs - Single Unit Truck or Van axle, tires - Single Unit Truck + axles 5 - Single Unit Truck/Trailer - Truck/Tractor(Bobtail) 7 - Tractor/Semi-Trailer 8 - Tractor/Double 9 - Tractor/Triples 0 - Other Med/Heavy Vehicle Has HM Placard Most Damaged Area 0 - None 0 - Center Front Right Front Impact Area 0 - Right Side 05 - Right Rear 0 - Rear Center Left Rear Pre-Crash Actions 0 - Straight Ahead 0 - Backing 0 - Changing Lanes 0 - Overtaking/Passing 05 - Making Right Turn 0 - Making Left Turn Contributing Circumstances 0 - None 0 - Failure to Yield Ran Red Light 0 - Ran Stop Sign 05 - Exceeded Speed Limit 0 - Unsafe Speed 07 - Improper Turn 08 - Left Center 09 - Followed Too Closely/ACDA 0 - Improper Lane Change /Passing/Off Road Sequence s 0 0 Traffic Control 07 - Making U-Turn 08 - Entering Traffic Lane 09 - Leaving Traffic Lane 0 - Parked - Slowing or Stopped in Traffic - Driverless First Most Harmful Harmful Collision with Person, Vehicle or Object Not Fixed - Pedestrian - Parked Motor Vehicle 5 - Pedalcycle - Work Zone Maintenance Equipment - Railway Vehicle (Train,Engine) - Struck by Falling, Shifting Cargo 7 - Animal - Farm or Anything Set in Motion by a 8 - Animal - Deer Motor Vehicle 9 - Animal - Other - Other Movable Object 0 - Motor Vehicle in Transport Unit Speed 0 Posted Speed 5 5 Stated Estimated No Controls 0 - Stop Sign 0 - Yield Sign 0 - Traffic Signal 05 - Traffic Flashers 0 - School Zone - Negotiating a Curve - Other Action - Improper Backing - Improper Start From Parked Position - Stopped or Parked Illegally - Operating Vehicle in Negligent Manner 5 - Swerving to Avoid (Due to External Conditions) - Wrong Side/Wrong Way 7 - Failure to Control 8 - Vision Obstruction 9 - Operating Defective Equipment 0 - Load Shifing/Falling/Spilling - Other Improper Action Non-Collision s 0 - Overturn/Rollover 0 - Fire/Explosion 0 - Immersion 0 - Jackknife 05- Cargo/Equipment Loss or Shift Collision With Fixed Object 5 - Impact Attenuator/Crash Cushion - Bridge Overhead Structure 7 - Bridge Pier or Abutment 8 - Bridge Parapet 9 - Bridge Rail 0 - Guardrail Face - Guardrail End - Portable Barrier 07 - Railroad Crossbucks 08 - Railroad Flashers 09 - Railroad Gates 0 - Construction Barricade - Person (Flagger, Officer) - Pavement Markings 08 - Left Side 09 - Left Front 0 - Top and Windows - Undercarriage - Load/Trailer - Total (All Areas) - Other 5 - Entering or Crossing Specified Location - Walking, Running, Jogging, Playing, Cycling 7 - Working 8 - Pushing Vehicle 9 - Approaching or Leaving Vehicle 0 - Standing - None - Improper Crossing - Darting 5 - Lying and/or Illegally in Roadway - Failure to Yield Right Way 7 - Not Visible (Dark Clothing) 8 - Inattentive 9 - Failure to Obey Traffic Signs /Signals/Officer 0 - Wrong Side the Road - Other Action 0 - Equipment Failure (Blown Tire, Brake Failure, etc) 07 - Separation Units 08 - Ran Off Road Right 09 - Ran Off Road Left - Median Cable Barrier - Median Guardrail Barrier 5 - Median Concrete Barrier - Median Other Barrier 7 - Traffic Sign Post 8 - Overhead Sign Post 9 - Light/Luminaries Support 0 - Utility Pole - Crosswalk Lines - Walk/Don't Walk 5 - Other - Not Reported Unit Direction From To Bus/Van/Limo (9 or More Including Driver) - Bus/Van (9-5 Seats, Inc Driver) - Bus(+ Seats, Inc Driver) - Animal with Rider - Animal with Buggy, Wagon, Surrey 5 - Bicycle/Pedacyclist - Pedestrian/Skater 7 - Other Vehicle Defects 0 - Cross Median - Cross Center Line Opposite Direction Travel - Downhill Runaway - Other Non-Collision - Other Post, Pole or Support - Culvert - Curb - Ditch 5 - Enbankment - Fence 7 Mailbox - North - South - East - West Action - Non-Contact - Non-Collision - Striking - Struck 5 - Striking/Struck - Other Action 0 - Turn Signals 0 - Head Lamps 0 - Tail Lamps 0 - Brakes 05 - Steering 0 - Tire Blowout 07 - Worn or Slick tires 08 - Trailer Equipment Defective 09 - Motor Trouble 0 - Disabled From Prior Accident - Other Defects 8 - Tree 9 - Fire Hydrant 50 - Work Zone Maintenance Equipment 5 - Wall, Building, Tunnel 5 - Other Fixed Object 5 - Northeast - Northwest 7 - Southeast 8 - Southwest

