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Di 9a4.1 06C 	AanirdcrmaftodMealke 	Aircraft Identification Mark 	Points of Departure & Arrival 	Miles Flown 	Flight No. 	Remarks, Procedures, Maneuvers, Endorsements _ 	Number of Landings 	Aircraft Category...
From 	To 	fl7.13P1-006- 	•
G1159 6 	N qc.Y3A-c- 	p es i- 	-1-6_- 6 	ic.,4,-;._ 	 -4 	11 I 	2 	)
n 	--ve..:. (3 	(3 LI- 	, 1(3:' I 	/0_,.!frI,Aft16-1_•° W6,402 ST I eTrit:V.".StigiVre,C-iill 	. 	2- 	5
1-1 14 ti'd (>)Ni3) 	i 1 % ._ .- 	r i \ 	(3 C-1— 	(
-  	, ,76--,. ,. , 	_ __GM, MI ‘VPlieRtfv•V, fti'Vei., i x••tivu 4c.1412,5 co-i,vz,-	2_ 	3
g 	\ i 	v.t 	leo 	S P3i 	34.-, coA 1 MI Dollts' ''.--111, - , - 	V 	... 	g
\ (., 	% k 	V 1
-1Y-_- 6 	loca 	---.- ) GM, 11111 	1/i 	-2. 	-3
, ‘ (6, 	I i 	‘• k 	T6- 0 	96E 	1 bo 	1-6. In . 1 c61.•"t 01,4- 	.2_ 	q
20 	i 1 	i, \ 	pal- 	l'Is-r 	10L4 	2-1.:,(,..m,•immi...imiti V kt0R01' 	1 / 	0 	0
-TS-1"" 	•1-Nc-(,/\ 	9
25 	1( 	V 	IN (-PA 	--16:f
'?) C., 	I' 	1 %. 	.1-e- (3 	V c." 	16c-)2-6:-_, 	1/ 	2_ 	3
3 ) 	I' 	% , 	ea t--zSfl-i(
'') 1 	It 	t t. 	hi' 	Digs 	Iola 	a 	I/ I 	IA
• A— 	i % 	1 t 	pv. 	---r&r3 	,,,,, 	a-,..-, enimmomi
6 	t t 	t/ 	.--Ve-6 	 GM 0,-,..al
CA 	vi 	- IA' 	P-c 	Teie 	6-13 	Fi-ii4-4r1.141 LA DULS u., PI3V-itit,,,Y 	4 l 17 	2. 	Li-
k)--	l'3a 	lo-) ke 	' Gsiqi,',R;,67,41,V=.4r i 	2._ 	C
I certify Pilot's Signature 	that the statements made by me on (.. 	this form 	are true. 	. Page Total ' 	"3 	ck
..___L%
Amount Forward • 	1C341 	--
total to Cate 	T 4N 	11'94 	.2...
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