English Translation

Appendix 4 to K 10 — 104 — 04, p. 1. Date of dispatching registration number Accident party 9 Time Lfd. of the place of accident and type of No. Type- One-File- Accident Participating part of the traffic sign Vehicles Name Housing Traffic- Injured persons Remaining or age of the blood-deadness Operating and fatally dead under the accident record of the Incidentally injured Accident Investigation Appendix 6 to K 10 — 104 — 04, p. 3. Tgb. Date Name Tgd. Date Title Tggb Date Name No of the official No. of the civil servant No. of the official