lex) JVERS, i AftIntl AIRCRAFT CATEGORY AND NO [Dd AIRPLANE SINGLE ENGINE LAND AIRPLANE MULTIENGINE LAND 1 9 1 1 I 1 I \\ ...3 .. .7 / 3 3 1 7 ,.? b i_ / .-- / q y F. TOTAL (4 ( FORWARD VS& ‘, ;:9,6 6; ..`.3 kL TO DATE '166 7 cr?c/ CLA 5, IANSSTRWCTOTR COUNTRY CROSS DAY CONDITIONS OF FLIGHT TYPE OF PILOTING TIME ilDU l OF *Milt NIGHT ACTUAL INSTRUMENT AIRCRAFT (HOODED) LINK OR FLIGHT SIMULATOR '-fLa,"-. ••••• 'Mr PILOT IN COMMAND (Inc). Solo) SECOND IN COMMAND I 9 / '? / / ? / / I / / / / / 3,13 33 3,3 (.- 7 r72 -7 / 3 /3 / 3 / 7 7 riz 1 471 X ./. 6— / dg ei ,27,? • C /// o f;5-5 7 / 5-7,2 / l67 ,302 t?-- 3cn b (// 9 43r-7 (', !-J-Y0 () (Or e Sic/ / "1 -..-3.l- _c) c ,..-7.::, /.? ,_,.., ARTURE & ARRIVAL REMARKS, (See Index) PROCEDURES, MANEUVERS, ENDORSEMENTS Al/4#7 AIRCRAFT CATEGORY AND TO NO. LDG. AIRPLANE SINGLE AIRPLANE MULTIENGINE LAND 17'P 0 I / 1 / I • 3, r -;(..,• — l°7&-1 7/,67,,, j, Jon 7 ,3 — AF-cK — --r--------g / 7 ci m 4 -b V' CLA 6. G...) AS FLIGHT INSTRUCTOR 4.-• I' CROSS COUNTRY DAY / / Lt 1 / 3 3 c•2-- 7 01- - I ---- 1 3 / / 7 ArAIMANIIIIM- CLA- S. , CONDITIONS OF FLIGHT TYPE OF PILOTING TIME POINTS OF DEPARTURE & ARRIVAL REMARKS, Index) AIRCRAFT CATEGORY AND 1904TE AIRCRAFT Aio MAKE In IDENTIFICATION RRAF MARK FROM . TO (See PROCEDURES, MANEUVERS, ENDORSEMENTS /V7/7LND% SINAGI1REPLAIINE LAND MIVEITIENE LAND -1--p Rilliqg :, , IANsualarR COUNTRY DAY NIGHT ACTUAL INSTRUMENT AIRCRAFT (HOODED) LINK OR FLIGHT SIMULATOR , -.1t,...., •loom, 'afir.F.D PILOT IN COMMAND (Incl. Solo) SECOND IN COMMAND DU OF . .17— ler /15-/i5 44z i -di — PR q 1 9 / 4 i _____ HS/2-6" liva5- ,y/a3-,95 ( 7'7 Par- -4::::),..- -7- -p,e_7- 1 1 I _ / j 1 _I / 1 R/3.7` - e'DRZ- - pa.z- / / _ / / i / / / (W__ /1-4S -is---- iN-sW6 7..3,- - ;.,,,,-- ,2c) ,47--23 ,26 4772_57,1 - 7-,-k. --fMt --7/a8 0;2 /1/161/4°,41) /v9cd'5.------ .i.-Z-• -e.,2 -7 .2--2- /07.F -7-6,--S. - c_.• 7 1 1 e71 p 7/?tp__________At I 1 3 /,3 ( 2 . / 3 ,t ---r-e-_--,..4 , 3 / cm4 - I 3 1 ( 4. ______ I 7 s'? / 7 I 7 / 2 - (-,)-- - (1/114 e, a_o .2-- 0 „Ic ip ____ c 1 / 7 1 fri- -7ei6 1 ,/ / )1 1 `7I / 51 / 5- / 5-- / .3.-- / 5- c M 4 tYy - / (,, / ,,,. i / 6, , _____ 3 - CRY TV L'- -t-g-Z3 1 PAGE TOTAL (4 ( d•S' 7 (27 : 9 eD o df ei I certify that the statements de y me this form are true, dr . AMT. FORWARD els& ‘,. ? // / O ,9 5F 7 /d-1.6, 0 „ve501, 5-7;2_ i ,e6.7 I PILOT'S SIGNATURE ,2.9.(6; .:.3 TOTAL TO DATE 9. 6b io--;29•ei9 7 a-.3, e) /// 9 13 ar7 C° 'eP° 1) gF1 g 5P1 I °I5' .-3-. 30 0 ,q0 / A 4 v ' DATE I9—.. AIRCRAFT MAKE AND MODEL AIRCRAFT IDENTIFICATION MARK POINTS OF DEPARTURE Si ARRIVAL REMARKS, (See Index PROCEDURES, MANEUVERS, ENDORSEMENTS ivi4er AIRCRAFT CATEGORY AND FROM TO NO. LDG. AIRPLANE SINGLE ENGINE LAND AIRPLANE MULTIENGINE LAND -11 //5-r.s-- e,6'4 4d1(,,-,7-., — 1 9 2-0 t.