Nyc Box 2 Aa 11 Dot-faa Docs Fdr- Faa Personnel Statement- Thomas Roberts- Cpc- Cambridge Radar 475

ZBW-ARTCC-148

PERSONNEL STATEMENT FEDERAL AVIATION ADMINISTRATION BOSTON ARTCC This statement concerns the accident/incident involving

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at

(aircraft identification)

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My name is "TN&MA3 d KoglT-S

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UTC.

\mon\h, day, year and time)

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. | am employed as an

(name and operating initials in parenthesis)

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

(occupation)

I was working the Co>mPsre.ipU^- &u><x<^.position from (sector and position) Text of statement:

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UTC to

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UTC.

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

1

ZBW Form 7210-45 (Revised 8/98)

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PERSONNEL STATEMENT FEDERAL AVIATION ADMINISTRATION BOSTON ARTCC Text of statement continuation:

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ZBW Form 7210-45 (Revised 8/98)

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