PERSONNEL STATEMENT FEDERAL AVIATION ADMINISTRATION BOSTON ARTCC This statement concerns the accident/incident involving
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My name is
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Text of statement:
. I am employed as an
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by the FAA at the Boston ARTCC, Nashua, NH.
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UTC.
(month, day, year and time)
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ti certify, to the best of my knowledge and recollection, the above statement is correct
(signature and date)
ZBW Form 7210-45 (Revised 8/98)
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