---/S/2-1/4S /y/ 2...S7/5 /-.3- - - Pig-7- i / /-6-72 3-- ,A7(2.Sr-t-/6 /7/3-t - 0 gL- - /3/1r- I I -23 ii.(57.":"c" 4// £/i' a_3.- - ,46 -.74?-7-7 I ,0,6ele4- ..1-z_cr; - 7--;;_,-, 3 -3 - 1-/--).4 /1/9c,,,-.5--- "7/3., - - T---7-3 j c--- .._10/3 0Q 7 7- 7-&--- - (711,-,-,, p --77,91-f) 3/ cm --f - ---(--- ( 3 _ 7 --Z-))-- -- 19- C ./ .- 7&-=----g 1 7 ....-- -5 7 .c.x"--4 De 1.- - 6,, -2-- - 'm 4 - b c I/21 ,,-7'. 1 7•-c-r-- 6 61;Vil / 5- tvy - -u_-_,6 i - 17 ;ILOT'S --/-e---.? L'11/1 4 - 71/ e- - C IR_S 71 /-- SIGNATUkr... ,entsfihide y me this form are true, 1/ PAGE TOTAL AMT. FORWARD TOTAL TO DATE & (i Y CLA S. PT AS FLIGHT INSTRUCTOR CROSS COUNTRY I RFAA / 9 / 7 / / ..._.- ......-, i 3 / 7 / f II / 5— / .3 et -6 d, E // 0,_35- 7 /// 9 13 '-7 :.'-'?7 D 91)41/(E AIRCRAFT Oa IDENTIFICATION RRAr MARK POINTS OF DEPARTURE & ARRIVAL REMARKS, (See Index) PROCEDURES, MANEUVERS, ENDORSEMENTS Aft4/117 e.Z44. AIRCRAFT CATEGORY AND FROM . TO NO AIRPLANE SINGLLEAN ENGINE AIRPLANE MULTL IAENNDGINE - li /115-/5- eiva5-6;,4&.7.7ii — 1---)Rs 1 9 an /-/5/2 //2S Par- -c)/2 (..-- -/-°,6-7 1 / /--a/S- Pl3,t- ogL- -Pal" 23 NS/Lc- ,y(2,S7/6 477-s-,,Ki a3ir. - ; //-6. 'r`?'77 / i „O'be/e-,6' •-- re: Qf 3 -3 -.7 - /CY&Z 7 c:26 - - ------Z3 J --c:' Jo4 7 7-&-- - c m P 71? 17' . <3/ cmi (-7, - / 3 i r.1.---..xs ___. --3 7 e--x. - /•?- c/ .- 7&---, / 7 -. ,....-- 7 e-44 Del.- - ,Fai.--- - oiy, --.(-- c pi tw- 7e573 / 4/ 1 7.e---6 017A/ / 5- Dily - --7._6 / c,, ,..../.7. -/-eV L.kt-/- .-71/ c -CP,5 '3. lir - CRPI. 7 V c-- --te-L3 I certify PILOT'S that the statements SIGNATURE de y me this form are true, PAGE TOTAL' • 01( AMT. FORWARD ; a2 3 TOTAL TO DATE (16, lo,i29'19 DATE I99/ AIRCRAFT MAKE AND MODEL AIRCRAFT IDENTIFICATION MARK POINTS OF DEPARTURE & ARRIVAL REMARKS, (See Index) PROCEDURES, MANEUVERS, ..., ,,.„, ENDORSEMENTS Fli" di AIRCRAFT CATEGORY AND FROM TO "u• LOG. SINGLE ENGINE LAND FALIIMItilENE LAND -`---- i z • - -2/-) /4/5 ii/./ 901'.3-6-- -rt---Z- --------- n..‹.5f:::7- cL 7 F / ....._.. \ 3 7 ---- -5 •i- c-ip4--/- . / 7 i 7 .._:,,L, ,_,„_7z,, •-7--. •--4,,2-- 7----e--,z? 0.,-)72-/- r Lit c174- -17 „-,;.,/,73:77.- ,i..:-,- z_ 7---cis / -7 _II -TtA;e16 b1z-- ev7171-/ / 7 -/9 cx74- Rei__ cm/4 . / 735 CM4-- C.Y4t-1- -- / i' I certify that the statements PILOT'S SIGNATURE mby eonthisorm:re true, PAGE TOTAL AMT. FORWARD Y-5-G gq1 R3 TOTAL TO DATE '&' ?0 /A / CLASS. ROTORCRAFT HELICOPTER AS FLIGHT INSTRUCTOR CROSS COUNTRY 7 3 -74 / ._, r --2 / 7 , 7 Li- / / 7 / . r jo ( ir i 3o- 3 141 0 /377 (' /e7tic-, 0 7i/ /) (4/ 9 fl YEAR f., AIRCRAFT MAKE and MODEL AIRCRAFT IDENTIFICATION NUMBER POINTS OF DEPARTURE & ARRIVAL REMARKS PROCEDURES, MANEUVERS, ENDORSEMENTS AO( m404 NO. INSTR *PPR. NO. LOG AIRCRAFT CATEGORY and CLASSIFICATION AIRPLANE SINGLE ENGINE LAND AIRPLANE MULTI-ENGINE LAND / — DATE FROM TO —40. 