AnnaMarie Dugan Norris, as Guardian of the Estate of Christopher Dugan, an incompetent person v. Tesla, Inc. f/k/a Tesla Motors, Inc., Kyle Kaszuba, 49D04-1705-CT-018411, No. 715701304 (Indiana State, (2024)

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`EXHIBIT "K"
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`0 Commercial (Buses, Taxis,
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`Common and Contract Carriers) 0 Highway Department
`0 Rental. not leased
`O Other Gayernrnent (Postalfetcl'
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`0 Other (Explain in Narrative)
`0 Police'
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`Driver 0 Truclerailer (not-semi)
`0 Combination Vehicle
`O Tractor/One Semi Trailer
`0 Unknown Type (not classified)
`O Tractor/Double Trailers
`0 Tractor/Triple Trailers
`Pro-Crash Vehicle Action]. Turning Left
`O Moped
`0 Slowing or Stopped in Traffic
`0 Making U Turn
`0 Going Straight
`O Unattended Moving Vehicle
`Registered Owner's Name (Last, First, MI] 0 Same as 0 Booking
`O Avoiding Object in Road
`O Merging
`0 Starting in Traffic
`8 Entering Traffic Lane
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`Driver 8 ghangingnggnes
`0 South 0 West . Northwest 0 Southwest
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`°' Travel 0 North 0 East 0 Northeast 0 Southeast
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`0 Median Barrier
`0 pole
`0 Less than 10.00% 0 Flatbed O Cargo Tank
`0 Gafbagemefusa O Other (Explain in 0 Highway Traffic Sign Post
`O Other (Explain in Narrative)
`Q Dump
`0 Concrete Mixer
`or more 0 Bus
`fl]
`Fill in only one oval in this catego
`Or if a Non-Collision'Crash
`O Fell from vehicle
`CO) gg.ggikze,oooli
`0 Car o/Equipment Shift or Lose
`C) Jackkniie
`,
`C) OverturnIRollover
`"mm "a" " o Fire/Explosion
`Primal; o, 0 Yes
`HAZMAT 0 Yes
`""2""
`° 9"
`' 0 Off oadway
`AZ AT
`1' 4.
`Placard O NO
`C) Immersion
`i
`Cargo
`
`it Occupants
`l
`c.
`# Axles Speed Umi
`
`v
`
`Insured By
`
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`
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`
`-
`
`.
`
`.
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`2""
`
`Phone Number
`
`-.
`
`s
`
`Emergency
`Run?
`
`'
`
`F
`
`7
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`Towed By
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`port
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`ti ity
`
`V h
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`
`eats
`
`-15 Persons inclu ing t a
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`9
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`d
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`river
`
`Address (Street. Cltv, State, Zlpi
`
`.
`
`.
`
`'
`
`Towed?. Yes
`
`0 NO
`
`Tmfid
`(0.4%
`Lic State Lic Year
`
`Trle
`
`,
`Llcense #
`
`Veh Yea Make
`
`Trl#
`
`Us State Lic Year
`
`License 9
`
`V°h Y3" Make
`
`V htt
`8
`
`c
`
`,
`ommercia
`
`| V h'
`e ic e.
`l
`
`c
`
`, N
`err er s
`l
`
`Address St eet, Ci
`r
`(
`
`W
`
`vertakin
`
`. Stat ' Zi
`9
`p)
`'
`ame and Address
`"
`
`Gross Vehicle Weight
`Retin GVWR
`
`N
`
`I
`
`In a
`
`i
`
`Narrative)
`
`]
`
`roper Shlpplng
`
`-
`
`HAZMAT p
`US 00"
`Vehicle identification ii
`
`-
`
`-
`
`N
`
`ame
`
`:
`
`ICC#
`
`State DOT"
`
`No
`
`as
`
`L1
`L
`
`icyc e
`
`tructure
`
`we
`
`rawn e
`
`ic e
`
`'
`
`Light upport
`Pole
`u vert
`
`or ox
`
`Curb
`
`.
`
`,
`
`EXHIBIT "K"
`
`