AAL/n 8

PERSONNEL STATEMENT
FEDERAL AVIATION ADMINISTRATION
BOSTON ARTCC

This statement concerns the accident/incident involving 11 at

(aircraft identification)

/ V^4 A/cms Vo/k , on ?/// ? / I A /& UTC.

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

My name is rC A. ("z- f3 J . | am employed as an

(name and operating initials in parenthesis)

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

(occupation)

I was working the 7'(. A position from // ^ 7 UTC to UJJ +/- UTC.
(sector and position) (time) (time)

Text of statement:

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

(signature and date)

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

^* PERSONNEL STATEMENT
FEDERAL AVIATION ADMINISTRATION
BOSTON ARTCC

Text of statement continuation:

f
-TV /f^M/n /o
Cir

\ / />.,

*««
A t,..^ (2tU- Jo^iJ'J <^'y
<?W XT' ^-^
/ /
J.

ZBW Form 7210-45 (Revised 8/98) Pa9e 2

 148 PERSONNEL STATEMENT
FEDERAL AVIATION ADMINISTRATION
BOSTON ARTCC

Text of statement continuation:

-^

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