Date , 	Aircraft Make and Model 	Aircraft Identification Mark 	Points of Departure & Arrival 	Miles Flown 	Flight No. 	Remarks, Procedures, Maneuvers, Endorsements 	Number of Landings 	Aircraft Category...
From 	To 	a_Expori:- 	6-1-1-"-1L-
•-?, 	G-- 1 scl r5 	1\) 9 cS-6_ 	r15.1..
Lk 	1 1 	1 \ 	1-03 	\-\ To
±:L: 	\ ‘ 	‘ I 	\ A 7c) 	b (Ikk) 	t 1n 	too ci)%cfoc.,,L,?_s 	\ i \
0Q\.) 	-1-6:S3 	\i39 	-.-C.r-
5 	\ , 	k t 	T60
4; 	, , 	), 	Vsc-f.) 	m \I Y 	\v-k‘ 	.•-L.-. 	1f) 	r-
.5 	1' 	%, 	A \J \-; 	.-Te.6 	\ It-q 	36.:-_ 	1 A 	0
6 	LINA tA 	T61'3 	11441-Y-= 	IA 	1 	3
—1 	" 	‘t 	Tc:c5 	TV C 	i K6 	-3--c.-1-.1 (-51v\ W
11 	I, 	1 t 	-1- V C... 	1-ciY3 	11.-•%6 	: ---- ) 6- Y\ 1 •3-
\ 3 	I. 	1 t 	Mi3 	Ef6 y 	1141 	:,c(:-- i G- PA ) ) ? c) \)...J-4 66) 51Y.-_ i_ Nd 	2_ 	Li
1 ( 	\`.5-',L 	le (-1--ir 	I OcS 	:C6---) G fr\i M 	1/ 	1 	c:5"
Ilti(-1 	ICI%) (.3-g1) A19Am ftaiv-r L.frs,,I, 	V
/1 	Q
-L2- 	sc_34tty:-. SP3Lt 	N) Lk 4 ii-id, 	o e: 0 	0 E.:: b 	.1„ .0. ...t, -vow Pt of'4-St.:i'.7 i Silk rCir 0,Ni c ix-,, a_ 0 X' c.:,,Ptit,r' 	9
725 	G1\s'Af3 	Pci.c:(6.S.::--: 	01-5-c-: 	\p\i'-( 	k 1s- i 	1-6/.3.1:4-.. ofN(...com),, c.,--vc.,600,,L..,r, Ac;c-p.1.
221 	it 	t I. 	V NY . 	k113 -' 	tIs?..._ 	sc.-- 	t/ 1 	(.1 	,
9 	Li
I certify Pik' 	that the statements made by me on , 1 -tatur a Jr-C11‘. I 	this form are true. COLtt)gl-a-- 	— 	Page Total 	I", /1 ii_. 	-6 \ 	1
Amount Forward 	5L7-."'
-----C-0. c--2.-
Total to Date