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ZBW-ARTCC-148

PERSONNEL STATEMENT
FEDERAL AVIATION ADMINISTRATION
BOSTON ARTCC

This statement concerns the accident/incident involving A A I— I i_ at


(aircraft identification)

_ , on 9 / / O / 5 UTC.
(write out location identifier before using the three letter identifier) \mon\h, day, year and time)

My name is "TN&MA3 d KoglT-S -T _ . | am employed as an


(name and operating initials in parenthesis)

_ C-P C~_ by the FAA at the Boston ARTCC, Nashua, NH.


(occupation)

I was working the Co>mPsre.ipU^- &u><x<^.position from ( 1 'HI UTC to f<2 -33 UTC.
(sector and position) (time) (time)

Text of statement: O*> 5-ep^ '» , "Zoo \v *£«, P«>-OO^ o>


IT

^,
v-<_< - O A O C < r \, O

Cov

v\

I certify, to the best of my knowledge and recollection, the above statement is correct.

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


PERSONNEL STATEMENT
FEDERAL AVIATION ADMINISTRATION
BOSTON ARTCC

Text of statement continuation:

X-

V-

>_L d

ZBW Form 7210-45 (Revised 8/98) Page 2

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