Statement of Party Representative
PDF, 1 page from the NTSB's investigation of the Beech 95-B55 (T42A) accident near Mangum, Oklahoma, January 19, 2013. Shown as the NTSB released it (fetched from the NTSB as you open it).
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About this document
It is item 5 in the NTSB's docket for case CEN13FA137, titled "Statement of Party Representative" by the NTSB, 1 page. The NTSB removes some personal details before releasing docket documents; this site shows them as released and does not alter them. The docket at the NTSB.