61414 7-eV 13 —7 "7—PZ 114/e / i3O -11 -Ili e_ --fe-13 - i S" 7 /3 7-e-k3 Pkg..5' e2" 01,6 .5A-F icis t F ‘ /1-5E ti 19 / Y ' -I . -z( 7-e---43, -1-;54- 1 7 ( 1 -y Pg•l- r7P-- (9 - - - 7 - 0 ...M. 7 3 Yir 1 -F- 1 1 c1.4 11 I certify that the statements made by me on this form are true. PAGE TOTAL TOTAL AMOUNT FORWARD TOTAL TO DATE 1 % PILOT'S SIGN T AS FLIGHT INSTRUCTOR CRESS- COI COUNTRY OAT ;R4e 3-7 a,5-- YEAR rwo AIRCRAFT MAKE AIRCRAFT and MODEL IDENTIFICATION NUMBER POINTS OF DEPARTURE & ARRIVAL REMARKS PROCEDURES, MANEUVERS, HOSTS NO. INTER. APPR. NO. LOG AIRCRAFT CATEGORY and CLASSIFICATION AIRPLANE SINGLE ENGINE LAND AIRPLANE MULTI-ENGINE LAND 7: P / 6 BATE FROM TO 1_1 143-- '-- /C: ca. 3 k 7e-73 .0c4- -..7-x-D - Ti-8 i 7 ., / a 3 1_ IY6 2419 re"" ---- a-&--0 --1-----6 . 1 Z:,,-,' ,0Q A-- 17 r , )--fa- P.., 6,C3. r , a 51 -, -30, .., 04 57g-1" i .---/r73 -acv co ( f 1-.7 Pe5 -776 .----7 7193 P&T.- I certify that the statements made by form are true. PAGE TOTAL AMOUNT FORWARD TOTAL TO DATE PILOT'S SIGNATURE ( AS RANT INSTRUCTOR /le CROSS- COUNTRY 112 CON CROC = D AY11_ ,7 e 5.--- t ? t s-- „3 c 15e ' 4. %5-- z 5-- i .-S YEAR ?jz DATE AIRCRAFT HARE and MODEL AIRCRAFT IDENTIFICATION POINTS OF DEPARTURE & ARRIVAL REMARKS PROCEDURES, MANEUVERS, emoRsintorrs b 14,ii MA NO. ms'n• epic NO• LOG AIRCRAFT CATEGORY and CLASSIFICATION AIRPLAGE SINGLE ENGINE LAND AIRPLANE MULTI-ENGINE LAND ,„..fp FROM TO Pa.7- --7-,E.3 / 7 '--ic efe`n 1...71. 3 y .../ /15-i- /41,4ar '7,-5 . ( enig- ,?-4 •P- A I-06 (9- ( 3 -20 f----73 -‹5,i- ..-AS / 3 Se- • 1./ev_ 1 2- 410 AMot,re ...ce7s Pa- - ,_7 , -7 P/3.- -7--.5"-- c7 t`t -125- It Mt/ / 3 A 9 9, ( ( • I certify that the statements made ieodds rut am Use. PAGE TOTAL AMOUNT FORWARO TOTAL TO DATE . PILOTS SIGNATURE 4 R LICOCA AS FLIGHT INSTRUCTOR CROSS- I COUNTRY 7 41 YEAR AIRCRAF T MAKE and MODEL AIRCRAF 1 IDENTIFICATION NUMBER PUINTS UF UEPARTURE 2fii ARRIVAL REMARKS PROCEDURES, MANEUVERS, ENDORSEMENTS NO. INSTR. APPR. NO. LOG AIRCRAFT CATEGORY and CLASSIFICATION AIRPLANE SINGLE ENGINE LAND AIRPLANE MULTI-ENGINE LARD DATE FROM TO I certify that the statements made by me an this farm are true. PAGE TOTAL AMOUNT FORWARD TOTAL TO DATE PILOT'S SIGNATURE ROTORCRAFT HELICOPTER AS FLIGHT CROSS- INSTRUCTOR COUNTRY YEAR T 6 AIRCRAFT MAKE