ZBW-ARTCC-148 PERSONNEL STATEMENT

1 FEDERAL AVIATION ADMINISTRATION

BOSTON ARTCC

This statement concerns the accident/incident involving A A \LA-_ at

(aircraft identification)

_ , on uoi ^ UTC.
(write out location identifier before using the three letter identifier) (month, day, year and time)

My name is L^Ofrn .S(v^a //V f _ (C5/ _ . | am employed as an

(name arid 6perating initials in parenthesis)

& ~ bythe FAA at the Boston ARTCC, Nashua, NH.

(occupation)
MC
I was working the \M/^1 T position from i* $7 UTC to ZHOO UTC.
(sectoi/and position) (time) (time)

Text of statement: JT *, arc S^,/ r &> Sn aSff/?*^ *- p*veff '&'*''''*. <**'* wli+^s-a ej
s / A ^ i^/cj +o c v c h/f 7>T6/ f y r / M < ^ 5-frv<V ^ ^ rfS t-'Prr* r'f

/VW-&.. JT wk^o^tf /o

of

-to Krfp fK/^/j

J

I certify, to tne best of my knowledge and recollection, the/ above statement is correct. C &-\- *

"" fe^ignature and date)

ZBW Form 7210-45 (Revised 8/98) Page 1

 PERSONNEL STATEMENT
FEDERAL AVIATION ADMINISTRATION
BOSTON ARTCC

Text of statement continuation:

-rJ

?.

ZBW Form 721 0-45 (Revised 8/98) Page 2