Date 1920 	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 	()1_1. i'L-,;1 6C-r- 	6 L-T-1,7C It
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i i 	f I 	Pil /6 	,i",' 	t_____A-> P,R 12 E- II/ n A V. I- 1 4, ) 0
\ LA, 	t I.. 	1 i 	(1 i'\C 	t) P.-"\ ci 	2-,,,•,„....,.,..,...,.., ,,,,,,,,,,•,,, ,z., ...,-..,,, ,/,,,,,,„:7, (Aej-„c,,,sc 7,1s541-6- _..--r-1.4-• .1.4.,-)4. ,,. i t. a:A 01, i..2. z-1
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T,L1.5 	:‘2.;i3.1/4t,r,-..96,J i";'.; _______ 	._ `-•-•---,' ',,i • :-.,,...;,.._ 	\ 	:,)
k•-.1 	. f 	/, 1 I 	7 4- a 	e 0) 	col ) A...... :.,,..: 	--) 	I--
ix 	,. 	1.— 	1.1-:,')1- 	v.v.;(.., 	-F,-,--:;.),C=.-,:':\•., ,:.):-.C:•/,,-;;,'.:. L,T;;:-.,_,,(7.).„1-'7,.i.1,7„.; 0.4'. 	.‘5'.-v‘... i I 0 	'") 	)
I certify that Ilw statements made ..... 1.. % . Pilot's Signature _.. -----"_ ' - _,.. 	by me on this form .L..___ 1 	are true. •••-•, 't - --,c,' -,--___________ 	Page Total 	*V 	‘.414
Amount Forward Total to Date 	......t, .4. „ • i.....4.t • . • t , 	--nl:;,:- 	Li 	..) ) 	, )  ., ) 	, ...; . —
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