AIRCRAFT and MODEL IDENTIFICATION NUMBER POINTS OF DEPARTURE & ARRIVAL REMARKS fiNaTR PROCEDURES, MANEUVERS, ENDORSEMENTS [ Ap,,,,,,-- 1 — I 1 iNa% -- - AIRCRAFT CATEGORY and CLASSIFICATION AIRPLANE SINGLE ENGINE LAND AIRPLANE MULTI-ENGINE LAND DATE FROM TO /30 106,83 s-c 7 pp p 8 1 _ tc 1._ f7A1 p •SEE /AID 'EA' ,` li` -6-..e I , sitze,jri,e9sri,74;:„ I is 02- 2-0643 6 - 41PH Pivip41; i 0,3 2.6,6,3 c-vw ppip idA,t, ..„65-,c7 , :ILI, '-, si,-,--ed /4S e...46 3a I 0,314 , Vo'f Le i 63 ..5 1 Ay Phi /2 ; ia,,, jo 4 v E-- di/ eo,i),-, Is , 0 v/71 Sty tv't i 2,06133 ciP)1 MI -'• iiith - , e )3/ "9. - /fi-Ar 9 e et c t- p I i 7- Rob 6-3 5q/91.1 65 1- tr.44 -- q — frr) Dem?' q4 VI 3 IP t 43 :5 -919# Pe/ - LAY) - f i 31 A - f / s )04- J6.7 1, 1/291 ; PS ,..,, , Vert 2CGEO- A.1 2 b I es 4 V Ntl - )24.1- VN. Cliflt5 VAINv.+45A-c-lit.ba. i r(k. 137-C613'1- IknOt014- i t AA, - Ali, -ovy :row (prAwa.., fletza) 5-dc-:-- 'RAO./ t tit_Ci5-7-e4 :2( 14.24(00 N to, A.)p fie--4- -7,41,R.40- Aff* 6)2E4 Oei,wt,34-) 'I a- 1,061-Z 6-01*-A Pk, Pm? 4-P i .t• v/oe-w- /67/411 34.! 28‘ L-3 58J; f 5 I c,-N A C/ D 1 # 4 ' 1 , V (5 1-,..---1- c I .T.'57fi3-0 kc's-1/47aci--70( (6- 0/,oG 0 50079 pall: 4/t/P 3,,,./ i 1/9 9 4 ,9_-,-G 1-3 54)05 il P2,-1- 1.-Al p /1 I 1,11 /Pre- 4ojc-,, e) eIN R. 0-6...: y I 3,- csif-tV bc:Fyi rpti.- ryfl I certify that t e made by me on this farm are true. PAGE TOTAL AMOUNT FORWARD PILOTS I A TOTAL TO DATE AS FLIGHT INSTRUCTOR CROSS- rt COUNTRY i ROTORCRAFT HELICOPTER 0 7 0 X 0 F 1 • / / 0 el 0 Ft. 1 1 02 / 1) 0 2- i 0 I 1 r 0 6 1 24 1 9 0 i it D I 9 0 I 14- 4 YEAR n AIRCRAFT MAKE and MODEL AIRCRAFT IDENTIFICATION POINTS OF DEPARTURE & ARRIVAL REMARKS ' NO. PROCEDURES, PAWNERS, EPIDORSEMENTS INSTR• ' APPR. I I NO. 1 LOG • AIRCRAFT CATEGORY and CLASSIFICATION AIRPLANE SINGLE ENGINE LAND AIRPLANE MULTI.ENGINE LAND DATE FROM TO 4.2/f? 21443 5-barR PAAP pii-ip c N / 4.....,,_ „ „pi„,p /2'•Si-?_. -4,4114-P971)44, Yip 2-060 5-oe:r4 pmf) Pik/ 1 i /0.- T it, P /151- _f" Vecri.tei ro e 0It .A1 ecr-ie e_ g fro-- it pi. ' n ItItoi-3 5Doz-A- ci) eetP PtY2 P Z-(_1' '',''a-/-'1")'"''' • _ - , , ) 3 <=2C) L3 5z--14 fri.t/3 -AltirPe4ets PA T P , 0 - Ail .54f on,--714.4,... ri g ./6 -k 6 •-cer--- 7 i 5 -2002 Sc13-14 i--lair-OvPI- Par II, D . 0 e C, 7 i'? 50.3-,1 Ft-7 P- Par- Pm P 4 --. F / , ..?eitar+ime,59 '7 ,.,206,i- 6200i-3 .5-tio-V .FrY07- ?5-.,S- -5,0-- Fini? P r ft - Al eou., _ 7 lat3 slam PA 4P- ?Pe- )9Alp P 4) fi-2.4.74.i_ i: _ ,,,,7, )--c ig (1.00 6 az' rvaifavi _sri---,-- 2 c_--L_ F. 27 \.i\i,, 5- .:;YA,Kri- mscPii PA P 4-et V p I ,,:.)