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Home My WebLink AboutRES 1 ZZ/ �Z R E S O L U T I O N BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF BEA.UMONT, TEXAS: That the City Manager be, and he is hereby authorized to execute the release to Elzie Watts in exchange for $356.40, said sum having been tendered to The City of Beaumont as full and final settlement of a claim for damages. PASSED by the City Council this 15� day of 1970. - May6r Z� (�-G- lei ICJ INTER -OFFICE MEMORANDUM CITY OF BEAUMONT, TEXAS Dote June 3, 1970 To: Legal Department From: Geo. Perkins, Traffic Department Subject: Release - Elzie Watts COMMENT: On this day, June 3, 1970, Elzie Watts paid his final installment on his agreement with The City of Beaumont for damages to city property aris- ing out of an accident on June 24, 1968. Please complete the enclosed release and mail to Mr. Watts at the address shown on same. Geo. Perkins GP;d enc. TO: DEPARTMENT OF PUBLIC SAFETY SAFETY RESPONSIBILITY P. 0. BOX 4087, N. AUSTIN STATION AUSTIN, TEXAS RELEASE A FEE OF $5.00 IS REQUIRED WHEN RELEASES ARE FILED CASE NO T Z 0 THE UNDERSIGNED HEREBY CERTIFIES that he/she is of the age of 21 years or over and that he/she has released Elzie Watts. 325 Simmons. Beaumont. Texas (Type or print name and address of person released) from all claims and causes of action or judgments arising from an accident which occurred on June 4, , 19 68 , at or near Beaumont , Texas, and authorizes the Safety - Responsibility Division of the Texas Department of Public Safety to accept this certification as satisfac- tory evidence of such release from liability or satisfaction of judgments as required by the Texas Motor Vehicle Safety -Responsibility Act. (Chap. 489. Texas Sessions Laws 1951; Vernon's Ann. Tex. Civ. Stat. Art 6701h). Date 19 " Signature of person giving relea Subscribed and sworn to before me this day of 19 Notary Public in and for County,Texas RELEASE CASE NO. THE UNDERSIGNED HEREBY CERTIFIES that he/she is of the age of 21 years or over and that he/she has released Elzie Watts, 325 Simmons, Beaumont, Texas (Type or print name and address of person released) from all claims and causes of action or judgments arising from an accident which occurred on June 24, , 1968 , at or near Beaumont , Texas, and authorizes the Safety - Responsibility Division of the Texas Department of Public Safety to accept this certification as satisfac- tory evidence of such release from liability or satisfaction of judgments as required by the Texas Motor Vehicle Safety -Responsibility Act. (Chap. 489. Texas Sessions Laws 1951; Vernon's Ann. Tex. Civ. Stat. Art 6701h). Date 19 Subscribed and sworn to before me this SR -11 Signature of person giving release day of Notary Public in and for County, Texas , 19 boy } TEXAS -POLI-CE OFFICERS' CONFIDENTIAL IDENT REPORT 1AAIL T0: Texas Dopartm f Public Safety, No. Austin S.6,Austin; T/ozos. 78751 FORM ST -3 .__ _. -- --- *THESE ITEMS REFLECT THE INVESTIGATOR'S OPINIONS. REV. 1-1-64 - DO NOT WRITE IN THIS SPACE PLACE WHERE �,-'• j. it i �-No....... Local ACCIDENT OCCURRED Count '"" ' f':...:": City or town ...:.. �:.•a .y.I!.'... 4/. ...... ... L' If accident was outside city limits, `% DPS No. ...... .::..... _........ ............ ... . O Indicate distance from nearest town ............. miles ❑ ❑ ❑ ❑ ol,,,,.....................................,..............,...... C North S E W city or Town Loc ............................ A T : �.-� ! Cl Yes ROAD ON WHICH ��'ff r �� ( Under '-.:;.dirt iL-Cs�abv S.R..._ ACCIDENT OCCURRED ........,r.((: i:.:,/`J��......... r............:::..:.......::.C•.................... Construction? ..............................