w ARTCC 148

"raw-; PERSONNEL STATEMENT

AL11 FEDERAL AVIATION ADMINISTRATION
BOSTON ARTCC

This statement concerns the accident/incident involving /XfV L \ at

(aircraft identification)

Ye . , on \\, day, y UTC.

(write out location identifier before using the three letter identifier) (month, day, year and time)

My name is .. js"^ » f\^ ' am emP'oyed as an

(name^ operating initials irTparenthesis)
(name^nd

Jlg>0r~ by the FAA at the Boston ARTCC, Nashua, NH.

(occupation)

I was working the position from I I ?> U UTC to ]<£& I UTC.

(sector and position) (time) (time)

Text of statement: Thc £/u?A^ Coorrro lie,- cut- Tc5LO

u-TP

we
p

-fo r
f <£.-"\c:<£t~ No&Do I^N
I certify, to the best of my knowledge and recollection, the above statement is correct.

(signatute and date)

ZBW Form 721 0-45 (Revised 8/98) Page 1

 PERSONNEL STATEMENT
FEDERAL AVIATION ADMINISTRATION
BOSTON ARTCC

Tex, of statement continuation: oJt Vl *««

****

-T5
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To'

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ZBWFcJrm 72 10-45 (Revised 8/98) \ Page 2
L
e ZBW ARTCC-148
ML1 1
PERSONNEL STATEMENT
FEDERAL AVIATION ADMINISTRATION
BOSTON ARTCC

Text of statement continuation: vc

observed -f

., K.JI
— Th

4,-rWr
38
'
,
Controller ^"oo k

JI

ZBW Form 7210-45 (Revised 8/98)

 >,•£ rVrte
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/VfVL. [ \r -f

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b&h«>rccP Someone

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n< "To »^v^ . HI c^ I

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of his.
be

be-\iB\rccP S<?rrveoo<
IVCU& vv

(7-
C ZBW-ARTCC-148
AAL1 1
PERSONNEL STATEMENT
FEDERAL AVIATION ADMINISTRATION
BOSTON ARTCC

Text of statement continuation: /\£Vl_U ,2.0

no /VfU>l\

rem^ev-vx

q erf

ZBW Form 7210-45 (Revised 8/98)