PERSONNEL STATEMENT

FEDERAL AVIATION ADMINISTRATION

BOSTON ARTCC

This statement concerns thaccident/jncident involving 7 7 / 7 L^' I at

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

My name is • ' am employed as an

(name and operating initials n parentesis)

by the FAA at the Boston ARTCC, Nashua, NH.

(occupation)

I was working the position from UTC .0 ffSft UTC.

(sector and position) (time) (time)

Text of statement: \TIS% fl/frv)

OP

TZ>
/VIM c
M

fnru

I certify, to the best of my knowledge and recollection, the above statement is correct.
•A n
O&UM VAA&AA ci\(^io\S
signature ^hTdate)

RM eu
ZBW Form 72 10-45 (Revised 8/98) Page 1

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