T8 B3 Boston Center Richard Beringer Fdr- Faa Personnel Statement 362

ZBW-ARTCC-148 AAL11

PERSONNEL STATEMENT FEDERAL AVIATION ADMINISTRATION BOSTON ARTCC

This statement concerns the accident/incident involving

/7/9L

at

/'/'

(aircraft identification) j, , "l^ris

UTC.

, on

/£?/'/C

/montn, day, year and time)

(write out location identifier before using the three letter identifier) My name is

. I am employed as an

/]/CharJ (name and operating snaking initials initi in parenthesis)

by the FAA at the Boston ARTCC, Nashua, NH. (occupation)

I was working the

V 7 /f/?

position from

(sector and position)

//

3^

(time)

UTC to /2^u UTC. (time)

Text of statement:

VtVl

ac o

V

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

//?

'j,MsO,1

(signature am date)

ZBW Form 7210-45 (Revised 8/98)

Page 1