..t)(c, L3 /,/.5,.c.:, sa NIP-at/9-01s-- Pry Logkeecsicowditur 5 0-0 e b -,A0b 0 it, 5605p Pm p_ Ailvy.pie,1,4,-pikiP 6- c, Cr CV,Nt . ci j, (, L3 ,,.-,-,-,O.3- 6-k- ?pi P- iviz4cAcii-tvi.--ic Tr v./474k I certify that the statements.nle by his Qin are true. '-Pin? Nti-1449A 1 PAGE TOTAL AMOUNT FORWARD TOTAL TO BATE PILOT'S SIGNA E AS FLIGHT INSTRUCTOR CROW,- i COUNTRY 1 ROTORCRAFT HELICOPTER / 1 r D ey -r L1L 0 2., 1 6, 0 7_ 4. a / 0 2. 3 2- I ) b. / 0 0 7 o 9 9' icz L7t. L ay- / 3 5,..0 ' • i 5 5,/„. ---:•,_ IR S 9 /I- / 332 I 2 * YEAR "I AIRCRAFT MAKE • and MODEL AIRCRAFT IDENTIFICATION NUMBER POINTS OF DEPARTURE & ARRIVAL • 1 1 REMARKS PROCEDURES, PAANEUVERS, ENDORSEMENTS i'L/Is la MIR NO. ' LOG I 1 AIRCRAFT CATEGORY and CLASSIFICATION nPGIZIENEENGINE LAND PA=EIGINE LAND DATE FROM I TO yip A04.1-3 INSco-77:1- Pim P- ogefl,t:if-- isiria4Cci- p,.."0 ( 5;/44- 6 -'-70"1 - 1 Ii- 94:10 /-:3 ,0903-A- 176.1 - bwi- PB i Flecip Deg. - _si 6,1/4 i4-7--tiRE- iv 'el clE Q Pi‘i +//3 2x 6 1_3 5-6,0171 pm? _1166- pi,lia &Ayr- PPL 0419: Hi 4 R,,* £ CAF 1 0 i L3 3-opsA P81-1-10-111)- pA ) 'f, tzfriV if - /1) 'T ' L I fl 1 fvf 1.Z*(1)f 2, r g 1-3 gfitka p 131- 1-,v A - kis PPI* fricIP '. P li' f i+ v el .701c...11/-7e/tig s 1(6 --2_,‘" Li nATIF P Al p p MP f 1105 ?IV' PREP: K 4 v ,.. 34:6c -s11/7-e4;•-", fY7 ,..-,,..,de4'4 `rga-)c-r-> • ..-4e7,4" -de f-75(.)-crfpe-- dr-T'4., iiye, A ,,2 6 ‘ L3 5-007A 1213i - ifigv- fz--i-i, 761- (e-x54A. /a 2 I) iD I.J eic a .)-fl pa-- L23 a (56 L-3 6---mna Pal- - PDX- ,02y gd,L.3 5-60374 Pt)? P - topii&A) - PP) P / 03$ .c)c.0 6,3 coo-SA P/7779- 4,/ -2/n? i;14u, ?•.olz-3 6-1)D,-5-p Pin?- 541) 0- icrt(3-.P0IP 9.gel ,,Wc- sbc,(3)4 ill Piat 1)/- FDY- I certify that the tements made by me th" fonn e e. PAGE TOTAL AMOUNT FORWARD TOTAL TO DATE PILO SI A URE / AS FLIGHT INSTRUCTOR CROSS- COUNTRY I '1TDRCT HELICOPTER / g 0 q ) 3 02 1 if 0 7- D I 9 a 3 it 3. (0 i g / 0 oZ 3 3 / I( 0 6 33 0. 1 / e 4. YEAR ,?-. 1 AIRCRAFT WAKE and MODEL AIRCRAFT :IlluERIFICATION POINTS Of DEPARTURE & ARRIVAL REMARKS I NO PROCEDURES, MANEUVERS, ENDOnsEmans INSTR APPR. NO LOG i i AIRCRAFT CATEGORY and CLASSIFICATION AIFIPLANE LS.IANNGDLE ENGINE AIRPLANE Ilt;I-ENGINE / OP 1) DATE FROM TO / Z.A1 A -P al - iyai-brw-gf.1:7/- g,lee-- -P. 1 T -Z,AiAl a 3C7't 'pH/4.5W? ci rA:r., 56tee '41. /9 Z---0&13-311t1 &Coq /..Ar )3 - POI- n(-14---rt.)-1- Tals,c - 5 OA- Paa- L.N-4 1 1 to C , Lei,' i Oik 4 ( pe,6 h:h., /5- le 6 8 3 I ib q 0 ei PP7P- hi- tivft-f61.-,0192 Rev i ed i A-11 , A ii, V 601,141.."4— .7j4ts-Weci,q; 3t1, 1. ri-t-91g0/` 1 ce,vot;5 1 01 0 6 L 3 .7 2P1-1 114f- eei-1,40e0- 1)5/14 ge.rvrity;" el `-`'" le 11,4.4......540J-6'71;1;4 a.