Date Iggra 	Aircraft Make and Modal 	Aircraft Identification Mark 	Points of Departure & Arrival 	Mlles Flown 	Flight Ntr: 	Remarks, Procedures, Maneuvers, Endorsements 	Number of Landings 	Aircraft Category...
From 	To 	ArS ei-NO&" 	("CZ:ask
3o 	G-)\scie. 	f\-)610.---c- 	eor 	PT .-5-1- 	13S6
col. 	3.-C-1 	----1-e-=i G fv\f• 	2, .5
,, 	ets 	.-1-- 5 	-2-gi, 	. 1 	1 / 	2, 	5-
5 	It 	, 1 	Tc_-:. 5 	i_S:lf 0 	13-51 	--s(i..) N 	/ L 	b 	1
20 	.
LIZ:- b 	CVAMX. 	13LI 	2.--)G-(‘'\ 	V i 	,-) 	9
\ 	1( 	)1. 	GIV\ IV\ X 	6-t,\ FP 	mi, 	-7‹:)G-M 	\ i i 	9
11 	6-- PA F. f-: 	L: 43 6 	r3L-i 	----r.ic.--1`-‘ 	VI 	I 	ci
1 i 	LEN5 	E. Cs-c; \A, 	13g-I 	---r&V GM 	V 	1 	1
.-1— 	If 	1 t 	EGG W 	C-6-A i) 	134.6 	3-6'i &P'l 	I.// ) 	r-	D
\ 2— 	" 	1 c 	-(MPT. , 	j56- fc. 	(3“.. 	2--)G iv\ 	\ 	b 	Li 	_
\ -2_ 	it 	11 	66- g-
__T&B
-Vo 	\3C,1 	Te=-I 	6AL2). rcwq3 az c )3 	2._ 	5
 	,..1 	1
sL,Au Li)-ytxt, 	-3- (c.-1<._ 	c=-1(_ 	s,Iu..-9;1-1_,,z./J5 kqe-,-.&,...r.„0 1-44-N—C,- -c.,i(•• 	3 	9
.- SW c- 	5%,.N.G.L.4. cc ,..,c...,,,,... prpp..a.paA,5 Eia.le,t7...AL. c-14-T-L•f•f2L1, c41' f2A fi'JC--ct- VLP, ,_....,,,2-65 	Li 	o
Li 	It 	it 	ff-c-Y — S V i 	(,-- - .5 (--.. 	1-c--1-,,c. , c.--_,-,..e.-..a6.-&-,,L y 0 6-5 c-aa•-• ---7, opp(to 9Lii&-5 r‘f-4L(n),ac-lecii, 	9 	I 	_
'11 	It 	N 9 OC67-5-61- 	9 .6. 	5 14C- 	tada...c.pc.- vr.CR---) GP' imr (-)7 	I 	3 	.
I certify Pilot's Signatur 	that the statements made 	by me on this 	form are true. 9,....R1/41-.--7--- 	Page Total 	,I....-- 	5 1 	.2_. 	k,1 ()
Amount Forward 	63 cx, 	Y'.31 	-3 	\\ 2-
e 	Total to Date 	nclil 6065 	757 	9 	3 	1./