__..._. Give name of street or highway number (U.S. or State). II no highway number, iden7dy by name. 0 N AT ITS INTERSECTION WITH Fal, rec............................................. ,,,,, Check and ....... street..ighway.............................................. /r Name of intersecting street or highway number complete one n only IF NOT AT INTERSECTION...:�i,i. .feet ❑ Q ❑ Elof. iy'�J;r:;",:,:. '�Tr:✓,L�'.`r�..�!`f � Dr. rec........................................_... North S E W Show nearest intersecting street or highway, house no., bridge, RR cross. Code - .........................._ .................... • mg, alley, driveway, culvert, milepost, underpass, or other Iandm:rik. T 1 M Dale of l Day of �� ❑ A,Iy 11'welly noon r f C.f ' so �...:. Type ._. .............................................. E .)O P.M. Nidmgnl, Accident...?. /. �f • :.... .. ......... Hour ....... F:.:...�... .................... 19... Week %!. L.-. FAT. P. 1. P. D. VEHICLE NO. 1 Make and Had Year // Type of r y 1�r% Vehicle r� r % y r, r�/'Commodity _ Sed El Yes �........... Registration �, Model:...CA'. Vehicle ....:::..:.:.......L.., . `'..4'.........<�:...... �. /' rG".F. Carried .... ....... .. .. .. ... Belts LNo: Sedan, clot -sem i•trade r, taxi, etc. slate )ca .Yeu Number Butane, mixed Ireighl, etc,'` `')i.:'-`.'i:1..... DRIVER..t l.Cr.....%✓. .............%•.-:�'.......!ii:!2':'.�::?1 :,:i`.:.`':.!�:/..................Sex•:;y(r:T:� Drinkingy• o „%' Name Address City aad`Stale Race of Driver's ;r-- ! Date of Driver's -' ;`- Chauffeur Driver....;: ��t..�,.'.t,:.a.... Occupation Birth ... .,:.... Operalo�,i /.i. ... '.Doth, _ . Carpenter, doctor, sales cleik, cic. pay, Yca; Slate Number ❑D'oro�Dp. Speed _1 Legal — . Maximum PhysicalApproximate cost �, •., " Before Accident..�........m.p.h. Speed Limit . ,'.�:......m.p.h. Safe Speed,,.:..,,,,,, m.p.h. Condition„,...,•; !,,, f r>.,!......... to repair vehicle•S.:��....:. V E H •.•.Vehicle � --. � ,• , ? % �.. .............. Removed Toc.:r.,.r.;..;.;';-, .OWNER.......,-�.i.:..:'.-..!--.�................................................... •..^'! .....,..._. �' — 1 • :; .. ..- Name Address Name of garage, non(,ry owner, driven away, etc. C VEHICLE NO. 2 L - _ - - _.-. Make and _ ,.. ... E Year Type of Vehicle Commodity Had❑Yes Seat S Model .................... Vehicle.......................... Registration ........................................... harried ............................... Belts El No Sedan. Sedan, !tactor-semiler, taxi. etc. Year State Number Butane, meed IragnL etc. Far ❑Yes other DRIVER............• • • .................................................... Sex ..:....... Donkin T . g • ❑ NO Yem Ues Name s 5ddress Cr1Y and Stale _vi<<< Race of Driver's _ �_� Dale of Driver's []Chauffeur J' ccrw Driver..-' ................. Occupation ......... l ❑ Operator ...........•.... License 1............... Birth ........ .............................. Carpenter, doctor, sales clerk, etc. Yonln, Day. Year Stale Number , • • ❑Com. Op. Total Speed Legal Maximum • Physical Approximate cost vehicles In•olRd • BeforeAccident ............ m.p.h. Speed Limit ...........m.p.h. Safe Speed............ m.p.h. Condition ............................... to repair vehicle's................... Vehicle OWNER ....... .......................................... Removed To ....................................................... Mame _ Address Name or garage, home by owner, driven away, etc. ate_ CODE FOR INJURY SEVERITY DAMAGE TO ROPERTY ?'a `Tj` !% `.' , 'ro r�� (Use only the most serious one in each space for injury.) A injury,as OTHER TH VEHICLES -.4 :�� ....r a !:f% .. -::: {•.t..,...a:':....,.ti�r9a'`.�.•';- ' ti�� • • • • • • • • —Serious visible deep,bleeding wound, f:•Name oblecl and sidle nature of damage Estimated Coll • distorted member, etc. ,,�t Name and addle of %-v,� i r B —Minor visible Injury, as bruises, abrasions, swelling, limping, r , etc. owner of damaged Perry.:::..