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DatA 0 19-1,-. 1 .ng 	Aircraft Make and Model 	Aircraft Identification Mark 	Points of Departure & Arrival 	Mlles Flown 	Flight.. No. 	Remarks, Procedures, Maneuvers, Endorsements 	Number of Landings 	Aircraft Category...
From 	To 	itifftraist•
a e5 	6-11596 	NcAos3-L-, 	c(i-1-.. 	jc, 19 	i 02.5
iiiiim=mirni 3.t.--/ &fr‘f
2-5 	1 I 	) I 	-TC-115 	S OF 	ost, 	L) 	Li
271 	‘ ( 	It 	SA F 	e 0 1 	od,Lic, c yt 0 6-3- 4.-.1-77Z-T 	VD 	2. 	1
31 	C. 1 -1 a 	NsNiaciS 	LN(\ • 	.L N. I) 	c kY,--(:\ C. C-)U.S.: r- /V ce,..-..-:?sivo rri- 	-3/3
3 	, , 	\ 1 	01A - VO",i- 	1-NI) 	C))gs,5 \KiPs&Ncit - --,, c-pna-aoli...mcy LA .i\i vrn-,c,-), Nvc1- V, c ,:--tiA"2:4•Wo6Y4i5 	1 	'3
‘6 	Cuv21 	S.'foiv L.,..)-rba. 	ael,c--,itac.-(4,5 -vt ilx.I.D.Nc., f* r
.--{-,\E-.12,G-Lot...y ,eafs (..c.:.0:41--c-',
1'5 	\I 	1 	T.Nsw...),-16..-mt Colv+ 116:MN t-Li c
;PR 	.--cE0 	..v._
Ni\ii-41 	1,g. i 	-ze._-, 9... c-c-pou-5 t_ „0 . 	I i 	1
1 ?uatiwiai
6 	1, 	1 i 	F\ IL 	vi LI 1 	wii 	le., Q(,.7,.. me: LL', ,)., 	1 	Li
% i 	1.1 	\IV 14 ---1 	.q6.0 	viz 	2-6,7 9._ ve_mgLes 	'1
v3 0) 	ii.),0 	17:...-( 0 L-S-Vaire--
15 6:-- 0 	s-1-6-'6 	1 Mg 	'--,-/ bi--J-v'LA.`,96/ 	61
cl 	v,. 	\ l 	1-6-16 	M f- 	(3t15.- 	3-6.-,LG(...c.-.../1 &Q.-, i 	2_ 	3
k( 	c 11-1 2- 	t\fl 5 ru: 	L_ 0 ()---c)< 	- LA) A 	c 1),(2...zie.x.„ -,,,G,t..t.t fr.&,.;1/4..,v,z_
1) 	n-115`1 6 	Wiurse-:- 	ickeT.tv 	/i-Ayn_PAi 	0%, 	P-‘6.2,- 	6
16-- & - 	i
\t, 	'( 	vi 	tykt'iut4 	Pi?, r
I certify Pilot's Signat 	that the statements made by me on this form are true. atA kelki 12-24-42L,)— 	Page Total
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