% is X, 3 2° CL3 2 lii PAP-Peri- ANA - P11-1910 ilYtfc`ij'- , i 1 - zrI ii , Aff "6. V 17- ii-ecAArt-- )4.- ?-06L-3 /v7). P/4 PM? ir"../_ "Trzi.e,_Im tv 'ob.) 1 (-mg 2.1e)G, 1.- .E.- r ZS- - .0 &I-3 4/7,1 Pi/ Pm P LeL fv\its.12,..hrkfts tot t-ciel AS Vo fLAlb• 8 IYIPtY 10 iScir›)1° oft4P4 51 L-3 rt17.APil Pm? 6tL7,.ki, Ai,ALPfk?. wee acfc. LA4%..0 muTt to 2.1 0 0E1444 0 i -'m 4 621ct b./ ttn Art% 6. turr.tc lc)03 1-1311, STIP-416i. it 4 to.-rcie,,J3 -rt. arreo 1..› .).4.1.... tz, Q410.e_t. \3-C1....0.S.)..2Rs l‘ctfclAi6e-C4 ex iJr, 5/21, 2,064,3 -77.1)P P4,43.- Let- pA. p ern- 1910P : A çg. 0 3 Dbi,51.17vOci q 3/43.1 2AeG3 72P)-1 pm? pl...." cPg. PigeP - 4 - A, ' e4v, 2ssv-704,4ccr-% V7,3 ZOCL3 ?"7,Pii Pmp Pmvo /9,1"‘fr'' A - x (i-e4+) 2.J ivi 4914,k. jaw", e.-..-t-it_...3 ?? 4,AI /f ti) o d'iy17ZE5,1 ei; Kit 2000 ? .0/ 1)1L'Ill pc, 4 /0 /4 , 1 , s, Avto'S 1.-,...W I certify that th Mat ma y den this form are tree. ( PAGE TOTAL AMOMIT FORWARD TOTAL TO DATE MO S G ATURE ROTORCRAFT HELICOPTER AS FLIGHT INSTRUCTOR 3 a 9 CROSS- COUNTRY 3 YEAR AIRCRAFT MAKE AIRCRAFT and MODEL IDENTIFICATION POINTS OF DEPARTURE & ARRIVAL REMARKS PROCEDURES, MANEUVERS, ENDORSEMENTS AIRCRAFT CATEGORY and CLASSIFICATION NUMBER MULTI-ENGINE , ...ANICI 1,00 DATE FROM TO • '.e.i5 . -- • t'-ii,- lvt,,t5-; P-myri - ni i3Pv —p-IDPc— -71 .5 -1- [ 1 /4 ;:c 0 (04;3 Ar7eZP/4 p 7_..7- Fivt,P tt4144- ,,,q11 —.37)_;-e-c4;;T: rt- ..,\I 2sic)0305-- c'h ei -5/3 0 7, 06 I-3 ..q-di) i ivi /9 fir-% P ,iiiibs 'IP"' EP: hi/ /, f le_ 3-06,-y740c.for ez././ 715.j o ‘ a 47 pi, p/, f_xy6_ ipm px olk fe6a14-1/7=, &ZIP!, fge2:- 15iire" i 1/-4 aoGEtA faFtlX44 Locietc_.- es,- e2-ris-o . ((Iv zo6sg Faka Loot: 1 lir; -2,0c,61-1 FolscA Locesk, )/g7 •2_0(, 6i-4 gesso\ Lo-3-c. 24660 fi2htcfs LUCA?, .. 1' ?s0 b i-3 N1A PN Pin P.' Pill-- i AM - it.)4‘) - 03 ,- Pin? 440 ;-0,:f 8,-/ rif•374././ 'A, A-106 6i-i tilLe..3-1 i tya, i7,1-1 1-e L-- e FC k lY (147,. 64 (kr, 6 C/c7 1 i:Ps/, -2-tt 4i-I /VAN, .3 /6-76L„zr;Gx /-01.- , ., I certify that the statement cM Byrne on this tone are true. n PAGE TOTAL AMOUNT FORWARD MALT° BATE PILOTS SIGNATURE 1, V ' _ Sict, 0 ROTORCRAFT HELICOPTER AS FLIGHT INSTRUCTOR CROSS- COUNTRY /0 5- 02 SI 12- (1 35 YEAR r..)5- AIRCRAFT MAKE and MODEL AIRCRAFT IDENTIFICATION NUMBER POINTS OF DEPARTURE & ARRIVAL REMARKS PROCEDURES, MANEUVERS, ENDORSEMENTS NO INSTR. *PPR. NO LOG AIRCRAFT CATEGORY and CLASSIFICATION DATE 'giGITEENOINE LAND ;:;i8orEIJOINE LAND FROM TO rtitNO5-. Rfri ,1914iil orr- Ci„ - ad i'lli /3/vo— V49 131ft:17 lintcl(fri c) c,L. - .. S 43 1 ///7 it/i ////3 ft v 477: Mi___ 5-2- 6(.07 mot(ov 277--s-/y R.C•215(k -krof-JerT 13 t?cfEr2 „, If? 13y67 -//2r 6-7-7--- )))&--m4 ...psmx,v-Aoc) jrj- r „;9,.0.