3 Unit Owner LP State Owner Name: Last, First, Middle License Plate Number ( Same As Driver) ( Same As Driver) Vehicle Identification Number Owner Phone Number - inc area code Vehicle Year Vehicle Make Vehicle Model Vehicle Color Pro Insurance Shown PRINCE CHARMELLA L HCT5588 Insurance Company Policy Number Towed By Carrier Name, CHEV Chevrolet MAL Malibu TAN Tan NATIONWIDE G Z B 5 S T H F ( Same As Driver) 85 E 8TH ST GARFIELD HTS OH 5 # Occupants 0 Damage Scale - None - Minor - Functional - Disabling Carrier Phone - include area code US DOT HM Placard ID No HM Class Number Location Prior to Impact 0 - Intersection - Marked Crosswalk 0 - Intersection - No Crosswalk 0 - Intersection - Other 0 - Midblock - Marked Crosswalk 05 - Travel Lane - Other Location 0 - Bicycle Lane 07 - Shoulder/Roadside 08 - Sidewalk 09 - Median/Crossing Island 0 - Driveway Access - Shared-Use Path or Trail - Non-Trafficway Area Special Function HSY80 OHU (Rev 0/) Vehicle Weight GVWR/GCWR - Less Than or Equal to 0k Lbs - 0,00 to,000 Lbs - More Than,000 Lbs Hazardous Material Released 0 - None 0 - Taxi 0 - Rental Truck (Over 0K Lbs) 0 - Bus - School (Public or Private) 05 - Bus - Transit 0 - Bus - Charter 07 - Bus - Shuttle 08 - Bus - Other Type Use - Personal - Commercial - Government In Emergency Response Cargo Body Type 0 - No Cargo Body Type/Not Applicable 0 - Bus/Van(9-5 Seats, IncDriver) Bus(+ Seats, Inc Driver) 0 - Vehicle Towing Another Vehicle 05 - Logging 0 - Intermodal Container Chassis 07 - Cargo Van/Enclosed Box 08 - Grain, Chips, Gravel Unit Type or Hit/Skip 09 - Ambulance 0 - Fire - Highway/Maintenance - Military - Police - Public Utility 5 - Other Government - Construction Equip Passenger Vehicle (less than 9 passengers) 0 - Sub-Compact 0 - Compact 0 - Mid Size 0 - Full Size 05 - Minivan 0 - Sports Utility Vehicle 07 - Pickup 08 - Van Motorized Bicycle - Snowmobile/ATV - Other Passenger Vehicle 7 - Farm Vehicle 8 - Farm Equipment 9 - Motorhome 0 - Golf Cart - Train - Other (Explain in Narrative) 09 - Pole 0 - Cargo Tank - Flat Bed - Dump - Concrete Mixer - Auto Transporter 5 - Garbage/Refuse Trafficway Description - Two-Way, Not Divided - Two-Way, Not Divided, Continuous Left Turn Lane - Two-Way, Divided, Unprotected (Painted or Grass> Ft) Median - Two-Way, Divided, Positive Median Barrier 5 - One-Way Trafficway Hit / Skip Unit Med/Heavy Trucks or Combo Units>0k lbs - Single Unit Truck or Van axle, tires - Single Unit Truck + axles 5 - Single Unit Truck/Trailer - Truck/Tractor(Bobtail) 7 - Tractor/Semi-Trailer 8 - Tractor/Double 9 - Tractor/Triples 0 - Other Med/Heavy Vehicle Has HM Placard Most Damaged Area 0 - None 0 - Center Front 0 - Right Front Impact Area 0 - Right Side 05 - Right Rear 0 - Rear Center 07 - Left Rear Pre-Crash Actions 0 - Straight Ahead 0 - Backing 0 - Changing Lanes 0 - Overtaking/Passing 05 - Making Right Turn 0 - Making Left Turn Contributing Circumstances 0 - None 0 - Failure to Yield Ran Red Light 0 - Ran Stop Sign 05 - Exceeded Speed Limit 0 - Unsafe Speed 07 - Improper Turn 08 - Left Center 09 - Followed Too Closely/ACDA 0 - Improper Lane Change /Passing/Off Road Sequence s 0 Traffic Control 07 - Making U-Turn 08 - Entering Traffic Lane 09 - Leaving Traffic Lane 0 - Parked - Slowing or Stopped in Traffic - Driverless First Most Harmful Harmful Collision with Person, Vehicle or Object Not Fixed - Pedestrian - Parked Motor Vehicle 5 - Pedalcycle - Work Zone Maintenance Equipment - Railway Vehicle (Train,Engine) - Struck by Falling, Shifting Cargo 7 - Animal - Farm or Anything Set in Motion by a 8 - Animal - Deer Motor Vehicle 9 - Animal - Other - Other Movable Object 0 - Motor Vehicle in Transport Unit Speed 0 Posted Speed 5 5 Stated Estimated No Controls 0 - Stop Sign 0 - Yield Sign 0 - Traffic Signal 05 - Traffic Flashers 0 - School Zone - Negotiating a Curve - Other Action - Improper Backing - Improper Start From Parked Position - Stopped or Parked Illegally - Operating Vehicle in Negligent Manner 5 - Swerving to Avoid (Due to External Conditions) - Wrong Side/Wrong Way 7 - Failure to Control 8 - Vision Obstruction 9 - Operating Defective Equipment 0 - Load Shifing/Falling/Spilling - Other Improper Action Non-Collision s 0 - Overturn/Rollover 0 - Fire/Explosion 0 - Immersion 0 - Jackknife 05- Cargo/Equipment Loss or Shift Collision With Fixed Object 5 - Impact Attenuator/Crash Cushion - Bridge Overhead Structure 7 - Bridge Pier or Abutment 8 - Bridge Parapet 9 - Bridge Rail 0 - Guardrail Face - Guardrail End - Portable Barrier 07 - Railroad Crossbucks 08 - Railroad Flashers 09 - Railroad Gates 0 - Construction Barricade - Person (Flagger, Officer) - Pavement Markings 08 - Left Side 09 - Left Front 0 - Top and Windows - Undercarriage - Load/Trailer - Total (All Areas) - Other 5 - Entering or Crossing Specified Location - Walking, Running, Jogging, Playing, Cycling 7 - Working 8 - Pushing Vehicle 9 - Approaching or Leaving Vehicle 0 - Standing - None - Improper Crossing - Darting 5 - Lying and/or Illegally in Roadway - Failure to Yield Right Way 7 - Not Visible (Dark Clothing) 8 - Inattentive 9 - Failure to Obey Traffic Signs /Signals/Officer 0 - Wrong Side the Road - Other Action 0 - Equipment Failure (Blown Tire, Brake Failure, etc) 07 - Separation Units 08 - Ran Off Road Right 09 - Ran Off Road Left - Median Cable Barrier - Median Guardrail Barrier 5 - Median Concrete Barrier - Median Other Barrier 7 - Traffic Sign Post 8 - Overhead Sign Post 9 - Light/Luminaries Support 0 - Utility Pole - Crosswalk Lines - Walk/Don't Walk 5 - Other - Not Reported Unit Direction From To Bus/Van/Limo (9 or More Including Driver) - Bus/Van (9-5 Seats, Inc Driver) - Bus(+ Seats, Inc Driver) - Animal with Rider - Animal with Buggy, Wagon, Surrey 5 - Bicycle/Pedacyclist - Pedestrian/Skater 7 - Other Vehicle Defects 0 - Cross Median - Cross Center Line Opposite Direction Travel - Downhill Runaway - Other Non-Collision - Other Post, Pole or Support - Culvert - Curb - Ditch 5 - Enbankment - Fence 7 Mailbox - North - South - East - West Action - Non-Contact - Non-Collision - Striking - Struck 5 - Striking/Struck - Other Action 0 - Turn Signals 0 - Head Lamps 0 - Tail Lamps 0 - Brakes 05 - Steering 0 - Tire Blowout 07 - Worn or Slick tires 08 - Trailer Equipment Defective 09 - Motor Trouble 0 - Disabled From Prior Accident - Other Defects 8 - Tree 9 - Fire Hydrant 50 - Work Zone Maintenance Equipment 5 - Wall, Building, Tunnel 5 - Other Fixed Object 5 - Northeast - Northwest 7 - Southeast 8 - Southwest

