Da.t.EA. 1913 5Cr 	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 	WV& 	&-W.*- 	t.rLOP
14 	G.AISCIel 	NCIO.P.G. 	56-D 	P a s 	0.41. 	Gm* 	1 	c%
Im.s 	Tel 614, 	1/• 	2.
Tzsi. 	Tde 	rxim 	s6icrm 	 	3 	e5 6 	_ 	.
2..\ 	u 	u 	Telta 	?ex- 	tkets. 	xei., cryt, 	1/ 	2_1
21 	,, 	u 	Par 	--V6.-B 	ix% 	VT G‘tititio•uf K t'ite000 	i
2.9 	I r 	I 1 	l'ae 	?et E 	mon 	3'6,GAI Si c LA Aolkftsdt_
31 	.. 	.( 	per 	T613 	(2.3% 	1-6.) &pli . cLfirdek iii31.&L. 	2. 	5
4/3‘r N 	‘i 	ti 	Tea 	86114 	%met 	Ie.., 	lit 	V
5 	It 	ti, 	A360 	? 4 	V3b0 	Z6i 	V i 	2..%
cl 	11 	VI 	P 5 r 	Ter.0 	130i 	S&) OM
s 4 	‘302. 	' IN NLOcsitTo Pgu're• kmf„ 	Lk 	0
‘k 	II 	t t 	SAC- 	vNy 	t3ca 	1 •s6. RaS,X1‘.4, 	I 	'1
\3 	I I 	I I 	V Isi 4 	SPIN 	abii 	•S 61 (...A../ itit"* 	1
It 	It 	SAN 	SOP 	116- 	1-6-- Aevituogo- 	1 	6
Vi 	It 	I,( 	SA c' 	1-6-.6 	ado 	3.61i 091 Pil-SteTb es. lei . rAi)Lhrt 	6
WAN.*
2. 	5
‘C‘ 	L, 	I I 	*Tenet 	? 6 	IVA 	V. 3rzNli P10.0dra, 1 641141 	2._ 	5'
22 	ti 	1, 	P6 r 	itsi- 	me) 	'3Cai C.7", Zfr•frij PMX4Vsae &WPM 	2. 	2-
I certify Pilot's Signature 	that the statements made by me on this form are true. C) atid 21544("4-° 	Page Total 	9h 	46 	4
Amount Forward 	62.1a $Wt 	1440 	V 	3 	3 	it+ 	3
Total to Date 	geo 6 	, 710.1 	A .f.. 	*I ..- 	),‘ -- 	...., 1 , " 	.2 ..)