• (:, ft ,..4ci /7,7,62 AV941t, SIT le5.1_ , '/-6, 4 6P5 v " grIT 62AT' -)vToI b /3 ro 1, is ,2-1-64, (5qb If " SDI- LOU41-- - it6e1 '-U%,.......4.,etek... prt-f) , D,,,,, 3a-2...cro1 ?-tt ,-4,.$2, g'-e-10 3 /143 1 I certify PILOT''ILI that h st men made by me an this forrn are true. d d,CYO 1-07P6 Pit: +LE PAGE TOTAL t-el,ie7c, Ax. AMOUNT FORWARD 7,A# e TOTAL TO DATE /441'/WAIrefitiAl) 136:16 401 ROTORCRAFT HELICOPTER ,r) AS FLIGHT CROSS- INSTRUCTOR COUNTRY 3762 4fr. 5- A (71 44 : .4 YEAR AIRCRAFT MAKE AIRCRAFT POINTS OF DEPARTURE & ARRIVAL and MODEL IDENTIFICATION REMARKS AIRCRAFT CATEGORY and CLASSIFICATION NUMBER 1 ...APPR 1 istPrEEENGINE =tLiG.'. LAND DATE FROM TO /8Ella 0 05 && 1 9ACAVZ, yi 8/96Z 1 /a-V02,0a3 ,#g&-ti ' seloa, . •/.*I/ 605-1 cSii.6a` y 6- 2. .8 /A-n-i-tat, (5-4.006--) ! lit 4/1907 cfdo S 7 6 e ii ,.z,- f2.. ce_ipto7 15,01662 thlit&ig,dg el-f BED- 2/67 41464/EV ,2 1,10g -inj20(-1 Be& ficit)fl il€1061 6-28-19-2609 V/51,10/0 4-1eil# cf? s'4,45 sze-e-i tills-12,01c / a act/ c5ge14- Alla16 PX. ssqs,f,Sitt.6.4. lica a=4) / i s7 tc-H- tkry2.,J6 6 s /-- FfiNi (logo/tic) ..4‘5- 4' 1) I /04.f ii,t,„x4t Ilsr S it, e4-4- Mit J6 : i fiy say 14;6(z.,e5e 4.13a 2 1;- Adv (4,4 a„L.4...a,, 1 3 1 t., g 74 c,-(--i Ai-72z_ s a r ir-6-.6; r iv" 61 Ps (t) rcL ve,_,..e.L.E.- I certify that th me ts m e by me on thi arm are true. CAS PAGE TOTAL AMOUNT FORWARD TOTAL TO DATE . • PILOT'S S A E ' ROTORCRAFT HELICOPTER PS WORT INSTRUCTOR CROSS- COUNTRY 2 1 3 3 ("o5 9 297 7 251 YEAR AIRCRAFT MAKE and MODEL AIRCRAFT IDENTIFICATION NUMBER POINTS OF DEPARTURE & ARRIVAL REMARKS PROCEDURES. MANEUVERS, ENDORSEMENTS NO INSTR. Wit NO. LOG AIRCRAFT CATEGORY and CLASSIFICATION AIRPLANE. SINGLE ENGINE LAND AIRPL.ANE MULTI-ENGINE LAND DATE FROM TO .. I certify that the statements made by me on this form are true. PAGE TOTAL AMOUNT FORWARD TOTAL TO DATE PILOTS SIGNATURE ROTORCRAFT HELICOPTER AS FLIGHT INSTRUCTOR CROSS- COWRY ARTURE & ARRIVAL TO - PBI 2L - PRI eL - PAT Aliton Ten -PI - TER стА TER ACK - TEL DCA REMARKS, (See PROCEDURES, Index) MANEUVERS, ENDORSEMENTS 7/28/91 JE JOB D TRip A , NO. NIGHT LDG. / AIRCRAFT CATEGORY AND AIRPLANE SINGLE ENGINE LAND AIRPLANE MULTIENGINE LAND TIP. 1 / 3 HvY CLASS. OTORCRA ELICOPTE 3 2 AS ASTRUCTOR 9 / / / 20 33 1 / CROSS COUNTRY DAY 2 2 / 20 3 / 20 3 2 HOUSE_OVERSIGHT_007792 7 19 OTE AND MODEL MAKE DENRFICATION POINTS OF DEPARTURE & ARRIVAL FROM 7-18 115125 N125/16 37-20 H5/25 1125/16 5727 H5125 N125HG GAlLitm - PBI PRI -ORL -PBI PB#- ORL - PAT €7-23 75125 N1Z549 2-28 N908J€ 17-29 $731 18-3 18-5 ILG- 7523 PBF - - TED тоВ - стА 7/28/91 JE JOB D TRiP it, стн - TER 7EB ACK - TER TER DCA - But - cmH 8€ 68.9 8-11 8-17 TEL сМн +E73 8-18 - DAY TER cm - TVC- CPS TVC PILOT'S SIGNATURE — I corty that the statements ple dey ma f thia torm are true, / PAGE TOTAL AMT. FORWARD TOTAL TO DATE AIRCRAFT CATEGORY AND SINCE LONGINE MUL RAGINE 19 1/ / / 20 3 3 7 3 / 3 7 20 14 15 16 3. 