4 / / Occupant / 0 BAKER RUTH C 0 OL State Operator License Number OL Class No Valid OL M/C End 07 LA ROSE AVE CLEVELAND OH Condition Alcohol/Drug Suspected Alcohol Test Status Alcohol Test Type Alcohol Test Value Drug Test Status Drug Test Type RQ05 Offense Charged Offense Description Citation Number ( Local Code ) Hands-Free Device Used F / 0 ROGERS DIAMONN DO F 85 E 8TH ST GARFIELD HTS OL State Operator License Number OL Class No Valid OL Condition Alcohol/Drug Suspected Alcohol Test Status Alcohol Test Type Alcohol Test Value Drug Test Status Drug Test Type M/C UM895 End Offense Charged ( Local Code ) Offense Description Citation Number Hands-Free Device Used Improper lane change G08 0 OH Injuries - No Injury/None Reported - Possible - Non-Incapacitating - Incapacitating 5 - Fatal Seating Position Injured Taken By 0 - Front - Left Side ( Driver) 0 - Front - Middle 0 - Front - Right Side 0 - Second - Left Side ( Passenger) 05 - Second - Middle 0 - Second - Right Side - Not Transported / Treated at Scene - EMS - Police - Other Safety Equipment Used 0 - None Used - Vehicle Occupant 0 - Shoulder Belt Only Used 0 - Lap Belt Only Used 0 - Shoulder Belt and Lap Belt Used 07 - Third - Left Side ( Side Car) 08 - Third - Middle 09 - Third - Right Side 0 - Sleeper Section Cab (Truck) - Passenger in Other Enclosed Cargo Area (Non-Trailing Unit Such as a Bus, Pick-up with Cab) Safety Equipment 05 - Child Restraint System-Forward Facing 0 - Child Restraint System-Rear Facing 07 - Booster Seat 08 - Used - Passenger in Unenclosed Cargo Area - Trailing Unit - Riding on Vehicle Exterior (Non-Trailing Unit) Other 09 - None Used 0 - Used - Protective Pads Used (Elbows, Knees, Etc) Air Bag Usage - Reflective Clothing - Lighting - Other - Not Deployed - Deployed Front - Deployed Side - Deployed Both Front/Side 5 - Not Applicable 9 - Deployment Unknown Ejection Trapped Operator License Class Condition Alcohol/Drug Suspected - Not Ejected - Totally Ejected - Partially Ejected - Not Applicable - Not Trapped - Extricated by Mechanical Means - Extricated by Non-Mechanical Means - Class A - Class B - Class C - Regular Class (Ohio is "D") 5 - MC/Moped Only - Apparently Normal - Physical Impairment - Emotional (Depressed, Angry, Disturbed) - Illness 5 - Fell Asleep, Fainted, Fatigued - Under The Influence Medications, Drugs, Alcohol 7 - Other - None - Yes - Alcohol Suspected - Yes - HBD Not Impaired - Yes - Drugs Suspected 5 - Yes - Alcohol and Drugs Suspected Alcohol Test Status - None Given - Test Refused - Test Given, Contaminated Sample/Unusable - Test Given, Results Known 5 - Test Given, Results Unknown Alcohol Test Type - None - Blood - Urine - Breath 5 - Other Drug Test Status - None Given - Test Refused - Test Given, Contaminated Sample/Unusable - Test Given, Results Known 5 - Test Given, Results Unknown Drug Test Type - None - Blood - Urine - Other - No Distraction Reported - Phone - Texting/ ing - Electronic Communication Device 5 - Other Electronic Device (Navigation Device, Radio, DVD) - Other Inside the Vehicle 7 - External Distraction Occupant 0 LOVEJOY AALIYAH EL LA ROSE AVE CLEVELAND OH F Occupant 0 JACKSON DALAUN 07 LAROSE CLEVELAND OH 05 Injuries Name: Last, First, Middle Injured Taken By EMS Agency Medical Facility Injured Taken To Safety Equipment Used 0 Date Birth Seating Position 0 Age 7 M Air Bag Usage Gender Ejection Trapped HSY80 (Rev 0/)

5 LOCAL REPORT NUMBER 0808 IN COUNTY OF 8 REPORTING AGENCY GARFIELD HEIGHTS CRASH LOCATION GARFIELD BL OHIO TRAFFIC CRASH REPORT DIAGRAM / NARRATIVE CONTINUATION DATE OF CRASH M 0 D Damage - Unit # 0 KIA Optima sustained damage to the left rear quarter panel Y OH- 08 fender Unit # 07 Chevrolet Malibu sustained light damage to the right front OFFICER'S SIGNATURE X BADGE NUMBER 00 HSY 700 /07