`.........4:�'...e................./ �........ -••--•.••••••.•...... C—No visible injury but complaint of ainormamentar 1 Y P Y •t/ unconsciousness. C ❑Drive; —L In veh. AName ........................................................ Adoress................................................................ []Passenger_j, No...................... S Date of ❑Pedestrian U Age ............. Sex............. Race............................. Was person killed?........... Death ................................. Severity ❑A 0 El A......................:.......... L T Taken to............................................................ By............................................................... Seat Bell ❑ Used ❑ Not Used EName...; NO. 2 .................................................... Address................................................................ ❑Driver �In veh. . ❑Passenger Na...................... S Dale of [I Pedestrian Total Age ............. Sex............. Race............................. Was person killed?........... Death ................................ -Severity ❑A ❑B ❑C C................................. Taken lo:........................................................... By............................................................... Seat Belt ❑ Used ❑ Not Used PASSE NGERrCS.-AND/OR jWITNESSES f l ! r , Name. �.•6. /, ` i%—� W... �. `: C �w. Address �r:� Location. . A/. ..................... ...:L'7) :� .:.� i..fr:. . / Y In veh. a RF, ped. 60 It. east. etc. V'h�f Namel............................................................. Address.................. Location ..................................... ' Name............................................................. Address 1�.. 0........................................Location ............... ................................,..., Name:............................................................ Address... n.W ••... ....../�u...................................... Location..................................... u ..Z) �. n Name............................................................. Address Location .N.... ........................ .......................... Name......:...................................................... Address...........................................:........................... Location ..................................... Name......................................................:...... Address....................................................................... Location ........ e............................ Name.........:................................................... Address....................................................................... Location ...................... FORM ST -3 .__ _. -- --- *THESE ITEMS REFLECT THE INVESTIGATOR'S OPINIONS. REV. 1-1-64 KINDOF LOCALITY ROAD LANES(TOT-. WHAT DRIVERS WERE GOING TO DO BEFORE ACCIDENT ' (Che ck one) ( CWck lines m load used by each driver.) (ChecL, ne lot each driver) 1. ❑ Apartments, Stores Df1Yel Driver Driver Driver Driver I z 1 2 1 2 ! Factories, Schools 1. ❑ ❑ 1 lane 1. �❑ Go straight ahead 4. ❑ ❑ Make left turn 7. ❑ ❑ Start in traffic lane 10. ❑ 11 Remain sloppFd in 2. ❑ One -family homes g 2. ❑ lanes traffic lane 3. Varms. Fields 2. ❑ ❑ Overtake and pass 5. ❑ ❑ Make U turn 8. ❑ ❑ Start from Parked position I1. ❑ ❑ Remain parked 3. 3 Lancs 3❑ ❑ Make ri ht turn 6. ❑ ❑ Slow or sto 9, ❑ ❑ Back 4. o marginal g P development 4. ❑ ❑ 4 or more lanes WHAT PEDESTRIAN WAS DOING C3 Along .................... TRAFFIC CONTROL ❑ ❑ Divided roadway Pedestrian was going ❑ ❑ ❑ ❑ ❑ Across or into .. ....................... From................ To ................. (Check one of morel N $ E W lJ� (Street name, high.ay No.) (N.E. comer to S.E. corner, of wear to eaol srde, erc.l ❑ ❑ Expressway, 1• ❑ Crossing or enterinn,1Yn} ]. ❑ Stop sign P Y. frze- 8 8 at Wal roadway- 7. ❑ Pushing or working on vehicle 10. ❑ Other in roadway way, toll road, etc. intersection wirth traffic 2.. ❑ Slop -and -go signal 2• ❑ Crossing or entering not at S. alking in roadway- 8. ❑ Other working in roadway 11. ❑ Not in roadway ROAD SURFACE intersection against traffic 3. ❑ Officer or watchman (Ch.c one) 3. ❑ Getting on or off vehicle, G. ❑ Standing in roadway 9. ❑ Playing in roadway 12. ❑ Had been Drinking 4. VJ,R . gates or signals 1• c/ Dry VIOLA71ON5 CONTRIBUTING TO ACCIDENT 5 2.�]C�j Wel(Check one or mole lot each dnver) Diriver i c Driver 1 1 6 Speciiyothei"" 3. ❑ Snowy or Icy Driver 9. ❑ ❑ Improper turn -wrong lane 18. ❑ ❑ Fail to yield ROW to pedestrian o traffic control 1. ❑ ❑ Speeding - over limit 10. ❑ ❑ Wrong side -not passing 19. ❑ ❑ Improper parking LIGHT CONDITIONS 4•❑ -1--••••......•••.•.. (Check. one) Specify olher, 2, ❑ ❑ Speed - under 11. ❑ ❑ Wrong a wa Y 1 way road 20. ❑ ❑ Driving under influence (liquor or drugs) 1.❑ Daylight 3.❑ Darkness ROAP CHARACTER 3 ❑ ❑ Fail to Yield ROW to Vehicle r neck !,& 0) 12. [1❑ Following too closely 21. El 11 Detective Brakes 2.0 Dawn 4.0Dusk 1. /curve trai ht road g 4. ❑ ❑ Disregard Stop Sign or light 13. ❑ ❑ Overtake and pass -insufficient clearance 22. ❑ ❑ Defective lights W THER ( eek one) 2. ❑ 5. ❑ ❑ Disregard Slop aid•Oo-.Signal 14. ❑ ❑ Pass in rm Pawing [ohz 23. ❑ 1.yJ Other Defective equipment 1. Clear 3.❑Snowing 3. Level 6. ❑ ❑ Disregard Flashing Yellow Signal 15. LIl All other illegal passing 24. ❑ Other Violations... 2. Raining4.❑ Fog 4.' ❑ On grade 7. ❑ Ci improper turn -wide right 16. ❑ ElNo signal or wrong signal of intention ..........................:........... 5.0 ................ Specify other • • S. ❑ Hillcrest 8. ❑ ❑ Improper turn -cut corner on left 17. ❑ ❑ Improper start from parked position 25. ❑ ❑ No violation as accident cause INDICATE ON THIS DIAGRAM WHAT HAPPENED- r." ir4 INSTRUCTIONS {� D Qq kNORTH I. Follow dotted lines to draw outline of roadway at place of accident. .c11��1 l� S` kl 2. Numher1p 'each vehicle and show �� J�! y r� �pL ( �a direction of travel by arrow: �D c -t;{ 8��,��el ;, iQr �r ! , �� r � •rte �, r 3. Use solidlineto show paN �..�: before accident dolled line after accident: ��.;j j del' �t,C'- �C r� •. r 4. Show pedestrian by: -L-....... :..--"-e+.....--.......--,-r, ........ ............... . 5. Show railroad by: HiMiPiWiN11 Hf 6. Show distance and direction to landmarks; identify landmarks by name or number.^L ^,tee r� J 4G AAuLL- DESCRIBE WHAT HAPPENED U 6 (Refer to vehicles by number) „,�,fi!{�,.cP v-[.ih ..; / Q - G ..... „... c -,t c - Q ............... .................... ................................................... POLICE ACTIVITY / Name...,., ....... Charge„ a� s' SHOW ARRESTS {!�!.. ............................. /A .. �/•'. Ticket No...l..'. /.." ..... AND CHARGES Name...................................................... ....... Charge ......... �.... ..........g ......`...... Ti�et No. ...........:....�....... Tine notified /' Time arrived at !� of accident , �!� C/,(!,� 6 d H.: /�11r /� 0 Was investigation made e5 Driver report �rrver 1 i.........fA scene of accident,,,,,, .M at scene of accident? ❑ No form furnished to ❑ Driver 2 Dare Xour Dale Haur .. Where else was r investigation made? Were e p hojto-? Is .intLv er sti gation a„ ................. hs taken. compete?..... SIGNATURE.!vW Investigator's name ndrank o.r nmGer ` D....�. ... ** ate of report Ci !f - IMPORTANT! Drivers must also submit a report to DPS if there_were-casualties-and/-or-total-damage of_S25 or more. Drivers accident report forms are available t -mw --and city police offices.