4 76 28 9 45662950 8 23 9 456 62979 8 239 HV VET ASTRUCIOR COUNTRY 1 9 / / 1/ 20 33 77 13 1.3 12 30 / DAY 19 1 / 2 / 20 33 22 13 13 2.7 20 14 / 5 16 16 3 4 34 7 6 26 28 7 289 11 01358 7 14800 25508 0138761480028878 CONITONS OF FLIGHT NIGHT INSTRUMENT SIMULATOR 20 582 594 6067 606 322 - 300 327 300 TYPEOF PIRONING TIMS COMMAND (Inct. Solo) 19 SCOMMAND 1 / 20 3.3 > 13 13 / 7 20 5 16 289 19899 2018 8 134 HOUSE_OVERSIGHT_007793 19 ATE AIRED MO AND MAKE AIRCRAFT MODEL IDENTIFICATION MARK 7-18 15125 N25H1G 22-20 HS/25 N125HS 5727 H5125 N125 HG €7-23 #5125 N1Z544 17700 N404CB 7-28 N908J€ 729 {731 18-3 18-5 68-9 8-11 8-73 POINTS OF DEPARTURE & ARRIVAL FROM TO REMARKS, (See Index PROCEDURES, MANEUVERS, ENDORSEMENTS GAllitT- PBI PRI -ORL - PB7 PB#- ORL - PRT 137 - SAvita 1L6 - 702. - PRI PBF - - TER ТЕВ - сМА 7/28/91 JE JOB D TRIP A 1 CMH - TER TEB - ACK - TER TER DCA - BwI - cmH CmH TEP TEG DAY - TER tER cmH - TVe - CPS TVC this form are true, 1 certi PILOT'S SIGNATURE PAGE TOTAL AMT. FORWARD TOTAL TO DATE NIGHT EDG AIRCRAFT CATEGORY AND AIRPLANE SINGLE ENGINE LAND MUL FREAGINE T.V LAND 1 9 1 HVY CLASS. HS NSTRUCTOR / / 7 3 3 -3 3 CROSS COUNTRY 4 3 6 28 9 456629509 456 62979 / / 3 23 1239 9 111 11/ 28 013658 10 1387 6 9 1480 6 1480 0 г HOUSE_OVERSIGHT_007794 DATE • 18 20 23 28 29 AIRCRAFT MAKE AIRCRAFT AND MODEL IDENTIFICATION MARK 15125 N/25/9 15/25 1125/16 45/25 N1ZSHG H5/25 N12544 N404CВ N908JE -18 I certify that the statements PILOT'S SIGNATURE POINTS OF DEPARTURE & ARRIVAL FROM TO REMARKS, (See Index) PROCEDURES, MANEUVERS, ENDORSEMENTS NO. N9H7 LD GAlletI - PBI PBI -ORL - PR7 PB# - ORL - PBT PRE - SAliTOn PF - - TER тЕВ - стА 7/28/91 JE JOB TRIP # / стА TER TEB ACK - TER TER DEA BuT - UmH TE73 TER CMH 1092 CIE стн DAY TEB CMH - TVe - CPS TVC TEB this form are true, / AIRPLANE SINGLE ENGINE LAND AIRCRAFT CATEGORY AND AIRPLANE MULTIENGINE LAND 1 9 T.P. 1 2 3 3 3 20 14 5 4 9 PAGE TOTAL* AMT. FORWARD TOTAL TO DATE 2$ 456629501 456 b2979 23 23 9 HOUSE_OVERSIGHT_007795 DATE AIRCRAFI 19 @/ AND MAKE AIRCRAFT MODEL IDENTIFICATION MARK 8-20 HS25 O9O8JE 8-24 8-77 879 9-7 9-5 98 910 9-12 913 9-18 919 9-30 10-3 cm14 CEL CmI TOKA cmAt стА 7523 I certify that the statements made by me on this form are true, PILOT'S SIGNATURE - POINTS OF DEPARTURE & ARRIVAL FROM TO TEL ASE IMH TEB ASE DEN - C mA TER NEW -jER ст