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Kevised June STATEMENT OF WITNESS Burcau of tne get CirenarA-5kc.v. (Uso additioncl sheets if nccossary) 9102 OD YOU SEE THE ACCIDENT 2.VHENDID Tim and dot 3.WHERE DID IT HAFPE (She*n and ciy On Riverside Frec- Yes 5/10/70 - 12:05 a,m. way in Riverside, Cal. between Jackson and VanBuren .TELL IN YOUR OWN WAY HOW THE ACCIDENT HASPEND A figure suddenly darted in from left in front of automobile and was hit. S.WHERE WERE YOU WHEN THE ACCIDENT OCCUBREDT Passenger, right front seat E.WAS ANYONE INJURED.ANO IF SO.EXTENT OF INJURY IF KNOWN Pedestrian, subsequently identified as Luther. Curley, was killed.. 7.DESCRISE THE APPARENT DAMAGE TO PRIVATE PROPERTY None 8.DESCRIBE THE APPARENT DAMAGE TO GOVERNMENT PROPERTY Grill broken;hood and fender bent S.IN TRAFFIC CASES STATE a OVERNMENT VEHICLE b.OTHER VEHICLE Mi pr kor PPROXIMATE SPEED 60 65 None ID.GIVE THE NAMES AND ADDRESSES OF ANY OTHER WITNESSES TO THE ACCIDENT NAMES ADDRESSES None .DATE SIGNATURE 5/11/70 12.HOME ADDRESS TELEPHONE HO. 4401 Hazelbrook, Long Beach, California 90800 213/421--7244 3.BUSINESS ADDRESS Southwest TELEPHONE NO. Regional Ofc,, Terminal Island, San Pedro, Calif.. 90731 213/831-9281. X357 .INDICATE ON THE.DIAGRAM BELOW WHAT HAPPENED: .Number Fcdcravehicle 1-other vehiclc as 2-additional vehiclc 3.Show pedestrian by >0 s 3.and show direction of travel by arrow ++++++++++++++++++-4q poogoa moys Example: 5.Give names or numbers of strects or highwnys 2. Use solid linc to'show path before nccident 6.Indicate north by arrow in thia circle Broken line after accidcnt -11- liyer reeway